Comparison of Bracket Position Accuracy with Different CAD/CAM Indirect Bonding Systems

Objective: To evaluate the accuracy of three different digital bracket positioning systems, comparing vertical, mesiodistal and buccolingual accuracy. Material and Methods:  The same case was sent to Orapix, Insignia, and Orthocad systems and the brackets were bonded to the malocclusion models. Damon 3 MX brackets were used with all systems and the brackets were bonded to the models with the same bonding protocol and materials. The comparison of the position of each single bracket was made with digital photography, and ImageJ software was used to find the length in pixels and then convert it to hundredths of a mm for vertical, mesiodistal and buccolingual displacement, compared to the setup. Results: Insignia System reported the average higher vertical displacement (0.28 mm), compared with the other two appliances (0.22-0.23 mm), and showed the lowest average displacement for the mesiodistal and buccolingual positioning (0.14 and 0.07 mm, respectively). However, these slight bracket positioning variations between these bonding systems were not statistically different (p>0.05). Conclusion:  The three systems analyzed were shown to be accurate in positioning the brackets, and none of them was statistically better

Indirect bonding of Orthodontic brackets: a comparison of positional accuracy between software vs. stone model driven techniques

Background: Many orthodontic clinicians consider indirect bonding of orthodontic brackets as a method of achieving greater accuracy and effectiveness in orthodontic treatment. Currently, few features of our world have escaped the influence of technology. The indirect system of orthodontic bonding offers an example of technology’s power through a computer-driven system that enables customized bracket placement that optimizes esthetics, accuracy, precision and efficiency. The purpose of this study was to compare the positional accuracy and reliability between traditional and computer-generated indirect bonding techniques. Methods: A total of 210 brackets (STEP metal brackets with slot size .022x.028) were placed using a four quadrants, split-mouth randomized controlled trial (RCT) research design. Of the 210 brackets, 105 were placed on indirect stone model set-ups and scanned using an iTero scanner to capture 3D bracket positioning data, while the remaining 105 brackets were positioned using the newly developed software Maestro 3D Ortho Studio. All the brackets were then transferred to the patient’s dentition and scanned using an iTero optical scanner to capture the final 3D bracket positioning on the teeth. The positional accuracy between traditional stone model and software-driven indirect bonding methods was compared by digitally superimposing initial and final bracket positions. Differences in bracket positioning were measured using customized software. Tukey’s HSD was employed to compare measurement data with the pre-determined acceptable ranges of +/- 0.5 mm linearly in the Mesial-Distal, Buccal-Lingual and Occluso-Gindival dimensions. Results: Overall, the measurements showed a smaller mean deviation for the software-driven indirect bonding in the bucco-lingual, mesio-distal, and occluso-gingival dimensions but neither the computer-generated indirect bonding nor the traditional methods possessed a gap of 0.5 mm or greater linearly. Conclusions: Both indirect bonding methods are accurate within the specified acceptable boundaries of +/- 0.5 mm linearly

Technology-enhanced simulation-based learning in orthodontic education: A scoping review

ABSTRACT Introduction: Technology-enhanced simulations seem to be effective in dentistry, as they can support dental students to improve competencies in simulated environments. However, implementation of this technology in orthodontic education has not been reviewed. Objective: This scoping review aimed to comprehensively summarize the use of technology-enhanced simulations in orthodontic practice. Methods: A systematic search was conducted to identify literature on technology-enhanced simulation-based learning in orthodontic education published from 2000 to 2021. The search was conducted up to September 2021 to identify articles from Scopus, Embase, PubMed, ProQuest Dissertations & Theses Global, Google Scholar and the reference lists of identified articles. Results: The search identified 177 articles. Following the inclusion and exclusion criteria, 16 articles of 14 digital simulators were included in this review. The findings demonstrated an increasing use of technology-enhanced simulations in orthodontic education. They were designed in several formats, including three-dimensional virtual format, augmented reality, virtual reality, automaton, haptic, and scenario-based simulations. These simulations were implemented in varied areas of orthodontics including diagnosis and treatment planning, bracket positioning, orthodontic procedures, facial landmark, removable appliance and cephalometric tracing. Most included articles demonstrated the development process without outcome evaluation. Six studies provided outcome evaluations at reaction or learning levels. None of them provide the evaluation at behaviour and results levels. Conclusion: Insufficient evidence has been generated to demonstrate the effectiveness of technology-enhanced simulations in orthodontic education. However, high-fidelity computer-based simulations together with robust design research should be required to confirm educational impact in orthodontic education

Effectiveness of Fully Customized Lingual Orthodontic Treatment: A Retrospective Pilot Study

Objective: To investigate the effectiveness of Suresmile® lingual therapy on torque, tip, and rotations measures through digital evaluation of planning and post-treatment digital models. Material and Methods: A sample of 12 Caucasian adult patients (4 men; mean age 30.6 years ± 3.9 and 8 women; mean age 31.4 years ± 4.5) treated with the Suresmile® lingual orthodontic technique was retrospectively selected, regardless of the type of malocclusion. Digital planning was performed with Suresmile® software, while lingual therapy was accomplished with interactive self-ligating lingual brackets and customized Suresmile® arches. First, digital models of planning and post-treatment digital models were compared using VAM software (and the discrepancies were analyzed through MANOVA and four multivariate. Then, Tukey and Bonferroni's post-hoc tests are performed. Results: The accuracy average values are 60.11 ± 27.67% for torque, 53.52 ± 27.37% for tip and 59.19 ± 26.42% for rotation, while for inaccuracy values are 2.72° ± 2.23° for torque, 2.98° ± 2.16° for tip and 3.58° ± 3.29° for rotation. No significant differences have been recorded evaluating different sectors of both arches. Conclusion: This retrospective preliminary study highlight how overcorrections, especially in the Suresmile lingual technique, should be performed during orthodontic planning. Moreover, the study gets bases for further, more structured future studies that should involve larger and more homogeneous samples

Craniofacial Growth Series Volume 56

https://deepblue.lib.umich.edu/bitstream/2027.42/153991/1/56th volume CF growth series FINAL 02262020.pdfDescription of 56th volume CF growth series FINAL 02262020.pdf : Proceedings of the 46th Annual Moyers Symposium and 44th Moyers Presymposiu

New virtual orthodontic treatment system for indirect bonding using the stereolithographic technique

The purpose of this article is to introduce a new virtual orthodontic treatment (VOT) system, which can be used to construct three-dimensional (3D) virtual models, establish a 3D virtual setup, enable the placement of the virtual brackets at the predetermined position, and fabricate the transfer jig with a customized bracket base for indirect bonding (IDB) using the stereolithographic technique. A 26-year-old woman presented with anterior openbite, crowding in the upper and lower arches, and narrow and tapered upper arch, despite having an acceptable profile and balanced facial proportion. The treatment plan was rapid palatal expansion (RPE) without extraction. After 10 days of RPE, sufficient space was obtained for decrowding. After a 10-week retention period, accurate pretreatment plaster models were obtained using silicone rubber impression. IDB was performed according to the protocol of the VOT system. Crowding of the upper and lower arches was effectively resolved, and anterior openbite was corrected to normal overbite. Superimposition of the 3D virtual setup models (3D-VSM) and post-treatment 3D virtual models showed that the latter deviated only slightly from the former. Thus, the use of the VOT system helped obtain an acceptable outcome in this case of mild crowding treated without extraction. More cases should be treated using this system, and the pre- and post-treatment virtual models should be compared to obtain feedback regarding the procedure; this will support doctors and dental laboratory technicians during the learning curve. (Korean J Orthod 2011;41(2):138-146)

Bracket Transfer Accuracy with the Indirect Bonding Technique—A Systematic Review and Meta-Analysis

Purpose: To investigate the bracket transfer accuracy of the indirect bonding technique (IDB). Methods: Systematic search of the literature was conducted in PubMed MEDLINE, Web of Science, Embase, and Scopus through November 2021. Selection Criteria: In vivo and ex vivo studies investigating bracket transfer accuracy by comparing the planned and achieved bracket positions using the IDB technique were considered. Information concerning patients, samples, and applied methodology was collected. Measured mean transfer errors (MTE) for angular and linear directions were extracted. Risk of bias (RoB) in the studies was assessed using a tailored RoB tool. Meta-analysis of ex vivo studies was performed for overall linear and angular bracket transfer accuracy and for subgroup analyses by type of tray, tooth groups, jaw-related, side-related, and by assessment method. Results: A total of 16 studies met the eligibility criteria for this systematic review. The overall linear mean transfer errors (MTE) in mesiodistal, vertical and buccolingual direction were 0.08 mm (95% CI 0.05; 0.10), 0.09 mm (0.06; 0.11), 0.14 mm (0.10; 0.17), respectively. The overall angular mean transfer errors (MTE) regarding angulation, rotation, torque were 1.13° (0.75; 1.52), 0.93° (0.49; 1.37), and 1.11° (0.68; 1.53), respectively. Silicone trays showed the highest accuracy, followed by vacuum-formed trays and 3D printed trays. Subgroup analyses between tooth groups, right and left sides, and upper and lower jaw showed minor differences. Conclusions and implications: The overall accuracy of the indirect bonding technique can be considered clinically acceptable. Future studies should address the validation of the accuracy assessment methods used

Effectiveness and efficiency of a customized versus conventional orthodontic bracket system

The goal of this investigation was to compare the clinical effectiveness and efficiency of a customized versus a conventional orthodontic bracket system. Pre-treatment and post-treatment diagnostic records of 11 patients treated with conventional brackets and 35 patients treated with Ormco [registered trademark]'s Insignia TM appliance were analyzed. Initial PAR and age at start of treatment were used to ensure comparable groups. Data regarding total treatment time, number of scheduled appointments, emergency appointments, de-bonded brackets, repositioned brackets and/or detailing bends, final PAR, and ABO score was collected and compared. Insignia TM proved to be an effective tooth-moving appliance based on final PAR score. Further, cases treated with Insignia TM had superior ABO scores compared to the similarly treated cases with conventional brackets. Insignia TM was also more efficient in regards to total treatment time and number of scheduled appointments