Bracketless three-dimensional orthodontic treatment using coated nickel–titanium E-wires for mild–moderate anterior crowding: A case report with 6-month follow-up

In recent years, interest in esthetics has increased considerably, resulting in a growing demand for invisible orthodontic appliances, particularly among adolescents and adults. Bracketless orthodontic treatment is an advanced orthodontic approach that uses coated archwires and composite resin, applied with precision using three-dimensional technology. This method may offer an effective alternative to conventional bracket-based systems in certain cases. This single-case report described a clinical case of skeletal and dental Class I malocclusion characterized by moderate lower dental crowding (4.5 mm); midline shift; a dental crossbite involving teeth 14, 15, and 25; and an increased mandibular incisor inclination (lower incisor to mandibular plane = 104°). This condition was managed using the three-dimensional bracketless orthodontic treatment technique. This technique represents an advanced esthetic approach designed for individuals who prioritize dental appearance. It may reduce anterior teeth proclination by acting from the lingual side and may shorten treatment duration in cases of mild to moderate crowding, ensuring faster and more efficient outcomes.