Lingual Archwire Research Articles

MANAGEMENT OF ANTERIOR CROSSBITE USING CATLANS APPLIANCE IN THE EARLY MIXED DENTITION PERIOD - A CASE REPORT

In the early mixed dentition period, single tooth anterior crossbite is the commonly encountered problem. Once identified, the treatment modality should be simple, non invasive, involves little chair side time, requires minimal patient cooperation, and gives rapid correction of the crossbite without affecting the surrounding structures. Different treatment options such as removable and fixed appliances have been suggested by various authors in the past literature such as tongue blade therapy, Catlans appliance (lower inclined bite plane), crowns (either stainless steel or composite build-up), Hawleys retainer with double cantilever springs, labial and lingual arch wires. Patient compliance with a removable appliance can often be an issue in young children. This paper presents a case of anterior crossbite corrected using the Catlans appliance within a short period of three weeks without any damage to the tooth or the periodontium. This fixed appliance is a simple and economical method which does not depend on patient cooperation to reverse the bite.

The in vitro biomechanics of anterior arch expansion using fixed lingual appliances with coil springs or archwire stops.

The presented study investigates differences in the biomechanics of straight and mushroom fixed lingual appliances when implementing coil springs and stops for anterior arch expansion. An in vitro orthodontic simulator was used to measure three-dimensional forces and moments on each tooth of a simulated maxillary arch. Mushroom and straight archwire forms of 0.016″ NiTi round archwire were considered, using 0.010″ × 0.030″ NiTi open coils and 0.016″-0.018″ archwire stops (n= 44 per group). Teeth in the anterior dental arch were moved from a neutral to crowded position to replicate anterior crowding of central and lateral incisors. Forces and moments of interest for lateral incisors and first premolars were compared using repeated measures mixed multivariate analysis of variance (α= 0.05). Three comparisons between straight versus mushroom archwires and two comparisons of coil springs vs. stops were not statistically significant. Overall, it was found that the use of a straight lingual archwire produced larger differences in forces and moments between using stops and coil springs than when using a mushroom archwire. Using stops produced larger forces and moments for both types of archwires as compared to using coil springs. The largest expansion forces were produced using straight archwires with stops, exceeding 3.0N of force. Straight archwires with coil springs produced the lowest expansion forces on lateral incisors, just exceeding 1.5N. The findings of this study have elucidated significant differences in the biomechanics of transverse arch expansion using straight or mushroom fixed lingual appliances with coil springs or stops.

Orthodontic Treatment for Adult Patients with Scissors Bite Using Tiggle Brackets

Due to the difficulty of correcting scissors bite, so many treatment modalities have been suggested. One of them are crisscross elastics, orthodontic miniscrews, trans-palatal arch with precision lingual arch wire, and so on. Tiggle brackets are one of minitubes which was recently introduced for the treatment of anterior teeth. It is designed to be positioned on the lingual surfaces of the anterior teeth. They exert very light force, so the counteraction is very small with minimum side effect. With their small size, it is good to bond on the teeth with scissors bite, reducing the possibility of falling off during masticatory movement. Tiggle brackets can be a very useful orthodontic treatment modality when correcting scissors bite.

3D technology to measure dental arches and create a template for lingual brackets technique.

ABSTRACTObjective: This study aims at identifying anatomical dimensions of dental arches, based on landmarks currently used in the lingual orthodontic technique, and create an archwire form template to be used in orthodontic clinics.Methods: Maxillary and mandibular dental casts of 140 Caucasian individuals with natural and normal occlusion were digitized (3D), and the images were analyzed with Delcam Power ShapeTM 2010 software. The dental arch shapes and sizes were obtained from 14 landmarks selected on the lingual surface of the teeth. Points and segments defined by the software were used to create an archwire form template.Results: Various dental arch patterns were found for both maxilla and mandible. The smallest sizes were found in females, and the largest were found in male subjects. Six categories were defined for each gender, three for the maxilla and three for the mandible (Small, Medium and Large). A template was created with eighteen anatomic lingual archwire designs, nine for the maxilla and nine for the mandible, for both genders.Conclusions: Landmarks evaluated in this study showed dental arch differences between genders. This information enables making orthodontic lingual archwires that are more compatible with the anatomical forms and sizes of the maxilla and mandible. The findings also allowed the creation of a template for an anatomic lingual metallic archwire form to be used in the lingual technique.

Comparative Analysis of Stiffness of Lingual Appliances: An in Vitro Study

Objective: To analyze and compare the stiffness of different lingual appliances with different archwires . Material and Methods: The three-point bending test was used to analyze the stiffness of the lingual archwires for the different lingual systems: eBrace, Harmony, Incognito, and STb. The deflection load curve of each archwire was obtained to evaluate how the section, the material and the manufacturer affect the elasticity and stiffness characteristics of the wires. The comparison of the stiffness between different systems was carried out through a factor variance analysis with three factors (manufacturer, cross-section, and material), followed by the post-hoc Tuckey test. Results: An increase in the system's rigidity was reported as the wire section increases, regardless of the manufacturer. The stainless steel archwires have ever higher stiffness values than NiTi and TMA. The STb wires of CuNiTi material, by virtue of the characteristics of the thermal wires, have flatter and lower load-deflection curves than the NiTi wires of other manufacturers . Conclusion: Archwires section and material showed a significant influence on the stiffness of the lingual systems. Archwires of the same section and material but different manufacturers show different load-deflection curves of stiffness.

The biomechanics of posterior maxillary arch expansion using fixed labial and lingual appliances.

To compare the biomechanics of straight labial, straight lingual, and mushroom lingual archwire systems when used in posterior arch expansion. An electro-mechanical orthodontic simulator allowing for buccal-lingual and vertical displacements of individual teeth and three-dimensional force/moment measurements was instrumented with anatomically shaped teeth for the maxillary arch. In-Ovation L brackets were bonded to lingual surfaces, and Carriere SLX brackets were bonded to labial surfaces to ensure consistency of slot dimensions. Titanium molybdenum archwires were bent to an ideal arch form, and the teeth on the orthodontic simulator were set to a passive position. Posterior teeth from the canine to second molar were moved lingually to replicate a constricted arch. From the constricted position, the posterior teeth were simultaneously moved until the expansive force decreased below 0.2 N. Initial force/moment systems and the amount of predicted expansion were compared for posterior teeth at a significance level of α = 0.05. Archwire type affected both the expected expansion and initial force/moment systems produced in the constricted position. In general, the lingual systems produced the most expansion. The archwire systems were not able to return the teeth to their ideal position, with the closest system reaching 41% of the intended expansion. In general, lingual systems were able to produce greater expansion in the posterior regions when compared with labial systems. However, less than half of the intended arch expansion was achieved with all systems tested.

Three-dimensional in vitro measurement of initial forces and moments acting on maxillary canine teeth using various Class II elastic configurations with a straight archwire fixed lingual appliance

PurposeThe presented study utilized an in vitro Orthodontic SIMulator (OSIM) to study how Class II elastic configuration effects the forces and moments acting on maxillary canine teeth when using a straight archwire fixed lingual appliance. Materials and methodsMaxillary in-Ovation L self-ligating brackets were bonded to anatomically shaped stainless steel teeth on OSIM. A 0.016″ × 0.022″ stainless steel straight lingual archwire was used to provide a relevant arch shape and to position simulated teeth in a passive position. A mandibular typodont was positioned above the OSIM arch in a half cusp Class II malocclusion to serve as attachment points for elastics. Four different elastic configurations were tested: 1. maxillary–buccal to mandibular-buccal; 2. maxillary–lingual to mandibular–lingual; 3. maxillary–buccal to mandibular–lingual; 4. maxillary–lingual to mandibular–buccal. A new 4.5 oz 3/16″ elastic (n = 40 per configuration) was attached to the maxillary canine and mandibular first molar teeth for each trial. Forces and moments at the maxillary canine simulated center of resistance were considered. ANOVA was used to assess the effect of elastic configuration, and pairwise comparisons using Bonferroni correction were conducted to investigate configuration differences. ResultsOf the thirty-four pairwise comparisons, only two were statistically insignificant. Configurations 1, 2, and 4 were found to produce over 1 N of force in the desired distal direction, whereas Configuration 3 was significantly lower at 0.65 N. ConclusionsOverall, the configuration of Class II elastics had a significant effect on forces and moments at maxillary canine teeth for a simulated straight archwire fixed lingual appliance.

An extensive comparative evaluation of the fit of mandibular lingual arch wire bracket to establish ideal lower anterior

An extensive comparative evaluation of the fit of mandibular lingual arch wire bracket to establish ideal lower anterior - IJODR- Print ISSN No: - 2581-9356 Online ISSN No:- 2581-9364 Article DOI No:- 10.18231/j.ijodr.2019.005, IP Indian Journal of Orthodontics and Dentofacial Research-IP Indian J Orthod Dentofacial Re

Simple Technique to Place Niti Open Coil Spring in a Lingual Archwire

Simple Technique to Place Niti Open Coil Spring in a Lingual Archwire

Simple Technique to Place Niti Open Coil Spring in a Lingual Archwire

Simple Technique to Place Niti Open Coil Spring in a Lingual Archwire

Construction and assessment of a three-dimensional finite element model of mandibualr second molar mesialization using customized lingual appliance and mini-implant

Objective: To construct a three-dimensional (3D) finite element model and analyze the biomechanical characteristics during mandibular second molar mesialization using customized lingual appliances and mini-implant. Methods: One adult student volunteer from The First Affiliated Hospital of Zhengzhou University with lower left first molar extraction was selected. After CT scanning, Mimics, Geomagic, ANSYS were employed to develop a 3D finite element model including customized lingual brackets, stainless steel lingual arch wire, buccal buckles, lower dentition, periodontal ligaments and alveolar bone. Four different loading methods (1. the force of 1.470 N loaded at the lingual side only; 2, 3, 4. the forces of 0.490, 0.735 and 0.980 N loaded at both buccal and lingual sides, respectively.) were included. The initial displacements of the lower second molar and stress distribution in the periodontal ligaments were analyzed. Results: More uniform stress distributions in the periodontal membrane of mandibular left second molar were found when the mesial force were loaded at both buccal and lingual sides than the force loaded at lingual side only. More inclination of the second molar was observed when force loaded at both sides than at lingual side only. With the values of the force increased, the mesial inclination potential of the second molar, the initial movement of the second molar and the stress distribution in the periodontal membrane increased. Under the force of 0.735 N at both buccal and lingual sides, mesially inclined initial displacements of the mandibuar second molar were observed and the stress values of von Mises was in the suitable area. Conclusions: Less second molar rotation was found when the force loaded at both buccal and lingual sides than loaded at lingual side only. However, force loaded at both sides would increase the measial inclination potential of the second molar.

Configured ligature wire for quick conventional and overtie lingual archwire ligations

Ligation of archwire to lingual bracket is a tedious and time-consuming process. Any excessive clinical working time on a lingually treated patient has a direct bearing on pain and discomfort experienced due to prolonged mouth opening. An aid to quick and efficient ligation is described below.

Finite-element analysis of the center of resistance of the mandibular dentition.

ObjectiveThe aim of this study was to investigate the three-dimensional (3D) position of the center of resistance of 4 mandibular anterior teeth, 6 mandibular anterior teeth, and the complete mandibular dentition by using 3D finite-element analysis.MethodsFinite-element models included the complete mandibular dentition, periodontal ligament, and alveolar bone. The crowns of teeth in each group were fixed with buccal and lingual arch wires and lingual splint wires to minimize individual tooth movement and to evenly disperse the forces onto the teeth. Each group of teeth was subdivided into 0.5-mm intervals horizontally and vertically, and a force of 200 g was applied on each group. The center of resistance was defined as the point where the applied force induced parallel movement.ResultsThe center of resistance of the 4 mandibular anterior teeth group was 13.0 mm apical and 6.0 mm posterior, that of the 6 mandibular anterior teeth group was 13.5 mm apical and 8.5 mm posterior, and that of the complete mandibular dentition group was 13.5 mm apical and 25.0 mm posterior to the incisal edge of the mandibular central incisors.ConclusionsFinite-element analysis was useful in determining the 3D position of the center of resistance of the 4 mandibular anterior teeth group, 6 mandibular anterior teeth group, and complete mandibular dentition group.

Stiffness comparison of mushroom and straight SS and TMA lingual archwires.

BackgroundThe aim of this study is to investigate the relative stiffness of straight and mushroom lingual archwires of different diameters, cross sections and alloys, plotting their load/deflection graphs and using a modified three-point bending test.MethodsFujita’s mushroom archwires and straight lingual archwires of different diameters, cross sections and alloys were derived by a virtual set-up of an equal malocclusion and were cut at their straight distal portion. These distal portions were tested using a modified three-point bending test by an Instron 4467 dynamometer and the forces, were exerted at 1-mm deflection and were compared on each resulting load/deflection curve by means of ANOVA (p < 0.05).ResultsAll upper lingual mushroom wires exerted significantly lower forces than the straight wire. Lower mushroom archwires were stiffer than their upper counterparts, which were longer and featured inset bends. In the lower arch, similar levels of forces were recorded for the two types of wire. Load-deflection curves were higher for the straight wires, and stiffness increased proportionally with their diameter.ConclusionsThe stiffness of an archwire is a function of its diameter, length and the alloy it is made from. In lower lingual wires, there is little difference in stiffness between mushroom and straight wires, but in upper wires, the straight version is considerably stiffer. The greater bearing effect exhibited by the straight wire in the working and finishing phases makes it less susceptible to bowing effect and therefore preferable for sliding mechanics during en masse retraction, particularly in the upper arch.

European College of Orthodontics

Date of birth: 26/08/1994; sex: male. A. (01/2006; 11 years 4 months). Skeletal and dental Class I combined with narrow maxillary dental base and anterior open bite in a normal face pattern and short face typology. Maxillary disjunction, then bimaxillary multi-bracket appliance and speech therapy. B. POST-TREATMENT RECORDS: (07/2008; 13 years 10 months). Lingual archwire bonded from 33 to 43 with tooth positioner then Hawley maxillary retainer at night. C. POST-RETENTION RECORDS: (11/2009; 15 years 3 months).

Esthetic orthodontic treatment with a double J retractor and temporary anchorage devices

This clinical article reports an esthetic treatment option for managing a Class II malocclusion in an adult. The patient, a woman aged 24 years 2 months, had crowding and a convex profile. She was treated with maxillary first premolar extractions, a double J retractor, and temporary skeletal anchorage devices in the maxillary arch. Posttreatment records after 2 years showed excellent results with good occlusion and long-term stability.

A comparative in vitro study of frictional resistance between lingual brackets and stainless steel archwires

Friction between archwires and labial brackets has received considerable attention; however, information on the frictional behaviour of commercially available lingual brackets is limited. The aim of this study was to investigate the frictional resistance resulting from a combination of lingual orthodontic brackets (7th Generation, STb, Magic, and In-Ovation L) and stainless steel archwires at 0, 5, and 10 degrees of second-order angulation. Each bracket type (n = 30) was tested with three different sizes of archwires. Static and kinetic frictional forces were evaluated with a universal testing machine. Statistical analysis of the data was performed with non-parametric Kruskal-Wallis and Dunn's multiple comparison tests. All tested brackets showed higher frictional forces as the wire size and second-order angulation increased. The lowest friction was found with In-Ovation L brackets and 0.016 inch archwires at 0 degrees angulation, and the greatest friction with a combination of STb brackets and 0.017 × 0.025 inch archwires at 10 degrees angulation. For all combinations, Magic and In-Ovation L brackets showed lower frictional resistance when compared with 7th Generation and STb brackets. The slot width (occluso-gingival dimension) of the brackets, measured using the optics of a microhardness machine, showed that all brackets were oversized and that Magic brackets had the largest slot width. Surface roughness of the brackets investigated using atomic force microscopy and scanning electron microscopy, demonstrated that the 7th Generation brackets had the greatest surface roughness.

Frictional forces between lingual brackets and archwires measured by a friction tester.

Frictional resistance tends to rapidly increase as the angle between a bracket and an archwire increases beyond a critical angle. The purpose of this study was to determine a new measuring method with a pin on disk friction tester for the measurement of the frictional force between lingual brackets and archwires. A lingual bracket is different from a labial bracket in dimensions and in some clinical aspects. The influence of artificial saliva was also surveyed. Two brands of lingual brackets and one brand of labial standard bracket with an 0.018-inch slot size were used. Archwires of three alloys (stainless steel [SS], Ormco; beta-Titanium [TM], Ormco; cobalt-chrome, [EL], RMO) with 0.016 x 0.022- and 0.017 x 0.025-inch dimensions were used. Measurements were conducted with an angular velocity of 0.6 degrees/s for 90 seconds and a normal force of 100 g at 25 degrees C in a dry and 34 degrees C in an artificial saliva environment. For SS and EL archwires, the frictional force with the FJT bracket was greater than that with ORM bracket (P < .01). Compared with SS and TM archwires, 0.016 x 0.022-inch EL archwire showed a higher frictional force with two lingual brackets (P < .01). Significant differences in frictional force existed between dry and artificial saliva environments (P < .05), and the effects varied by the bracket-archwire couples. The estimated critical contact angles were greater than the theoretical values. This new method can be a useful protocol for measurement of frictional force because it can measure the frictional force under the conditions of continuous angular change between bracket and archwire.

A comparative evaluation of different compensating curves in the lingual and labial techniques using 3D FEM

Because adults dislike the visibility of orthodontic appliances, the use of the lingual orthodontic technique has increased over time. But few studies compare tooth movement of the lingual technique with that of the labial technique. In this study, human mandibular left teeth were aligned, and a 3-dimensional finite element model was made (consisting of 19382 nodes and 12150 elements). To compare the effect of compensating curves on canine retraction between the lingual and the labial orthodontic techniques, the compensating curve was increased on the.016-in stainless steel labial or lingual archwire, and a 150-g force was applied distally on the canine. The relative direction and the amount of tooth displacement of the finite element model were compared on a schematic displacement graph (magnified 10,000 times), and the compressive stress distributed on the root surface was observed. The pattern of tooth movement (with or without a compensating curve) was different between the labial and the lingual techniques. As the amount of compensating curve increased (0, 2, and 4 mm) in the archwire, the rotation and the distal tipping of the canine was reduced. The antitip and antirotation action of compensating curve on the canine retraction was greater in the labial archwire than in the lingual archwire. (Am J Orthod Dentofacial Orthop 2003;123:441-50)

How to obtain the maximum benefits from the lingual archwires

How to obtain the maximum benefits from the lingual archwires