Download Forestadent Lingual Brackets

“invisibles” feature
Forestadent
Lingual Brackets
by Marco Pinto, DMD
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.
Case #1
A 24-year-old female patient presented with a Class I malocclusion with moderate maxillary and mandibular crowding.
Her medical history is nonremarkable. 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.
One month
Two months
Three months
Initial
Final eight months
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The following is a summary of this case:
Beginning
Progress three months
Final at eight months
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Case #2
A 26-year-old female reported to the ASDOH clinic for
postretention relapse. The patient had a nonremarkable 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.
Pretreatment
Initial bonding
Progress three weeks
Progress eight weeks
Final
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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.
Progress eight weeks
Initial
Final
Author’s Bio
Progress two weeks
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. n
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Dr. Marco Pinto, a native of South America, moved to
the U.S. to attend college, dental school and to become
certified in the orthodontic specialty. The focus of his private practice is the application and advanced study of lingual
braces. Pinto has held teaching positions at University of Kentucky
College of Dentistry and Arizona School of Dentistry. He is Director
of the Pre-Doctoral Orthodontic Curriculum and the Orthodontic
Rotation Program as well. With an outstanding commitment to
community, he founded the Hispanic Dental Student Association
(Bluegrass Chapter).