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Innovative Orthodontic-Restorative Treatment With Customized CAD/CAM Smartwires
Andre Weissheimer1, Neal D Kravitz2, John Pham3
1Department of Developmental Biology, Division of Orthodontics, Harvard School of Dental Medicine, Boston, Massachusetts, USA.
Summary
The Gen 2 InBrace system offers a discreet orthodontic solution using custom lingual appliances and CAD/CAM Smartwires. This innovative approach provides precise, automated tooth movement for improved esthetic and occlusal outcomes with minimal patient compliance.
Area of Science:
- Orthodontics
- Biomaterials Engineering
- Digital Dentistry
Background:
- Growing demand for discreet and low-compliance orthodontic appliances.
- Advancements in AI, robotics, and CAD/CAM technology driving innovation.
- Emergence of Programmed Non-Sliding Mechanics for automated tooth movement.
Purpose of the Study:
- Demonstrate the application of the Gen 2 InBrace system.
- Treat an adult patient with anterior tooth-size discrepancies, anterior openbite, and incisor proclination.
- Utilize CAD/CAM Smartwires for light, continuous, and frictionless tooth movements.
Main Methods:
- Application of a novel lingual orthodontic appliance (Gen 2 InBrace system).
- Utilized customized multiloop nickel-titanium lingual archwires (CAD/CAM Smartwires).
- Integrated orthodontic-restorative treatment approach.
Main Results:
- Successful application in an adult patient case.
- Achieved precise, automated tooth movement.
- Demonstrated light, continuous, and frictionless mechanics.
Conclusions:
- Gen 2 InBrace system enhances esthetic and occlusal outcomes.
- Effective for combined orthodontic-restorative treatment.
- Provides automatic space management with maximum esthetics and minimal compliance.

