Estudo clínico da retração de caninos e perda de ancoragem com a mola T do grupo A e estudos analíticos da mola T do grupo A e B

Objetivo: Avaliar a retração parcial de caninos utilizando a mola “T” (TTLS) do grupo A a e a perda de ancoragem dos molares, analisar mecanicamente a mesma TTLS e também avaliar a pré-ativação da TTLS do grupo B, por curvatura e dobras. Material e Método: Quatro artigos científicos foram redigidos e utilizados para a avaliação dos propósitos apresentados. Resultados: Os caninos superiores foram retraídos 3,2 mm, enquanto os inferiores foram retraídos 4,1 mm. Os molares superiores e inferiores foram protraídos 1,0 mm e 1,2 mm, respectivamente. Os caninos se movimentam 1,5 mm no primeiro mês e 2,43 mm no segundo. A TTLS do grupo A deve ter 7 X 10 mm, e ao ser ativada 4 mm, ficar posicionada a 2 mm do bráquete anterior e ter a dobra de gable a 4 mm do tubo posterior. A pré-ativação da TTLS do grupo B por curvatura gerou M/F em média 2,5 mm maiores que a pré-ativação por dobras. Conclusões: Os caninos superiores foram retraídos por inclinação controlada, enquanto os inferiores foram retraídos por inclinação descontrolada. Os molares superiores e inferiores foram protraídos por inclinação controlada. Em 2,1 meses de retração de 14 caninos, a perda de ancoragem dos molares foi de 0,3 :1. Os caninos se movimentam mais no segundo mês do que no primeiro. Foi possível desenvolver uma padronização e otimização da TTLS pré-ativada para o grupo A. A pré-ativação da TTLS do grupo B por curvatura gerou M/F maiores quando comparada a pré-ativação por dobras.Objective: To evaluate both the partial retraction of canines and the loss of anchorage of the molars using a Group A Titanium “T” Loop Spring (TTLS), and also to evaluate the preactivation differences of curvature vs. bends on a group B TTSL. Materials and Method: Four research papers were written and analyzed for the evaluation of the aims presented. Results: Upper canines were retracted 3.2 mm, while the lower ones were retracted 4.1 mm. The upper and lower molars were protracted 1.0 and 1.2 mm, respectively. The canines were moved 1.5 mm in the first month and 2.43 mm on the second, on average. The group A TTLS should have 7 X 10 mm, and on 4 mm of activation, it should be located 2 mm from the anterior bracket with its preactivation bend positioned 4 mm from the posterior tube. The group B TTLS preactivated by curvature generated M/F ratios 2.5mm larger than the bend preactivation, on average. Conclusions: The upper canines were retracted by controlled tipping, while the lower ones were retracted by uncontrolled tipping. The upper and lower molars were protracted by controlled tipping. In 2.1 months of canine retraction, the loss of anchorage was 0.3:1, compared to the canines. The canines were moved more in the first month than on the 16 second. It was possible to develop a standard and an optimization for the group A TTLS. The Group B TTLS preactivated by curvature generated larger M/F when compared to the bend preactivation.Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES

Crimpable double tubes for segmental retraction

When a T-loop is used in segmental mechanics, it is generally attached posteriorly to an auxiliary tube in the first molars and anteriorly to a crimpable cross tube or a Burstone canine bracket. This article illustrates the use of a crimpable tube with a 90-degree bend on the base wire to secure a T-loop in segmental retraction. Both of these approaches allow a T-loop to be reactivated in a simple manner without undesirable changes in the system of forces, which could happen if the T-loop is skewed posteriorly

Paresthesia during orthodontic treatment: case report and review.

Paresthesia of the lower lip is uncommon during orthodontic treatment. In the present case, paresthesia occurred during orthodontic leveling of an extruded mandibular left second molar. It was decided to remove this tooth from the appliance and allow it to relapse. A reanatomization was then performed by grinding. The causes and treatment options of this rare disorder are reviewed and discussed. The main cause of paresthesia during orthodontic treatment may be associated with contact between the dental roots and inferior alveolar nerve, which may be well observed on tomography scans. Treatment usually involves tooth movement in the opposite direction of the cause of the disorder

Tratamento ortodôntico lingual individualizado com o sistema Incognito

Introduction: The orthodontic treatment using lingual brackets has been desired by adult patients for esthetic factors. In this paper it is described the clinical steps of an orthodontic treatment using Incognito™ system, individualized lingual brackets and archwires designed by CAD/CAM technology. Methods: The presented case describes the treatment of a patient with mesofacial growth pattern,Class I malocclusion, with mandibular crowding and diastema between the upper central incisors, treated using 100% individualized lingual brackets. Results: After treatment, the molar relation of Class I was kept, the spaces between upper central incisors were closed and mandibular crowding corrected. Conclusion: This case report demonstrated the efficiency of the new method for lingual orthodontic treatment.Introdução: a terapia ortodôntica com braquetes linguais tem sido procurada por pacientes adultos que optam pela estética durante o tratamento ortodôntico. Neste artigo está descrita a sequência clínica de tratamento ortodôntico lingual com o sistema Incognito™, braquetes linguais e arcos ortodônticos individualizados, produzidos com tecnologia CAD/CAM. Métodos: o caso clínico apresentado descreve o tratamento de um paciente adulto com padrão de crescimento mesofacial, portador de má oclusão Classe I, apresentando apinhamento inferior e diastemas interincisais superiores, tratado com braquetes linguais 100% individualizados. Resultados: ao final do tratamento, a relação molar de Classe I foi mantida, os espaços interincisais superiores foram fechados e o apinhamento inferior corrigido. Conclusão: o caso clínico apresentado demonstrou a eficiência do novo método de tratamento ortodôntico lingual

Welding strength of NiTi wires

<div><p>ABSTRACT Objective: To identify the appropriate power level for electric welding of three commercial brands of nickel-titanium (NiTi) wires. Methods: Ninety pairs of 0.018-in and 0.017 × 0.025-in NiTi wires were divided into three groups according to their manufacturers - GI (Orthometric, Marília, Brazil), GII (3M OralCare, St. Paul, CA) and GIII (GAC,York, PA) - and welded by electrical resistance. Each group was divided into subgroups of 5 pairs of wires, in which welding was done with different power levels. In GI and GII, power levels of 2.5, 3, 3.5, 4, 4.5 and 5 were used, while in GIII 2.5, 3, 3.5 and 4 were used (each unit of power of the welding machine representing 500W). The pairs of welded wires underwent a tensile strength test on an universal testing machine until rupture and the maximum forces were recorded. Analysis of variance (ANOVA) and post-hoc tests were conducted to determine which subgroup within each brand group had the greatest resistance to rupture. Results: The 2.5 power exhibited the lowest resistance to rupture in all groups (43.75N for GI, 28.41N for GII and 47.57N for GIII) while the 4.0 power provided the highest resistance in GI and GII (97.90N and 99.61N, respectively), while in GIII (79.28N) the highest resistance was achieved with a 3.5 power welding. Conclusions: The most appropriate power for welding varied for each brand, being 4.0 for Orthometric and 3M, and 3.5 for GAC NiTi wires.</p></div