Journal of Orthodontics & Endodontics

How to improve the predictability and efficiency of orthodontics using digital planning indirect bonding and monitoring of treatment progress

In this lecture, we will discuss the new possibilities in orthodontics to plan the result before beginning  of treatment. 3D imaging with intra oral scanners, facial scans and a CBCT will help the specialist to construct a “virtual head”. This will improve the diagnosis and the development of a  treatment plan for the individual patient.  When patients accept the treatment plan after presentation of the planned result, they should be offered to select the appliances used. Buccal or lingual placed brackets, standard wires or wires which have been customized by bending robots. Or treatment with orthodontic aligners. Or a combination of fixed appliances and aligners (hybrid treatment). Only after digital planning and the use of custom orthodontic appliances the orthodontist can make an estimation of the treatment time needed. Because of the individual response on orthodontic forces and the side effects which occur during treatment, monitoring of tooth movement (with an intra-oral scanner) is needed. Dental monitoring (the patients makes images of their dentition with their smartphone) will enable to reduce the visits in the orthodontic office. Why should custom appliances replace traditional orthodontic appliances. This revolutionary new approach for orthodontic treatment will transform current orthodontic treatment radically.

Author(s):

Hero Breuning

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