Comparison of the Treatment Effectiveness between Labial and Lingual Fixed Mechanotherapy and Patients’ Response toward Lingual Fixed Mechanotherapy: A Prospective Clinical Study

doi:10.1177/03015742211029624

Paper

Comparison of the Treatment Effectiveness between Labial and Lingual Fixed Mechanotherapy and Patients’ Response toward Lingual Fixed Mechanotherapy: A Prospective Clinical Study

Published Jul 22, 2021 · Vagdevi Hosur Kantharaju, M. Manohar, G. Shivaprakash

Journal of Indian Orthodontic Society

UNKNOWN SJR score

2

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Abstract

Objective: The present study was conducted to evaluate the effectiveness of treatment outcome using American Board of Orthodontics (ABO) scoring and total treatment time between labial and lingual appliance and also to assess patients’ perception of the lingual appliance system. Materials and Methods: Twenty patients requiring first premolar extraction were selected; 10 patients were treated with a lingual and 10 with a labial appliance. The treatment duration and ABO scores were recorded from the posttreatment dental casts and orthopantomogram (OPG). A questionnaire was used to evaluate the perception of patients on lingual treatment using a visual analogue scale (VAS). Results: The total ABO scores of the 2 groups were not statistically significant. The lingual- and labial-appliance treatments were completed in 19.30 ± 7.50 and 22.40 ± 6.35 months, respectively. The VAS showed that lingual-appliance patients experienced a moderate amount of pain and discomfort to the tongue and soft tissues. Patients did not have considerable difficulty with speech and in maintaining oral hygiene. Conclusion: Lingual appliance cases finished with a comparable quality of orthodontic treatment precision well within the normal treatment time frame. These patients had moderate difficulties with speech, tongue irritation, and pain. They did not have difficulty in maintaining their oral hygiene and were satisfied with their smile and treatment outcome.

Non-RCT

Study Snapshot

Lingual appliances provide comparable orthodontic treatment precision within a normal treatment time frame, with patients experiencing moderate difficulties with speech, tongue irritation, and pain, but no difficulty in maintaining oral hygiene.

PopulationOlder adults (50-71 years)

Sample size24

MethodsObservational

OutcomesBody Mass Index projections

ResultsSocial networks mitigate obesity in older groups.

Paper

Comparison of the Treatment Effectiveness between Labial and Lingual Fixed Mechanotherapy and Patients’ Response toward Lingual Fixed Mechanotherapy: A Prospective Clinical Study

References

Outcome assessment of lingual and labial appliances compared with cephalometric analysis, peer assessment rating, and objective grading system in Angle Class II extraction cases.

Lingual appliances generally offer comparable treatment results to labial appliances, but care is needed for uprighted incisors and root angulation.

Patient discomfort: a comparison between lingual and labial fixed appliances.

Lingual orthodontic patients experience greater tongue soreness and speech difficulties compared to labial orthodontic patients, but both groups experience similar intraoral discomfort and eating and oral care difficulties.

A comparison of pain experienced by patients treated with labial and lingual orthodontic appliances.

Patients treated with labial and lingual orthodontic appliances experience similar overall pain levels during treatment, but pain ratings differ at various sites depending on the type of appliance.

A subjective comparison of two lingual bracket systems.

Customized lingual brackets (Incognito) result in fewer tongue space restrictions, speech disturbances, and pressure sores compared to prefabricated brackets (Ormco).

Oral Comfort, Function and Hygiene in Patients with Lingual Brackets

Lingual brackets may impair oral comfort, functions, and hygiene, but fluid intake was not impaired during the study period.

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