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Buccolingual Inclination Effects of Self-Ligating and Conventional Premolar Brackets: A Cone Beam Computed Tomography Study.

Turkish journal of orthodontics·2020

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Evaluation of Bracket Positioning; A Customized System Versus the Conventional Method.

Kübra Sucu¹, Mete Özer²

¹Vocational School of Health Services, University of Health Sciences, İstanbul, Türkiye.

Turkish Journal of Orthodontics

|December 30, 2025

Summary

This summary is machine-generated.

This study compared bracket positioning accuracy in customized (Insignia) and conventional (Kalange) orthodontic methods. Both systems showed significant deviations from ideal placement, with anterior brackets positioned more incisally.

Keywords:

Andrews Bracket placement Insignia Kalange

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Area of Science:

Orthodontics
Dental Technology

Background:

Accurate bracket positioning is crucial for effective orthodontic treatment.
Variations in bracket placement can impact treatment outcomes and efficiency.

Purpose of the Study:

To evaluate and compare the accuracy of bracket positioning between the Insignia (customized) and modified Kalange (conventional) systems.
To assess deviations from Andrews' prescription for bracket placement.

Main Methods:

Twenty-six patients were analyzed, with 11 treated using the Insignia system and 15 using the modified Kalange method.
Digital models were used to measure bracket position relative to the facial axis (FA) point.
Teeth with significant deviation (TSD) greater than 0.5 mm were identified and analyzed.

Main Results:

The modified Kalange group showed a higher percentage of teeth with significant deviation (69.5%) compared to the Insignia group (56.65%).
Both systems exhibited greater incisal/occlusal deviation in anterior teeth compared to posterior teeth.
Deviations were predominantly occlusal or incisal in both treatment groups.

Conclusions:

Both Insignia and modified Kalange methods demonstrate a tendency for incisal/occlusal bracket positioning relative to Andrews' FA point.
Anterior bracket positioning is consistently more incisal than posterior positioning in both evaluated methods.