Clinical Application and Biomechanics of Various Lingual Retractors with Temporary Skeletal Anchorage Devices: A Narrative Review

The lingual retractor is an appliance with esthetic advantages and biomechanical superiority in the retraction of anterior teeth, when used in combination with temporary skeletal anchorage devices (TSADs). These appliances can address the patients’ chief complaint during the early stages of bialveol...

Full description

Bibliographic Details
Main Authors: Jin-Young Choi, Kyung-A Kim, Jhong Lee, Ye-Seul Lee, Kyu-Rhim Chung, Ki-Ho Park
Format: Article
Language:English
Published: MDPI AG 2022-11-01
Series:Applied Sciences
Subjects:
Online Access:https://www.mdpi.com/2076-3417/12/21/11075
_version_ 1797469185755840512
author Jin-Young Choi
Kyung-A Kim
Jhong Lee
Ye-Seul Lee
Kyu-Rhim Chung
Ki-Ho Park
author_facet Jin-Young Choi
Kyung-A Kim
Jhong Lee
Ye-Seul Lee
Kyu-Rhim Chung
Ki-Ho Park
author_sort Jin-Young Choi
collection DOAJ
description The lingual retractor is an appliance with esthetic advantages and biomechanical superiority in the retraction of anterior teeth, when used in combination with temporary skeletal anchorage devices (TSADs). These appliances can address the patients’ chief complaint during the early stages of bialveolar protrusion treatment. This narrative review presents the clinical applications and biomechanics of various lingual retractors with TSADs.This review includes all research and case reports related to various lingual retractors such as the C-lingual retractor (CLR), double J retractor (DJR), and antero-posterior lingual retractor (APLR). Anterior torque and vertical control can be achieved with all three types of lingual retractors by changing the length of the lever arms and the position of the TSADs. Torquing springs in DJR are designed to slide along palatal mini-implants or to apply intermaxillary elastics to counteract retroclination of the incisors during space closure. APLR allows three-dimensional control of the anterior tooth movement with anterior lever arms, guide bars, posterior tubes, and position of TSADs. Various lingual retractors with TSADs are effectively proper anterior torque and vertical control.
first_indexed 2024-03-09T19:17:52Z
format Article
id doaj.art-2e6901bd11e4476caaeb224659475746
institution Directory Open Access Journal
issn 2076-3417
language English
last_indexed 2024-03-09T19:17:52Z
publishDate 2022-11-01
publisher MDPI AG
record_format Article
series Applied Sciences
spelling doaj.art-2e6901bd11e4476caaeb2246594757462023-11-24T03:37:36ZengMDPI AGApplied Sciences2076-34172022-11-0112211107510.3390/app122111075Clinical Application and Biomechanics of Various Lingual Retractors with Temporary Skeletal Anchorage Devices: A Narrative ReviewJin-Young Choi0Kyung-A Kim1Jhong Lee2Ye-Seul Lee3Kyu-Rhim Chung4Ki-Ho Park5Department of Orthodontics, Kyung Hee University Dental Hospital, Seoul 02447, KoreaDepartment of Orthodontics, School of Dentistry, Kyung Hee University, Seoul 02447, KoreaDepartment of Dentistry, Graduate School, Kyung Hee University, Seoul 02447, KoreaDepartment of Dentistry, Graduate School, Kyung Hee University, Seoul 02447, KoreaDepartment of Orthodontics, Graduate School of Dentistry, Kyung Hee University, Seoul 02447, KoreaDepartment of Orthodontics, School of Dentistry, Kyung Hee University, Seoul 02447, KoreaThe lingual retractor is an appliance with esthetic advantages and biomechanical superiority in the retraction of anterior teeth, when used in combination with temporary skeletal anchorage devices (TSADs). These appliances can address the patients’ chief complaint during the early stages of bialveolar protrusion treatment. This narrative review presents the clinical applications and biomechanics of various lingual retractors with TSADs.This review includes all research and case reports related to various lingual retractors such as the C-lingual retractor (CLR), double J retractor (DJR), and antero-posterior lingual retractor (APLR). Anterior torque and vertical control can be achieved with all three types of lingual retractors by changing the length of the lever arms and the position of the TSADs. Torquing springs in DJR are designed to slide along palatal mini-implants or to apply intermaxillary elastics to counteract retroclination of the incisors during space closure. APLR allows three-dimensional control of the anterior tooth movement with anterior lever arms, guide bars, posterior tubes, and position of TSADs. Various lingual retractors with TSADs are effectively proper anterior torque and vertical control.https://www.mdpi.com/2076-3417/12/21/11075temporary skeletal anchorage deviceC-lingual retractordouble J retractorantero-posterior lingual retractor
spellingShingle Jin-Young Choi
Kyung-A Kim
Jhong Lee
Ye-Seul Lee
Kyu-Rhim Chung
Ki-Ho Park
Clinical Application and Biomechanics of Various Lingual Retractors with Temporary Skeletal Anchorage Devices: A Narrative Review
Applied Sciences
temporary skeletal anchorage device
C-lingual retractor
double J retractor
antero-posterior lingual retractor
title Clinical Application and Biomechanics of Various Lingual Retractors with Temporary Skeletal Anchorage Devices: A Narrative Review
title_full Clinical Application and Biomechanics of Various Lingual Retractors with Temporary Skeletal Anchorage Devices: A Narrative Review
title_fullStr Clinical Application and Biomechanics of Various Lingual Retractors with Temporary Skeletal Anchorage Devices: A Narrative Review
title_full_unstemmed Clinical Application and Biomechanics of Various Lingual Retractors with Temporary Skeletal Anchorage Devices: A Narrative Review
title_short Clinical Application and Biomechanics of Various Lingual Retractors with Temporary Skeletal Anchorage Devices: A Narrative Review
title_sort clinical application and biomechanics of various lingual retractors with temporary skeletal anchorage devices a narrative review
topic temporary skeletal anchorage device
C-lingual retractor
double J retractor
antero-posterior lingual retractor
url https://www.mdpi.com/2076-3417/12/21/11075
work_keys_str_mv AT jinyoungchoi clinicalapplicationandbiomechanicsofvariouslingualretractorswithtemporaryskeletalanchoragedevicesanarrativereview
AT kyungakim clinicalapplicationandbiomechanicsofvariouslingualretractorswithtemporaryskeletalanchoragedevicesanarrativereview
AT jhonglee clinicalapplicationandbiomechanicsofvariouslingualretractorswithtemporaryskeletalanchoragedevicesanarrativereview
AT yeseullee clinicalapplicationandbiomechanicsofvariouslingualretractorswithtemporaryskeletalanchoragedevicesanarrativereview
AT kyurhimchung clinicalapplicationandbiomechanicsofvariouslingualretractorswithtemporaryskeletalanchoragedevicesanarrativereview
AT kihopark clinicalapplicationandbiomechanicsofvariouslingualretractorswithtemporaryskeletalanchoragedevicesanarrativereview