ABSTRACT
OBJECTIVE: To assess the influence of changing the size and position of lever arm on transverse and vertical bowing effects during retraction in lingual biomechanics. METHODS: A three dimensional 3D finite element method was used to simulate en masse anterior teeth retraction using lingual appliance with sliding mechanics. Two groups were made, 1st group had lever arm mesial to canine while 2nd group had distal to canine. Each group had 4 subgroups with lever arm height varying from 0mm to 12mm. Displacements of the maxillary anterior teeth were noted in each group. RESULTS: As the Lever Arm Height (LAH) increased in group I, the vertical bowing effect reduced while the transverse bowing increased with respect to canines. In group II, both vertical and transverse bowing effects increased but transverse bowing was less as compared to group I. CONCLUSION: Strategic location of the lever arm is required in different clinical situations during en-mass retraction, keeping in mind the location of Centre of Resistance (CRes) as well as the vertical and the transverse bowing effects.
Subject(s)
Orthodontic Appliance Design , Finite Element Analysis , Incisor , Maxilla , Orthodontic Anchorage Procedures , Tooth Movement TechniquesABSTRACT
This case report describes the application of fixed functional appliance in the treatment of an adult female having Class II division 2 malocclusion with retroclination of upper incisors. Fixed functional appliance was used to correct the overjet after the uprighting of upper incisors. Fixed functional appliance was fitted on a rigid rectangular arch wire. Application of fixed functional appliance achieved a good Class I molar relationship along with Class I canine relationship with normal overjet and overbite. Fixed functional appliance is effective in the treatment of Class II malocclusions, even in adult patients, and can serve as an alternate choice of treatment instead of orthognathic surgery. This is a case; wherein, fixed functional appliance was successfully used to relieve deep bite and overjet that was ensued after leveling and aligning. We demonstrate that fixed functional appliance can act as a "noncompliant corrector" and use of Class II elastics can be avoided.
ABSTRACT
A tooth displaced palatally in an arch often demands placement of an open coil spring for gaining space. Ligation of an archwire with compressed coil spring is a cumbersome process. We have made use of 0.010 supreme AJ Wilcock sectional wire to compress the open coil spring and place it on the required the dental arch.
Subject(s)
Orthodontic Brackets , Orthodontics/methods , Humans , Orthodontic Appliance DesignABSTRACT
A tooth displaced palatally in an arch often demands placement of an open coil spring for gaining space. Ligation of an archwire with compressed coil spring is a cumbersome process. We have made use of 0.010 supreme AJ Wilcock sectional wire to compress the open coil spring and place it on the required dental arch.
Subject(s)
Orthodontic Appliance Design , Orthodontic Wires , Humans , Tooth Movement Techniques/instrumentationABSTRACT
Crouzon syndrome is a genetic disorder also known as branchial arch syndrome. Specifically, this syndrome affects the first branchial (or pharyngeal) arch, the precursor of the maxilla and mandible. Since the branchial arches are important developmental features in a growing embryo, disturbances in their development create lasting and widespread effects. Previously referred to as craniofacial dysostosis, the disorder is characterized by a number of clinical features; to date, it has no known single, initiating defect to account for all its characteristics. This article presents a case report of a 10-year-old boy with classical skeletal and soft tissue features of Crouzon syndrome.
