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- DOI 10.18231/j.ijohd.13347.1759470070
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CrossMark
Advancement in orthodontic brackets – Review
- Author Details:
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Nausheer Ahmed
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Rajalakshmi SJ
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Anusha PG
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Abrar Younus A *
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K Shrin Fathima
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Anbumuhil TR
Abrar Younus A *
Orthodontic brackets have evolved significantly over the years, transforming the way we approach treatment. The design and functional efficiency of orthodontic brackets significantly influence the simplification of treatment mechanics and contribute to reducing overall treatment duration. Orthodontic brackets have seen remarkable advancements since the era of Angle, driven largely by progress in science and technology. The evolution spans from traditional metal brackets, known for their strength and durability towards 3D imaging and computer-aided design to create custom based fitted for each individual patient. Among the most significant innovations is the development of self-ligating brackets, which eliminate the need for conventional elastic ties. By reducing friction, these brackets allow for smoother tooth movement and often reduce the number of appointments needed.
Aesthetic demands have also led to the rise of brackets like ceramic, plastic, composite offering effective treatment with a less noticeable appearance. These options have made orthodontic care more acceptable to adult patients and those concerned about visible braces. Lingual brackets, which are bonded to the inner surfaces of the teeth, have also advanced in design, offering a discreet option for patients seeking invisibility during treatment. Improvements in bracket base design and wire slot geometry have enhanced bonding strength and biomechanical control.
In parallel, digital innovations have enabled customized brackets through 3D imaging and CAD/CAM technology. They are tailored to each patient’s tooth shape, improving the accuracy of bracket placement and leading to more efficient, predictable outcomes.
The aim of this article is to review bracket designs, the materials used, and the underlying science, along with their clinical applications, to assist clinicians in making patient-specific treatment decisions.
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