Forestadent's 2D lingual brackets are extremely flat. The
2D lingual bracket has a total thickness of 1.3 to 1.65mm. In
combination with its round edges and smooth surfaces, it is
the number-one bracket in terms of patient comfort. Thanks
to its uncomplicated technique, it is ideally suited for clinicians
who would like to enter the field of lingual orthodontics.
The 2D lingual brackets were used in these cases because the
patients desired an "invisible bracket" that was comfortable for
their tongue.
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Case #1
A 24-year-old female patient presented with a Class I malocclusion
with moderate maxillary and mandibular crowding.
Her medical history is non-remarkable. Her chief complaint
was the lower crowding. She wanted to straighten her teeth
without showing metal braces. Forestadent lingual brackets
were recommended. The treatment time was eight months. It
is possible to bond all the way back to the molars, and use pre
bent wires to accommodate the lingual surfaces of the teeth.
In this case, the maxillary left first premolar was rotated. In
the final pictures this was improved, as was the position of the
maxillary right canine.
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A summary of Case #1 in photos:


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Case #2
A 26-year-old female reported for post-retention relapse.
The patient had a non-remarkable medical history and excellent
dental hygiene. The patient presented with a Class I molar and
cuspid occlusion with mild crowding in the maxilla and
mandibular anterior segments. In addition, a 1mm open bite in
the maxillary right lateral incisor was present. The patient's
chief complaint was to fix the "lower crowding." The patient
also did not want buccal appliances. The treatment offered was
Forestadent lingual brackets. Composite was bonded on the
palatal surfaces of the maxillary lateral incisors to compensate
for in and out positions of the teeth. The wire sequence was 013
CuNiti, 014 Niti, 016 Niti and 016 SS. The final wire included
finishing bends. The patient reported comfort with the brackets,
no complaints, and is thrilled with the outcome. Notice
that the open bite has been reduced in the maxillary right lateral
incisor area.
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Case #3
A 25-year-old female patient presented with full step Class II
molar and canine. She was previously treated in private practice
and rejected surgical correction of her Class II. Her medical history
was not remarkable. Her chief complaint was "My maxillary
left central incisor has fallen back." Modification of her maxillary
Hawley retainer with a finger spring proved bothersome to the
patient, and she wanted to try Forestadent lingual brackets.
During treatment, some wear developed on her mandibular right
canine due to clenching and grinding at night. To alleviate this,
a lower essix retainer was worn at night. The wire sequence was
a 014 Niti, 016 Niti and 016 SS with finishing bends.
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Conclusion
Patients treated with the Forestadent 2D lingual bracket were
amazed how comfortable this bracket is. Orthodontists who use
this lingual system love the fact that these brackets are easy to handle
and are reasonably priced. This bracket system is a cost effective
way to introduce lingual orthodontics into any practice.
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Author’s Bio |
Dr. Marco Pinto, a native of South America, moved to
the U.S. to attend college, dental school and to specialize
in orthodontics and dentofacial orthopedics. The
focus of his practice is the application and advanced study of lingual
braces. Dr. Pinto has held teaching positions at University of
Kentucky College of Dentistry and the Orthodontic Graduate
Program at The Arizona School of Dentistry. He is Director of the
Pre-Doctoral Orthodontic Curriculum and the Orthodontic Rotation
Program as. With an outstanding commitment to community, he
founded the Hispanic Dental Student Association (Bluegrass
Chapter). And is currently working with the YMCA on a mentorship
program for minority students. |
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