Effect of activation and preactivation on the mechanical behavior and neutral position of stainless steel and beta-titanium T-loops / 대한치과교정학회지

OBJECTIVE: To quantify, for each activation, the effect of preactivations of differing distribution and intensity on the neutral position of T-loops (7-mm height), specifically the horizontal force, moment to force (M/F) ratio, and load to deflection ratio. METHODS: A total 100 loops measuring 0.017 x 0.025 inches in cross-section were divided into two groups (n = 50 each) according to composition, either stainless steel or beta-titanium. The two groups were further divided into five subgroups, 10 loops each, corresponding to the five preactivations tested: preactivations with occlusal distribution (0degrees, 20degrees, and 40degrees), gingival distribution (20degrees), and occlusal-gingival distribution (40degrees). The loops were subjected to a total activation of 6-mm with 0.5-mm iterations. Statistical analysis was performed using comprised ANOVA and Bonferoni multiple comparison tests, with a significance level of 5%. RESULTS: The location and intensity of preactivation influenced the force intensity. For the M/F ratio, the highest value achieved without preactivation was lower than the height of the loop. Without preactivation, the M/F ratio increased with activation, while the opposite effect was observed with preactivation. The increase in the M/F ratio was greater when the preactivation distribution was partially or fully gingival. CONCLUSIONS: Depending on the preactivation distribution, displacement of uprights is higher or lower than the activation, which is a factor to consider in clinical practice.

Comparison of condylar displacement between three biotypological facial groups by using mounted models and a mandibular position indicator / 대한치과교정학회지

OBJECTIVE: Facial-type-associated variations in diagnostic features have several implications in orthodontics. For example, in hyperdivergent craniofacial types, growth imbalances are compensated by displacement of the condyle. When diagnosis and treatment planning involves centric relation (CR), detailed knowledge of the condylar position is desirable. The present study aimed to measure condylar displacement (CD) between CR and maximum intercuspation in three facial types of an asymptomatic orthodontic population. METHODS: The study was conducted in 108 patients classified into three groups of 36 individuals each (27 women and 9 men; mean age, 20.5 years), based on the following facial patterns: hyperdivergent, hypodivergent, and intermediate. To quantify CD along the horizontal and vertical axes, the condylar position was analyzed using mounted casts on a semi-adjustable articulator and a mandibular position indicator. The Student t-test was used to compare CD between the groups. RESULTS: Vertical displacement was found to be significantly different between the hyperdivergent and hypodivergent groups (p < 0.0002) and between the hyperdivergent and intermediate groups (p < 0.0006). The differences in horizontal displacement were not significant between the groups. In each group, vertical CD was more evident than horizontal displacement was. CONCLUSIONS: All facial types, especially the hyperdivergent type, carried a significantly high risk of CD. Therefore, the possibility of CD should be carefully evaluated and considered in the assessment of all orthodontic cases in order to accurately assess jaw relationships and avoid possible misdiagnosis.

Function, aesthetics and biomimetics in the interdisciplinary treatment: concerning a clinical case

The evolution of dentistry and dental specialties allowed for a clear improvement in the quality of treatment results for the patient's complete oral rehabilitation, considering both functional and aesthetic aspects. An adult patient's aesthetic and functional rehabilitation present an even more difficult challenge for the dental professional, particularly in those situations where the treatment involves an intimate collaboration between different specialties, demanding a critical planning. We will present a clinical case which involved an interdisciplinary approach, where the operative sequence and the multidisciplinary approach exerted in this case illustrates the importance of specialised knowledge and professional communication