Aesthetic orthodontics is synonymous with invisible orthodontics. There are basically 2 treatment systems that can be considered within this qualifier:
- Lingual orthodontic technique (brackets cemented by the palatal/lingual aspect of the teeth)
- Technique with thermo-plastic aligners
The Lingual Orthodontic Technique
It is an orthodontic treatment system that consists of the adhesion of the brackets on the palatal aspect (in the case of the upper arch) or on the lingual aspect (in the case of the lower arch). This is a treatment modality that is used more every day. The end result is the same as that obtained through conventional orthodontics but adds certain benefits. The aesthetic advantage makes it the ideal first choice for young adults who refuse to wear visible braces.
Advantage of the Lingual Technique Compared To Vestibular Technique
- Fundamentally, aesthetics is the main advantage.
- Bite opening – deep bite cases can be treated 4 to 6 months faster with the lingual appliance due to its built-in bite lift. A combination of incisive intrusion, proclination, and molar extrusion is observed in cases of deep bites treated with this technique.
- Opening the posterior bite facilitates the movement of the tooth
- By separating the posterior teeth, the movement of the posterior teeth will be facilitated.
- Facilitates single arch treatment when indicated.
- Lingual brackets allow an unobstructed view of the buccal surface upon completion.
- Decrease in the number of injuries related to sports practice.
- Lingual brackets allow better and more comfortable placement of the mouthpieces of certain wind instruments (such as flute, clarinet), and also reduce traumas and interference from the lips.
- It acts as a protection for the tongue during the retraction of the anterior teeth.
- It facilitates the proclivity of the anterior teeth.
- Expansion in orthodontics — the lingual technique generates a force in the linguo-vestibular direction, which has proven to be very effective.
Disadvantages of the Lingual Technique over the Vestibular Technique
- The discomfort of wearing all the appliances in direct contact with the tongue. This sometimes supposes the appearance of ulcers due to friction
- Difficulty in accessing proper hygiene of appliances and teeth
What is Invisible Orthodontics: How does it work?
It is a sequence of splints or aligners that, placed progressively, move the teeth to the desired situation. These splints apply forces on the teeth to vary their position, in the same way, that a bracket would. Once the orthodontic STUDY has been carried out, consisting of the processing of different tests, study models, and dental and facial photographs of the patient, the individualized treatment plan for each patient is established and all the details are explained to the patient about your treatment.
The number of aligners that are needed varies in each patient and is dependent on the magnitude of the movement to be performed. The more complicated the treatment, the greater number of splints will be required, and the longer the treatment time will be. The first splint that is placed corresponds to the first movement that you want to perform. Once in place, the teeth will adapt to the shape of the splint within 2-3 weeks.
The choice will depend on the patient’s preference, budget, maintenance, and appearance, among other things. If you are interested in getting braces or any other type of aesthetics, it is best to see a Denver orthodontist.