Conventional Brackets Research Articles

A comparison of the rate of en-masse space closure using conventional and passive self-ligating brackets with closed-coil springs

Malocclusion prevalence is high, and an orthodontist needs to be effective and efficient in treating malocclusion. Self-ligating brackets are claimed to be more effective and efficient, and to have less friction in ortodontic movement than do conventional brackets. The objective of this study is to compare the rate of mandibular en-masse space closure retraction and loss of anchorage between passive self-ligating brackets and conventional brackets using closed-coil springs. The study design was a prospective randomized controlled clinical trial with split-mouth technique. Twenty two mandibular quadrants in patients that were ready for en-masse space closure retraction were placed with conventional brackets MBT Agile 3M slot.022” in a whole quadrant, while the contra lateral was placed with passive self-ligating brackets Damon Q standar torque Ormco. The en-masse space closure retraction rate and loss of anchorage were measured in study models at 4 and 8 weeks. The results indicated there was significant difference between passive self-ligating brackets and conventional brackets regarding the en-masse space closure retraction rate and loss of anchorage rate. Self-ligating brackets were faster in en-masse space closure with a mean rate 0.58mm in 4 weeks and 0.74mm in 8 weeks and they were more resistant to loss of anchorage. The split-mouth technique was effective for comparison of the rate of mandibular en-masse retraction and loss of anchorage between self-ligating brackets and conventional brackets using closed-coil springs, where individual variability was minimized.

Bacterial adhesion on conventional and self-ligating metallic brackets after surface treatment with plasma-polymerized hexamethyldisiloxane.

ABSTRACTIntroduction: Plasma-polymerized film deposition was created to modify metallic orthodontic brackets surface properties in order to inhibit bacterial adhesion. Methods: Hexamethyldisiloxane (HMDSO) polymer films were deposited on conventional (n = 10) and self-ligating (n = 10) stainless steel orthodontic brackets using the Plasma-Enhanced Chemical Vapor Deposition (PECVD) radio frequency technique. The samples were divided into two groups according to the kind of bracket and two subgroups after surface treatment. Scanning Electron Microscopy (SEM) analysis was performed to assess the presence of bacterial adhesion over samples surfaces (slot and wings region) and film layer integrity. Surface roughness was assessed by Confocal Interferometry (CI) and surface wettability, by goniometry. For bacterial adhesion analysis, samples were exposed for 72 hours to a Streptococcus mutans solution for biofilm formation. The values obtained for surface roughness were analyzed using the Mann-Whitney test while biofilm adhesion were assessed by Kruskal-Wallis and SNK test. Results: Significant statistical differences (p< 0.05) for surface roughness and bacterial adhesion reduction were observed on conventional brackets after surface treatment and between conventional and self-ligating brackets; no significant statistical differences were observed between self-ligating groups (p> 0.05). Conclusion: Plasma-polymerized film deposition was only effective on reducing surface roughness and bacterial adhesion in conventional brackets. It was also noted that conventional brackets showed lower biofilm adhesion than self-ligating brackets despite the absence of film.

Force level of small diameter nickel-titanium orthodontic wires ligated with different methods

BackgroundThe aim of this study was to compare the deflection force in conventional and thermally activated nickel-titanium (NiTi) wires in passive (Damon Q) and active (Bioquick) self-ligating brackets (SLB) and in conventional brackets (CB) tied by two different methods: elastomeric ligature (EL) and metal ligature (ML).MethodsTwo wire diameters (0.014 and 0.016 in.) and 10 specimens per group were used. The specimens were assembled in a clinical simulation device and tested in an Instron Universal Testing Machine, with a load cell of 10 N. For the testing procedures, the acrylic block representative of the right maxillary central incisor was palatally moved, with readings of the force at 0.5, 1, 2, and 3 mm, at a constant speed of 2 mm/min and temperature of 36.5 °C.ResultsThe conventional NiTi released higher forces than the thermally activated NiTi archwires in large deflections. In general, the SLB showed lower forces, while the ML had higher forces, with both showing a similar force release behavior, constantly decreasing as the deflection decreased. The EL showed an irregular behavior. The active SLB showed smaller forces than passive, in large deflections.ConclusionsThe SLB and the ML exhibit standard force patterns during unloading, while the elastomeric ligatures exhibit a randomly distributed force release behavior.

Therapeutic efficacy of self-ligating brackets: A systematic review.

Over the last few years, the use of self-ligating brackets in orthodontics has progressed considerably. These systems have been the subject of numerous studies with good levels of evidence making it possible to evaluate their efficacy and efficiency compared to conventional brackets. The aim of this study was to evaluate the therapeutic efficacy of self-ligating brackets by means of a systematic review of the scientific literature. A systematic study was undertaken in the form of a recent search of the electronic Pubmed database, oriented by the use of several keywords combined by Boolean operators relating to the therapeutic efficacy of self-ligating brackets through the study of tooth alignment, space closure, expansion, treatment duration and degree of discomfort. The search was limited to randomized controlled studies, and two independent readers identified studies corresponding to the selection criteria. The chosen articles comprised 20 randomized controlled trials. The studies analyzed revealed the absence of significant differences between the two types of system on the basis of the clinical criteria adopted, thereby refuting the hypothesis of the superiority of self-ligating brackets over conventional systems.

Biometrics of Jaw Models Analysis in Treating Tooth Position Anomalies with the Use of Orthodontic Shape Memory Apparatus

The paper presents the results of research in the field of orthodontic treatment of patients with the use of conventional bracket system methods as well as with the orthodontic thread and hollow tube made of superelastic nickelid titanium (TiNi) alloy, the method of measurement of plaster jaw models introduced by L. Persin. The study reveals the advantages of our newly developed apparatus for orthodontic tooth movement in the transverse and sagittal directions.

Alignment Efficiency of Standard versus Tandem Wire Mechanics Using Conventional and Self-ligating Brackets: A Pilot Study

Alignment Efficiency of Standard versus Tandem Wire Mechanics Using Conventional and Self-ligating Brackets: A Pilot Study

Efficiency, effectiveness and treatment stability of clear aligners: A systematic review and meta-analysis.

The objective of this study was to perform a systematic review of the orthodontic literature with regard to efficiency, effectiveness and stability of treatment outcome with clear aligners compared with treatment with conventional brackets. An electronic search without time or language restrictions was undertaken in October 2014 in the following electronic databases: Google Scholar, the Cochrane Oral Health Group's Trials Register, Scopus, CENTRAL, MEDLINE via OVID, EMBASE via OVID and Web of Science. We also searched the reference lists of relevant articles. Quality assessment of the included articles was performed. Two authors were responsible for study selection, validity assessment and data extraction. Four controlled clinical trials including a total of 252 participants satisfied the inclusion criteria. We grouped the trials into four main comparisons. One randomized controlled trial was classified as level 1B evidence, and three cohort studies were classified as level 2B evidence. Clear aligners appear to have a significant advantage with regard to chair time and treatment duration in mild-to-moderate cases based on several cross-sectional studies. No other differences in stability and occlusal characteristics after treatment were found between the two systems. Despite claims about the effectiveness of clear aligners, evidence is generally lacking. Shortened treatment duration and chair time in mild-to-moderate cases appear to be the only significant effectiveness of clear aligners over conventional systems that are supported by the current evidence.

A new elastic slot system and V-wire mechanics

To biomechanically test a new elastic slot system and V-wire mechanics. Conventional twin and self-ligating brackets and the new elastodynamic bracket were biomechanically tested. The conventional brackets had a rectangular 0.022'' slot and the new elastodynamic bracket had a V-slot, a new slot geometry. Torque measurements were performed with 0.018'' × 0.025'' and 0.019'' × 0.025'' stainless steel (ss) archwires. A nickel-titanium V wire was used for the biomechanical measurements on the elastodynamic bracket. The measurements were done with the aid of a six-component measuring sensor. The results of the biomechanical testing revealed play in the brackets with rectangular slot geometry. The V slot in the elastodynamic bracket assured that the wire fit perfectly in the slot. Dynamic moments of 5 to 10 Nmm were transmitted without any play. No permanent deformation of the slot occurred in the new elastodynamic bracket because of the elastic slot. Control of torque for three-dimensional positioning of the teeth in the dental arch with rectangular slot geometry as used in straight-wire therapy is difficult. If torque is bent into the wire, because of the play there is a high risk that either too much, too little, or no moment is transmitted to the teeth. The V-slot archwire/bracket geometry in conjunction with nickel titanium composition has no play and allows a reduction of forces and moments with direct and continuous transmission of torque in the bracket. Because of the elasticity of the bracket, there is an upper limit to the moment possible.

Oral health-related quality of life in orthodontic patients during initial therapy with conventional brackets or self-ligating brackets

Background/purposeThe self-ligating brackets (SLB) have been introduced in modern orthodontic treatment in recent years for malocclusion patients. This study was conducted to compare two treatments, conventional brackets (CB) and SLB, in malocclusion to determine which treatment will provide better oral health-related quality of life (OHRQoL) outcomes. Materials and methodsThe research involved a prospective randomized clinical trial, composed of two sets of questionnaires, Short Form-36 (SF-36T) and oral health impact profile-14 (OHIP-14T), concerning HRQoL and OHRQoL. In total, 88 malocclusion patients who were eligible and met the inclusion and exclusion criteria from the Orthodontic Department of Mackay Memorial Hospital from June 2010 to November 2011 participated in the study, and all patients had completed a minimum follow-up of 1 week and 1 month. The quantitative analysis of the questionnaires was conducted through descriptive statistics and repeated measures of analysis of variance to indicate the differences in OHRQoL between the two sets of brackets systems. ResultsFor SF-36T, the physical component score, the mental component score and all of the eight scales yielded no statistically significant differences between the CB and SLB group. For OHIP-14T, the overall score and all of the seven scales yielded no statistically significant difference between the CB and SLB group. Results of this study showed that SLB systems were not shown to be statistically superior to CB systems in improving OHRQoL for malocclusion patients during initial orthodontic treatment. ConclusionThis study may provide the orthodontists with a better understanding how malocclusion patients experience the change of OHRQoL and discomfort for CB systems and SLB systems during the initial fixed orthodontic therapy.

Self-ligating Brackets May Not Have Clinical Advantages Over Conventional Brackets for the Periodontal Health of Adolescent Orthodontic Patients

The effect of bracket ligation on the periodontal status of adolescents undergoing orthodontic treatment. A systematic review and meta-analysis. Arnold S, Koletsi D, Patcas R, Eliades T. J Dent 2016; 54:13-24. The authors did not report any funding source information for the study TYPE OF STUDY/DESIGN: Systematic review with meta-analysis of data.

Correction of Severely Crowded Lower Anterior Teeth Using Self-Ligating Bracket System- A Case Report

Introduction: Crowding is one of the popular complaints for undergoing treatment so far. The individual who has crowded teeth not only suffers from the unaesthetic appearance, but also with the functional deficiencies in form improper cleaning and gum related problems. Orthodontics is a boon for such people and with the advent of technological break through the correction of crowding is possible within no time with less pain and more comfort. Case Presentation: A 13-year-old male patient presented himself with the chief compliant of irregularly placed in the upper and lower front teeth. On examination, he had a convex profile with retrognathic mandible, posterior divergence. The intra oral examination revealed angle’s class I malocclusion with 4mm overjet and 5 mm of over bite. The upper anteriors were moderately crowded and the lower anteriors were severely crowded with an in-standing left lateral incisor. Lower dental midline was shifted to the left by 3mm. Discussion: The article shows the effective non extraction management of crowding case using self-ligating bracket system which otherwise with conventional bracket system would have been difficult to treat with the non-extraction treatment modality

Stability comparison of two different dentoalveolar expansion treatment protocols.

ABSTRACTObjective: The aim of this study was to compare the longitudinal stability of the conventional straight-wire system after the use of a quad-helix appliance with Damon self-ligating system in patients with Class I malocclusion. Methods: 27 adolescent patients were evaluated at three different periods: pre-treatment (T1), post-treatment (T2) and three years post-treatment (T3). Group 1 included 12 patients (with a mean age of 14.65 year) treated with Damon 3MX bracket system; and Group 2 included 15 patients (with a mean age of 14.8 year) who underwent orthodontic treatment with Roth prescribed brackets after expansion with Quad-Helix appliance. Relapse was evaluated with dental cast examination and cephalometric radiograph tracings. Statistical analysis was performed with IBM-SPSS for Windows software, version 21 (SPSS Inc., Chicago, IL). A p-value smaller than 0.05 was considered statistically significant. Results: There were significant increases in all transverse dental and postero-anterior measurements (except for UL6-ML mm in Group 1) with active treatment. There was some significant relapse in the long-term in inter-canine width in both groups and in the inter-first premolar width in Group 2 (p< 0.05). Significant decrease in all frontal measurements from T2 to T3 was seen for both groups. Upper and lower incisors significantly proclined in T1-T2 (p< 0.05), however no relapse was found for both groups. When two systems were compared, there was no significant difference for the long-term follow-up period. Conclusion: Conventional (quad-helix appliance with conventional brackets) and Damon systems were found similar with regard to the long-term incisor positions and transverse dimension changes of maxillary arch.

Air-powder polishing on self-ligating brackets after clinical use: effects on debris levels.

ABSTRACTIntroduction: Debris buildup on brackets and arch surfaces is one of the main factors that can influence the intensity of friction between bracket and orthodontic wire. Objective: This study sought to evaluate the effect of air-powder polishing cleaning on debris levels of self-ligating ceramic brackets at the end of orthodontic treatment, compared to the behavior of conventional brackets. Methods: Debris levels were evaluated in metal conventional orthodontic brackets (n = 42) and ceramic self-ligating brackets (n = 42) on canines and premolars, arranged in pairs. There were brackets with and without air-powder polishing. At the end of orthodontic treatment, a hemiarch served as control and the contralateral hemiarch underwent prophylaxis with air-powder polishing. Debris buildup in bracket slots was assessed through images, and Wilcoxon test was used to analyze the results. Results: The median debris levels were statistically lower in the conventional metal brackets compared to self-ligating ones (p = 0.02), regarding brackets not submitted to air-powder polishing. Polishing significantly reduced debris buildup to zero in both systems, without differences between groups. Conclusions: Ceramic self-ligating brackets have a higher debris buildup in comparison to conventional metal brackets in vivo, but prophylaxis with sodium bicarbonate jet was effective in reducing debris levels in self-ligating and also in conventional brackets.

Evaluation of force released by deflection of orthodontic wires in conventional and self-ligating brackets.

ABSTRACTIntroduction: The aim of the study was to evaluate deflection forces of rectangular orthodontic wires in conventional (MorelliTM), active (In-Ovation RTM) and passive (Damon 3MXTM) self-ligating brackets. Material and Methods:Two brands of stainless steel and nickel-titanium (NiTi) wires (MorelliTM and GACTM), in addition to OrmcoTM copper-nickel-titanium wires were used. Specimens were assembled in a clinical simulation device especially designed for this study and tested in an Instron universal testing machine. For the testing procedures, an acrylic structure representative of the maxillary right central incisor was lingually moved in activations of 0 to 1 mm, with readings of the force released by deflection in unloading of 0.5, 0.8 and 1 mm at a constant speed of 2 mm/min. Inter-bracket forces with stainless steel, NiTi and CuNiTi were individually compared by two-way ANOVA, followed by Tukey’s tests. Results: Results showed that there were lower forces in conventional brackets, followed by active and passive self-ligating brackets. Within the brands, only for NiTi wires, the MorelliTM brand presented higher forces than GACTM wires. Conclusions:Bracket systems provide different degrees of deflection force, with self-ligating brackets showing the highest forces.

Root resorption during orthodontic treatment with self-ligating or conventional brackets: a systematic review and meta-analysis.

BackgroundThe aim of this study was to compare the external apical root resorption (EARR) in patients receiving fixed orthodontic treatment with self-ligating or conventional brackets.MethodsStudies comparing the EARR between orthodontic patients using self-ligating or conventional brackets were identified through electronic search in databases including CENTRAL, PubMed, EMBASE, China National Knowledge Infrastructure (CNKI) and SIGLE, and manual search in relevant journals and reference lists of the included studies until Apr 2016. The extraction of data and risk of bias evaluation were conducted by two investigators independently. The original outcome underwent statistical pooling by using Review Manager 5.ResultsSeven studies were included in the systematic review, out of which, five studies were statistically pooled in meta-analysis. The value of EARR of maxillary central incisors in the self-ligating bracket group was significantly lower than that in the conventional bracket group (SMD −0.31; 95% CI: −0.60–−0.01). No significant differences in other incisors were observed between self−ligating and conventional brackets.ConclusionsCurrent evidences suggest self-ligating brackets do not outperform conventional brackets in reducing the EARR in maxillary lateral incisors, mandible central incisors and mandible lateral incisors. However, self-ligating brackets appear to have an advantage in protecting maxillary central incisor from EARR, which still needs to be confirmed by more high-quality studies.

Difference of periodontal implication between self⁃ligating bracket and conventional bracket

Difference of periodontal implication between self⁃ligating bracket and conventional bracket

Does the Seating Force Affect the Shear Bond Strength of Brackets? An InVitro Study.

The purpose of this study was to observe two different seating forces on conventional and self-ligating brackets using shear bond strength (SBS). The study material consisted of 48 recently extracted human premolars divided into four groups: Group I, conventional bracket (Master series, AO) 100 g seating force applied; Group II, conventional bracket (Master series, AO) 200 g seating force applied; Group III, self-ligating bracket (Empower, AO) 100 g seating force applied; and Group IV, self-ligating bracket (Empower, AO) 200 g seating force applied. All teeth were bonded with Transbond XT by the same operator. Following the bonding procedure, all teeth were stored in deionized water at 37°C for 30 days, and they were thermal cycled. A universal testing machine was used to obtain the SBS records. The Kruskal-Wallis statistical test was used to determine the significant differences in SBS between the four groups, and the Mann-Whitney U test with Bonferroni correction was used to compare the subgroups. The mean shear bond strength was 15.70 MPa for Group I, 13.97 MPa for Group II, 8.38 MPa for Group III, and 8.31 MPa for Group IV. Significant differences in the SBS values were recorded between the self-ligating groups and conventional bracket groups. Seating forces on the brackets did not show any differences among the groups. Within the limitations in this study, 100 g and 200 g forces can be applied because both seating forces showed acceptable SBS results.

Influence of ligation method on friction resistance of lingual brackets with different second-order angulations: an in vitro study.

ABSTRACTObjective: To evaluate stainless steel archwire static friction in active and passive self-ligating lingual and conventional brackets with second-order angulations. Methods: Two conventional lingual brackets for canines (STb light/Ormco; PSWb/Tecnident), and two self-ligating brackets, one active (In-Ovation L/GAC) and the other passive (3D/ Forestadent), were evaluated. A stainless steel archwire was used at 0°, 3° and 5° angulations. Metal ligatures, conventional elastic ligatures, and low friction elastic ligatures were also tested. A universal testing machine applied friction between brackets and wires, simulating sliding mechanics, to produce 2-mm sliding at 3 mm/minute speed. Results: Two-way analysis of variance demonstrated a significant effect of the interaction between brackets and angulations (p < 0.001). Tukey test indicated that the highest frictional resistance values were observed at 5° angulation for In-Ovation L, PSWb bracket with non conventional ligature, and STb bracket with metal ligature. As for 3D, PSWb with conventional or metal ligatures, and STb brackets with non conventional ligature, showed significantly lower static frictional resistance with 0° angulation. At 0° angulation, STb brackets with metal ties, In-Ovation L brackets and 3D brackets had the lowest frictional resistance. Conclusions: As the angulation increased from 0° to 3°, static friction resistance increased. When angulation increased from 3° to 5°, static friction resistance increased or remained the same. Self-ligating 3D and In-Ovation L brackets, as well as conventional STb brackets, seem to be the best option when sliding mechanics is used to perform lingual orthodontic treatment.

Self Ligating Bracket Vs Conventional Bracket

Self Ligating Bracket Vs Conventional Bracket

Microbial complexes levels in conventional and self-ligating brackets.

The aims were to evaluate the levels of bacterial species in saliva and in situ and to assess whether the design of brackets influences the risk of developing periodontal disease. Twenty patients (13.3 mean age) were bonded with self-ligating brackets and a conventional bracket. Saliva was collected before bonding and 30 and 60days after bonding. One sample of each bracket was removed 30 and 60days after bonding. The analysis was determined by checkerboard DNA-DNA hybridization. The data was evaluated by the non-parametric test. A significant increase in the levels of bacterial species in the saliva occurred in 15 of the 22 analyzed species. The self-ligating brackets presented the highest incidence percentages for the orange and red complexes 60days after bonding. In situ analyses showed different patterns according to the bracket design. The levels of Campylobacter rectus showed significant differences (p=0.011) 60days after bonding among the three brackets; the highest values were observed in the In-Ovation®R bracket. The bracket design seems to influence the levels of bacterial species involved in periodontal disease. Considering the wide variety of bacterial species, additional studies are needed to aid in the establishment of effective protocols to prevent the development of periodontal disease during orthodontic treatment. A dynamic alteration in the oral microbiota may lead to inflammatory reactions in the supporting soft and hard tissues. The different types of brackets interfere with bacterial adherence. Bracket design should be considered in orthodontic treatment.