How does indirect bonding compare to direct bonding in terms of cost-effectiveness?

There was a distinct difference of opinion between those who used indirect bonding and those who preferred direct bonding. The indirect bonding advocates believed that reduced chairtime and delegation of the procedure made it cost-effective. Conversely, the other orthodontists believed that all the steps required for the impression, cast construction, placement of brackets, construction of the transfer tray, and seating of the tray made the technique more expensive.

Some representative comments: • "Indirect bonding is more time-consuming and expensive, but worth it." • "When it works well, indirect bonding probably is more cost-effective for me because it minimizes the need to reposition brackets and/or place detail bends. I find the bond strengths are usually equal, or sometimes better, than with direct bonding." • "Considering the time and procedures necessary with indirect bonding, I find direct bonding to be more cost-effective." If you who use indirect bonding, how do you make ... more.

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