A system automatically adjusts an orthodontic bracket to a desired mesio-distal position on a tooth within a 3D environment. The system allows a practitioner to specify a desired mesio-distal position at which to place the bracket on the tooth. The practitioner may choose the desired mesio-distal position from a standardized set of mesio-distal positions or may create a customized mesio-distal position to meet a patient's particular needs. Based on the desired mesio-distal position, the system automatically adjusts the placement of the orthodontic bracket to the desired mesio-distal position on the tooth within the 3D environment. The system then generates a visual representation of the resulting bracket placement within the 3D environment.