Related Experiment Videos
A subjective comparison of two lingual bracket systems.
Thomas Stamm1, Ariane Hohoff, Ulrike Ehmer
1Department of Orthodontics, Münster University Hospital, Westphalian Wilhelms-University, Münster, Germany.
European Journal of Orthodontics
|July 27, 2005
Summary
Customized lingual brackets offer superior oral comfort and fewer speech and chewing issues compared to prefabricated systems. This suggests customized options may enhance patient acceptance of lingual orthodontics.
Area of Science:
- Orthodontics
- Biomaterials Science
Background:
- Lingual orthodontics involves placing braces on the tongue-side of teeth.
- Patient comfort and functional disturbances are key concerns for lingual appliance acceptance.
Purpose of the Study:
- To compare subjective oral comfort, speech, mastication, and oral hygiene between two lingual bracket systems.
- To evaluate the impact of bracket design on patient experience in lingual orthodontics.
Main Methods:
- Prospective, longitudinal study with 42 participants comparing prefabricated (PB) and customized (CB) lingual brackets.
- Standardized questionnaires administered at baseline, 24 hours, and 3 months post-bonding.
Main Results:
- The customized bracket group (CB) reported significantly fewer tongue space restrictions, speech disturbances, and chewing impairments at T1 and T2.
- Fewer tongue sores and lesions were observed in the CB group at 3 months.
- No significant differences were found in tongue position, conversation, swallowing, or oral hygiene between groups.
Conclusions:
- Customized lingual brackets provide enhanced patient comfort and fewer functional disturbances compared to prefabricated systems.
- Bracket dimensions significantly influence patient-reported outcomes in lingual orthodontics.
- Differentiating information on potential restrictions based on bracket system is crucial for patient management.