Digital Workflow for Indirect Bonding with 2D Lingual Brackets: A Case Report and Procedure Description

Objective. During orthodontic therapy, accuracy in bonding procedures makes it easier to correct tooth alignment by decreasing the need for midcourse corrections by changing bracket positions. Indirect bonding allows the transfer of the appliance components from model casts to patient’s teeth potent...

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Main Authors: Federico Rosti, Maria Francesca Sfondrini, Davide Bressani, Marina Consuelo Vitale, Paola Gandini, Andrea Scribante
Format: Article
Language:English
Published: Wiley 2019-01-01
Series:Case Reports in Dentistry
Online Access:http://dx.doi.org/10.1155/2019/6936049
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author Federico Rosti
Maria Francesca Sfondrini
Davide Bressani
Marina Consuelo Vitale
Paola Gandini
Andrea Scribante
author_facet Federico Rosti
Maria Francesca Sfondrini
Davide Bressani
Marina Consuelo Vitale
Paola Gandini
Andrea Scribante
author_sort Federico Rosti
collection DOAJ
description Objective. During orthodontic therapy, accuracy in bonding procedures makes it easier to correct tooth alignment by decreasing the need for midcourse corrections by changing bracket positions. Indirect bonding allows the transfer of the appliance components from model casts to patient’s teeth potentially meaning shorter appointments for bracket bonding and rebonding and best comfort during chairside practice. At the same time, there has been a steady increase in requests for invisible lingual orthodontic treatment. Clinical Considerations. Accordingly, the aim of the present report is to illustrate the workflow to realize a complete digital indirect bonding for lingual brackets (2D, Forestadent). The procedure starts with intraoral digital scans, digital 3D model, and virtual bracket positioning, ending with the realization of a CAD-CAM prototyped transfer tray. A 3D intraoral scanner (True Definition, 3M) is used to create digital scans and digital models. A virtual bracket positioning is performed using software (NemoCast, Dentaurum), and a prototyped transfer tray is created by a CAD-CAM device. 2D lingual brackets were positioned inside the tray, so the appliance was bonded to the dental surface using light curing adhesive resin. Conclusions. During orthodontic treatment, CAD/CAM technology could help clinicians. Computer-constructed transfer trays can reduce clinician error and improve the everyday workflow in the office.
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spelling doaj-art-b22e603b8e764057b237fa5c469609c72025-02-03T05:45:49ZengWileyCase Reports in Dentistry2090-64472090-64552019-01-01201910.1155/2019/69360496936049Digital Workflow for Indirect Bonding with 2D Lingual Brackets: A Case Report and Procedure DescriptionFederico Rosti0Maria Francesca Sfondrini1Davide Bressani2Marina Consuelo Vitale3Paola Gandini4Andrea Scribante5Private Practice, Cesano Boscone, ItalyUnit of Orthodontics and Paediatric Dentistry-Section of Dentistry-Department of Clinical, Surgical, Diagnostic and Paediatric Sciences, University of Pavia, Pavia, ItalyDental Technician, Pavia, ItalyUnit of Orthodontics and Paediatric Dentistry-Section of Dentistry-Department of Clinical, Surgical, Diagnostic and Paediatric Sciences, University of Pavia, Pavia, ItalyUnit of Orthodontics and Paediatric Dentistry-Section of Dentistry-Department of Clinical, Surgical, Diagnostic and Paediatric Sciences, University of Pavia, Pavia, ItalyUnit of Orthodontics and Paediatric Dentistry-Section of Dentistry-Department of Clinical, Surgical, Diagnostic and Paediatric Sciences, University of Pavia, Pavia, ItalyObjective. During orthodontic therapy, accuracy in bonding procedures makes it easier to correct tooth alignment by decreasing the need for midcourse corrections by changing bracket positions. Indirect bonding allows the transfer of the appliance components from model casts to patient’s teeth potentially meaning shorter appointments for bracket bonding and rebonding and best comfort during chairside practice. At the same time, there has been a steady increase in requests for invisible lingual orthodontic treatment. Clinical Considerations. Accordingly, the aim of the present report is to illustrate the workflow to realize a complete digital indirect bonding for lingual brackets (2D, Forestadent). The procedure starts with intraoral digital scans, digital 3D model, and virtual bracket positioning, ending with the realization of a CAD-CAM prototyped transfer tray. A 3D intraoral scanner (True Definition, 3M) is used to create digital scans and digital models. A virtual bracket positioning is performed using software (NemoCast, Dentaurum), and a prototyped transfer tray is created by a CAD-CAM device. 2D lingual brackets were positioned inside the tray, so the appliance was bonded to the dental surface using light curing adhesive resin. Conclusions. During orthodontic treatment, CAD/CAM technology could help clinicians. Computer-constructed transfer trays can reduce clinician error and improve the everyday workflow in the office.http://dx.doi.org/10.1155/2019/6936049
spellingShingle Federico Rosti
Maria Francesca Sfondrini
Davide Bressani
Marina Consuelo Vitale
Paola Gandini
Andrea Scribante
Digital Workflow for Indirect Bonding with 2D Lingual Brackets: A Case Report and Procedure Description
Case Reports in Dentistry
title Digital Workflow for Indirect Bonding with 2D Lingual Brackets: A Case Report and Procedure Description
title_full Digital Workflow for Indirect Bonding with 2D Lingual Brackets: A Case Report and Procedure Description
title_fullStr Digital Workflow for Indirect Bonding with 2D Lingual Brackets: A Case Report and Procedure Description
title_full_unstemmed Digital Workflow for Indirect Bonding with 2D Lingual Brackets: A Case Report and Procedure Description
title_short Digital Workflow for Indirect Bonding with 2D Lingual Brackets: A Case Report and Procedure Description
title_sort digital workflow for indirect bonding with 2d lingual brackets a case report and procedure description
url http://dx.doi.org/10.1155/2019/6936049
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