Change in crown inclination accompanying initial tooth alignment with round archwires

ABSTRACT Objective: To evaluate, in-vitro, the change in crown inclination that occurs during orthodontic leveling and alignment using different archwire-bracket-ligation combinations. Materials and Methods: Four archwire types were tested: (1) 0.012-in stainless steel and (2) 0.0155-in stainless...

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Main Authors: Mona A. MONTASSER, Ludger KEILIG, Christoph BOURAUEL
Format: Article
Language:English
Published: Dental Press Editora 2022-07-01
Series:Dental Press Journal of Orthodontics
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S2176-94512022000300307&lng=en&tlng=en
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author Mona A. MONTASSER
Ludger KEILIG
Christoph BOURAUEL
author_facet Mona A. MONTASSER
Ludger KEILIG
Christoph BOURAUEL
author_sort Mona A. MONTASSER
collection DOAJ
description ABSTRACT Objective: To evaluate, in-vitro, the change in crown inclination that occurs during orthodontic leveling and alignment using different archwire-bracket-ligation combinations. Materials and Methods: Four archwire types were tested: (1) 0.012-in stainless steel and (2) 0.0155-in stainless steel multi-stranded, (3) 0.012-in nitinol Orthonol® and (4) 0.012-in nitinol Thermalloy®. Combinations with five types of 0.022-in slot orthodontic brackets were tested: SmartClipTM and Time3® self-ligating brackets, Mini-Taurus® and Victory SeriesTM conventional brackets, and Synergy® conventional-low friction bracket. Conventional brackets were ligated with both stainless steel and elastomeric ligatures. The simulated malocclusion comprised 2.0mm gingival and 2.0mm labial displacements of a maxillary right central incisor. Rotation around the Y-axis (representing labio-palatal inclination) was measured for the different archwire-bracket-ligation combinations. Results: The largest rotation was measured whith Orthonol® and Thermalloy® wires when combined with SmartClipTM brackets (8.07±0.24º and 8.06±0.26º, respectively) and with Synergy® brackets ligated with stainless steel ligatures (8.03±0.49º and 8.0±0.37º, respectively). The lower rotation was recorded when Thermalloy®, multi-stranded, and Orthonol® wires were ligated with elastomeric rings to Mini-Taurus® brackets (1.53±0.18º, 1.65± 0.23º and 1.70±0.28º, respectively) and to Victory SeriesTM brackets (1.68± 0.78º, 2.92± 1.40º and 1.74±0.46º, respectively). Conclusions: All archwire-bracket-ligation combinations produced lingual crown inclination; however, lower changes were observed when the conventional brackets were ligated with elastomeric rings. The multi-stranded archwire produced less rotation with nearly every bracket-ligation combination, compared to the other archwires. The effect of the archwire-bracket-ligation combination on tooth inclination during leveling and alignment should be considered during planning treatment mechanics.
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spelling doaj.art-a4d7daa19b494b04a93593718090adb62022-12-22T01:19:02ZengDental Press EditoraDental Press Journal of Orthodontics2177-67092022-07-0127310.1590/2177-6709.27.3.e2220489.oarChange in crown inclination accompanying initial tooth alignment with round archwiresMona A. MONTASSERhttps://orcid.org/0000-0001-8101-5922Ludger KEILIGhttps://orcid.org/0000-0002-5950-9288Christoph BOURAUELhttps://orcid.org/0000-0002-2195-1011ABSTRACT Objective: To evaluate, in-vitro, the change in crown inclination that occurs during orthodontic leveling and alignment using different archwire-bracket-ligation combinations. Materials and Methods: Four archwire types were tested: (1) 0.012-in stainless steel and (2) 0.0155-in stainless steel multi-stranded, (3) 0.012-in nitinol Orthonol® and (4) 0.012-in nitinol Thermalloy®. Combinations with five types of 0.022-in slot orthodontic brackets were tested: SmartClipTM and Time3® self-ligating brackets, Mini-Taurus® and Victory SeriesTM conventional brackets, and Synergy® conventional-low friction bracket. Conventional brackets were ligated with both stainless steel and elastomeric ligatures. The simulated malocclusion comprised 2.0mm gingival and 2.0mm labial displacements of a maxillary right central incisor. Rotation around the Y-axis (representing labio-palatal inclination) was measured for the different archwire-bracket-ligation combinations. Results: The largest rotation was measured whith Orthonol® and Thermalloy® wires when combined with SmartClipTM brackets (8.07±0.24º and 8.06±0.26º, respectively) and with Synergy® brackets ligated with stainless steel ligatures (8.03±0.49º and 8.0±0.37º, respectively). The lower rotation was recorded when Thermalloy®, multi-stranded, and Orthonol® wires were ligated with elastomeric rings to Mini-Taurus® brackets (1.53±0.18º, 1.65± 0.23º and 1.70±0.28º, respectively) and to Victory SeriesTM brackets (1.68± 0.78º, 2.92± 1.40º and 1.74±0.46º, respectively). Conclusions: All archwire-bracket-ligation combinations produced lingual crown inclination; however, lower changes were observed when the conventional brackets were ligated with elastomeric rings. The multi-stranded archwire produced less rotation with nearly every bracket-ligation combination, compared to the other archwires. The effect of the archwire-bracket-ligation combination on tooth inclination during leveling and alignment should be considered during planning treatment mechanics.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S2176-94512022000300307&lng=en&tlng=enInclinationTooth alignmentOrthodontic archwiresOrthodontic brackets
spellingShingle Mona A. MONTASSER
Ludger KEILIG
Christoph BOURAUEL
Change in crown inclination accompanying initial tooth alignment with round archwires
Dental Press Journal of Orthodontics
Inclination
Tooth alignment
Orthodontic archwires
Orthodontic brackets
title Change in crown inclination accompanying initial tooth alignment with round archwires
title_full Change in crown inclination accompanying initial tooth alignment with round archwires
title_fullStr Change in crown inclination accompanying initial tooth alignment with round archwires
title_full_unstemmed Change in crown inclination accompanying initial tooth alignment with round archwires
title_short Change in crown inclination accompanying initial tooth alignment with round archwires
title_sort change in crown inclination accompanying initial tooth alignment with round archwires
topic Inclination
Tooth alignment
Orthodontic archwires
Orthodontic brackets
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S2176-94512022000300307&lng=en&tlng=en
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