The increasing number of adults receiving orthodontic treatment has made bonding to pre-existing ceramic restorations a routine clinical challenge. The objective of this narrative review is to explain how ceramic composition determines surface conditioning and to translate the available evidence into material-specific protocols for orthodontic attachment bonding. Glass-matrix ceramics contain a silica-rich phase that can be selectively etched with hydrofluoric acid and chemically coupled with silane. Polycrystalline ceramics, particularly zirconia, lack an etchable glass phase; therefore, airborne-particle abrasion or tribochemical silica coating combined with a phosphate-monomer primer is generally more appropriate. Resin-matrix ceramics require a conservative protocol selected according to their ceramic and polymer content. Laser conditioning can increase surface roughness, but results depend strongly on the ceramic, wavelength, energy, and irradiation settings; excessive energy may cause microcracking, thermal damage, or phase transformation. Across ceramic groups, the goal is not to maximize bond strength, but to obtain a durable bond that tolerates orthodontic loading and still permits safe debonding without damaging the restoration. Current evidence remains dominated by laboratory studies with heterogeneous ageing and testing methods. Clinicians should first identify the ceramic, use the least destructive effective pretreatment, add the appropriate chemical coupling agent, and follow material- and manufacturer-specific instructions.