{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T12:58:16Z","timestamp":1790600296340,"version":"4.1.0"},"reference-count":0,"publisher":"The Angle Orthodontist (EH Angle Education & Research Foundation)","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,9,11]]},"abstract":"ABSTRACT<\/jats:title>\n \n Objectives<\/jats:title>\n To compare treatment outcomes, efficiency, and bracket-related complications between customized ceramic brackets (LightForce) and conventional appliances.<\/jats:p>\n <\/jats:sec>\n \n Materials and Methods<\/jats:title>\n This retrospective study included 75 patients treated in a private orthodontic practice (LightForce, n = 36; conventional, n = 39). Pretreatment malocclusion severity was assessed using the American Board of Orthodontics Discrepancy Index (ABO-DI). The primary outcome, treatment outcome quality, was assessed using the American Board of Orthodontics Objective Grading System (ABO-OGS). Secondary outcomes related to treatment efficiency and bracket-related complications were assessed by treatment duration, number of scheduled and emergency visits, and bracket failures. Between-group comparisons were conducted using Wilcoxon rank-sum tests for continuous variables and Fisher\u2019s exact tests for categorical variables.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n Pretreatment ABO-DI scores were comparable between groups. Total posttreatment ABO-OGS scores were similar between the LightForce and conventional groups (29.0 vs 25.0;\n P<\/jats:italic>\n = .061), although marginal ridge scores were higher in the LightForce group (\n P<\/jats:italic>\n < .001). LightForce treatment was completed in a shorter time (16.0 vs 19.0 months;\n P<\/jats:italic>\n < .001) with fewer scheduled visits (\n P<\/jats:italic>\n = .012). However, the LightForce group experienced more bracket failures and more bracket related emergency visits (both\n P<\/jats:italic>\n < .001). The presence of at least one bracket failure was higher in the LightForce group (80.6% vs 43.6%;\n P<\/jats:italic>\n = .002).\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n Customized ceramic brackets (LightForce) achieved overall treatment quality comparable to conventional fixed appliances, but with improved treatment efficiency; however, they were associated with a higher rate of bracket-related complications.<\/jats:p>\n <\/jats:sec>","DOI":"10.2319\/030326-188.1","type":"journal-article","created":{"date-parts":[[2026,9,26]],"date-time":"2026-09-26T10:01:39Z","timestamp":1790416899000},"source":"Crossref","is-referenced-by-count":0,"title":["Treatment outcomes, efficiency and complications of customized ceramic brackets compared with conventional fixed orthodontic appliances"],"prefix":"10.2319","author":[{"given":"Behnoosh","family":"Hormozi","sequence":"first","affiliation":[{"name":"Fellow, Department of Orthodontics, School of Dental Medicine, University of Connecticut, Farmington, Connecticut, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thais","family":"Fernandes Poleti","sequence":"additional","affiliation":[{"name":"Assistant Professor, Department of Orthodontics, School of Dental Medicine, University of Connecticut, Farmington, Connecticut, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luis","family":"Romero","sequence":"additional","affiliation":[{"name":"Undergraduate Student, School of Dental Medicine, University of Connecticut, Farmington, Connecticut, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria Luna","family":"Montes","sequence":"additional","affiliation":[{"name":"Former Fellow, Department of Orthodontics, School of Dental Medicine, University of Connecticut, Farmington, Connecticut, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Taranpreet","family":"Chandhoke","sequence":"additional","affiliation":[{"name":"Assistant Professor, Department of Orthodontics, School of Dental Medicine, University of Connecticut, Farmington, Connecticut, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chia-Ling","family":"Kuo","sequence":"additional","affiliation":[{"name":"Associate Professor (Senior Biostatistician), Department of Public Health Sciences. The Cato T. Laurencin Institute for Regenerative Engineering, UConn Health, Farmington, Connecticut, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kelin","family":"Zhong","sequence":"additional","affiliation":[{"name":"Statistics PhD, Department of Public Health Sciences, The Cato T. Laurencin Institute for Regenerative Engineering, UConn Health, Farmington, Connecticut, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Flavio","family":"Uribe","sequence":"additional","affiliation":[{"name":"Professor, Ravi Nanda Endowed Professor and Chair, Department of Orthodontics, School of Dental Medicine, University of Connecticut, Farmington, Connecticut, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1164","container-title":["The Angle Orthodontist"],"original-title":[],"link":[{"URL":"https:\/\/angle-orthodontist.kglmeridian.com\/view\/journals\/angl\/aop\/article-10.2319-030326-188.1\/article-10.2319-030326-188.1.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/angle-orthodontist.kglmeridian.com\/downloadpdf\/journals\/angl\/aop\/article-10.2319-030326-188.1\/article-10.2319-030326-188.1.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T12:02:15Z","timestamp":1790596935000},"score":1,"resource":{"primary":{"URL":"https:\/\/angle-orthodontist.kglmeridian.com\/view\/journals\/angl\/aop\/article-10.2319-030326-188.1\/article-10.2319-030326-188.1.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,11]]},"references-count":0,"URL":"https:\/\/doi.org\/10.2319\/030326-188.1","relation":{},"ISSN":["1945-7103","0003-3219"],"issn-type":[{"value":"1945-7103","type":"electronic"},{"value":"0003-3219","type":"print"}],"subject":[],"published":{"date-parts":[[2026,9,11]]}}}