Buccolingual Inclination Effects of Self-Ligating and Conventional Premolar Brackets: A Cone Beam Computed Tomography Study.

OBJECTIVE: This study aimed to compare the effects of passive self-ligating (PSL) and conventional ligating (CL) of brackets on the buccolingual inclination (BLINC) of the maxillary premolars. METHODS: This in vitro study included a PSL bracket group and a CL bracket group. Acrylic teeth on typodonts were aligned using 0.014-inch heat-activated nickel titanium (HANT) (T1) and 0.019×0.025-inch HANT (T2) and 0.021×0.025-inch stainless steel (SS) (T3) archwires in a sequence. Standardized cone beam computed tomography (CBCT) images were taken immediately after each archwire stage. The differences of premolar teeth BLINC values in the 0.019×0.025-inch and 0.014-inch HANT archwires (T2-T1) and 0.021×0.025-inch SS and 0.019×0.025-inch HANT archwires (T3-T2) were compared between PSL and CL groups. The value of p < 0.05 was considered statistically significant. RESULTS: The BLINC change of the second premolar (SPM) showed a statistically significant difference (p=0.008), but the BLINC change of the first premolar (FPM) (p=0.056) between the groups showed no statistically significant difference during the T2-T1 stage. However, there were statistically significant differences between two groups in the BLINC of the FPM (p=0.032) and SPM (p=0.032) in the T3-T2 stage. The angular changes in the buccal direction in the PSL group were higher than those in the CL group. CONCLUSION: The PSL upper premolar brackets used with the 0.021×0.025-inch SS archwire produced more buccal crown movement of the upper PM teeth compared with that of the CL brackets.

The Diagnosis and Management of Multiple Supernumerary Teeth Involving Both Jaws.

Supernumerary teeth are frequently seen anomalies however its occurrence in both jaws is rare without being associated with complex syndromes. This case report describes the orthodontic and surgical treatment of a 13-year-old boy with nonsyndromal multiple and abnormal supernumerary teeth. The patient had several erupted and unerupted supernumerary teeth involving both jaws. Two abnormal tuberculate type erupted supernumerary teeth were present at the site of upper central incisors which leads to the impaction of the permanent incisors. In this report, clinical and radiographic evaluation as well as the treatment alternatives of this rare case was presented.

The correction of maxillary defciency with internal distraction devices: a multidisciplinary approach.

AIM: The purpose of this case report is to present the orthodontic, surgical and restorative treatments in the case of an operated cleft lip and palate and severe maxillary defciency in a 14-year-old female patient. BACKGROUND: Only orthodontic treatment could be ineffcient for cleft lip and palate patients characterized with maxillary hypoplasia. Orthodontic and surgical treatment shows suffcient results, especially with severe skeletal defciency. CASE REPORT: A cleft lip and palate patient required complex multidisciplinary treatment to preserve health and restore esthetics. Dental leveling and alignment of the maxillary and mandibular teeth were provided before the surgery. Maxillary advancement and clockwise rotation of the maxillary-mandibular complex was applied by a Le Fort 1 osteotomy with two internal distraction devices. After the active treatment including orthodontic treatment and orthognathic surgery, upper full mouth ceramic restoration was applied. CONCLUSION: This report shows the efficiency of internal distraction devices in cleft lip palate patients and exemplifes the multidisciplinary care required for such diffcult cases. Clinical signifcance: Stable improved occlusion and skeletal relations were observed after a follow-up examination period of 12 months.

The clinical and laboratory effects of bracket type during canine distalization with sliding mechanics.

OBJECTIVE: To compare the extent of canine movement with sliding mechanics between a self-ligating (SC) bracket and a modified twin design (MT) bracket. To test the in vitro coefficient of friction (COFs) of these two metal brackets on 0.019- × 0.025-inch, stainless-steel arch wires. MATERIALS AND METHODS: For the clinical portion of this study, a split-mouth design was used to bond the brackets of 19 patients. Canine distalization was achieved on a 0.019- × 0.025-inch, stainless-steel arch wire with a nickel-titanium, closed-coil spring strained between a mini-screw and a canine bracket. The linear and angular measurements were performed using lateral cephalometric radiographs taken before and after canine distalization. A tribometer was also used to measure the COFs of the bracket types in vitro. For comparisons, Student's t-tests for paired and unpaired samples were used at the 95% confidence level. RESULTS: The extent of canine movement and the changes in the canine and molar teeth angles were not significantly different between the SC and MT brackets. After 8 weeks, the mean canine movements were 1.83 and 1.89 mm in the maxilla and 1.79 mm and 1.70 mm in the mandible with the SC and MT brackets, respectively. The mean COF of the MT brackets (0.21) was significantly lower than that of the SC brackets (0.37) during in vitro testing. CONCLUSION: It is suggested that the rate of canine distalization was not different between the two groups, although in vitro COFs of the SC bracket was higher.