Lingual braces

INTRODUCTION: We report the successful treatment of a 38-year-old woman with bilateral idiopathic condylar resorption and anterior open bite. She had incompetent lips, a gummy smile, increased lower facial height, high mandibular plane angle, skeletal and dental Class II malocclusion with mild mandibular crowding, increased overjet, and mandibular midline deviation to the right. METHODS: The treatment plan included: (1) presurgical alignment and leveling of the teeth in both arches; (2) jaw motion tracking (JMT) to detect mandibular movement; (3) 3-piece maxillary osteotomies with mandibular reconstruction and bilateral coronoidectomies; and (4) postsurgical correction of the malocclusion...

The use of the lingual individual orthodontic appliance is accompanied by prematurity contact of the front teeth, which affects the rotation of the occlusal plane, especially in cases with distocclusion and deep overbite. The study of regularities of changes in the inclination of the occlusal plane is an important diagnostic feature, contributes to treatment planning and obtaining sustainable results. AIM: To assess the direction of rotation and the degree of change in inclination of the occlusal plane in cases with distocclusion...

Dental hygienists are often faced with patients wearing lingual orthodontic therapy, as ultrasonic instrumentation (UI) is crucial for oral health. As the application of external forces can lead to premature bonding failure, the aim of this study was to evaluate the effect of UI on shear bond strength (SBS) and on adhesive remnant index (ARI) of different lingual orthodontic brackets. 200 bovine incisors were divided into 10 groups. Four different lingual (STB, Ormco; TTR, Rocky Mountain Orthodontics; Idea, Leone; 2D, Forestadent) and vestibular control (Victory, 3M) brackets were bonded...

OBJECTIVE: To investigate patients' expectations of lingual orthodontic treatment. DESIGN: In-depth interviews were conducted. A framework analysis was carried out to identify themes, concepts and a typology. SETTING: Two secondary care hospital departments and four primary care orthodontic practices, UK. MATERIALS AND METHODS: Fifteen new orthodontic patients aged 16-60 years participated in the interviews. All interviews were transcribed verbatim and analysed using framework analysis, including identification of themes within the responses, and typologies of respondents...

We report on the successful treatment of a 32-year-old woman with condylar hyperplasia and severe mandibular crowding. In addition, her maxilla was canted to the right, her mandibular midline and chin point deviated to the left, and her maxillary canines were missing. The treatment plan included (1) aligning and leveling the teeth in both arches, (2) correcting overbite and overjet, (3) performing LeFort I osteotomy and bilateral split osteotomies, and (4) correcting the malocclusion postsurgically. The orthodontic treatment was performed with custom lingual braces and clear brackets, and virtual surgical planning techniques were used to plan the orthognathic surgery...

Patients who underwent resection of maxilla due to benign or malignant tumor, or accident will have defect in palatal area. They get retention, support and stability from remaining tissues which are hardly optimal. The advantage of swing-lock attachment design is having multiple contacts on labial and lingual side of the abutment teeth by retentive strut and palatal bracing component. Because the force is distributed equally to abutment teeth, abutment teeth of poor prognosis can be benefited from it. It is also more advantageous to cover soft tissue defects which are hard to reach with conventional prosthesis...

The management of patients with pain in today's general practice has become a major concern and sometimes this pain is related to some rare causes. A male patient aged 26 years reported with pain in the lower left molar region (36) and then an intra-oral periapical radiograph (IOPA), and orthopantomograph was taken. IOPA revealed the presence of supernumerary premolar causing pressure and root resorption of 36. Also, there was missing 21 and proximal decay in 11. Eleven was treated endodontically, and then bridge was done in relation to 11, 21 and 22...

The lingual technique was introduced in the late '70s and, just like orthodontics, it has developed significantly in the past few years. Adult and young adult have been attracted to such alternative aesthetic treatment. Despite their need of orthodontic treatment, they want to have an aesthetic alternative, as "invisible" as possible--something that can be achieved with the lingual technique. Nevertheless, many treatment or re-treatment cases also demand correction through orthognathic surgery, a process which is nowadays much simpler and considered an effective auxiliary method for the malocclusion correction...

Over the last years, a tendency to prefer purely intra-oral appliances with minimal need for patient cooperation is noticed if upper molars should be distalized. Unfortunately, most of the conventional devices for non-compliance upper molar distalization produce unwanted side effects such as anchorage loss. To minimize or eliminate anchorage loss, mini-screws attracted a great attention in recent years because of minimal surgical invasiveness and low cost. Using the anterior palate as an insertion site, the failure rate is extremely low, there is no risk of root damage and the appliances are out of the path of tooth movement...

BACKGROUND: Orthodontic relapse can be defined as the tendency for teeth to return to their pre-treatment position, and this occurs especially in lower front teeth (lower canines and lower incisors). Retention, to maintain the position of corrected teeth, has become one of the most important phases of orthodontic treatment. However, 10 years after the completion of orthodontic treatment, only 30% to 50% of orthodontic patients effectively retain the satisfactory alignment initially obtained...

As the number of adults that seek orthodontic treatment continues to grow, so too is the popularity of lingual fixed appliances. Although the aesthetic advantages associated with these systems are obvious, for some orthodontists, there has been a reluctance to offer lingual-based treatment to their patients. This is often based upon the perceived problems associated with lingual braces, relating to discomfort and difficulties with speech for the patient, and problems in using these appliances for the orthodontist...

Traditionally, achieving case acceptance in situations that involve orthodontics has been challenging for clinicians, especially among adult male patients. In recent years, surgically accelerated orthodontics has emerged as an alternative approach for patients who might otherwise avoid treatment or choose a compromised form of treatment due to esthetic concerns about wearing traditional braces. In this case report, use of an interdisciplinary approach that combined Kois diagnostic principles with Accelerated Osteogenic Orthodontics (AOO) and lingual braces resulted in a successful restoration while maintaining satisfactory esthetics during treatment...

PURPOSE: The present in vitro study compared the stresses transmitted to canine abutments and implants placed in either the first premolar or second molar areas for retaining removable partial overdentures in models of mandibular bilateral distal-extension with the six anterior teeth remaining. The study also compared horizontal to vertical reciprocation of bracing arms when the implants were placed mesially. MATERIALS AND METHODS: Three overdenture models were used to represent two groups...

The lingual orthodontic therapy though started in 1972, could not be popular till the beginning of 1990. In Nepal it does not have a history of more than a year. It is started in Dhulikhel Hospital for the first time in Nepal. Usually orthodontic therapy is meant for putting braces on the labial surface of the teeth which is called labial orthodontic system. Lingual orthodontic system is a purely invisible kind of orthodontic therapy in which braces are placed behind the teeth. The advantages of lingual orthodontic therapy are: invisibility, better biomechanics and improved patient compliance...

New technological advances have helped the orthodontic profession progress in traditional and surgical methods of treatment. The profession has seen transitions from traditional braces to self-ligating brackets, lingual braces, removable aligners, and more advanced technology, which have helped to address concerns that include but are not limited to better diagnostics, anchorage control, length of treatment, and esthetics. An increase in the number of adult patients seeking orthodontic treatment and the need for a timely efficient care will continue to drive technology and the use of cone beam computed tomography, miniscrews, piezocision, distraction osteogenesis, and bioengineering...

No abstract text is available yet for this article.

INTRODUCTION: The aim of this study was to quantify laypersons' assessments of attractiveness, acceptability, and value of orthodontic appliances. METHODS: Orthodontic appliances were placed in a consenting adult, and digital images were captured, standardized, and incorporated into a computer-based survey. The survey displayed various images of orthodontic appliances for rating by a sample of adults (n = 50). Subjects rated each image for (1) attractiveness on a visual analog scale, (2) acceptability of placement of each appliance on themselves and their children, and (3) willingness to pay for each appliance for an adult or a child relative to a metal appliance standard...

PATIENT: A 58-year-old man with a complaint of masticatory disturbance presented. His mandibular left premolars and molars were missing, and the mandibular left canine, which was neighboring to the missing part, showed marked labial tipping. A cobalt-chromium removable partial denture was fabricated using a new magnetic attachment retainer because it seemed difficult to apply a conventional clasp for this case. This retainer is constructed from the buccal hook arm sliding bucco-lingually and the magnetic attachment which works to lock the movable part when it was closed...

With the introduction during the last years of new tools such as low friction braces, skeletal anchorage, and especially mini screws, the tremendous evolution of lingual orthodontics, orthodontic care has evolved at a rhythm never known before. Using various clinical examples, the author shows the tremendous impact of the use of mini screws in a great number of treatments, producing particularly favourable facial changes, often going beyond the usual limits of orthodontic treatments.

Adult orthodontics is increasing in popularity as it is becoming more feasible to move and improve the alignment of a patient's teeth, irrespective of the technique. There is no doubt that the further development of tooth coloured appliances, invisible braces (Invisible braces are reflected by a plethora of appliance systems composed of a transparent vacuum formed material used in the same way a 'positioner' was used. This is described throughout the literature including 1950) or lingual orthodontic appliance systems increase the acceptability of orthodontic care for those who have concerns over the aesthetic appearance of appliances...