Closing spaces on light wires with inadequate knowledge and inappropriate mechanics can cause a “roller coaster” effect leading to an improper occlusion. Current knowledge of biomechanics, along with the incorporation of TADs, has made this process less challenging and more predictable. Resistance to sliding is considered the most prominent inhibitor of space closure in archwire-guided space closure or sliding mechanics, in turn delaying treatment duration considerably. In our case, resistance to sliding, primarily binding of the wire in the bracket slot, was nullified with the use of loop and sectional mechanics. This case report is aimed at showcasing the successful treatment of a young lady with a novel clinical setup to retract the canines into the premolar extraction space and simultaneously retract and intrude the anterior segment using sectional archwires and TADs in just under nine months. The current setup with sectional wires and TADs produced an uprighting, and an intrusive effect on the upper incisors during space closure. Additionally, the anchorage design avoided any significant change in the vertical dimension during sagittal correction of the Class II malocclusion. The occlusal plane remained almost stable with good amount of uprighting of the lower incisors following lower space closure too. The use of good biomechanical principles helped us achieve all the treatment goals and objectives in a very short period of time.
Introduction: The cost of orthodontic treatment in most of the industrialized countries may considerably differ from those in third world countries. The lesser cost of orthodontic treatment, high pricing of orthodontic inventory and poor economic conditions of the people strengthen the notion of 'recycling' even more.
Objectives:To compare the shear bond strengths of .022 slot pre-adjusted edgewise brackets with conventional mesh base design recycled by two different chair-side techniques, one being flaming/heating and other being sandblasting.
Materials & Method:The sample involved eighty extracted human premolars with .022 slot pre-adjusted edgewise brackets (Orcmo, USA) bonded onto the lingual surface. After initial de-bonding the bracket base was studied under a scanning electron microscope at different magnifications for aperture size, mesh continuity and surface roughness. The brackets were re-bonded on to the labial surface of the same premolars and then debonded using a Universal Testing Machine to produce a shear force at the tooth bracket interface. The aim of any bracket recycling system is to remove the adhesive residue from the bracket base completely without causing structural damage, in order to eliminate all impurities related to orthodontic treatment, so that the bracket can be rebonded to the enamel surface producing a new adhesive bond of adequate strength.
4-7According to Tavares et al, 8 the methods of recycling brackets may be classified as Industrial (chemical and heating) and chair-side use of a tungsten carbide bur, heating and sandblasting.
In the case report showcased, we describe orthodontic treatment of a female patient with an excessive gingival display on smiling and severe dental crowding, with maxillary canines positioned excessively buccal (ectopic) to and in near transposition to the lateral incisors. The treatment involved extractions and initial use of unmitigated forces leading to excessive gingival thinning and buccal root positioning of the ectopic canines. Eventually, the root position was corrected and periodontal equilibrium was attained. On finishing the treatment, all objectives were achieved with a good esthetic outcome as well as excellent dental and occlusal relationships.
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