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

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designs. <strong>The</strong> passive-slide design <strong>of</strong> the Damon series <strong>of</strong><br />

brackets utilizes a sliding “door” that closes the slot,<br />

effectively transforming the bracket into a tube. <strong>The</strong><br />

SmartClip bracket features a nickel-titanium alloy “C-clip”<br />

lateral to each <strong>of</strong> the mesial <strong>and</strong> distal tie-wings 76 ; an<br />

archwire that is snapped into the bracket-slot may remain<br />

passive in the lumens <strong>of</strong> the clips. <strong>The</strong> claimed benefit <strong>of</strong><br />

passive <strong>self</strong>-ligation is reduced friction with a variety <strong>of</strong><br />

wire sizes, resulting in faster tooth movement. 77 With the<br />

lack <strong>of</strong> a lingually directed force on the archwire,<br />

however, some critics argue that controlling <strong>torque</strong> could<br />

be a problem. 58 In addition, Harradine 63 points out that, in<br />

theory, a passively ligated bracket with an engaged<br />

rectangular wire, having a faciolingual dimension <strong>of</strong> 0.025<br />

inches, could bring a facially displaced tooth only to<br />

within 0.002 inches <strong>of</strong> the adjacent teeth because <strong>of</strong> its<br />

slot depth; usually it is approximately 0.027 inches. An<br />

active clip would, theoretically, not have this problem<br />

because it “squeezes” in the slot an archwire as small as<br />

0.018 inches in the faciolingual dimension. Harradine 63<br />

stated, however, that a remaining, clinically significant<br />

malalignment was unlikely. In two investigations, no<br />

significant difference between either the SmartClip bracket<br />

or the Damon 2 bracket <strong>and</strong> a conventional bracket in regard<br />

26

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