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International Journal of Dentistry
Volume 2014 (2014), Article ID 164164, 8 pages
Clinical Study

Computer-Aided Designing and Manufacturing of Lingual Fixed Orthodontic Appliance Using 2D/3D Registration Software and Rapid Prototyping

1Department of Orthodontics, School of Dentistry, Kyung Hee University, No. 1 Hoegi-dong, Dongdaemun-gu, Seoul 130-701, Republic of Korea
2Department of Orthodontics, Center for Advanced Dental Education, Saint Louis University, 3320 Rutger Street, Saint Louis, MO 63104, USA
3Department of Orthodontics, School of Medicine, Ajou University, No. 1 Wonchun-dong, Yeongtong-gu, Suwon 443-380, Republic of Korea

Received 7 March 2014; Accepted 11 April 2014; Published 11 May 2014

Academic Editor: Shin-Jae Lee

Copyright © 2014 Soon-Yong Kwon et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


The availability of 3D dental model scanning technology, combined with the ability to register CBCT data with digital models, has enabled the fabrication of orthognathic surgical CAD/CAM designed splints, customized brackets, and indirect bonding systems. In this study, custom lingual orthodontic appliances were virtually designed by merging 3D model images with lateral and posterior-anterior cephalograms. By exporting design information to 3D CAD software, we have produced a stereolithographic prototype and converted it into a cobalt-chrome alloy appliance as a way of combining traditional prosthetic investment and cast techniques. While the bonding procedure of the appliance could be reinforced, CAD technology simplified the fabrication process by eliminating the soldering phase. This report describes CAD/CAM fabrication of the complex anteroposterior lingual bonded retraction appliance for intrusive retraction of the maxillary anterior dentition. Furthermore, the CAD/CAM method eliminates the extra step of determining the lever arm on the lateral cephalograms and subsequent design modifications on the study model.