Papoutsi Aggeliki, Pardalidou Panagiota and Dianiskova Simona

Title: Subjective difficulties of the patients treated with lingual appliances


Aim: As the amount of adults that seek orthodontic treatment continues to grow, so does the popularity of lingual fixed appliances. Even though the obvious advantages regarding these systems are plenty, for some orthodontists, the comfort of their patients being under treatment has been a matter of discussion. This is often due to the fact that lingual braces may lead to certain problems associated mostly with tongue discomfort and speech problems. As a result, the aim of this survey was to evaluate the subjective difficulties of the patients treated with lingual appliances.

Methods: An anonymous questionnaire which included questions regarding any difficulties concerning the oral hygiene, mastication, tongue discomfort, speech problems and tongue adaptation divided through certain periods of time was presented to the patients. Those patients had to wear the lingual appliances at least for 3 months. After the thorough explanation of the questions by the authorized orthodontist, they were ready to submit their answers.

Results: The tongue adaptation and speech problems seem to be the main complaint of the patients with fixed lingual braces. However, the symptoms seldom last for more than some days after bonding.

Conclusion: The proper bonding technique, wire and management could considerably diminish the subjective problems of the patient with fixed lingual appliance.