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. 2025 Jun 5;17(6):e85385. doi: 10.7759/cureus.85385

Table 2. Comparison of advanced orthodontic bracket types.

AgNP: silver nanoparticles; TiO₂: titanium dioxide; CAD/CAM: computer-aided design/computer-aided manufacturing; AI: artificial intelligence; IoDT: Internet of Dental Things

Bracket Type Key Features Advantages Limitations Examples/Brands
Ceramic brackets Aesthetic, monocrystalline/polycrystalline Tooth-colored, stain-resistant Brittle, higher friction Clarity™, Inspire ICE
Self-ligating brackets (SLBs) Built-in clip mechanism, passive or active Lower friction, shorter treatment, fewer visits Expensive, may cause torque loss Damon®, Empower®, In-Ovation®
Lingual brackets Placed on lingual side Invisible, aesthetic Technically demanding, tongue discomfort Incognito™, STb, Brava (Brius)
Nano-coated brackets Coated with Ag, TiO2, etc. Antibacterial, reduces plaque/white spots Potential toxicity, altered bracket surface AgNP-coated, TiO2-coated
3D-printed brackets CAD/CAM-based, custom-made High precision, low-profile, patient-specific High cost, tech-intensive, long-term data lacking LightForce™, Insignia™, UBracket
Smart brackets Embedded sensors, AI-based control Real-time force monitoring, remote management Costly, sensor fragility, and biocompatibility Prototypes, IoDT-enabled systems