Innovative Orthodontic-Restorative Treatment With Customized CAD/CAM Smartwires

Background: The demand for discreet and low-compliance appliances has driven innovation in orthodontics, particularly with technological advances in artificial intelligence, robotics, and CAD/CAM technology. The evolution of Programmed Non-Sliding Mechanics for precise, automated tooth movement is the latest innovation.

Aim: In this article, we aimed to demonstrate the application of a novel orthodontic lingual appliance, The Gen 2 InBrace system (InBrace, Irvine, CA), in the orthodontic-restorative treatment of an adult patient with anterior tooth-size discrepancies, anterior openbite, and incisor proclination. The Gen 2 InBrace system uses a new generation of CAD/CAM Smartwires, including pre-programmed customized multiloop nickel-titanium lingual archwires, which enable light, continuous, and frictionless tooth movements.

Conclusion: The Gen 2 InBrace system can enhance esthetic and occlusal outcomes in patients requiring combined orthodontic-restorative treatment via automatic space management with maximum esthetic and minimal compliance.

Clinical significance: Precision dentistry and orthodontics using esthetic custom appliances have become a reality. The Gen 2 InBrace system, a new generation custom lingual appliance, offers effective treatment solutions for adults who have previously avoided preprosthetic orthodontics due to the esthetic concerns of wearing traditional labial braces or the compliance challenges associated with clear aligners.