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Force transmission characteristics of lingual appliances.
The lingual appliance system allows both arches to be treated simultaneously, while maintaining the effects of the splint.
To arrive at a definitive treatment plan and reach a conclusion as to labial versus lingual, it is first necessary to review the characteristics, known to date, that distinguish conventional fixed appliances from lingual appliance mechanotherapy.
While the natural cleansing action of the tongue seems to maintain the lingual appliance with less plaque relative to the labial appliance, the lingual appliance can cause gingival hypertrophy.