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sujatagirishdandagi's picture
Joined: 17 Oct 2011

The illustrious pages of orthodontic history

are decorated by mechanotherapy that has

transcended tooth movement brought about

by finger pressure to magnets or technology

driven and designed appliances. The most

important factors that have traditionally

determined the longevity and popularity of a

treatment protocol or appliance have been

biomechanical efficacy.

However, as society transformed itself to

embrace image and appearance consciousness,

the oldest specialty of dental professionals

constantly evolved its repertoire to integrate

the destination and the journey that

exemplify it. If aesthetics is an important goal

of our maneuvers, why shouldn't our appliances

strive to attain the same during the

course of this attainment? If functional efficacy

is an important goal of our maneuvers,

why should our appliances restrict or impede

mastication or speech during course of treatment?

Whether, this quest for convenience

driven appliance designs compromises its

efficacy, is the million -dollar question!

Inconspicuous appliances date back to

1945. The tooth positioner and the dental

contour appliance were amongst the first

prototypes of the modern day aligners.

Lingual Orthodontics popularized itself in

the 1970’s. The orthodontic community,

internationally was skeptical about the efficacy

of all these appliances with respect to efficiency

and ability to deliver precision. The

waxing and waning interest was also compounded

by the fact that metals and wires

were in our comfort zone, and all types of

inconspicuous appliances required stepping

onto a learning curve, embracing technology

and laboratory skills

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