Page 48 - DP Vol 22 No 1

ORTHODONTICS

Fig 8: Intraoral examination demonstrated a bilateral Class I molar Fig 9: Brava appliance in the mandibular arch
and canine relationship, with moderate crowding in the lower
anterior region
ABOUT THE AUTHORS

Prof. Gurkeerat
Singh, BDS, MDS
(Orthodontics),
M. Orth is an
experienced
orthodontist and
academician with
expertise in advanced
orthodontic diagnosis and treatment
planning.
Fig 10: Alignment of
the mandibular anterior Dr. Jyoti Yadav, BDS,
teeth in accordance MDS (Orthodontics) is
with the planned digital a skilled orthodontist
movements with a special interest
in contemporary
position and inclination. The digital workflow facilitates accurate appliance placement and orthodontic
predictable sequencing of movements, minimizing iatrogenic effects such as undesired techniques and
patient-focused care.
rotations or tipping. In addition to alignment, these appliances support optimal occlusal
guidance, maintain arch form, and enhance patient compliance due to their discreet design. Dr. Lalfakzuali, BDS,
The controlled biomechanics also reduce treatment complexity and chairside adjustments, MDS (Orthodontics)
making lingual systems particularly suitable for adult patients with localized malocclusions is an orthodontist
with strong
and high esthetic expectations. clinical expertise
in biomechanics
CONCLUSION and evidence-
The Brava Lingual Orthodontic System successfully addressed moderate mandibular anterior based orthodontic
crowding in this adult patient, providing efficient, precise, and esthetic tooth movements. treatments.
Treatment resulted in complete alignment, preservation of occlusal relationships, and improved Dr. Armaan Kaur, BDS
functional outcomes. is a dental clinician
This case highlights the advantages of digitally customized lingual appliances for adult actively involved
patients seeking discreet orthodontic solutions. The patient reported high satisfaction with the in comprehensive
appliance’s esthetic appearance, comfort, and predictability of treatment, reinforcing the value patient care and
of this system as a viable alternative to conventional labial appliances for managing localized multidisciplinary
crowding in adults. n dental practice at
the D32 – The Dental
Centre, South Extension Part-I, New
ARTICLE CITATION Delhi.
Singh Gurkeerat, Yadav Jyoti, Lalfakzuali, Kaur Armaan (2026). Management of anterior
crossbite and lower anterior crowding using the brava appliance: a case report. Dental
Practice, 22(1), 44 - 48

48 Dental Practice I January-February 2026 I Vol 22 No 1