Indirect orthodontic bonding using an original 3D method compared with conventional technique: A narrative review

As well known success in orthodontics is related to a correct diagnosis and to a carefull treatment planning. Our study aims to provide clinician with a reproducible and precise method, for orthodontic indirect bonding, thanks to CBCT images and due to a CAD-CAM process. Methods: A case of an orthod...

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Main Authors: Riccardo Nucera, Angela Militi, Andrea Caputo, Angela Mirea Bellocchio, Giuseppe Minervini, Gabriele Cervino, Marco Portelli
Format: Article
Language:English
Published: Springer 2024-01-01
Series:Saudi Dental Journal
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Online Access:http://www.sciencedirect.com/science/article/pii/S1013905223001840
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author Riccardo Nucera
Angela Militi
Andrea Caputo
Angela Mirea Bellocchio
Giuseppe Minervini
Gabriele Cervino
Marco Portelli
author_facet Riccardo Nucera
Angela Militi
Andrea Caputo
Angela Mirea Bellocchio
Giuseppe Minervini
Gabriele Cervino
Marco Portelli
author_sort Riccardo Nucera
collection DOAJ
description As well known success in orthodontics is related to a correct diagnosis and to a carefull treatment planning. Our study aims to provide clinician with a reproducible and precise method, for orthodontic indirect bonding, thanks to CBCT images and due to a CAD-CAM process. Methods: A case of an orthodontic treatment plan, of a female patient, 37 years old, was selected. Plaster models were digitally acquired using the Extra-Oral scanner Maestro 3D and processed within the Studio Maestro 3D software. CBCT images in DICOM format were imported into the MIMICS software, in order to perform the segmentation of the dental elements, and to obtain a three-dimensional coronal-root dental arches model. The DICOM file thus processed was exported in an STL file, reworked with Meshmixer software to improve image quality, and imported into the 3D Maestro software to be superimposed on the digital model. In this way a three-dimensional real model of the dental arches was developed. After an accurate orthodontic virtual set-up, we proceeded to brackets positioning on the 3D model of the dental arches. Subsequently, a virtual transfer template was created, in order to carry out the digital printing of a thermo-printed mask necessary to perform an indirect bonding of the orthodontic appliance. Results: The original digital workflow proposed in this study allows the development of a real and non-ideal three-dimensional coronal-root model of the dental arches; this model can be used for indirect orthodontic bonding eliminating any errors in the expression of 1st, 2nd and 3rd order information of the pre-informed orthodontic appliance. Conclusions: Technological advancements in oral scanning and 3D printing will allow the achievement of an easy and reproducible ideal positioning of the orthodontic brackets.
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spelling doaj-art-9022fa0df5e048f89ccaeafd7ec3373d2025-08-20T03:19:42ZengSpringerSaudi Dental Journal1013-90522024-01-01361727610.1016/j.sdentj.2023.09.009Indirect orthodontic bonding using an original 3D method compared with conventional technique: A narrative reviewRiccardo Nucera0Angela Militi1Andrea Caputo2Angela Mirea Bellocchio3Giuseppe Minervini4Gabriele Cervino5Marco Portelli6Department of Biomedical Sciences, Dentistry and Morphological and Functional Imaging, University of Messina, Via Consolare Valeria 1, Messina, ItalyDepartment of Biomedical Sciences, Dentistry and Morphological and Functional Imaging, University of Messina, Via Consolare Valeria 1, Messina, ItalyDepartment of Biomedical Sciences, Dentistry and Morphological and Functional Imaging, University of Messina, Via Consolare Valeria 1, Messina, ItalyDepartment of Biomedical Sciences, Dentistry and Morphological and Functional Imaging, University of Messina, Via Consolare Valeria 1, Messina, ItalyMultidisciplinary Department of Medical-Surgical and Dental Specialties, University of Campania “Luigi Vanvitelli”, 80100 Napoli, Italy; Corresponding authors.Department of Biomedical Sciences, Dentistry and Morphological and Functional Imaging, University of Messina, Via Consolare Valeria 1, Messina, Italy; Corresponding authors.Department of Biomedical Sciences, Dentistry and Morphological and Functional Imaging, University of Messina, Via Consolare Valeria 1, Messina, Italy; Corresponding authors.As well known success in orthodontics is related to a correct diagnosis and to a carefull treatment planning. Our study aims to provide clinician with a reproducible and precise method, for orthodontic indirect bonding, thanks to CBCT images and due to a CAD-CAM process. Methods: A case of an orthodontic treatment plan, of a female patient, 37 years old, was selected. Plaster models were digitally acquired using the Extra-Oral scanner Maestro 3D and processed within the Studio Maestro 3D software. CBCT images in DICOM format were imported into the MIMICS software, in order to perform the segmentation of the dental elements, and to obtain a three-dimensional coronal-root dental arches model. The DICOM file thus processed was exported in an STL file, reworked with Meshmixer software to improve image quality, and imported into the 3D Maestro software to be superimposed on the digital model. In this way a three-dimensional real model of the dental arches was developed. After an accurate orthodontic virtual set-up, we proceeded to brackets positioning on the 3D model of the dental arches. Subsequently, a virtual transfer template was created, in order to carry out the digital printing of a thermo-printed mask necessary to perform an indirect bonding of the orthodontic appliance. Results: The original digital workflow proposed in this study allows the development of a real and non-ideal three-dimensional coronal-root model of the dental arches; this model can be used for indirect orthodontic bonding eliminating any errors in the expression of 1st, 2nd and 3rd order information of the pre-informed orthodontic appliance. Conclusions: Technological advancements in oral scanning and 3D printing will allow the achievement of an easy and reproducible ideal positioning of the orthodontic brackets.http://www.sciencedirect.com/science/article/pii/S1013905223001840Indirect Orthodontic BondingCBCTCAD-CAM
spellingShingle Riccardo Nucera
Angela Militi
Andrea Caputo
Angela Mirea Bellocchio
Giuseppe Minervini
Gabriele Cervino
Marco Portelli
Indirect orthodontic bonding using an original 3D method compared with conventional technique: A narrative review
Saudi Dental Journal
Indirect Orthodontic Bonding
CBCT
CAD-CAM
title Indirect orthodontic bonding using an original 3D method compared with conventional technique: A narrative review
title_full Indirect orthodontic bonding using an original 3D method compared with conventional technique: A narrative review
title_fullStr Indirect orthodontic bonding using an original 3D method compared with conventional technique: A narrative review
title_full_unstemmed Indirect orthodontic bonding using an original 3D method compared with conventional technique: A narrative review
title_short Indirect orthodontic bonding using an original 3D method compared with conventional technique: A narrative review
title_sort indirect orthodontic bonding using an original 3d method compared with conventional technique a narrative review
topic Indirect Orthodontic Bonding
CBCT
CAD-CAM
url http://www.sciencedirect.com/science/article/pii/S1013905223001840
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