The term "asymmetry" is used to make reference to dissimilarity between homologous
elements, altering the balance between structures. Facial asymmetry is common in the
overall population and is often presented subclinically. Nevertheless, on occasion,
significant facial asymmetry results not only in functional, but also esthetic
issues. Under these conditions, its etiology should be carefully investigated in
order to achieve an adequate treatment plan. Facial asymmetry assessment comprises
patient's first interview, extra- as well as intraoral clinical examination, and
supplementary imaging examination. Subsequent asymmetry treatment depends on
patient's age, the etiology of the condition and on the degree of disharmony, and
might include from asymmetrical orthodontic mechanics to orthognathic surgery. Thus,
the present study aims at addressing important aspects to be considered by the
orthodontist reaching an accurate diagnosis and treatment plan of facial asymmetry,
in addition to reporting treatment of some patients carriers of such challenging
disharmony.
Mandibular asymmetry was not independently associated with sex, age, or absence of posterior teeth. The only verified independent association was between mandibular asymmetry and sagittal jaw relationship.
Introduction: The T-loop as designed by Burstone is a space closure spring used in the rational application of orthodontic biomechanics. Despite the diversity of studies, there is still no consensus on the optimal parametric characteristics for its conformation. Objective: This study aimed at reviewing the literature on the force systems released by different conformations of the T-loop, according to the type of anchorage and the main characteristics and factors that influence them. Results: Comparing the studies, the need for standardization was perceived in the methodology to shape the loops, regarding the variables that influence the force system. Most of the experimental studies with this loop do not report the vertical movement, nor the steps and angles that occur in the brackets. Clinical studies have obtained more variable results in relation to vertical acting forces, considering the influence of chewing. Conclusion: There is great potential for future studies with this type of loop, especially using nickel-titanium alloys, in order to achieve a pure translational movement without friction, with optimal and constant levels of force.
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