These days, the desire to look more beautiful and presentable is no longer only to justify the aesthetics.
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on the contrary, good physical presentation is a basic item for the good positioning of the individual in their personal and social life in the labour market. Already the treatments aimed at this audience, are increasingly gaining space, primarily in the interest of these people to achieve this perfection.
is fundamental to this demanding patient, keep this aesthetic standard during a treatment. In turn, the vestibular orthodontic appliance, in addition to compromising the aesthetics, still denotes a childlike appearance, keeping many would-be patients of dental offices.
orthodontics esthetics is presented with the aim of giving a new possibility, a real option to more treatment for who resists conventional Orthodontics. Given this, it is necessary that the professional knows the technique, offering its clients, options that let them satisfied, both with the end result, as with its appearance during treatment.
the need for aesthetic apparatus began in 1969, when Newman brought a polycarbonate aesthetic bracket, showing thus the first interest in modifying the standard conventional orthodontic treatment, based on metallic device. Shortly thereafter, with an Office full of models and an audience of high aesthetic requirement, Dr. Craven Kurz, in the mid-1970, he worked a collage of a conventional metal braces, lingual surface of the buccal teeth, thus beginning the technique of Lingual Orthodontics.
With about 40 years of age, the Lingual Orthodontics have developed various methods of assembling and gluing of the apparatuses, which also denotes a technical advancement. In addition, we can cite the growth in the study of biomechanics of the unit, which had a totally different glue surface of vestibular, back, with special features of orthodontic treatment.
In a period shortly after the emergence of the Lingual Orthodontics, in the mid-1980, the ceramic brackets, and brought great advantages with regard to polycarbonate. The advent of these brackets came flanked the first tests with the invisible aligners, with Mcnamara and collaborators, who proposed moves through orthodontic, creating a device setup termoplastificado on this model, achieving effective dental movements.
With four basic systems of work: setup (laboratory), setup (CAD-CAM), bubble system and system for elastic and buttons, the invisible aligners are becoming an excellent working tool in the control of relapses, of light and medium crowding or diastema, and even large discrepancies of spaces, giving the opportunity of treatments for patients seeking a Orthodontics braces-free.
The aligners developed from laboratory setup are the most craft, however, high fidelity. The plates are thermoformed upon a setup would be like the next step of treatment.
The aligners developed from setup virtual (CADCAM) are produced from scanning of patients ’ arcades, and any treatment is virtualized and produced in computer, having the possibility of sequencing an entire treatment, based on a single molding, facilitating and reducing the manual lab work, keeping a high precision power.
there are other working methods of aligners, called bubble system, where a space is created in the aligner and cambers are made up of sides opposed to this space, with the goal of moving the tooth to the desired position. This system to be simplified, gives a possibility of professional perform the technique without a big laboratory investment.
A fourth national creation method, the system Be-Flash, uses rubber bands, buttons and conventional orthodontic resources, who along with acrylic resins form dental drives capsules. The methodology of work is based on the dynamic and functional rehabilitation of the jaws, MaurÃcio de Vaz.
If the aesthetic apparatus or invisible will be the future of Orthodontics, or even if they are an evolution of Orthodontic appliances, only time will tell. One thing, though, is fact and notorious: the invisible Orthodontics is here to stay, and keep as a science, that grows every day, with strength, both in concepts such as quality of treatments offered.
the patient who resisted, recklessness, before accepting a new treatment, today, seeing the good results, has no doubt that this form of treatment guarantees a response to their needs.
graduated in Dentistry at the Federal University of Ceará (UFC-CE). Specialist in orthodontics by Universidade do Vale do Acaraú (UVA-CE). Postgraduate by Charles Tweed Foundation (Arizona-USA). Accredited Invisalign, Clear Aligner systems, Essix Clear Aligner, Be-Flash and Art Aligner. Professor of the Specialization in orthodontics from the Universidade do Vale do Acaraú (UVA-CE). Professor and organizer of the training course in Clinical Orthodontics invisible (Ceará and PiauÃ). Author of the book “Handbook of Orthodontics Esthetics Lingual Orthodontics and Invisible Aligners –” , Editora Rúbio, 2013.
