Alias "Lingual Straightwire Bracket system"
Introducing Alias, the world’s first passive self-ligating square slot lingual bracket.
Detail & Product.
Virtually Invisible Alternative to Aligners
Aesthetic treatment that is practically undetectable.
Alias provides patients with a discreet treatment option that is virtually invisible and effortless for them.
With the increasing number of adults and teens seeking aesthetic options for orthodontic treatment, ALIAS Lingual Straight Wire offers the advantage of aesthetics without the compromise and compliance required with aligners. The combined efficiencies of Straight Wire and passive self-ligation allows you to achieve the results you want at a pace that keeps your patients smiling.
With the increasing number of adults and teens seeking aesthetic options for orthodontic treatment, ALIAS Lingual Straight Wire offers the advantage of aesthetics without the compromise and compliance required with aligners. The combined efficiencies of Straight Wire and passive self-ligation allows you to achieve the results you want at a pace that keeps your patients smiling.
Designed with Drs. Kyoto Takemoto and Giuseppe Scuzzo
Dr. Kyoto Takemoto
Dr. Kyoto Takemoto graduated in 1979 from the Tokyo Dental College, with his specialty in Orthodontics in 1981 from Tokyo Medical-Dental University. As an EBO and WBLO diplomate, Dr. Takemoto is a world leader in lingual orthodontics, an active principle in multiple global lingual orthodontic societies and was the former president and the founding director of the World Board of Lingual Orthodontics and World Society of Lingual Orthodontics. He holds numerous global patents in lingual orthodontics and has pioneered the advancement of the Lingual Straight Wire method. In addition to his renowned research and teaching, Dr. Takemoto has a private practice in Japan, where he practices lingual orthodontics exclusively.
Dr. Giuseppe Scuzzo
Dr. Giuseppe Scuzzo graduated in medicine in 1983 from Rome University, specialized in dentistry in 1987, (Rome University,) and orthodontics at Ferrara University. He is adjunct professor in the lingual technique at Ferrara University and Compultense University, Madrid. Also an EBO and WBLO diplomate, Dr. Scuzzo holds several lingual bracket patents and was former president and founding director of the World Board of Lingual Orthodontics and the World Society of Lingual Orthodontics. Drs. Scuzzo and Takemoto have authored three international books on lingual orthodontics that have been translated into six languages for worldwide use. In addition to directing multiple international lingual programs, Dr. Scuzzo has a private practice limited to lingual orthodontics in Rome, Italy.
Bracket Features
The Alias lingual bracket system was designed for patient comfort and clinical performance. Rounded contours and a low profile provide comfort, and the small bracket design ensures superior fit and ease of placement.
Compare the size of Alias to other lingual brackets on the market*
* Innovation L is a registered trademark of Dentsply/GAC. Incognito is a trademarked product of 3M. eBrace is a product of Riton Biomaterial Co., Ltd. STb is a trademarked product of Ormco. Harmony is a product of American Orthodontics. Alias is a trademarked product of Ormco. Image courtesy of Drs. Takemoto and Scuzzo.
.018 X .018 Square Archwire Slot
The patented .018 x .018 square passive self-ligating slot and enhanced Straight Wire sliding mechanics improve rotational and torque control for faster leveling and aligning. Lingual brackets using the .018 x .025 slot have more play, thus less torque control, versus Alias.*
3rd-order play between square and rectangular slots and different sizes of archwires.
| Square slot | .016" x .016" wire | .017" x .017" wire | .0175" x .0175" wire |
|---|---|---|---|
| .018" x .018" | ~7–8° play | ~3–4° play | ~1–2° play |
| Rectangular slot | .016" x .022" wire | .017" x .022" wire | .017" x .025" wire |
|---|---|---|---|
| .018" x .025" | ~5–6° play | ~2–3° play | ~2–3° play |
2nd-order play between STb SL Square Slot lingual brackets* with .018”x .018”square slots and different sizes of archwires.
| Upper Anterior | .016" x .016" wire | .017" x .017" wire | .0175" x .0175" wire |
|---|---|---|---|
| .018" x .018" (1.5mm wide) | ~1–2° play | ~0–1° play | ~0–1° play |
| Lower Anterior | .016" x .016" wire | .017" x .017" wire | .0175" x .0175" wire |
|---|---|---|---|
| .018" x .018" (1.2mm wide) | ~2–3° play | ~1–2° play | ~0–1° play |
With both round and square wires:
- Tipping control:
square slot = rectangular slot - Rotation control:
square slot superior to rectangular slot
* G. Scuzzo, MD, DDS, K. Takemoto, DDS, PHD, Y. Takemoto, DDS, G. Scuzzo, DDS, L. Lombardo, DDS. “A New Self-Ligating Lingual Bracket with Square Slots”, Journal of Clinical Orthodontics, Volume XLV, No. 12 (2011): 682 - 683.
Spring Pin Enhances Opening and Closing
Alias bracket’s spring pin has been designed for easy opening during wire placement while also providing a snap-fit closure for secure wire ligation.
Alias square slot means maximum torque expression and rotational control.
Straightwire
Mushroom Shape
Simplicity
- Easy open and close—Self-ligating slide makes archwire changes faster and easier.
- Custom indirect bonding setup—AOA Lab creates custom setups,making bracket placement fast, simple and accurate.
- Streamlined inventory—Single-patient kits to suit preferences and treatments needs.
Efficiency
- Passive self-ligating mechanics—Alias is designed to minimize friction while producing light, continuous orthodontic forces that allow the teeth to move more smoothly.
- Enhanced sliding mechanics—Straight Wire shape facilitates easier sliding.
- Simplified finishing bends—Lingual wire replicates the labial Straight Wire arch form, making wire bends intuitive.
- Enhanced rotational and torque control—Patented .018 x .018 square slot provides optimal control and results.
Comfort
- Enhanced patient comfort—Designed with low bracket profiles and rounded contours.
Simplified Wire Changes and Opening/Closing
The Lingual Hinge Cap Opener and Slim Weingart instruments facilitate easy and fast wire changes.
Anterior | Open
Anterior | Close
Posterior | Open
Posterior | Close
General Protocols and Archwire SequenceProvided by Drs. Takemoto and Scuzzo*
Open Coil Springs
To resolve rotations when teeth are too crowded and bracket placement isn’t possible, place an open coil spring 1.3x – 1.4x the interbracket distance to help open the space.
Buccal Attachments
A variety of clear buccal attachments may be used to enhance buccal leveling, using inter-maxillary elastics, and for creating space.
Bite Turbos/Bite
Blocks As with labial treatment, the patient’s bite may create a bracket to tooth interference. With lingual treatment, it is common after initial bonding for the lower anterior edge to contact the upper anterior bracket(s). Temporary resin fillings (bite turbos/bite blocks) should be placed to prevent this.
Wire Sequence
Non-Extraction Cases
| Initial Leveling | |
|---|---|
| Archwire | Objective |
| .013 CuNiTi | For severe crowing |
| Option: .014 CuNiTi | For moderate crowding |
| Completing Leveling and Rotational Control | |
|---|---|
| Archwire | Objective |
| .016 CuNiTi | Complete leveling and alignment including rotation correction; partial arch form stabilization |
| .016 x .016 CuNiTi | Initial torque leveling and arch form stabilization |
| Torque and Arch Form Control | |
|---|---|
| Archwire | Objective |
| .018 x .018 CuNiTi | Complete torque leveling and arch form stabilization |
| Finishing or Detailing | |
|---|---|
| Archwire | Objective |
| .0175 x .0175 TMA | If necessary for torque refinements and/or final detailing |
| Option: .016 TMA .018 x .018 SS | Final detailing Control width of both U&L arches in cases with initial width discrepancy |
Extraction Cases
| Initial Leveling | |
|---|---|
| Archwire | Objective |
| .013 CuNiTi | For severe crowing |
| Option: .014 CuNiTi | For moderate crowding |
| Completing Leveling and Rotational Control | |
|---|---|
| Archwire | Objective |
| .016 CuNiTi | Complete leveling and alignment including rotation correction; partial arch form stabilization |
| .016 x .016 CuNiTi | Initial torque leveling and arch form stabilization |
| Torque and Arch Form Control | |
|---|---|
| Archwire | Objective |
| .018 x .018 CuNiTi | Complete torque leveling and arch form stabilization |
| .0175 x .0175 TMA | Torque establishment |
| Space Closure | |
|---|---|
| 017x .017 SS or .018x.018 SS (if full torque control is needed with reduced posterior wire size for sliding) Option: .016x.016 SS (if there is no need for torque control) | |
| Finishing or Detailing | |
|---|---|
| Archwire | Objective |
| .0175 x .0175 TMA | If necessary for torque refinements and/or final detailing |
| Option: .016 TMA .018 x .018 SS | Final detailing Control width of both U&L arches in cases with initial width discrepancy |
Note: .018 x .018 archwires may fit snuggly due to normal manufacturing tolerances.
* These are general protocols provided by Drs. Takemoto and Scuzzo, who also recommend providing a detailed and highly individualized treatment plan. Ormco is a medical device manufacturer and does not dispense clinical advice.
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