Orthotown March 2020 - 36
So,
Lingual Ortho?
You Think
You Can Handle
by Dr. Matthew Schofield
Dr. Matthew Schofield
received his orthodontic
training at Columbia
University in 2015 and
completed a fellowship
in lingual orthodontics
at UTHSCSA in 2019. He
purchased a practice in
Irving, Texas, in 2015 and continues in a solo
private practice setting. He has experience with
the following lingual systems: eBrace, Lingual
Liberty and is a Platinum Provider for InBrace.
Email: smile@irvingbraces.com
36
L
ingual orthodontics is again surging in
the United States. It first gained steam
in the 1980s, but the love affair with
lingual ortho has ebbed and flowed over
the past 40 years-the most recent cycle
of interest, featuring highly customized
systems from Europe, ended with the rise
of plastics.
Increased marketing efforts from clear
aligner companies and improved results
using plastics with difficult cases led many
orthodontists who'd been treating cases with
lingual appliances to begin new patients with
aligners. Still, many patients cannot tolerate
the compliance of clear aligner therapy and
prefer a fi xed aesthetic appliance. In the
past five years, lingual orthodontics has
again captured our attention as we look to
provide highly aesthetic treatment with a
fi xed appliance.
Principally credited for the renaissance
are two innovative U.S.-based companies,
InBrace (Fig. 1) and Brius (formerly Mechanodontics, Figs. 2a and 2b), and two new
straight-wire systems, Lingual Liberty by
French orthodontist Dr. Didier Fillion and
Alias out of Italy and Japan from Ormco
(Fig. 3, p. 38). All of these newer systems
attempt to simplify and streamline lingual
treatment by adding convenience and
efficiency to the setup and delivery process,
making it similar to clear aligner treatment
planning and execution.
If you're already thrilled with your
aesthetic options, such as labial ceramic
fi xed brackets or your aligner du jour, then
lingual orthodontics may not be worth your
time and investment. However, you might
consider exploring one of these new lingual
options if your aligner cases are leaving you
stressed with overdue estimated treatment
times, inability to complete complicated
movements, or intricate detailing. Some
Fig. 1
MARCH 2020 // orthotown.com
OT0320_Schofield_Lingual_AG.indd 36
2/25/20 11:31 AM
http://www.orthotown.com
Orthotown March 2020
Table of Contents for the Digital Edition of Orthotown March 2020
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