{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,10]],"date-time":"2026-10-10T19:03:29Z","timestamp":1791659009390,"version":"4.3.4"},"reference-count":46,"publisher":"The Angle Orthodontist (EH Angle Education & Research Foundation)","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2018,11]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>This case report demonstrates the treatment of a skeletal Class II high-angle adult patient with bimaxillary protrusion, angle Class I occlusion, and crowded anterior teeth. A ribbon-wise arch wire and a customized lingual appliance with anterior vertical slots were used to achieve proper torque control of the maxillary anterior teeth. An orthodontic anchor screw and a palatal bar were used for vertical control to avoid increasing the Frankfort-mandibular plane angle (FMA) by maxillary molar extrusion. Through the combined use of the ribbon-wise customized lingual appliance, palatal bar, and orthodontic anchor screw, vertical control and an excellent treatment result were achieved without the vertical and horizontal bowing effects peculiar to conventional lingual treatment.<\/jats:p>","DOI":"10.2319\/072717-498.1","type":"journal-article","created":{"date-parts":[[2018,5,2]],"date-time":"2018-05-02T08:30:05Z","timestamp":1525249805000},"page":"830-840","source":"Crossref","is-referenced-by-count":15,"title":["Ribbon-wise customized lingual appliance and orthodontic anchor screw for the treatment of skeletal high-angle maxillary protrusion without bowing effect"],"prefix":"10.2319","volume":"88","author":[{"given":"Toru","family":"Inami","sequence":"first","affiliation":[{"name":"Clinical Professor, Department of Orthodontics, School of Dentistry, Aichi Gakuin University, Nagoya, Japan."},{"name":"Private Practice, Kyoto, Japan."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Goshi","family":"Ito","sequence":"additional","affiliation":[{"name":"Private Practice, Hiroshima, Japan."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ken","family":"Miyazawa","sequence":"additional","affiliation":[{"name":"Professor, Department of Orthodontics, School of Dentistry, Aichi Gakuin University, Nagoya, Japan."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Masako","family":"Tabuchi","sequence":"additional","affiliation":[{"name":"Associate Professor, Department of Orthodontics, School of Dentistry, Aichi Gakuin University, Nagoya, Japan."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shigemi","family":"Goto","sequence":"additional","affiliation":[{"name":"Professor and Chairman, Department of Orthodontics, School of Dentistry, Aichi Gakuin University, Nagoya, Japan."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1164","reference":[{"key":"i0003-3219-88-6-830-b01","series-title":"Contemporary Orthodontics. 5th ed","first-page":"150","article-title":"Orthodontic diagnosis: The problem-oriented approach","author":"Proffit \n              WR.","year":"2013","unstructured":"Proffit \n              WR. \n            \n          \n          Orthodontic diagnosis: The problem-oriented approach. In:Proffit WR, Fields HWJr, Sarver DM, eds. Contemporary Orthodontics. 5th ed. St Louis, Mo: Mosby; 2013:150\u2013219."},{"key":"i0003-3219-88-6-830-b02","series-title":"Lingual and Esthetic Orthodontics","first-page":"563","article-title":"Clinical considerations for the establishment of facial balance and harmony","author":"Inami \n              T.","year":"2011","unstructured":"Inami \n              T. \n            \n          \n          Clinical considerations for the establishment of facial balance and harmony. In: Romano R, ed. Lingual and Esthetic Orthodontics. Hanover Park, Ill: Quintessence; 2011:563\u2013580."},{"key":"i0003-3219-88-6-830-b03","series-title":"Lingual Bracket Orthodontic Technique","first-page":"79","author":"Inami \n              T,","year":"2009","unstructured":"Inami \n              T, \n            \n            \n              Yoshizawa \n              Y, \n            \n            \n              Aizawa \n              I, \n            \n            et al. \n          Lingual Bracket Orthodontic Technique. Tokyo, Japan: Ishiyaku; 2009:79\u2013107."},{"key":"i0003-3219-88-6-830-b04","series-title":"Lingual Bracket Orthodontic Technique Questions & Answers 60, Part 26 Torque Control","first-page":"50","author":"Aizawa \n              I,","year":"2015","unstructured":"Aizawa \n              I, \n            \n            \n              Yoshizawa \n              Y, \n            \n            \n              Inami \n              T, \n            \n            et al. \n          Lingual Bracket Orthodontic Technique Questions & Answers 60, Part 26 Torque Control. Tokyo, Japan: Ishiyaku; 2015;50\u201353."},{"key":"i0003-3219-88-6-830-b05","series-title":"Angle Orthod","first-page":"19","article-title":"The control of vertical overbite in clinical orthodontics","volume":"38","author":"Schudy \n              FF.","year":"1968","unstructured":"Schudy \n              FF. \n            \n          \n          The control of vertical overbite in clinical orthodontics. Angle Orthod. 1968;38:19\u201339."},{"key":"i0003-3219-88-6-830-b06","series-title":"Am J Orthod","first-page":"395","article-title":"The level anchorage system for correction of orthodontic malocclusions","volume":"80","author":"Root \n              TL.","year":"1981","unstructured":"Root \n              TL. \n            \n          \n          The level anchorage system for correction of orthodontic malocclusions. Am J Orthod. 1981;80:395\u2013410."},{"key":"i0003-3219-88-6-830-b07","series-title":"J Orofac Orthop","first-page":"234","article-title":"A new bracket system for lingual orthodontic treatment. Part 1: theoretical background and development","volume":"63","author":"Wiechmann \n              D.","year":"2002","unstructured":"Wiechmann \n              D. \n            \n          \n          A new bracket system for lingual orthodontic treatment. Part 1: theoretical background and development. J Orofac Orthop. 2002;63:234\u2013245."},{"key":"i0003-3219-88-6-830-b08","series-title":"J Orofac Orthop","first-page":"372","article-title":"A new bracket system for lingual orthodontic treatment. Part 2: first clinical experiences and further development","volume":"64","author":"Wiechmann \n              D.","year":"2003","unstructured":"Wiechmann \n              D. \n            \n          \n          A new bracket system for lingual orthodontic treatment. Part 2: first clinical experiences and further development. J Orofac Orthop. 2003;64:372\u2013388."},{"key":"i0003-3219-88-6-830-b09","series-title":"Orthod Waves-Jpn Ed","first-page":"1","article-title":"Factors associated with the stability of miniscrews as orthodontic anchorage: analysis of published clinical trials","volume":"71","author":"Tomonari \n              H,","year":"2012","unstructured":"Tomonari \n              H, \n            \n            \n              Yagi \n              T, \n            \n            \n              Kitashima \n              F, \n            \n            \n              Koyama \n              I, \n            \n            \n              Takano-Yamamoto \n              T, \n            \n            \n              Miyawaki \n              S. \n            \n          \n          Factors associated with the stability of miniscrews as orthodontic anchorage: analysis of published clinical trials. Orthod Waves-Jpn Ed. 2012;71:1\u201313."},{"key":"i0003-3219-88-6-830-b10","series-title":"Int J Oral Maxillofac Surg","first-page":"655","article-title":"Application of orthodontic mini-implants to adolescents","volume":"36","author":"Motoyoshi \n              M,","year":"2007","unstructured":"Motoyoshi \n              M, \n            \n            \n              Matsuoka \n              M, \n            \n            \n              Shimizu \n              N. \n            \n          \n          Application of orthodontic mini-implants to adolescents. Int J Oral Maxillofac Surg. 2007;36:655\u2013659."},{"issue":"11","key":"i0003-3219-88-6-830-b11","series-title":"Clin Oral Implants Res","first-page":"1188","article-title":"Stability of miniplates and miniscrews used for orthodontic anchorage: experience with 492 temporary anchorage devices","volume":"19","author":"Chen \n              YJ,","year":"2008","unstructured":"Chen \n              YJ, \n            \n            \n              Chang \n              HH, \n            \n            \n              Lin \n              HY, \n            \n            \n              Lai \n              EH, \n            \n            \n              Hung \n              HC, \n            \n            \n              Yao \n              CC. \n            \n          \n          Stability of miniplates and miniscrews used for orthodontic anchorage: experience with 492 temporary anchorage devices. Clin Oral Implants Res. 2008;19(11):1188\u20131196."},{"key":"i0003-3219-88-6-830-b12","series-title":"Clin Oral Implants Res","first-page":"746","article-title":"Prognostic parameters contributing to palatal implant failures: a long-term survival analysis of 239 patients","volume":"23","author":"Jung \n              BA,","year":"2012","unstructured":"Jung \n              BA, \n            \n            \n              Kunkel \n              M, \n            \n            \n              G\u00f6llner \n              P, \n            \n            \n              Liechti \n              T, \n            \n            \n              Wagner \n              W, \n            \n            \n              Wehrbein \n              H. \n            \n          \n          Prognostic parameters contributing to palatal implant failures: a long-term survival analysis of 239 patients. Clin Oral Implants Res. 2012;23:746\u2013750."},{"key":"i0003-3219-88-6-830-b13","series-title":"J Clin Orthod","first-page":"26","article-title":"Lingual orthodontics: a status report: part 4 diagnosis and treatment planning","volume":"17","author":"Gorman \n              JC,","year":"1983","unstructured":"Gorman \n              JC, \n            \n            \n              Hilgers \n              JJ, \n            \n            \n              Smith \n              JR. \n            \n          \n          Lingual orthodontics: a status report: part 4 diagnosis and treatment planning. J Clin Orthod. 1983;17:26\u201335."},{"key":"i0003-3219-88-6-830-b14","series-title":"Am J Orthod Dentofacial Orthop","first-page":"120","article-title":"Lingual orthodontics\u2013its renaissance","volume":"96","author":"Creekmore \n              T.","year":"1989","unstructured":"Creekmore \n              T. \n            \n          \n          Lingual orthodontics\u2013its renaissance. Am J Orthod Dentofacial Orthop. 1989;96:120\u2013137."},{"key":"i0003-3219-88-6-830-b15","series-title":"Am J Orthod Dentofacial Orthop","first-page":"357","article-title":"The use of lingual appliances for correction of bimaxillary protrusion (four premolars extraction)","volume":"112","author":"Kurz \n              C.","year":"1997","unstructured":"Kurz \n              C. \n            \n          \n          The use of lingual appliances for correction of bimaxillary protrusion (four premolars extraction). Am J Orthod Dentofacial Orthop. 1997;112:357\u2013363."},{"key":"i0003-3219-88-6-830-b16","series-title":"Contemporary Orthodontics. 5th ed","first-page":"375","article-title":"Contemporary orthodontic appliances: Individualized customized brackets","author":"Proffit \n              WR.","year":"2013","unstructured":"Proffit \n              WR. \n            \n          \n          Contemporary orthodontic appliances: Individualized customized brackets. In:Proffit WR, Fields HWJr, Sarver DM, eds. Contemporary Orthodontics. 5th ed. St Louis: Mosby; 2013:375\u2013381."},{"key":"i0003-3219-88-6-830-b17","series-title":"Am J Orthod Dentofacial Orthop","first-page":"593","article-title":"Customized brackets and archwires for lingual orthodontic treatment","volume":"124","author":"Wiechmann \n              D,","year":"2003","unstructured":"Wiechmann \n              D, \n            \n            \n              Rummel \n              V, \n            \n            \n              Thalheim \n              A, \n            \n            \n              Simon \n              JS, \n            \n            \n              Wiechmann \n              L. \n            \n          \n          Customized brackets and archwires for lingual orthodontic treatment. Am J Orthod Dentofacial Orthop. 2003;124:593\u2013599."},{"key":"i0003-3219-88-6-830-b18","series-title":"Am J Orthod Dentofacial Orthop","first-page":"359","article-title":"Prediction of oral discomfort and dysfunction in lingual orthodontics: a preliminary report","volume":"133","author":"Wiechmann \n              D,","year":"2008","unstructured":"Wiechmann \n              D, \n            \n            \n              Gerss \n              J, \n            \n            \n              Stamm \n              T, \n            \n            \n              Hohoff \n              A. \n            \n          \n          Prediction of oral discomfort and dysfunction in lingual orthodontics: a preliminary report. Am J Orthod Dentofacial Orthop. 2008;133:359\u2013364."},{"key":"i0003-3219-88-6-830-b19","series-title":"Am J Orthod Dentofacial Orthop","first-page":"238","article-title":"Midpalatal miniscrews and high-pull headgear for anteroposterior and vertical anchorage control: cephalometric comparisons of treatment changes","volume":"144","author":"Lee \n              J,","year":"2013","unstructured":"Lee \n              J, \n            \n            \n              Miyazawa \n              K, \n            \n            \n              Tabuchi \n              M, \n            \n            \n              Kawaguchi \n              M, \n            \n            \n              Shibata \n              M, \n            \n            \n              Goto \n              S. \n            \n          \n          Midpalatal miniscrews and high-pull headgear for anteroposterior and vertical anchorage control: cephalometric comparisons of treatment changes. Am J Orthod Dentofacial Orthop. 2013;144:238\u2013250."},{"key":"i0003-3219-88-6-830-b20","series-title":"Korean J Orthod","first-page":"88","article-title":"Effectiveness of en-masse retraction using midpalatal miniscrews and a modified transpalatal arch: treatment duration and dento-skeletal changes","volume":"44","author":"Lee \n              J,","year":"2014","unstructured":"Lee \n              J, \n            \n            \n              Miyazawa \n              K, \n            \n            \n              Tabuchi \n              M, \n            \n            \n              Sato \n              T, \n            \n            \n              Kawaguchi \n              M, \n            \n            \n              Goto \n              S. \n            \n          \n          Effectiveness of en-masse retraction using midpalatal miniscrews and a modified transpalatal arch: treatment duration and dento-skeletal changes. Korean J Orthod. 2014;44:88\u201395."},{"key":"i0003-3219-88-6-830-b21","series-title":"Am J Orthod Dentofacial Orthop","first-page":"679","article-title":"An adult skeletal II high-angle case treated with a fully customized lingual bracket appliance","volume":"150","author":"Inami \n              T,","year":"2016","unstructured":"Inami \n              T, \n            \n            \n              Nakano \n              Y, \n            \n            \n              Miyazawa \n              K, \n            \n            \n              Tabuchi \n              M, \n            \n            \n              Goto \n              S. \n            \n          \n          An adult skeletal II high-angle case treated with a fully customized lingual bracket appliance. Am J Orthod Dentofacial Orthop. 2016;150:679\u2013691."},{"key":"i0003-3219-88-6-830-b22","series-title":"J Kinki-Tokai Orthod Soc","first-page":"3","article-title":"Prospects and clinical application of the fully digital lingual orthodontic appliances","volume":"49","author":"Inami \n              T.","year":"2014","unstructured":"Inami \n              T. \n            \n          \n          Prospects and clinical application of the fully digital lingual orthodontic appliances. J Kinki-Tokai Orthod Soc. 2014;49:3\u201313."},{"key":"i0003-3219-88-6-830-b23","series-title":"J Indian Orthod Soc","first-page":"s44","article-title":"Customized lingual bracket system and skeletal anchorage system for open bite correction","volume":"50","author":"Inami \n              T,","year":"2016","unstructured":"Inami \n              T, \n            \n            \n              Ito \n              G. \n            \n          \n          Customized lingual bracket system and skeletal anchorage system for open bite correction. J Indian Orthod Soc. 2016;50:s44\u2013s54."},{"key":"i0003-3219-88-6-830-b01","series-title":"Contemporary Orthodontics. 5th ed","first-page":"150","article-title":"Orthodontic diagnosis: The problem-oriented approach","author":"Proffit \n              WR.","year":"2013","unstructured":"Proffit \n              WR. \n            \n          \n          Orthodontic diagnosis: The problem-oriented approach. In:Proffit WR, Fields HWJr, Sarver DM, eds. 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Tokyo, Japan: Ishiyaku; 2009:79\u2013107."},{"key":"i0003-3219-88-6-830-b04","series-title":"Lingual Bracket Orthodontic Technique Questions & Answers 60, Part 26 Torque Control","first-page":"50","author":"Aizawa \n              I,","year":"2015","unstructured":"Aizawa \n              I, \n            \n            \n              Yoshizawa \n              Y, \n            \n            \n              Inami \n              T, \n            \n            et al. \n          Lingual Bracket Orthodontic Technique Questions & Answers 60, Part 26 Torque Control. Tokyo, Japan: Ishiyaku; 2015;50\u201353."},{"key":"i0003-3219-88-6-830-b05","series-title":"Angle Orthod","first-page":"19","article-title":"The control of vertical overbite in clinical orthodontics","volume":"38","author":"Schudy \n              FF.","year":"1968","unstructured":"Schudy \n              FF. \n            \n          \n          The control of vertical overbite in clinical orthodontics. 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J Orofac Orthop. 2003;64:372\u2013388."},{"key":"i0003-3219-88-6-830-b09","series-title":"Orthod Waves-Jpn Ed","first-page":"1","article-title":"Factors associated with the stability of miniscrews as orthodontic anchorage: analysis of published clinical trials","volume":"71","author":"Tomonari \n              H,","year":"2012","unstructured":"Tomonari \n              H, \n            \n            \n              Yagi \n              T, \n            \n            \n              Kitashima \n              F, \n            \n            \n              Koyama \n              I, \n            \n            \n              Takano-Yamamoto \n              T, \n            \n            \n              Miyawaki \n              S. \n            \n          \n          Factors associated with the stability of miniscrews as orthodontic anchorage: analysis of published clinical trials. Orthod Waves-Jpn Ed. 2012;71:1\u201313."},{"key":"i0003-3219-88-6-830-b10","series-title":"Int J Oral Maxillofac Surg","first-page":"655","article-title":"Application of orthodontic mini-implants to adolescents","volume":"36","author":"Motoyoshi \n              M,","year":"2007","unstructured":"Motoyoshi \n              M, \n            \n            \n              Matsuoka \n              M, \n            \n            \n              Shimizu \n              N. \n            \n          \n          Application of orthodontic mini-implants to adolescents. Int J Oral Maxillofac Surg. 2007;36:655\u2013659."},{"issue":"11","key":"i0003-3219-88-6-830-b11","series-title":"Clin Oral Implants Res","first-page":"1188","article-title":"Stability of miniplates and miniscrews used for orthodontic anchorage: experience with 492 temporary anchorage devices","volume":"19","author":"Chen \n              YJ,","year":"2008","unstructured":"Chen \n              YJ, \n            \n            \n              Chang \n              HH, \n            \n            \n              Lin \n              HY, \n            \n            \n              Lai \n              EH, \n            \n            \n              Hung \n              HC, \n            \n            \n              Yao \n              CC. \n            \n          \n          Stability of miniplates and miniscrews used for orthodontic anchorage: experience with 492 temporary anchorage devices. Clin Oral Implants Res. 2008;19(11):1188\u20131196."},{"key":"i0003-3219-88-6-830-b12","series-title":"Clin Oral Implants Res","first-page":"746","article-title":"Prognostic parameters contributing to palatal implant failures: a long-term survival analysis of 239 patients","volume":"23","author":"Jung \n              BA,","year":"2012","unstructured":"Jung \n              BA, \n            \n            \n              Kunkel \n              M, \n            \n            \n              G\u00f6llner \n              P, \n            \n            \n              Liechti \n              T, \n            \n            \n              Wagner \n              W, \n            \n            \n              Wehrbein \n              H. \n            \n          \n          Prognostic parameters contributing to palatal implant failures: a long-term survival analysis of 239 patients. Clin Oral Implants Res. 2012;23:746\u2013750."},{"key":"i0003-3219-88-6-830-b13","series-title":"J Clin Orthod","first-page":"26","article-title":"Lingual orthodontics: a status report: part 4 diagnosis and treatment planning","volume":"17","author":"Gorman \n              JC,","year":"1983","unstructured":"Gorman \n              JC, \n            \n            \n              Hilgers \n              JJ, \n            \n            \n              Smith \n              JR. \n            \n          \n          Lingual orthodontics: a status report: part 4 diagnosis and treatment planning. J Clin Orthod. 1983;17:26\u201335."},{"key":"i0003-3219-88-6-830-b14","series-title":"Am J Orthod Dentofacial Orthop","first-page":"120","article-title":"Lingual orthodontics\u2013its renaissance","volume":"96","author":"Creekmore \n              T.","year":"1989","unstructured":"Creekmore \n              T. \n            \n          \n          Lingual orthodontics\u2013its renaissance. 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In:Proffit WR, Fields HWJr, Sarver DM, eds. Contemporary Orthodontics. 5th ed. St Louis: Mosby; 2013:375\u2013381."},{"key":"i0003-3219-88-6-830-b17","series-title":"Am J Orthod Dentofacial Orthop","first-page":"593","article-title":"Customized brackets and archwires for lingual orthodontic treatment","volume":"124","author":"Wiechmann \n              D,","year":"2003","unstructured":"Wiechmann \n              D, \n            \n            \n              Rummel \n              V, \n            \n            \n              Thalheim \n              A, \n            \n            \n              Simon \n              JS, \n            \n            \n              Wiechmann \n              L. \n            \n          \n          Customized brackets and archwires for lingual orthodontic treatment. Am J Orthod Dentofacial Orthop. 2003;124:593\u2013599."},{"key":"i0003-3219-88-6-830-b18","series-title":"Am J Orthod Dentofacial Orthop","first-page":"359","article-title":"Prediction of oral discomfort and dysfunction in lingual orthodontics: a preliminary report","volume":"133","author":"Wiechmann \n              D,","year":"2008","unstructured":"Wiechmann \n              D, \n            \n            \n              Gerss \n              J, \n            \n            \n              Stamm \n              T, \n            \n            \n              Hohoff \n              A. \n            \n          \n          Prediction of oral discomfort and dysfunction in lingual orthodontics: a preliminary report. 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