02.03.2013 Views

The effects of third-order torque and self - Saint Louis University

The effects of third-order torque and self - Saint Louis University

The effects of third-order torque and self - Saint Louis University

SHOW MORE
SHOW LESS

You also want an ePaper? Increase the reach of your titles

YUMPU automatically turns print PDFs into web optimized ePapers that Google loves.

fact that the magnitude <strong>of</strong> resistance is unknown. <strong>The</strong><br />

orthodontist is, then, guessing how much force is needed to<br />

move teeth without straining anchorage. 8<br />

<strong>The</strong> application <strong>of</strong> sliding mechanics in orthodontics<br />

has increased since the introduction <strong>of</strong> the pre-adjusted<br />

edgewise appliance system. 9 <strong>The</strong> process can involve the<br />

guidance <strong>of</strong> a tooth along a continuous archwire or the<br />

movement <strong>of</strong> the wire through crown-attachment slots. In<br />

particular, overjet reduction <strong>and</strong> space closure have been<br />

traditionally accepted applications <strong>of</strong> sliding mechanics.<br />

In a first premolar extraction case, a space is created<br />

between the canine <strong>and</strong> the second premolar. In the<br />

presence <strong>of</strong> maximum anchorage, the canine would first be<br />

retracted bodily with the archwire guiding its<br />

displacement. This single-tooth movement would likely<br />

create unwanted friction that could cause “side <strong>effects</strong>”<br />

such as uncontrolled tipping, loss <strong>of</strong> posterior anchorage,<br />

or deepening <strong>of</strong> the overbite. 10 Forces acting posteriorly<br />

on the anterior portion <strong>of</strong> the archwire would then be<br />

created to retract the incisors into the remaining spaces<br />

while allowing the excess wire to slide through the<br />

posterior brackets <strong>and</strong> tubes. Any friction in the buccal<br />

segments would hinder the movement <strong>of</strong> the incisal segment<br />

<strong>and</strong>, therefore, could delay space closure. 11<br />

6

Hooray! Your file is uploaded and ready to be published.

Saved successfully!

Ooh no, something went wrong!