Damon Brackets Research Articles

The verisimilitude of damon brackets versus damon archwires– The real hero

: The Damon passive self-ligating system introduced broad archwires and a passive clip with posterior expansion and with minimal tipping of the teeth. To evaluate and compare the effectiveness of Damon brackets and Damon arch wires in maxillary arch dimensional changes with that of conventional brackets and conventional archwires. A total of 20 patients were selected for the study and randomly divided into 4 Groups with 5 patients in each group. Records (Study models) were taken before starting the treatment (T0) and at the end of leveling and alignment (T1) for all the 20 subjects. Pre-treatment (T0) and at the end of leveling and alignment (T1) study models were assessed for inter canine width, inter first premolar width and inter first molar width. There was statistically significant increase in maxillary arch width in Damon system and conventional bracket with Damon archwires when compared to conventional bracket system and Damon brackets with conventional archwires. The use of conventional or self-ligating brackets does not seem to be an important predictor of change in maxillary arch width in non-extraction patients. The amount of increase in arch width was due to Damon archwires and not because of Damon brackets.

Identification of various orthodontic materials as foreign bodies via panoramic radiography, cone beam computed tomography, magnetic resonance imaging, and ultrasonography: an in vitro study.

We evaluated the in vitro detection sensitivity of orthodontic materials (serving as foreign bodies) using panoramic radiography, cone beam computed tomography (CBCT), magnetic resonance imaging (MRI), and ultrasonography. Five different orthodontic materials served as foreign bodies: titanium-molybdenum alloy wire (TMA; ORMCO, Orange, CA, USA; 0.017 × 0.025 in in cross-sectional dimensions and 1cm long); stainless steel bracket tooth #34 (American Orthodontics, Sheboygan, WI, USA); a monocrystalline, sapphire ceramic bracket tooth #34 (Skyortho Dental Supplies Medical, China); a polycrystalline alumina clear bracket, Damon clear bracket tooth #34 (ORMCO); and a 1 × 1 × 0.1cm polyurethane-based thermoplastic material, Invisalign clear aligner (Align Technology, San Jose, CA, USA). Panoramic radiography, CBCT, MRI, and ultrasonography were used, and four observers scored all findings independently. The TMA and stainless steel bracket were visualised in all fields by panoramic radiography and CBCT. The sapphire and Damon brackets were very clear on CBCT. The Invisalign in air was evident only on CBCT. MRI was unable to identify any material in muscle. Ultrasonography detected the TMA, sapphire bracket, and the Invisalign in muscle but only the TMA on bone. Panoramic radiography does not reveal nonmetallic orthodontic equipment in air and reveals them only poorly in muscle. CBCT was the optimal imaging modality for all materials in all fields except for the Invisalign in muscle and bone. CBCT was the only method that revealed the Invisalign in air. MRI and ultrasonography should be used to detect orthodontic materials in muscle.

Comparison of Skeletal and Dental Changes Obtained from a Tooth-Borne Maxillary Expansion Appliance Compared to the Damon System Assessed through a Digital Volumetric Imaging: A Randomized Clinical Trial.

The purpose of this study was to evaluate and compare dental and skeletal changes associated with the Damon and Rapid Maxillary Expander (RME) expansion using Cone-Beam Computed Tomography (CBCT). Eighty-two patients, from The University of Alberta Orthodontic Clinic, were randomly allocated to either Group A or B. Patients in Group A received orthodontic treatment using the Damon brackets. Patients in Group B received treatment using the Hyrax (a type of RME) appliance. CBCT images were taken two times (baseline and after expansion). The AVIZO software was used to locate 18 landmarks (dental and skeletal) on sagittal, axial, and coronal slices of CBCT images. Comparison between two groups showed that transverse movement of maxillary first molars and premolars was much greater in the Hyrax group. The lateral movements of posterior teeth were associated with buccal tipping of crowns. No clinically significant difference in the vertical or anteroposterior direction between the two groups was noted. Alveolar bone next to root apex of maxillary first premolar and molar teeth showed clinically significant lateral movement in the Hyrax group only. The comparison between two groups showed significantly greater transverse expansion of the first molar and first premolars with buccal tipping in the RME group.

Prospective clinical study of transverse development with orthodontics with self-ligating brackets.

Orthodontics with low friction, low force, passive self-ligating brackets produces alveolar-dental remodeling, resulting in an increase in the transverse diameter of the dental arches, especially in the premolar sector. The aim of this study was to compare the modifications of the transverse diameter in the pre- and post-dental alignment cast models with orthodontics with passive self-ligating brackets in patients with moderate to severe dental discrepancy. The study included 28 patients of both sexes aged 16 to 48 years with dental discrepancies between -6 and -16 mm, treated with self-ligating Damon brackets and thermally activated Nickel- Titanium-Copper arches. With a digital pachymeter, Mitutoyo brand, five measurements were taken per dental arch: distance between canines (C), first premolars (1PM), second premolars (2 PM), first molars (1M) and second molars (2M), before and after orthodontic alignment. The variations were statistically evaluated by Student T Test for paired samples. Average distance between teeth varied with dental alignment in both jaws. The greatest increases in transverse diameter were recorded in the premolar areas. Minor though statistically significant variations also occurred in the 2M of the maxilla and in the C of the mandible In alignment with passive self-ligating brackets, there is an increase in the transverse diameter due to the development of the dental arches, mainly in the premolar sector of both jaws and also at the level of the canines in the mandible.

Comparison of Shear Bond Strength of Two Bonding Agents for Recycled Self-Ligating Brackets

Introduction: Bracket dislodgment is a common orthodontic problem. The clinician might hasthe option of reusing the old bracket after recycling rather than replacing it with a new one.Purpose: This current invitro study was designed to compare the effect of recycling of selfligatingbrackets on shear bond strength (SBS) of both flowable composite and self-etch primer.Materials & Methods: Thirty extracted premolars were randomly divided into two groups of15 teeth per each according to the type of adhesive used. In group I, self-ligating (Damon) Bracketswere bounded with flowable composite Grandio Flow (GF) and in group II were bonded withTransbond plus self-etch primer (SEP). All the specimen were subjected to recycling by a low speedcarbide debonding burs. The Universal Testing Machine was used to measure SBS. The mode ofbond failure was evaluated by the adhesive remnant index (ARI). The data was analysed with T-testwhile ARI scores were evaluated by Wilcoxon test.Results: There was a significant difference between the two tested groups (P 0.05), for ARI, there was a nonsignificant difference between the two tested groups (P > 0.05).Conclusion: Self-ligating Damon brackets bonded with (GF) and (SEP) could be successfullyrecycled by low speed debonding bur. GF was superior in SBS.Key words: bond strength, recycling, self ligating brackets, adhesives.

Evaluation of root length following treatment with clear aligners and two different fixed orthodontic appliances. A pilot study.

OBJECTIVES:The purpose of this pilot study was to evaluate the root lengths of upper incisors as an indication of the degree of orthodontically-induced apical root resorption following treatment with Smart Track® aligners and compare it with two different fixed orthodontic appliances – regular and Damon brackets – using cone-beam computerized tomography (CBCT).MATERIALS AND METHODS:The sample comprised 33 patients with class I malocclusion and 4–6 mm crowding divided in 3 groups; Group I: 11 patients treated with Smart Track® aligners, group II: 11 patients treated with Damon brackets, and group III: 11 patients with regular brackets. Maxillary incisors teeth lengths were assessed using Dolphin imaging software before and after treatment. All data were analyzed using analysis of variance and t-test.RESULTS:All groups showed statistically significant root resorption, 0–1.4 mm for clear aligners, 0.1–2.3 mm for Damon, and 0–2.5 mm for regular brackets group. However, cases treated with fixed appliance in general showed significantly higher resorption than those treated with Smart Track® aligners (P < 0.05).CONCLUSION:Orthodontically-induced root resorption, as evaluated by root length, is an inevitable drawback with different orthodontic techniques. However, the use of Smart Track® aligners showed less root resorption relative to regular fixed appliances.

Torque capabilities of self‐ligating and conventional brackets under the effect of bracket width and free wire length

To numerically investigate the torque capacity of conventional and self-ligating brackets under the effect of varying bracket width and free wire length. Finite element models of three kinds of orthodontic brackets in the 0.022-inch slot size were investigated: Discovery, Damon 3MX, Speed. Additionally, finite element (FE) models of Speed and Damon brackets were generated with the same width as the Discovery. From the left upper incisor to the right upper canine, four brackets each were modelled. The total wire length at the upper right incisor was kept constant at 12 mm for all brackets types. For the Discovery brackets, the wire length was increased from 12 to 16 mm in 2-mm steps. A torque of 20° was applied to the upper right incisor with 0.46 × 0.64 mm(2) (0.018″ × 0.025″) and 0.48 × 0.64 mm(2) (0.019″ × 0.025″) wires. Wires made of stainless steel, titanium molybdenum and nickel titanium were studied. Torque angle/moment characteristics were recorded. Wider brackets showed more torque control capability (e.g. Discovery: 10.6 Nmm, Damon: 9.2 Nmm, Speed: 4.0 Nmm for the NiTi wire). Even with the same width as the Discovery bracket, Damon and Speed brackets showed lower torque capability than the Discovery bracket. Increasing the free wire length decreased the torsional stiffness of the wire and thus decreased the torque capability. The results showed that the bracket design has less influence on the torquing moment than other parameters, such as bracket width, free wire length, wire/slot play or misalignment.

An investigation into the mechanical characteristics of select self-ligated brackets at a series of clinically relevant maximum torquing angles: loading and unloading curves and bracket deformation

Edgewise orthodontic treatment utilizes a force couple in order to achieve labial-lingual tooth angulation. Two self-ligating brackets (Damon Q and Speed) were examined across a range of clinically relevant torques in order to assess the loading and unloading curves and bracket deformation. A previously developed torquing and load measurement system was utilized to rotate a 0.199 × 0.25 in stainless steel wire in a fixed bracket slot to the following angles: 16, 20, 24, 28, 32, and 40 degrees. The torque on the bracket was measured during both wire loading and unloading cycles. The torque play for the Damon brackets was determined to increase by less than 0.4 degrees when torqued to 70 Nmm, whereas the increase for the Speed brackets was 2.1 degrees at the same torque magnitude. The deformation curves for the Damon and Speed brackets were found to be different for loading and unloading. Speed brackets were found to start to plastically deform when torqued to 24 degrees (26 Nmm of torque), while Damon brackets did not plastically deform until 28 degrees (38 Nmm of torque). Damon brackets were found not to plastically deform as easily and to have a smaller increase in torque play than Speed brackets. Both the Damon and the Speed brackets demonstrated minimal effect of plastic deformation and torque play at maximum angles of twist less than 20 degrees. Torque measured in the brackets was different for loading and unloading.

Does the orthodontic technique employed lend a specific conformation to the post-treatment arch form? A comparison of the Tweed and Damon therapies

Does the technique employed create a specific post-treatment arch form? To answer this question we compared the arches at the close of treatment of patients treated by the Tweed technique with those treated by the Damon technique. We analyzed 78 plaster models using the computer program. Procluso in an attempt to standardize assessment of the arch forms. The post-treatment arch form surimposition showed no differences between arches of patients treated by Tweed therapy and arches of patients treated by Damon technique. Regression and discrimination tests were used in order to calculate and visualize singles differences in form between the three samples used in our study (patients treated by Tweed therapy without extraction, patients treated by Tweed therapy with extractions and patients treated by Damon therapy without extractions). This is the outcome of differences located at the level of position of teeth related to the shape of dental arch form. On the other hand dental arch forms are nearly similar in the various samples. Arch form was just more harmonious, more well rounded with good continuity of buccal surfaces when practitioners used pre-adjusted Damon brackets compared to braces with no built-in torque employed in Tweed therapy.

How does temperature influence the properties of rectangular nickel-titanium wires?

Thermodynamic nickel-titanium (NiTi) wires have become increasingly popular. The relationship between the temperature variation within the mouth and the force level delivered is, however, far from elucidated. The aim of this study was to evaluate the influence of possible intraoral temperature differences on the forces exerted by seven commercially available 0.019 x 0.025 inch NiTi archwires. As mouth temperature ranges from 33 to 37 degrees C most of the time, all wires were tested at five different temperatures between 30 and 40 degrees C in an orthodontic wire-testing device, a so-called Force System Identification (FSI) apparatus, placed in a climate chamber. In the FSI a two-bracket system using self-ligating Damon brackets simulated first order displacements up to 4 mm. At each temperature five samples of each archwire brand were tested. The following variables from the activation/deactivation curves were calculated: force and displacement at the yield point, maximum force level, total energy up to maximum displacement, energy loss after deactivation, force and displacement at the beginning and at the finish of the plateau, and the slope of the plateau. Any statistically significant differences in these variables for the different brands and temperature levels were analysed using one-way analysis of variance. The results showed that: (1) The behaviour of all wires was different. (2) Copper NiTi40 showed the lowest and the most constant force level, followed by NeoSentalloy 200 g. On the other hand, these wires may not work properly in mouth breathers as no forces were exerted below 35 degrees C. (3) If the use of superelastic characteristics and low force levels are the reasons for utilizing rectangular NiTi wires, austenitic NiTi wires should be avoided.