Highlights
- •Three-dimensional (3D) technology is changing the way orthodontics is being practiced.
- •In-house 3D designing of customized brackets is possible using Ubrackets computer-aided design software.
- •In-house 3D printing of customized brackets is possible using VAT technology printers.
- •3D printing of brackets can be performed using hybrid ceramic resin or zirconia slurry.
- •Complete customization consists of mechanical and biological customization.
ABSTRACT
Digital technology is one of the major advancements during the past years that changed
many aspects of our daily life. Medicine and dentistry were positively affected from
the very first years of this digital evolution. Orthodontics is not an exception to
this global digitization. Intraoral scanners, computer-aided design software, three-dimensional
printers, and new materials were invented and introduced in dentistry and orthodontics
during the last 20 years. The ability to include a small digital laboratory in the
orthodontic office helped the creation of the in-house manufacturing concept. Continuously,
the ability to design appliances that fit exactly to the teeth of the patient allowed
the digital customization of almost every orthodontic appliance. Lately, the development
of computer-aided design software called Ubrackets enabled the orthodontist to design
and print customized orthodontic brackets in the orthodontic office. The designing
workflow follows a specific protocol, which makes designing fast and easy. Three-dimensional
printing of brackets can be performed using hybrid ceramic resin or zirconia slurry.
Although some controversial studies exist, customized brackets have not been extensively
studied despite that. A new term, “biological customization” is proposed, which takes
into consideration the different biology of each patient, as opposed to teeth roots,
bone turnover, and characteristics. Complete treatment customization should necessarily
include mechanical and biological customization.
Keywords
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Article info
Publication history
Published online: November 05, 2022
Accepted:
October 10,
2022
Received:
August 27,
2022
Footnotes
Funding: The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.
Competing interests: Authors have completed and submitted the ICMJE Form for Disclosure of potential conflicts of interest. Nearchos C. Panayi is the inventor of Ubrackets software produced by Coruo (Limoges, France).
Provenance and peer review: Commissioned and internally peer reviewed.
Identification
Copyright
© 2022 World Federation of Orthodontists. Published by Elsevier Inc. All rights reserved.
