Comparison of dual-dimensional and rectangular wires in terms of space closure and anchorage loss during retraction with miniimplants: A prospective clinical study.

Sangeetha Morekonda Gnaneswar,Premkumar Sridhar

doi:10.34172/joddd.2020.008

Abstract

Background. In sliding mechanics, archwires should slide easily during the retraction of anteriors. Round wires slide well, but the torque control is a significant problem. Rectangular wires produce effective torque expression but pose a challenge to free sliding due to factors like friction and force used to overcome friction, etc. To utilize the properties of both wires, the wire should be bi-dimensional. Dual-dimensional wire is one such wire with different dimensions in the anterior and posterior sections. This study aimed to compare the amount of space closure and anchorage loss of molars between the rectangular and dual-dimensional wire groups during retraction with mini-implants. Methods. Forty patients were randomly allocated to two groups (n=20). Patients with rectangular wires formed the control group, and those with dual-dimensional wires formed the experimental group. Mini-implants and NiTi coil springs were used for retraction. Model and cephalometric analyses were carried out to calculate the amount of space closure and anchor loss, before and four months after the study. Statistical significance was set at P<0.05. Results. The average amount of space closure was higher with DDW (3.98 mm) than rectangular wire (3.22 mm). The difference was statistically significant. No significant difference was found with anchorage loss. Conclusion. DDW can be used as an alternative to rectangular wires during retraction with mini-implants; however, it cannot replace the rectangular wires completely. Anchorage control was effective with both wires.

Highlights

The success of any treatment lies in choosing the right materials and techniques to bring forth the expected changes, while preserving the rest of the environment
The average amount of space closure was higher with DDW (3.98 mm) than rectangular wire (3.22 mm)
DDW can be used as an alternative to rectangular wires during retraction with mini-implants; it cannot replace the rectangular wires completely

Summary

Introduction

The success of any treatment lies in choosing the right materials and techniques to bring forth the expected changes, while preserving the rest of the environment. We often encounter some form of resistance to sliding with rectangular wires due to factors like friction, binding, notching, the method of ligation, archwire coating, wire deformation, bracket type, etc. Bennett et al[5] concluded that archwire thinning is effective but causes reduced tooth control in the thinned areas. They further reported that selective torque application is more effective, especially in the incisor region. Rectangular wires produce effective torque expression but pose a challenge to free sliding due to factors like friction and force used to overcome friction, etc. This study aimed to compare the amount of space closure and anchorage loss of molars between the rectangular and dual-dimensional wire groups during retraction with mini-implants

Objectives

Methods

Results

Conclusion