Efficacy and Comfort Level with the Non-Sliding Lingual Orthodontic Technique (BRIUS™) Versus Labial Full Fixed Appliances: A Pilot Randomized Controlled Clinical Trial

<b>Introduction:</b> This pilot two-arm, parallel group, randomized clinical trial aimed to compare the efficacy of tooth movement and patient comfort during orthodontic leveling and alignment with the BRIUS™ lingual system (BR) versus labial full fixed appliances (LFFAs). <b>Metho...

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Main Authors: Mohammed Hussain Alzainal, Stephen Warunek, David A. Covell, William Tanberg, Aron Aliaga-Del Castillo, Lucia Cevidanes, Thikriat Al-Jewair
Format: Article
Language:English
Published: MDPI AG 2024-11-01
Series:Dentistry Journal
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Online Access:https://www.mdpi.com/2304-6767/12/11/368
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author Mohammed Hussain Alzainal
Stephen Warunek
David A. Covell
William Tanberg
Aron Aliaga-Del Castillo
Lucia Cevidanes
Thikriat Al-Jewair
author_facet Mohammed Hussain Alzainal
Stephen Warunek
David A. Covell
William Tanberg
Aron Aliaga-Del Castillo
Lucia Cevidanes
Thikriat Al-Jewair
author_sort Mohammed Hussain Alzainal
collection DOAJ
description <b>Introduction:</b> This pilot two-arm, parallel group, randomized clinical trial aimed to compare the efficacy of tooth movement and patient comfort during orthodontic leveling and alignment with the BRIUS™ lingual system (BR) versus labial full fixed appliances (LFFAs). <b>Methods:</b> Patients in the permanent dentition with mild to moderate crowding were recruited at the University at Buffalo and randomly assigned into the BR group (seven patients) or LFFAs group (six patients). The patients’ dental arches were scanned before bonding (T1) and after 18 weeks (T2). Digital dental model superimpositions were performed to three-dimensionally evaluate tooth movement. Changes between T1 and T2 were measured in the x, y, and z planes. Little’s Irregularity Index (LII) was also assessed at T1 and T2. An electronic questionnaire was completed daily for 7 days after T1 to evaluate the patients’ comfort levels. <b>Results:</b> After 18 weeks, similar displacements were observed for all teeth in both groups except for the lower left second premolar (LL5) in the x-axis which showed greater displacement in the BR group (<i>p</i> = 0.016). Groups showed similar changes in LII. Discomfort during the first week after bonding was greater on the tongue in the BR group and on the lips and cheeks in the LFFAs group. Tongue discomfort caused by the BR lasted for around 3 days. <b>Conclusion:</b> The BR and LFFAs showed similar teeth displacements and therefore were equally effective at leveling and aligning teeth. LFFAs caused cheek- and lip-borne discomfort while the BR caused tongue-borne discomfort during the first week after bonding. Larger studies with longer follow-ups are needed to obtain more definitive results.
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spelling doaj-art-e32807389ebc4900abbeec4c382ef8942025-08-20T01:53:44ZengMDPI AGDentistry Journal2304-67672024-11-01121136810.3390/dj12110368Efficacy and Comfort Level with the Non-Sliding Lingual Orthodontic Technique (BRIUS™) Versus Labial Full Fixed Appliances: A Pilot Randomized Controlled Clinical TrialMohammed Hussain Alzainal0Stephen Warunek1David A. Covell2William Tanberg3Aron Aliaga-Del Castillo4Lucia Cevidanes5Thikriat Al-Jewair6Department of Orthodontics, School of Dental Medicine, State University of New York at Buffalo, Buffalo, NY 14214, USADepartment of Orthodontics, School of Dental Medicine, State University of New York at Buffalo, Buffalo, NY 14214, USADepartment of Orthodontics, School of Dental Medicine, State University of New York at Buffalo, Buffalo, NY 14214, USADepartment of Orthodontics, School of Dental Medicine, State University of New York at Buffalo, Buffalo, NY 14214, USADepartment of Orthodontics, School of Dentistry, University of Michigan, Ann Arbor, MI 48104, USADepartment of Orthodontics, School of Dentistry, University of Michigan, Ann Arbor, MI 48104, USADepartment of Orthodontics, School of Dental Medicine, State University of New York at Buffalo, Buffalo, NY 14214, USA<b>Introduction:</b> This pilot two-arm, parallel group, randomized clinical trial aimed to compare the efficacy of tooth movement and patient comfort during orthodontic leveling and alignment with the BRIUS™ lingual system (BR) versus labial full fixed appliances (LFFAs). <b>Methods:</b> Patients in the permanent dentition with mild to moderate crowding were recruited at the University at Buffalo and randomly assigned into the BR group (seven patients) or LFFAs group (six patients). The patients’ dental arches were scanned before bonding (T1) and after 18 weeks (T2). Digital dental model superimpositions were performed to three-dimensionally evaluate tooth movement. Changes between T1 and T2 were measured in the x, y, and z planes. Little’s Irregularity Index (LII) was also assessed at T1 and T2. An electronic questionnaire was completed daily for 7 days after T1 to evaluate the patients’ comfort levels. <b>Results:</b> After 18 weeks, similar displacements were observed for all teeth in both groups except for the lower left second premolar (LL5) in the x-axis which showed greater displacement in the BR group (<i>p</i> = 0.016). Groups showed similar changes in LII. Discomfort during the first week after bonding was greater on the tongue in the BR group and on the lips and cheeks in the LFFAs group. Tongue discomfort caused by the BR lasted for around 3 days. <b>Conclusion:</b> The BR and LFFAs showed similar teeth displacements and therefore were equally effective at leveling and aligning teeth. LFFAs caused cheek- and lip-borne discomfort while the BR caused tongue-borne discomfort during the first week after bonding. Larger studies with longer follow-ups are needed to obtain more definitive results.https://www.mdpi.com/2304-6767/12/11/368BRIUSlingualefficiencydiscomfortirregularity index
spellingShingle Mohammed Hussain Alzainal
Stephen Warunek
David A. Covell
William Tanberg
Aron Aliaga-Del Castillo
Lucia Cevidanes
Thikriat Al-Jewair
Efficacy and Comfort Level with the Non-Sliding Lingual Orthodontic Technique (BRIUS™) Versus Labial Full Fixed Appliances: A Pilot Randomized Controlled Clinical Trial
Dentistry Journal
BRIUS
lingual
efficiency
discomfort
irregularity index
title Efficacy and Comfort Level with the Non-Sliding Lingual Orthodontic Technique (BRIUS™) Versus Labial Full Fixed Appliances: A Pilot Randomized Controlled Clinical Trial
title_full Efficacy and Comfort Level with the Non-Sliding Lingual Orthodontic Technique (BRIUS™) Versus Labial Full Fixed Appliances: A Pilot Randomized Controlled Clinical Trial
title_fullStr Efficacy and Comfort Level with the Non-Sliding Lingual Orthodontic Technique (BRIUS™) Versus Labial Full Fixed Appliances: A Pilot Randomized Controlled Clinical Trial
title_full_unstemmed Efficacy and Comfort Level with the Non-Sliding Lingual Orthodontic Technique (BRIUS™) Versus Labial Full Fixed Appliances: A Pilot Randomized Controlled Clinical Trial
title_short Efficacy and Comfort Level with the Non-Sliding Lingual Orthodontic Technique (BRIUS™) Versus Labial Full Fixed Appliances: A Pilot Randomized Controlled Clinical Trial
title_sort efficacy and comfort level with the non sliding lingual orthodontic technique brius™ versus labial full fixed appliances a pilot randomized controlled clinical trial
topic BRIUS
lingual
efficiency
discomfort
irregularity index
url https://www.mdpi.com/2304-6767/12/11/368
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