Effectiveness of Fully Customized Lingual Orthodontic Treatment: A Retrospective Pilot Study

Mario  Palone; Martina  Scuro; Paolo  Albertini; Maria Antonietta  Lucci; Renato  Salvatore; Francesca  Cremonini

Authors

Mario Palone
Martina Scuro
Paolo Albertini
Maria Antonietta Lucci
Renato Salvatore
Francesca Cremonini

Keywords:

Dental Occlusion, Orthodontic Brackets, Orthodontic Appliances, Fixed, Esthetics, Dental

Abstract

Objective: To investigate the effectiveness of Suresmile^® lingual therapy on torque, tip, and rotations measures through digital evaluation of planning and post-treatment digital models. Material and Methods: A sample of 12 Caucasian adult patients (4 men; mean age 30.6 years ± 3.9 and 8 women; mean age 31.4 years ± 4.5) treated with the Suresmile^® lingual orthodontic technique was retrospectively selected, regardless of the type of malocclusion. Digital planning was performed with Suresmile^® software, while lingual therapy was accomplished with interactive self-ligating lingual brackets and customized Suresmile^® arches. First, digital models of planning and post-treatment digital models were compared using VAM software (and the discrepancies were analyzed through MANOVA and four multivariate. Then, Tukey and Bonferroni's post-hoc tests are performed. Results: The accuracy average values are 60.11 ± 27.67% for torque, 53.52 ± 27.37% for tip and 59.19 ± 26.42% for rotation, while for inaccuracy values are 2.72° ± 2.23° for torque, 2.98° ± 2.16° for tip and 3.58° ± 3.29° for rotation. No significant differences have been recorded evaluating different sectors of both arches. Conclusion: This retrospective preliminary study highlight how overcorrections, especially in the Suresmile lingual technique, should be performed during orthodontic planning. Moreover, the study gets bases for further, more structured future studies that should involve larger and more homogeneous samples.

References

Scuzzo G, Takemoto K, Takemoto Y, Takemoto A, Lombardo L. A new lingual straight-wire technique. J Clin Orthod 2010; 44(2):114-23.

Lombardo L, Scuzzo G, Arreghini A, Gorgun O, Ortan YO, Siciliani G. 3D FEM comparison of lingual and labial orthodontics in en masse retraction. Prog Orthod 2014; 15(1):38. https://doi.org/10.1186/s40510-014-0038-9

Lombardo L, Stefanoni F, Mollica F, Laura A, Scuzzo G, Siciliani G. Three-dimensional finite-element analysis of a central lower incisor under labial and lingual loads. Prog Orthod 2012; 13(2):154-63. https://doi.org/10.1016/j.pio.2011.10.005

Lombardo L, Ortan YÖ, Gorgun Ö, Panza C, Scuzzo G, Siciliani G. Changes in the oral environment after placement of lingual and labial orthodontic appliances. Prog Orthod 2013; 14:28. https://doi.org/10.1186/2196-1042-14-28

Komori A, Takemoto K, Shimoda T, Miyashita W, Scuzzo G. Precise direct lingual bonding with the KommonBase. J Clin Orthod 2013; 47(1):42-9.

Palone M, Spedicato GA, Lombardo L. Analysis of tooth anatomy in adults with ideal occlusion: A preliminary study. Am J Orthod Dentofacial Orthop 2020; 157(2):218-27. https://doi.org/10.1016/j.ajodo.2019.03.024

Andrews LF. The straight-wire appliance, origin, controversy, commentary. J Clin Orthod 1976; 10(2):99-114.

Arreghini A, Lombardo L, Mollica F, Siciliani G. Torque expression capacity of 0.018 and 0.022 bracket slots by changing archwire material and cross section. Prog Orthod 2014; 15(1):53. https://doi.org/10.1186/s40510-014-0053-x

Fujita K. New orthodontic treatment with lingual bracket mushroom arch wire appliance. Am J Orthod 1979; 76(6):657-75. https://doi.org/10.1016/0002-9416(79)90211-2

Lombardo L, Marcon M, Arveda N, La Falce G, Tonello E, Siciliani G. Preliminary biometric analysis of mesiodistal tooth dimensions in subjects with normal occlusion. Am J Orthod Dentofacial Orthop 2016; 150(1):105-15. https://doi.org/10.1016/j.ajodo.2015.12.021.

Echarri P. Revisiting the history of lingual orthodontics: a basis for the future. Semin Orthod 2006; 12(3):153-9. https://doi.org/10.1053/j.sodo.2006.05.002

Scuzzo G, Takemoto K, Takemoto Y, Scuzzo G, Lombardo L. A new self-ligating lingual bracket with square slots. J Clin Orthod 2011; 45(12):682-90.

Lombardo L, Gracco A, Zampini F, Stefanoni F, Mollica F. Optimal palatal configuration for miniscrew applications. Angle Orthod 2010; 80(1):145-52. https://doi.org/10.2319/122908-662.1

Perrini F, Lombardo L, Arreghini A, Medori S, Siciliani G. Caries prevention during orthodontic treatment: In-vivo assessment of high-fluoride varnish to prevent white spot lesions. Am J Orthod Dentofacial Orthop 2016; 149(2):238-43. https://doi.org/10.1016/j.ajodo.2015.07.039

Lombardo L, Carinci F, Martini M, Gemmati D, Nardone M, Siciliani G. Quantitive evaluation of dentin sialoprotein (DSP) using microbeads - a potential early marker of root resorption. Oral Implantol 2016; 9(3):132-42. https://doi.org/10.11138/orl/2016.9.3.132

Wiechmann D, Rummel V, Thalheim A, Simon JS, Wiechmann L. Customized brackets and archwires for lingual orthodontic treatment. Am J Orthod Dentofacial Orthop 2003; 124(5):593-9. https://doi.org/10.1016/j.ajodo.2003.08.008

Wiechmann D. A new bracket system for lingual orthodontic treatment. Part 1: Theoretical background and development. J Orofac Orthop 2002; 63(3):234-45. https://doi.org/10.1007/s00056-002-0211-5

Wiechmann D. A new bracket system for lingual orthodontic treatment. Part 2: First clinical experiences and further development. J Orofac Orthop 2003; 64(5):372-88. https://doi.org/10.1007/s00056-003-0325-4

Sachdeva RC. SureSmile technology in a patient--centered orthodontic practice. J Clin Orthod 2001; 35(4):245-53.

Manfredini D, Stellini E, Gracco A, Lombardo L, Nardini LG, Siciliani G. Orthodontics is temporomandibular disorder-neutral. Angle Orthod 2016; 86(4):649-54. https://doi.org/10.2319/051015-318.1

Arreghini A, Trigila S, Lombardo L, Siciliani G. Objective assessment of compliance with intra- and extraoral removable appliances. Angle Orthod 2017; 87(1):88-95. https://doi.org/10.2319/020616-104.1

Di Fazio D, Lombardo L, Gracco A, D’Amico P, Siciliani G. Lip pressure at rest and during function in 2 groups of patients with different occlusions. Am J Orthod Dentofacial Orthop 2011; 139(1):e1-6. https://doi.org/10.1016/j.ajodo.2010.02.030

Lombardo L, Toni G, Stefanoni F, Mollica F, Guarneri MP, Siciliani G. The effect of temperature on the mechanical behavior of nickel-titanium orthodontic initial archwires. Angle Orthod 2013; 83(2):298-305. https://doi.org/10.2319/040612-287.1

Sachdeva R, Frugé JF, Frugé AM, Ingraham R, Petty WD, Bielik KL, et al. SureSmile: a report of clinical findings. J Clin Orthod 2005; 39(5):297-314.

Jane NM. Interview with a SureSmile doctor: Nicole M. Jane. Interview by Robert P. Scholz. Am J Orthod Dentofacial Orthop 2009; 135(4 Suppl):S140-S143. https://doi.org/10.1016/j.ajodo.2009.01.016

Moles R. The SureSmile system in orthodontic practice. J Clin Orthod 2009; 43(3):161-74.

Aldrees AM. Do customized orthodontic appliances and vibration devices provide more efficient treatment than conventional methods? Korean J Orthod 2016; 46(3):180-5. https://doi.org/10.4041/kjod.2016.46.3.180

Larson BE, Vaubel CJ, Grünheid T. Effectiveness of computer-assisted orthodontic treatment technology to achieve predicted outcomes. Angle Orthod 2013; 83(4):557-62. https://doi.org/10.2319/080612-635.1

Huberty C, Olejnik S. Applied MANOVA and Discriminant Analysis. 2nd. ed. New Jersey: John Wiley and Sons, Inc; 2006.

Lopez MA, Andreasi Bassi M, Confalone L, Gaudio RM, Lombardo L, Lauritano D. The influence of conical plus octagonal internal connection on implant survival and success rate: a retrospective study of 66 fixtures. J Biol Regul Homeost Agents 2016; 30(2 Suppl 1):49-54.

Lopez MA, Andreasi Bassi M, Confalone L, Gaudio RM, Lombardo L, Lauritano D. Retrospective study on bone-level and soft-tissue-level cylindrical implants. J Biol Regul Homeost Agents 2016; 30(2 Suppl 1):43-8.

Lopez MA, Andreasi Bassi M, Confalone L, Gaudio RM, Lombardo L, Lauritano D. Clinical outcome of 215 transmucosal implants with a conical connection: a retrospective study after 5-year follow-up. J Biol Regul Homeost Agents 2016; 30(2 Suppl 1):55-60.

Casko JS, Vaden JL, Kokich VG, Damone J, James RD, Cangialosi TJ, et al. Objective grading system for dental casts and panoramic radiographs. American Board of Orthodontics. Am J Orthod Dentofacial Orthop 1998; 114(5):589-99. https://doi.org/10.1016/s0889-5406(98)70179-9

Lombardo L, Arreghini A, Al Ardha K, Scuzzo G, Takemoto K, Siciliani G. Wire load-deflection characteristics relative to different types of brackets. Int Orthod 2011; 9(1):120-39. https://doi.org/10.1016/j.ortho.2010.12.011

Müller-Hartwich R, Jost-Brinkmann PG, Schubert K. Precision of implementing virtual setups for orthodontic treatment using CAD/CAM-fabricated custom archwires. J Orofac Orthop 2016; 77(1):1-8. https://doi.org/10.1007/s00056-015-0001-5

Janson G, Sathler R, Fernandes TM, Branco NC, Freitas MR. Correction of Class II malocclusion with Class II elastics: a systematic review. Am J Orthod Dentofacial Orthop 2013; 143(3):383-92. https://doi.org/10.1016/j.ajodo.2012.10.015

Scuzzo G, Takemoto K. Lingual Orthodontics. A simplified approach using STb light lingual system and lingual straight wire. United Kingdom: Quintessence Pubblishing; 2010.

Campbell CL, Roberts WE, Hartsfield JK Jr, Qi R. Treatment outcomes in a graduate orthodontic clinic for cases defined by the American Board of Orthodontics malocclusion categories. Am J Orthod Dentofacial Orthop 2007; 132(6):822-9. https://doi.org/10.1016/j.ajodo.2006.05.036

Yang-Powers LC, Sadowsky C, Rosenstein S, BeGole EA. Treatment outcome in a graduate orthodontic clinic using the American Board of Orthodontics grading system. Am J Orthod Dentofacial Orthop 2002; 122(5):451-5. https://doi.org/10.1067/mod.2002.128464

Janson G, Nakamura A, Barros S, Bombonatti R, Chiqueto K. Efficiency of Class I and class II malocclusion treatment with four premolar extractions. J Appl Oral Sci 2014; 22(6):522-7. https://doi.org/10.1590/1678-775720130544