Prediction of oral discomfort and dysfunction in lingual orthodontics: a preliminary report.


INTRODUCTION The purpose of this prospective study was to examine the influence of malocclusion on the amount of discomfort of patients who were treated with Incognito lingual brackets (T.O.P. Service, Ormco, Amersfoort, the Netherlands; ibraces in North and South America, Lingualcare, Dallas, Tex). METHODS Twenty-one female patients (mean age, 24.8 years; SD 10.7) participated in the investigation and completed a standardized questionnaire before and the day after placement of the appliance. One experienced orthodontist, blinded to the results of the questionnaires, evaluated their initial cephalograms and casts with respect to the parameters SNA, SNB, and ANB angles; overjet; overbite; maxillary and mandibular anterior contact-point displacement; crossbite; open bite; and missing teeth. RESULTS Malocclusion measured on the casts had no significant impact on the amount of discomfort or dysfunction reported by the patients. The SNA (r = -0.619, P = .003) and SNB (r = -0.615, P = .003) angles, however, correlated significantly with the restriction of tongue space; patients with an SNB angle that was smaller than 1 SD from the norm were significantly more prone to experience severe restriction of tongue space (P = .003). CONCLUSIONS The SNA and SNB angles are predictors for the level of tongue-space restriction after placement of lingual brackets: the smaller the angles, the more prone the patients are to experience discomfort.

DOI: 10.1016/j.ajodo.2006.03.045

Cite this paper

@article{Wiechmann2008PredictionOO, title={Prediction of oral discomfort and dysfunction in lingual orthodontics: a preliminary report.}, author={Dirk Wiechmann and Joachim Ger\ss and Thomas Stamm and Ariane Hohoff}, journal={American journal of orthodontics and dentofacial orthopedics : official publication of the American Association of Orthodontists, its constituent societies, and the American Board of Orthodontics}, year={2008}, volume={133 3}, pages={359-64; quiz 476.e1} }