The purpose of this study was to investigate the prognosis of 50 consecutively autotransplanted teeth to the maxillary incisor region. Thirty-five were transplanted in cases of traumatic injuries, eleven in cases of agenesis and four in cases with impaction of maxillary canines. The average follow-up time was 7 years and 6 months (range 4-17 years). The transplants were examined clinically in respect of tooth vitality and radiographically in respect of root canal obliteration, periradicular changes, root formation, and root length. The results show a success rate of 82 per cent. It is concluded that the procedure of tooth transplantation has the advantage of maintaining or restoring alveolar bone volume and gives the opportunity to replace a missing tooth without involvement of neighbouring teeth as prosthetic abutments.
This ex-vivo study investigated the effect that repeated bracket displacement has on sliding friction and the magnitude of bracket displacement, and hence tooth movement, required to release bracket/archwire binding. The design consisted of an ex-vivo laboratory study. A jig was designed that allowed repeated displacement of a bracket to occur, while the resistance to sliding (friction) was measured using an Instron universal testing machine. One type of stainless steel bracket was used in conjunction with four archwire types (0.016-inch stainless steel, 0.019 x 0.025-inch stainless steel, 0.021 x 0.025-inch stainless steel, 0.019 x 0.025-inch beta-titanium) and four magnitudes of displacement. Repeated bracket displacement has a significant effect on the sliding resistance at the bracket/archwire interface (P < 0.001). The reduction in sliding resistance noted with displacement depended on the archwire. Over the range of displacements tested, there was an 85 and 80 per cent reduction associated with 0.021 x 0.025-inch and 0.019 x 0.025-inch stainless steel, respectively. For 0.019 x 0.025-inch beta-titanium and 0.016-inch stainless steel, these reductions were 27 and 19 per cent, respectively. The importance of true friction, given the likelihood of bracket and/or archwire displacements in vivo, may be lessened.
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