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Orthod Fr ; 91(3): 249-262, 2020 10 01.
Artigo em Francês | MEDLINE | ID: mdl-33146619


The use of self-ligating brackets has largely developed in orthodontic practice thanks to numerous advantages, including the reduction of frictional forces during sliding orthodontic mechanic. Faced with scientific evidence, this advantage still seems to be debatable. Our objective was to evaluate in vivo the frictional force of self-ligating brackets by searching for micro-morphological and chemical effects on the active slot surface, after phase of alignment-leveling and after a period in the mouth. 16 brackets from four commercial brands were selected (Damon®, In-Ovation®, Smart-clip® and Carriere®). These brackets were visualized using a scanning electron microscope (SEM) and dispersive energy spectroscopy to study their surface and initial chemical composition. After a period in the mouth, these brackets were debonded and evaluated with SEM, to search topographic and chemical changes in relation to the frictional forces. After a period of three months used for dental alignment, all the brackets show considerable changes in topographic and chemical properties related to frictional forces, with deposit of organic debris whose importance is related to the initial surface different from one manufacturer to another.

Braquetes Ortodônticos , Fios Ortodônticos , Ligas Dentárias , Análise do Estresse Dentário , Fricção , Teste de Materiais , Desenho de Aparelho Ortodôntico , Aço Inoxidável , Propriedades de Superfície
Int Orthod ; 15(3): 297-311, 2017 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-28778722


INTRODUCTION: 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. MATERIALS AND METHODS: 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. RESULTS AND DISCUSSION: 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.

Má Oclusão/terapia , Desenho de Aparelho Ortodôntico , Braquetes Ortodônticos , Humanos , Ensaios Clínicos Controlados Aleatórios como Assunto , Resultado do Tratamento