Lingual orthodontics is a technique that allows you to apply orthodontic brackets on the inner surface of the teeth, in this way the appliance is not visible. The new brackets have very small dimensions and are therefore comfortable, allowing you to obtain results similar to vestibular techniques and even faster. The lingual technique is more complex for the operator and for this reason not many colleagues are practicing it yet.The most advanced and sophisticated technique is produced in Germany and involves a "customization" (ie a personalization) in order to have individual attachments tailored to the patient's teeth. Furthermore, a robotic arm models the arches that will be used from the beginning to the end of the treatment.
A beautiful smile is a winning smile.
Smiling means communicating and those who smile are at peace with themselves and with the world. This technique is the number one in the world for sales because it combines comfort for the patient with the efficiency of results for the operator.
This is why a beautiful smile is a winning smile.
When was lingual orthodontics born?
In the 70s in Japan at the request of martial arts practitioners who often gave up the traditional fixed brace for the injuries they got during training. The first to file a patent was Dr. Fujita.
What is individualized lingual orthodontics?Universally and scientifically accepted as the state of the art of modern orthodontics for its precision and predictability, it has established itself all over the world for its indisputable advantages.
Who is it for?Originally intended for adult audience aesthetically demanding, today, thanks to the reduction of its cost, it is also proposed for adolescents which benefit perhaps even more than adults.
Is lingual therapy painful?
Absolutely no. A slight discomfort at the start of treatment for about a week accompanies the initiation of treatment but is not such as to inhibit or slow down normal occupations.
What are the advantages of individualized lingual orthodontics?The first advantage is its great predictability in the result , this means that the teeth at the end of the treatment will surely be in the desired position and programmed by the equipment.
The second is the treatment speed because by working near the center of resistance of each tooth, it more easily obtains translational movements.
The third advantage is particularly appreciated by the parents of adolescents because the application on the internal side exposes to a lesser extent the risk of decalcification of the visible side of the teeth which remains perfectly hygienic. Read a scientific article on this subject.
The fourth advantage is represented by the low percentage of detachments compared to a different orthodontic technique, thanks to the anatomically shaped base for the single tooth, a much higher bond strength and easier repositioning are obtained if this however it should detach from the tooth, remaining attached to the rest of the appliance.
Fifth advantage, but certainly not least in terms of importance, is related to the creation of a device made to measure for the individual patient that allows to have the minimum measures and therefore offer the best possible comfort but at the at the same time give the therapist those accessories and that conformation useful for completing a treatment in the best possible way.
The sixth advantage derives from the anticipated and robotic creation of the arches necessary for the treatment, and this allows not having to waste time on the chair of the Orthodontic specialist with the mouth open waiting for the therapist to model an arch with the characteristics suitable for carrying out the treatment.
Seventh advantage: its total and real invisibility .
There are also other more technical advantages for those working in the sector. By the way, if you are a colleague you may be interested in our courses on the subject. Training for colleagues.
What are the disadvantages of lingual orthodontics?If we exclude a short initial discomfort of about 2 weeks related to phonation and chewing, we can say that the only real disadvantage is an average cost greater than about 20%.
How is an individualized lingual appliance actually made?After the optical scan of the mouth (or taking the impressions), the laboratory prepares the so-called set-up or separates the plaster teeth and simulates the final result. Based on this, both the brackets, also called brackets, and the orthodontic arches necessary for the entire treatment are prepared.
How can the required shape of orthodontic arches be predicted?Thanks to digital information technologies, the computer knows exactly the morphology it will have to have at the end of the treatment thanks to the set-up which, it should be remembered, is still carried out manually by specialized dental technicians.
When can't lingual orthodontics be used?Actually .... never! this technique is able to cure all kinds of maloclusions. It is sufficient that there are permanent teeth that are stable enough to be moved. Cases of orthognathic surgery can also be treated.
What is lingual orthodontics without brackets?It is a technique that uses the elasticity of a wire and of the composite that the operator will have to attach and detach each time he wishes to change the forces involved.
Is lingual orthodontics without brackets more comfortable?It could be assumed that it is more comfortable given the absence of the attachments but this is an untrue fact in fact very often the bow must have loops that increase the elasticity necessary for movement. Furthermore, the composite often has considerable thicknesses.
Does lingual orthodontics without brackets cost less?It all depends on what value we assign to our time, both on the patient side and on the operator side. If the savings on standardized and universally recognized technology were such as to justify the greater time spent in the chair, perhaps there would be no individualized attacks and the related companies that produce and market them.
It is a technique very dependent on the artistic talent of the operator and as such the result obtained. We believe it is more suitable for situations in which there is no access to information technology and robotics such as in certain underdeveloped areas and where the time of the operator and the patient may have a different value.
Is lingual orthodontics difficult?Everything is difficult for those who do not know how to do it, it is certainly more demanding because you have to learn new concepts and new challenges, but there is no doubt that it is and will be the fixed orthodontics of the future.
Today computer and robotics technology works alongside us and allows us to solve those problems that in the 1970s limited the spread of this beautiful orthodontic technique. & nbsp;
Do clear aligners have the same function?It depends on the clinical case, while individualized lingual orthodontics can treat any malocclusion, the transparent masks are confined to a narrower field of action, to simpler cases. For example, if there are teeth that need to be aligned only the aligners, nothing can be done. Conversely, for the small misalignment, the small relapse, and where there is a lot of collaboration, they can also be a viable choice, but always taking into account advantages and disadvantages. Learn more
Dr. Gabriele Floria
Specialist in Orthodontics has been dealing with Lingual Orthodontics since 2004 practicing it practically exclusively for fixed orthodontics.