References

Ghafari J. Problems associated with ceramic brackets suggest limiting use to selected teeth. Angle Orthod. 1992; 62:145-152
Wiechmann D, Rummel V, Thalheim A, Simon JS, Wiechmann L. Customized brackets and archwires for lingual orthodontic treatment. Am J Orthod Dentofacial Orthop. 2003; 124:593-599
Grauer D, Proffit WR. Accuracy in tooth positioning with a fully customized lingual orthodontic appliance. Am J Orthod Dentofacial Orthop. 2011; 140:433-443
Incognito™. Incognito™ Lite Appliance System. 2011. http://multimedia.3m.com/mws/media/797603O/incognito-lite-appliance-system-brochure.pdf (Accessed March 2015)
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A predictable alternative to a smile in six months?

From Volume 44, Issue 3, March 2017 | Pages 190-198

Authors

Elizabeth Kalantzis

BDS(Hons), MClinDent, MJDF RCS(Eng), MOrth RCS(Eng)

Post-CCST Orthodontist, University of Manchester Dental Hospital, Higher Cambridge Street, Manchester M15 6HF and Salford Royal NHS Foundation Trust, Stott Lane, Manchester M6 8HD and Northenden House Orthodontics, Sale Road, Manchester, M23 0DF

Articles by Elizabeth Kalantzis

David T Waring

BChD, MDentSci, MFDS RCS(Eng), MOrth RCS(Ed), FDS(Orth) RCS(Ed)

Consultant in Orthodontics, University of Manchester Dental Hospital and Northenden House Orthodontics, Sale Road, Manchester, M23 0DF, UK

Articles by David T Waring

Ovais H Malik

BDS, MSc (Orth), MFDS RCS (Ed), MOrth RCS (Eng), MOrth RCS (Ed), FDS (Orth), RCS (Eng)

Consultant in Orthodontics, University of Manchester Dental Hospital, Higher Cambridge Street, Manchester, M15 6FH, Salford Royal NHS Foundation Trust, Stott Lane, Manchester and Northenden House Orthodontics, Sale Road, Manchester, M23 0DF

Articles by Ovais H Malik

Abstract

The aim of this article is to explore the use of Incognito™ Lite as an alternative to competitors advertising a ‘Smile in Six Months’ or rather short-term orthodontics for improving dental appearance through tooth movement. The focus is on the varied clinical use of this appliance system and its comparative advantages, disadvantages and placement techniques. Some alternatives are discussed and appraised. Two cases successfully treated with Incognito™ Lite are then presented.

CPD/Clinical Relevance: A reliable and predictable tool for aesthetic alignment of teeth, creating a broader range of treatment options for both the clinician and the patient.

Article

Patients often request straight teeth in the shortest possible time using appliances that are invisible1 and comfortable. Dentists continue to search for the ultimate appliance that combines aesthetics and patient comfort with the ability to deliver optimal treatment outcomes consistently and efficiently. A number of appliance systems are in existence today that satisfy some, but not all, of the aforementioned criteria. Indeed, no appliance system is truly ‘invisible’ and until recently there has been a trade-off between aesthetics, treatment time and precision of tooth movement. Predictability of the result is also dependent on the operators' working knowledge of the appliance system and their clinical ability to get the most from it.

This article will present Incognito™ Lite as a predictable alternative to other short-term orthodontic treatment modalities, often referred to as a ‘Smile in Six Months’.

Incognito™ is a lingual appliance system developed by Wiechmann using CAD/CAM technology.2 It has all the advantages of traditional lingual appliance systems, such as optimal aesthetics, three-dimensional tooth control, constant force application and an indirect bonding technique. Additionally, there are many unique advantages relating to this appliance system, which include the precise fit of custom-made, low-profile, cast gold alloy brackets and an accompanying customized series of Nickel Titanium and Beta III Titanium archwires, resulting in a predictable treatment outcome.3 The finishing process is simplified as accurate rebonding is possible and the preformed archwires reduce the need for additional wirebending.

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