Introduction: Indirect bonding has been in orthodontics for a long time. It has been recognized that accurate bracket positioning is of clinical importance for efficient application of biomechanics. Previosly so many methods have been used for checking accuracy which is very technique sensitive, require special equipments, difficult to fabricate and cost effective. Here, to make it more simplified, photographic method is used for accuracy measurement. The aim of this study was to compare the accuracy, and time consuming between direct and indirect bonding by photographic method. Material and methods: Study was performed on 5 patients with split mouth technique in upper arch where brackets were bonded on one quadrant of orthodontic models for Indirect bonding one set as predetermined "ideal" bonding. A transfer tray was prepared using biostar sheet and glue gun, then tray is placed into patients mouth and other half quadrant was directly bonded to patients teeth. The accuracy was checked using photographic method in three parameters Bracket height, Mesiodistal position and Angulation. Time taken for bonding direct and indirect procedures were calculated. Results Unpaired t test was done which showed statistical significant difference in bracket height and angulation and insignificant for mesiodistal position. Proving indirect bonding is more accurate and less time consuming than the direct bonding of braces. Conclusion: There is difference between mean bracket placement errors for direct and indirect methods, the range of errors in the three directions assessed and time taken were greater for direct than indirect bracket placement. The magnitudes of the findings are of clinically relevant and this method is clinically feasible and cost ineffective.
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