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Aim: Anchorage is of major concern in adult lingual orthodontics, due to increasing esthetic
requirements, posterior mandibular rotation caused by the lingual appliance, posterior disocclusion
that excludes the interdigitation, which is a natural anchorage component, and
low compliance with an extraoral appliance. Methods: Anchorage preservation in lingual
orthodontic sliding mechanics follows the principles of six anchorage keys: (1) Standard lingual-
bracket-jig prescription in the anterior segment, with slight extra torque and no extra
tip for extraction treatment, and posteriorly, mesial off-center position and mesial angulation
(tip-back) of the molar brackets; (2) bidimensional approach, with its inherent feature of
less friction during sliding mechanics; (3) posterior bite stops for bite opening; (4) light
orthodontic forces for space closure, with Class I (elastomeric chain), II, or III (elastics)
mechanics; (5) inclusion of second molars in the anchorage unit; (6) placement of an exaggerated
curve of Spee in the space-closing archwire. Conclusion: This article describes six
keys to lingual orthodontic anchorage control, which provide effective space closure with
sliding mechanics and simultaneously comply with all lingual orthodontic treatment goals,
avoiding the use of a cumbersome loop system. The biomechanic principles of these
anchorage keys are thoroughly elucidated. World J Orthod 2003;4:258–265 .
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