Abstracto

Customization in Lingual Orthodontics

Kulbir Singh Goraya

Lingual orthodontics is more difficult and complex than labial orthodontics for several reasons, such as difficulties in bracket positioning, patient comfort, maintenance of oral hygiene, and biomechanics. With the advent of newer materials and technologies, many of these problems have been overcome, and we are able to finish lingual orthodontic cases to the same standards as labial orthodontics. Customization along with the use of 3D treatment planning software in lingual orthodontics has enabled dentists to visualize the end result even before starting the treatment. Individualized brackets and wires can be realized by computer-aided design and computer-aided manufacturing on a target setup made at the outset of treatment so that post-treatment results mirror the pre-treatment setup. New technologies like CAD/CAM, intraoral and cast model scanning, 3D printing and robotics have all led to the emergence of several customized lingual appliance systems that have been instrumental in enhancing the reliability, precision, and feasibility of lingual orthodontics.