Orthotown April 2015 - (Page 42)

clinical orthodontics // case study Braces v. Aligners AS TECHNOLOGY EVOLVES, SO DO PATIENT CHOICES by Donna Galante, DMD T The use of aligners is certainly a hot topic these days, especially in the dental/orthodontic community as more and more patients are requesting clear aligners to help them achieve their smile and dental-health goals. But before we dive into this controversy, let's take a brief but interesting look back at the history of braces. You may be surprised to know they have been around for a very long time. Smile, Rameses! The use of braces goes back to the days of Egyptian pharaohs. Yes, mummified remains have been found with crude metal bands wrapped around their teeth. Fast-forward to 1728 when a French dentist, Pierre Fauchard, published a book titled, "The Surgeon Dentist." In this book he describes a device called a "bandeau," which was used to expand the upper arch. In 1819, Christophe Delabarre came up with "the wire crib," which is much closer to the braces we know today. Over the next 100 years, braces remained the same until the middle of the 20th century, when great technological and material improvements were made to the design, shape, size, structure and materials of braces. Adhesives and direct bonding to the teeth became a 42 APRIL 2015 // orthotown.com mainstay of orthodontic practices in the late '70s and early '80s. Since then, development in the design and type of appliance has given us even greater choices in appliances, including the latest technology: clear aligners. A clear controversy In 2000, Align Technology introduced clear, plastic aligners to the world of adult orthodontics. This initial entry into the orthodontic appliance marketplace was restricted to adults and certain types of cases. Most orthodontists were already familiar with clear, Essix-type retainers and many of us had been using them routinely for years. We felt comfortable using them to move a single tooth or two back into position. It never occurred to us that it was possible to use a clear, removable, Essix-type retainer to accurately move teeth and correct bite problems. Clear-aligner therapy is often met with some skepticism by doctors, staff and patients. My purpose in writing this article is to do an overview of the advantages and disadvantages of both types of appliances and to give you an opportunity to decide for yourself if one is better than the other, or if they both have a place for orthodontic treatment in our adult and teen patients. Continued on p. 44 http://www.orthotown.com

Table of Contents for the Digital Edition of Orthotown April 2015

Orthotown.com Highlights
Embrace Progress: From Clinical Skills to Marketing, Orthodontists Need a Wide Skill Base
Severely Short Roots
Open-Bite Corrections with TADs
Is Indirect Bonding Right for Your Practice?
Anterior Open-Bite Treatment with Clear Aligners
American Association of Orthodontics
Native Intelligence: Management Software without the Catch
Corporate Profile: The Direct Mail Pros of OrthodonticMarketing.net
Braces v. Aligners
A Great Big Reason to Smile in Arizona
Practice Management
Bonding to Ceramic Crowns

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