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Aesthetic labial orthodontic appliances – an update

From Volume 4, Issue 3, July 2011 | Pages 70-77

Authors

Hemendranath V Shah

BDS, MFDS RCS(Eng), DDS, MOrth RCS(Ed), FDS(Orth) RCS(Eng)

FTTA in Orthodontics, Bristol Dental Hospital and Royal United Hospital Bath

Articles by Hemendranath V Shah

Stephen A Boyd

BDS, MFD RCSI

SpR in Orthodontics, Bristol Dental Hospital and Royal United Hospital Bath

Articles by Stephen A Boyd

Jonathan R Sandy

PhD, MSc, BDS, FDS MOrth, FMedSci

Professor in Orthodontics, Department of Child Dental Health, Bristol Dental Hospital, Bristol

Articles by Jonathan R Sandy

Abstract

This paper will give an update on recent developments in aesthetic archwires, brackets and accessories that are presently available to increase the options available for the provision of an aesthetic labial orthodontic fixed appliance.

Clinical Relevance: In a consumer driven market, the demands for aesthetic orthodontic appliances to correct malocclusions is increasing. Aesthetic labial fixed appliances have the advantage of precise three-dimensional control of tooth movement with the aesthetic requirements demanded by patients.

Article

The demand for orthodontic treatment among adult patients has steadily increased in recent years and, despite greater acceptance of conventional fixed appliances, the quest for a less visible alternative has driven the development of aesthetic orthodontic appliances. This has included developments in labial aesthetic brackets, archwires and accessories, along with lingual appliances and clear aligners such as Invisalign. Although a study carried out in Sweden found that, if treatment were needed, 67% of 27-year-olds would probably or definitely wear metal braces, the study highlighted the fact that nearly a third of those interviewed would not wear visible braces even when there is a clinical need.1 This clearly illustrates the potential market for an aesthetic alternative to conventional labially placed stainless steel appliances. The intention of this review is to update the reader on recent developments in labial aesthetic orthodontic appliances and to highlight the limitations of the currently available materials and products. Labial aesthetic appliances and materials can be classified under three main headings, which will be discussed in turn, namely:

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