The integration of technology is essential to the success of any orthodontic practice seeking to increase efficiency and
communication. The digitization of all aspects of society, including orthodontics, allows us to now have access to the best resources
available to deliver high quality orthodontic treatment. Digitization enhances the ability of the orthodontist to diagnose and treatment
plan cases using the high resolution graphics and model analysis measurements. Communication tools allow the orthodontist to interact
with the lab using emails, annotation boxes, and images. Digital model storage is progressively being adopted by many orthodontic
offices as a method to reduce stone model storage needs, increase communication with patients and other dental professionals, and
improve treatment planning for the orthodontist.
Scanning the actual orthodontic impression instead of a stone model poured from
the impression which helps eliminate possible errors obtained during the stone model fabrication. Also, the occlusion and precision
of measurements is calibrated allowing the models to be an important tool in treatment planning as well as case presentation.
Customized Orthodontics One of the biggest advances in modern orthodontics is the utilization of technology to deliver customized
brackets, wires, and treatment forecasts to enhance patient results through more effective and efficient treatment methods.
The other big push in the field of orthodontics is patient’s desire for aesthetic or “invisible” orthodontic treatment, especially
as more adults seek care. We can truly deliver all three levels of customization and aesthetics. Lingual orthodontics also has the
advantage of eliminating the incidence of labial decalcifications during orthodontic treatment.
Digital photographs also allow enhanced communication. The custom prescription for the brackets, wires, and all treatment
planning goals are entered to ensure full utilization. We first choose all customized treatment objectives for the patient’s case including: occlusal,
aesthetic, and alignment considerations.
Next, the custom fixed appliances are carefully selected from a library of brackets, bands, and additional attachments.
Then, the wire sequence is selected from an array of wire sizes and materials. We then set up the case using these specifications and taking into
account anatomical and biological limitations. The case is mounted on an articulator and the setup is digitally scanned.
The enhanced communication tools now available allow visual cues and measurements to be used to create the most accurate
representation of the orthodontist treatment goals. CAD/CAM is used to construct the pattern for each individual bracket taking into consideration
anatomical and access considerations based on the prescription specified by the orthodontist. Once the case is setup to the final result, the wires
are then constructed to achieve the required mechanics.
All the necessary archwire bends are determined in the CAD/CAM software and bent robotically to ensure precision. Using this
method, movement towards the final position of the teeth is achieved from the first wire through the entire wire sequence.