The lingual mindset
Orthodontic specialist Asif Chatoo is committed to helping colleagues navigate the challenges of the lingual technique. At the first module of his Learning Lingual course he told delegates: “The lingual technique is harder, but it’s a mindset. Adopt that mindset, and you will be filling an important void among treatment options.”
Other orthodontic techniques may be equally effective, but not equally attractive. Meanwhile, systems like aligners are nearly invisible but not so effective in challenging cases, especially in managing torque. “If you want to give your adult patients treatment which is invisible and effective in all dimensions and takes care of their bite, then lingual is the answer.”
The content of the course is aimed at clinicians who want to learn about the lingual technique from all perspectives, not a single system perspective. Throughout the first module he provided supporting evidence with references for his work and clinical preferences.
His first lesson identified the challenges which arise when brackets are being placed lingually:
But customised lingual appliances, which allow for indirect bonding using transfer trays, help navigate some of these challenges. Indirect bonding is quicker and more accurate and the trays can be used for creating a pontic in extraction cases and rebonding of fractured brackets.
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