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.

<strong>self</strong>-ligating bracket systems to mainstream orthodontics.<br />

<strong>The</strong>se newer brackets are claimed to reduce friction,<br />

contribute to improved oral hygiene, lessen anchorage loss,<br />

<strong>and</strong> shorten chair- time as well as treatment-time. 38,62-65<br />

Several studies have reported that <strong>self</strong>-ligating brackets<br />

generate less sliding friction than elastomerically tied<br />

brackets. 5,38,40,42-46<br />

In general, <strong>self</strong>-ligating brackets fall into one <strong>of</strong><br />

two categories based on the design <strong>of</strong> the slot-closure. An<br />

“active” design features a resilient spring-clip that snaps<br />

closed <strong>and</strong> reduces the faciolingual slot depth to<br />

approximately 0.018 inches. Because this clip can store<br />

energy when it is activated by a lingual malalignment, a<br />

rotated tooth or a twisted rectangular wire, it has the<br />

potential to exert lingual force on the wire <strong>and</strong> help bring<br />

the tooth into its proper position. 66 Critics <strong>of</strong> the clip-<br />

design say, however, that introducing an active component<br />

into the ligation unnecessarily increases frictional<br />

resistance. 67 Some investigators have found that any<br />

advantage from decreased friction with active <strong>self</strong>-ligating<br />

brackets is reduced when rectangular wires are<br />

placed. 5,43,63,68-71 It has also been suggested that the<br />

asymmetric design <strong>of</strong> the cantilevered clip delivers a<br />

diagonally directed force to the archwire, in effect<br />

53

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

Saved successfully!

Ooh no, something went wrong!