Center Of Resistance Research Articles

Modified Centroid of Root Projection Method for Determining the Center of Resistance of a Tooth

Abstract Center of resistance (CR) has been widely accepted in dentistry as a reference point for controlling tooth moment, which depends on the direction of loading and the morphology of the periodontal ligament (PDL). In clinical practice, dentists estimate the location of CR based on the morphology of the root of teeth, which may lead to a misestimation of orthodontic treatment. A quick method was proposed to efficiently determine the CR by identifying the centroid of the root projection (CRP), according to the orthodontic force. However, the original CRP method was limited to single-rooted teeth and it did not provide a strategy for handling the overlapping roots projection of multi-rooted teeth. To address this issue, we expanded the CRP method to accommodate multi-rooted teeth by applying the weighted average method. We further validated the modified CRP method using finite element simulation (FEA) for both single-rooted and multi-rooted teeth considering mesial-distal and buccal-lingual force directions. The evaluation of displacement distribution along the projection direction allowed us to assess translation and rotation movements, which confirmed that the centroid of root projection can accurately serve as the CR for the multi-rooted teeth. Additionally, we observed heterogeneous stress distributions in the multi-rooted teeth. Considering the well-acknowledged bone remodeling effect in response to local stress states, this indicated that the comprehensive indexes beyond the CR are desired for evaluating or controlling the tooth movement.

Seismically induced torsional amplification in limited ductile buildings

This article deals with the seismic demand on limited ductile buildings featuring plan asymmetry. When the yielding occurs in a structural wall positioned at the edge of the building remote from the centre of resistance (CR), the position of the CR would shift even further away from the wall, causing an additional, and momentarily, increase in torsion. The undesirable shift in the position of the CR is usually shortlived and would reverse as other walls in the building also surpass the yield limit. However, the limited ductile construction (typical of low to moderate seismicity regions) can be vulnerable. This additional amplification in torsion can only be captured by Incremental Dynamic Analyses (IDA), but not by elastic analyses nor by nonlinear analyses of high ductility demand. Thus, the phenomenon as described is not widely known in spite of torsion being a well researched topic. In this study, parametric studies employing IDA of limited ductile buildings of different structural configurations were undertaken to capture the trends and develop recommendations for guiding structural design.

Comparison between basal arch width in normal occlusions and class Ⅱ malocclusions by using cone-beam computed tomography

ObjectiveThe purpose of this research was to investigate the measurements of maxillary and mandibular basal arch width in male and female with normal occlusion, and to compare dental arch width difference between normal occlusion and ClassⅡ malocclusion groups could be helpful in orthodontic diagnosis and treatment planning. MethodsCone-beam computed tomography (CBCT) images from 133 individuals (76 males and 57 females) with normal occlusion and 64 (25 males and 39 females) with skeletal Class II malocclusions were evaluated. The distances between canines, first molars (basal arch widths: BAW) and second molars were measured from CRs (center of resistance) of the teeth and the projection of first molars on buccal bones (WALA distance) were measured. ResultsThere were significant differences in male and female maxillary and mandibular dental transverse widths. The normal range of the maxilla and mandible basal bone widths differences were −2 mm–2 mm (−0.05 ± 2.17 mm). The normal occlusion and Class Ⅱ groups exhibited significant differences in the width of the intercanine and first molars. Sella-nasion-A point angle (SNA) and Sella-nasion-B point angle (SNB) in the Class Ⅱ male group were positively correlated with the width between the maxillary canines. For individuals with normal occlusions, the width of the mandible at the second molar was greater than that of the maxilla, so more attention should be paid to the width of the second molar when considering clinical treatment. ConclusionMeasuring the width of the maxilla and mandible basal bones from the resistance center of the first molar was a feasible and repeatable method can be used in clinical practice. The data could serve as a reference for orthodontic treatment planning. More consideration should be paid to the horizontal dental problems of the treatment plan for Class Ⅱ patients. And the width of the mandible at the second molar was greater than that of the maxilla, so more attention should be paid during treatment.

The Center of Resistance of an Impacted Maxillary Canine: A Finite Element Analysis

The aim of this study was to calculate the center of resistance (COR) of an impacted maxillary canine according to the stages of pericoronal tissue healing using the finite element method (FEM). The maxillary canine model was three-dimensionally scanned, and the structures surrounding the tooth were modeled using a computer-aided design program. The COR was calculated in the buccolingual (BL) and mesiodistal (MD) directions using the FEM. After applying a single force to a specific point of the tooth, several counter moments were applied to compensate for this at the same point. Thereafter, the displacement curve of the tooth axis for each counter moment was plotted. The intersection points between the displacement curves corresponded to the COR. At the beginning of healing, the COR of the MD and BL direction was located at 38.1% and 38.7% of the root length from the cementoenamel junction, respectively. At the end of healing, the COR of the MD and BL direction was located at 44.6% and 49.8% of the crown length from the cementoenamel junction, respectively. The COR of the impacted maxillary canine gradually shifts to the coronal side as the healing of the pericoronal tissue occurs.

Stress and movement trend of lower incisors with different IMPA intruded by clear aligner: a three-dimensional finite element analysis

BackgroundDuring the intrusion of lower incisors with clear aligners (CAs), root disengagement from the alveolar bone often occurs, resulting in serious complications. This study aimed to determine the potential force mechanism of the mandibular anterior teeth under the pressure of CA, providing theoretical data for clinical practice.MethodsIn this study, a 3D finite element model was established, including the CA, periodontal ligament, and mandibular dentition. Incisor mandibular plane angles were set as 5 groups: 90°, 95°, 100°, 105°, and 110°. The 4 mandibular incisors were intruded by 0.2 mm, while the canines were the anchorage teeth. The stress, force systems, and potential movement trends of mandibular anterior teeth were obtained.ResultsThe compressive stress of the incisors was concentrated in the lingual fossa, incisal ridge, and apex. With the increase in IMPA, the moment of central incisors changed from lingual crown moment to labial crown moment, with the turning point between 100° and 105°, but the center of resistance (CR) was always subjected to the force toward the lingual and intrusive direction. The force and moment toward the labial side of the lateral incisors were greater than those toward the central incisors. The canines always tipped distally and received extrusive force with no relationship with IMPA.ConclusionsWith the increase in the initial IMPA, the direction of labiolingual force on the mandibular incisors was reversed. However, the root of the lower incisors always tipped labially, which indicated fenestration and dehiscence.

Effects on root axes and resorption of simultaneous intrusion and retraction of maxillary central and lateral incisors using mini-implant supported three-piece burstone base arch: A prospective observational study

Prospective morphometric evaluation of the positional changes and root resorption of maxillary central and lateral incisors undergoing simultaneous intrusion and retraction (SIR) using mini-implant supported 3-piece Burstone base arch. Bracket head type mini-implants were inserted between the maxillary second premolar and first permanent molar. After maxillary canine retraction, SIR of maxillary incisors was begun using mini-implant supported 3-piece Burstone arch. A segmental CBCT was taken before and after SIR of the maxillary four incisors. Data collected were analysed using Paired t test, ANOVA test, independent sample t test and Pearson's correlation test. Sixteen patients of 17.9±1.94 years mean age with class II division 1 malocclusion, deep bite≥4mm and overjet 5-8mm were selected. All mini-implants showed good stability during treatment with no looseness. Increasing the vertical end of the anterior segment up to 10mm led to controlled tipping and partial bodily retraction of the maxillary central and lateral incisors. The centre of resistance (CRe) of the four maxillary incisors was retracted 2.38±0.77mm and intruded 2.76±1.0mm with a mean change in axial inclination of 9.76±3.45°. The mean amount of root resorption of the four incisors was 1.29±0.59mm over a mean period of 6.2 months. The mini-implant supported 3-piece Burstone base arch had a pronounced effect on SIR of flared maxillary incisors with clinically insignificant amount of root resorption.

Development of a maxillomandibular arch form based on the center of resistance of teeth using cone-beam computed tomography

<h3>Introduction</h3> Controlling transverse discrepancies is necessary to ensure stable and functional occlusion. Altered molar inclinations can camouflage the transverse relationship. The purpose of this research was to evaluate the maxillomandibular relationship of the center of resistance (CR) of the arch form created by the CR of teeth and compare these CR arch forms by their skeletal patterns. <h3>Methods</h3> Sixty patients with minor crowding and normal posterior overjet were divided into 3 groups according to ANB angle: skeletal Class I group had ANB angle between 0° and 4° (n = 20), skeletal Class II group had ANB angle >4° (n = 20), and skeletal Class III group had ANB angle <0° (n = 20). The 3-dimensional coordinates of the CR were estimated using cone-beam computed tomography images and projected on the CR occlusal plane to obtain the 2-dimensional coordinates. The CR arch forms were constructed and evaluated using Matlab (MathWorks, Natick, Mass). <h3>Results</h3> On comparing maxillomandibular CR arch form widths, the maxilla was significantly larger than the mandible of the canine and first premolar. The mandible was larger in the first molar of the skeletal Class III group. The maxillomandibular CR arch form width ratios were between 0.97 and 1.35. On comparing maxillomandibular CR arch form areas, the maxilla was significantly larger than the mandible in the anterior segment, and the mandible was larger in the posterior segment. The ratios were between 0.86 and 2.25. In between-group comparison, the skeletal Class III group showed significantly greater arch forms in the mandible. <h3>Conclusions</h3> CR arch forms had significant maxillomandibular differences throughout the arch. The maxillomandibular ratios could be a reference for site-specific transverse discrepancy analysis.

Controlling incisor torque with completely customized lingual appliances.

PurposeTo test the null hypothesis of no significant deviation between the center of rotation (CROT) and the center of resistance (CRES) during space closure in Angle class II division 2 subjects achieved using a completely customized lingual appliance (CCLA) in combination with class II elastics and elastic chains.MethodsThis retrospective study included 29 patients (male/female 11/18; mean age 15.6 [13–27] years) with inclusion criteria of an Angle class II/2 occlusion of least of half of a cusp, maxillary dental arch spacing, completed CCLA treatment (WIN, DW Lingual Systems, Bad Essen, Germany) in one center with a standardized archwire sequence and use of class II elastics and elastic chains only. Maxillary incisor root inclination was assessed by X‑ray superimpositions of the maxilla at the beginning (T1) and the end (T3) of CCLA treatment. Using Keynote software (Apple®, Cupertino, CA, USA), the incisor’s CROT was assessed with the point of intersection of the incisor axes (T1; T3) following vertical correction of overbite changes. CRES was defined at 36% of the incisor’s apex–incisal edge distance.ResultsThe null hypothesis was rejected: the mean CROT − CRES difference was 52.6% (p < 0.001). The mean CROT was located at 88.6% (min–max 51–100%) of the incisor’s apex–incisal edge distance. Although 6.9% of CROT were located between the CRES and the alveolar crest, the vast majority (93.1%) were assessed between the alveolar crest and the incisal edge, or beyond.ConclusionCCLAs can create upper incisor palatal root torque even in cases in which lingually oriented forces applied incisally to the center of resistance of the upper incisors counteract these intended root movements.

Effect of geometric dimensions and material models of the periodontal ligament in orthodontic tooth movement.

The aim of the present work was set to explore the role of root diameter, root length, and thickness of periodontal ligament (PDL) and its material properties (linear and non-linear elastic material models) on the stress and strain distribution, tooth displacement and centre of resistance (CR) location. Both the bone and the tooth were considered as rigid bodies, and the PDL was modelled as a paraboloid with different geometric dimensions and material properties. To achieve this goal, a horizontal force of 1 N was applied in the CR location and the stress and strain distribution and tooth displacement were quantified. Locations of CR were estimated through iterative finite element procedure. It was predicted that the position of CR is in the range of 34%-39% of the root length, slightly higher than one-third of the root length reported in the literature. The geometrical dimensions of the PDL had no significant effect on the position of CR, especially in the non-linear material model of the PDL, while the initial displacement of the tooth was found to be highly dependent on the geometrical and mechanical properties of the PDL. The simplified PDL modelling approach with non-linear material behaviour can be suggested for the estimation of initial tooth movement for individual clinical applications without the use of advanced 3D scans.

A Finite Element Approach for Locating the Center of Resistance of Maxillary Teeth.

The center of resistance (CRES) is regarded as the fundamental reference point for predictable tooth movement. The methods used to estimate the CRES of teeth range from traditional radiographic and physical measurements to in vitro analysis on models or cadaver specimens. Techniques involving finite element analysis of high-dose micro-CT scans of models and single teeth have shown a lot of promise, but little has been done with newer, low-dose, and low resolution cone beam computed tomography (CBCT) images. Also, the CRES for only a few select teeth (i.e., maxillary central incisor, canine, and first molar) have been described; the rest have been largely ignored. There is also a need to describe the methodology of determining the CRES in detail, so that it becomes easy to replicate and build upon. This study used routine CBCT patient images for developing tools and a workflow to obtain finite element models for locating the CRES of maxillary teeth. The CBCT volume images were manipulated to extract three-dimensional (3D) biological structures relevant in determining the CRES of the maxillary teeth by segmentation. The segmented objects were cleaned and converted into a virtual mesh made up tetrahedral (tet4) triangles having a maximum edge length of 1 mm with 3matic software. The models were further converted into a solid volumetric mesh of tetrahedrons with a maximum edge length of 1 mm for use in finite element analysis. The engineering software, Abaqus, was used to preprocess the models to create an assembly and set material properties, interaction conditions, boundary conditions, and load applications. The loads, when analyzed, simulated the stresses and strains on the system, aiding in locating the CRES. This study is the first step in accurate prediction of tooth movement.

Effect of Bracket Slot and Archwire Dimension on Posterior Tooth Movement in Sliding Mechanics: A Three-dimensional Finite Element Analysis.

IntroductionSpace closure by molar protraction has always been a challenge in orthodontic treatment due to larger root surface area which requires additional anchorage. Ideally, there should be little or no tipping. However, the protraction forces, being occlusal and buccal to the centre of resistance (CR) of the tooth, cause tipping and rotations.AimThe aim of the study was to assess the effect of bracket slot and archwire dimensions on posterior tooth movement during space closure in sliding mechanics and evaluate the length of power arm to bring about translatory movement of teeth using three-dimensional finite element analysis.Materials and methodsA model of the maxillary teeth was created and converted to a finite element format through a meshing software, Hypermesh. Two three-dimensional models, each with a combination of 0.017”× 0.022” archwire in 0.018” slot (model 1) and 0.019”×0.025” archwire in 0.022” slot (model 2), were generated. Power arms of different lengths were attached to the first molar. Miniscrew was inserted between the canine and first premolar.ResultsIn model one, the power arm of 10-mm height provided controlled tooth movement than the one with 6 mm height, and in model two, power arms of both 6-mm and 10-mm height produced controlled tooth movement.ConclusionsAs the force was raised apically from the slot, more translation was observed. Power arm of 6-mm height can be used due to anatomic limitation of the vestibule.

Effect of variable periodontal ligament thickness and its non-linear material properties on the location of a tooth’s centre of resistance

In orthodontics, the 3D translational and rotational movement of a tooth is determined by the force–moment system applied and the location of the tooth’s centre of resistance (CR). Because of the practical constraints of in-vivo experiments, the finite element (FE) method is commonly used to determine the CR. The objective of this study was to investigate the geometric model details required for accurate CR determination, and the effect of material non-linearity of the periodontal ligament (PDL). A FE model of a human lower canine derived from a high-resolution µCT scan (voxel size: 50 µm) was investigated by applying four different modelling approaches to the PDL. These comprised linear and non-linear material models, each with uniform and realistic PDL thickness. The CR locations determined for the four model configurations were in the range 37.2–45.3% (alveolar margin: 0%; root apex: 100%). We observed that a non-linear material model introduces load-dependent results that are dominated by the PDL regions under tension. Load variation within the range used in clinical orthodontic practice resulted in CR variations below 0.3%. Furthermore, the individualized realistic PDL geometry shifted the CR towards the alveolar margin by 2.3% and 2.8% on average for the linear and non-linear material models, respectively. We concluded that for conventional clinical therapy and the generation of representative reference data, the least sophisticated modelling approach with linear material behaviour and uniform PDL thickness appears sufficiently accurate. Research applications that require more precise treatment monitoring and planning may, however, benefit from the more accurate results obtained from the non-linear constitutive law and individualized realistic PDL geometry.

Biomechanical analysis for total mesialization of the mandibular dentition: A finite element study.

To clarify the mechanics of tooth movement in mesialization of the whole mandibular dentition when changing the force angulation. A finite element method was used to simulate long-term movements of the whole mandibular dentition. Tooth movement was simulated by accumulating the initial displacement, which was produced by elastic deformation of the periodontal ligament. Mesial forces of 3N were applied to the second molar bracket at -30°, -15°, 0°, 15° and 30° to the occlusal plane. The whole dentition and occlusal plane were rotated depending on the direction of the force with respect to the centre of resistance (CR). At a force angulation of -30°, the line of action of the force passed near the CR, and the whole dentition translated without rotation of the occlusal plane. The second molar tipped buccally due to a clearance gap between the archwire and bracket slot. When increasing a force angulation from -30°, the line of action of the force passed above the CR, and thereby, the occlusal plane rotated clockwise. This rotation of the whole dentition induced tipping of the individual teeth. Buccal tipping of the molar due to an elastic deformation of the archwire was prevented by using a lingually pre-bent archwire. Careful selection of force angulation and biomechanics is essential to obtain proper tooth movement in total mesialization of the mandibular dentition.

Palatal en-masse retraction of segmented maxillary anterior teeth: A finite element study

ObjectiveThe aim of this finite element study was to clarify the mechanics of tooth movement in palatal en-masse retraction of segmented maxillary anterior teeth by using anchor screws and lever arms.MethodsA three-dimensional finite element method was used to simulate overall orthodontic tooth movements. The line of action of the force was varied by changing both the lever arm height and anchor screw position.ResultsWhen the line of action of the force passed through the center of resistance (CR), the anterior teeth showed translation. However, when the line of action was not perpendicular to the long axis of the anterior teeth, the anterior teeth moved bodily with an unexpected intrusion even though the force was transmitted horizontally. To move the anterior teeth bodily without intrusion and extrusion, a downward force passing through the CR was necessary. When the line of action of the force passed apical to the CR, the anterior teeth tipped counterclockwise during retraction, and when the line of action of the force passed coronal to the CR, the anterior teeth tipped clockwise during retraction.ConclusionsThe movement pattern of the anterior teeth changed depending on the combination of lever arm height and anchor screw position. However, this pattern may be unpredictable in clinical settings because the movement direction is not always equal to the force direction.

Review of maxillary molar distalising appliances with palatal anchorage on miniimplants

Maxillary molar distalisation is one of treatment methods for patients with Angle class II. Intraoral appliances supported by patient’s own teeth inevitably lead to loss of anchorage. Mini-implants are additionally used to reduce this side effect. The area of the hard palate is the best anatomical place to attach mini-implants, and it provides the lowest risk of complications. &lt;b&gt;Aim.&lt;/b&gt; To present issues associated with appliances used for maxillary molar distalisation that are based on bone anchorage in the hard palate region. &lt;b&gt;Material and methods.&lt;/b&gt; The literature review using the PubMed database and the Polish Medical Bibliography with the following key words: molar distalisation, orthodontic miniimplants, skeletal anchorage. 37 positions from the years 1996–2018 were selected and analysed. &lt;b&gt;Results.&lt;/b&gt; As a result of the literature review, 37 articles describing nine distalisation appliances modelled on three basic constructions: Pendulum, Distal Jet and Keles Slider, and the MCPP appliance were identified. &lt;b&gt;Summary.&lt;/b&gt; Distalising appliances supported by palatal mini-implants do not lead to loss of anchorage in the anterior segment. At the stage of anterior teeth retraction they can be used for stabilisation of the distalised segment. They are less visible compared to extraoral appliances or those placed on the external side of the dental arch. They can be used simultaneously with fixed braces or during preparation for subsequent therapy with fixed braces. Depending on the design, they are not free of the side effects typical of the prototypes they originate from, i.e. rotation and inclination of molars. The most parallel distal movement of teeth is made possible by appliances whose force acts at the height of the CR (centre of resistance) of teeth being moved.

The Search for the Centre of Resistance of a Tooth Using a Finite Element Model and the Continuum Mechanics

Abstract In orthodontics, the CR is defined as the ideal point for the positioning of the bracket. This paper presents numerical analyses of a premolar tooth, which aim at searching the centre of resistance (CR) by applying several external torques. We built the geometry of the tooth by making a tomographic renderisation with the software MIMICS. The numerical simulation is performed in the software ANSYS WORKBENCH (ANSYS® Academic Research). The domain of the tooth is discretized using three-dimensional solid elements. The search for the position of CR is made through a heuristic analysis by applying external torques to the model and, afterwards, by seeking the intersection of the neutral planes (where there is no translation). The numerical results showed that the CR is not a point, but rather a region that strongly depends on the relative stiffness between the tooth and the Periodontium (PDL).

Maxillomandibular arch width differences at estimated centers of resistance: Comparison between normal occlusion and skeletal Class III malocclusion.

ObjectiveTo evaluate the differences in maxillomandibular transverse measurements at either the crown or the estimated center of resistance (CR), and to compare values between normal occlusion and Class III malocclusion groups.MethodsDental casts and computed tomography (CT) data from 30 individuals with normal occlusion and 30 with skeletal Class III malocclusions were evaluated. Using the casts, dental arch widths (DAWs) were measured from the cusp tips, and basal arch widths (BAWs-cast) were measured as the distance between the points at the mucogingival junction adjacent to the respective cusp tips. The BAWs determined from CT (BAWs-CT) images were measured from the estimated CRs of the teeth.ResultsNone of the DAW measurements or maxillomandibular DAW differences showed statistically significant intergroup differences. In contrast, the maxillary BAWs-CT and BAWs-cast were lesser in the Class III malocclusion group than in the normal occlusion group. The mandibular BAWs-CT were significantly greater in the Class III malocclusion group than in the normal occlusion group. Moreover, the maxillomandibular BAW differences on both CT and cast showed significant intergroup differences in all transverse measurements.ConclusionsThe maxillomandibular DAW differences showed no significant intergroup differences. In contrast, the maxillomandibular BAW differences on both CT and cast showed significant intergroup differences in all transverse measurements. The maxillomandibular BAW differences at the estimated CRs, measured using CT or casts, can reveal underlying transverse maxillary basal arch deficiencies in patients with skeletal Class III malocclusions.

Comparison of methods to determine the centre of resistance of teeth

In orthodontic treatment, the locations of the centre of resistance (CR) of individual teeth and the applied load system are the major determinants for the type of tooth movement achieved. Currently, CR locations have only been specified for a relatively small number of tooth specimen for research purposes. Analysing cone beam computed tomography data samples from three upper central incisors, this study explores whether the effort to establish accurate CR estimates can be reduced by (i) morphing a pre-existing simplified finite element (FE) mesh to fit to the segmented 3D tooth-bone model, and (ii) individualizing a mean CR location according to a small parameter set characterising the morphology of the tooth and its embedding. The FE morphing approach and the semi-analytical approach led to CR estimates that differ in average only 0.04 and 0.12 mm respectively from those determined by very time-consuming individual FE modelling (standard method). Both approaches may help to estimate the movement of individual teeth during orthodontic treatment and, thus, increase the therapeutic efficacy.

Biomechanical investigation into the role of the periodontal ligament in optimising orthodontic force: a finite element case study

ObjectivesThis paper aimed to precisely locate centres of resistance (CRe) of maxillary teeth and investigate optimal orthodontic force by identifying the effective zones of orthodontic tooth movement (OTM) from hydrostatic stress thresholds in the periodontal ligament (PDL). MethodsWe applied distally-directed tipping and bodily forces ranging from 0.075N to 3N (7.5g to 300g) onto human maxillary teeth. The hydrostatic stress was quantified from nonlinear finite element analysis (FEA) and compared with normal capillary and systolic blood pressure for driving the tissue remodelling. Two biomechanical stimuli featuring localised and volume-averaged hydrostatic stresses were introduced to describe OTM. Locations of CRe were determined through iterative FEA simulation. ResultsAccurate locations of CRes of teeth and ranges of optimal orthodontic forces were obtained. By comparing with clinical results in literature, the volume average of hydrostatic stress in PDL was proved to describe the process of OTM more indicatively. The optimal orthodontic forces obtained from the in-silico modelling study echoed with the clinical results in vivo. ConclusionsA universal moment to force (M/F) ratio is not recommended due to the variation in patients and loading points. Accurate computational determination of CRe location can be applied in practice to facilitate orthodontic treatment. Global measurement of hydrostatic pressure in the PDL better characterised OTM, implying that OTM occurs only when the majority of PDL volume is critically stressed. The FEA results provide new insights into relevant orthodontic biomechanics and help establish optimal orthodontic force for a specific patient.

A custom made jig for individual canine retraction

We face difficulty in individual canine retraction in the bracket system lacking power arms on the canines. When orthodontic force is applied through the center of resistance (CR), then, tooth translation ensues. Forces applied at a distance from the CR create a moment that tends to rotate and tip the tooth. The tendency of tipping is increased in the bracket system lacking power arm, since, force is applied more occlusally. Hence, we have designed a chair side custom made jig to retract the canines individually.