Abstract
An in vitro study of simulated canine retraction was undertaken to evaluate the difference in frictional resistance between stainless steel arch wires and steel and ceramic brackets with elastomeric, steel, and self-ligation. Each bracket slot was 0.018 x 0.025 inch. The arch wires used were 0.014-inch, 0.016-inch, 0.018-inch, 0.016 x 0.016-inch, and 0.016 x 0.22-inch stainless steel. A testing apparatus was designed to attempt to simulate the clinical situation in which teeth tip slightly while they slide along the arch wire. Under these testing conditions, the self-ligating steel bracket did not demonstrate less friction than the elastic or steel-ligated stainless steel brackets. For most wire sizes, elastomer-ligated ceramic brackets demonstrated the greatest friction when compared with other bracket/ligation technique combinations. The clinical significance of this study becomes apparent when stainless steel brackets are used on the posterior teeth and ceramic brackets are used on the anterior teeth. If sliding mechanics are used, the anterior teeth may be more resistant to movement than the posterior teeth because of the greater friction of the ceramic brackets. This could result in more posterior anchorage loss than would be expected if only one type of bracket were used.
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More From: American Journal of Orthodontics & Dentofacial Orthopedics
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