Computer-aided interactive indirect bonding

Prog Orthod. 2005;6(2):214-23.
[Article in English, Italian]

Abstract

Introduction: The introduction of the virtual occlusal set-up, limited to the permanent dentition with dento-dental and dento-alveolar discrepancies, based on the straight wire technique with final arches .020" x .025" ss in straight wire brackets .022" x .028" is an evolution of the 3D digital model with clinical impact.

Aim: To present a computer-aided solution to orthodontic indirect bonding, allowing accurate positioning of straight-wire brackets based on a virtual occlusal set-up resulting from the treatment plan.

Material and methods: Computer-aided indirect bonding was applied in two cases: a Class II patient in the permanent dentition, crowding, rotation of upper and lower bicuspids and a Class I patient in the permanent dentition with already extracted 1.4, 2.4, 3.4, 4.4, severe crowding, rotation, arch form reduction. Speed brackets were utilized in both cases.

Results: In the first case the brackets' starting position on the patient corresponds to the final position on the virtual occlusal set-up. In the second case the resulting occlusion at the end of treatment corresponds to the final occlusion on the virtual occlusal set-up.

Discussion: The computerized tools employed in the process enabled precise bracket placement on the stone model. An algorithm from the virtual set-up is the determinant for the precision.

Conclusion: Computer aided indirect bonding is a method of placing brackets precisely.

MeSH terms

  • Computer-Aided Design*
  • Dental Bonding / methods*
  • Humans
  • Models, Dental
  • Orthodontic Brackets*