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Related Experiment Video

Updated: Nov 26, 2025

Quasistatic Mechanical Testing for Computer-Aided Design and Manufacturing Occlusal Veneers Cemented to Milled Dentin Analog Material
07:42

Quasistatic Mechanical Testing for Computer-Aided Design and Manufacturing Occlusal Veneers Cemented to Milled Dentin Analog Material

Published on: December 20, 2024

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Standard vs computer-aided design/computer-aided manufacturing customized self-ligating systems using indirect

Nastasia Jackers, Nathalie Maes, France Lambert

    The Angle Orthodontist
    |December 8, 2020
    PubMed
    Summary
    This summary is machine-generated.

    Computer-aided design/computer-aided manufacturing (CAD/CAM) customized self-ligating systems offer shorter orthodontic treatment times compared to standard systems. Both methods yield similar treatment quality and patient satisfaction.

    Keywords:
    Adult patientsCAD/CAMCustomized orthodonticIndirect bondingTooth movement

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    Area of Science:

    • Orthodontics
    • Biomaterials Engineering
    • Dental Technology

    Background:

    • Self-ligating brackets are widely used in orthodontics.
    • Indirect bonding improves bracket placement accuracy.
    • Computer-aided design/computer-aided manufacturing (CAD/CAM) offers customization potential.

    Purpose of the Study:

    • To compare orthodontic treatment duration and quality between standard and CAD/CAM customized self-ligating systems using indirect bonding.
    • To evaluate patient-reported outcome measures (PROMs) for both systems.

    Main Methods:

    • A comparative trial involving 24 patients, divided into CAD/CAM custom indirect bonding and standard indirect bonding groups.
    • Orthodontic treatment (OT) time, including arch placement, alignment, and fine-tuning phases, was calculated.
    • Treatment quality assessed using the American Board of Orthodontics Cast-Radiograph Evaluation and PROMs.

    Main Results:

    • Overall OT time was 26% longer in the standard indirect bonding group (497 days) compared to the CAD/CAM group (393 days).
    • The difference in OT time was primarily due to a longer fine-tuning phase in the standard group.
    • No significant differences were observed in treatment quality or PROMs between the two groups.

    Conclusions:

    • CAD/CAM customized self-ligating systems reduce orthodontic treatment duration by 26% compared to standard systems.
    • Both CAD/CAM and standard indirect bonding self-ligating systems achieve comparable treatment quality.
    • Both techniques demonstrate high patient acceptance and satisfaction.