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

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<strong>The</strong> design <strong>of</strong> this study does not entirely represent<br />

what might occur in clinical situations. Because teeth<br />

tend to tip <strong>and</strong> rotate during tooth movement, 6 the <strong>effects</strong><br />

<strong>of</strong> first- <strong>and</strong> second-<strong>order</strong> angulations on slot-wire<br />

friction should not be ignored when selecting a set <strong>of</strong><br />

crown-attachments. <strong>The</strong> research design <strong>and</strong> execution did,<br />

however, help to highlight <strong>and</strong> evaluate factors associated<br />

with friction in attachment-designs. Observations from<br />

this study lead to the recommendation that measures should<br />

be taken to reduce the amount <strong>of</strong> <strong>torque</strong> in the buccal<br />

segments before beginning en masse retraction <strong>of</strong> the<br />

anterior teeth. Future studies evaluating the collective<br />

contributions <strong>of</strong> tip, rotation <strong>and</strong> <strong>torque</strong> in a multiple<br />

crown-attachment setup could be helpful in determining<br />

optimal treatment-mechanics in certain clinical situations.<br />

Conclusions<br />

<strong>The</strong> results <strong>of</strong> this study confirmed that the presence<br />

<strong>of</strong> <strong>third</strong>-<strong>order</strong> <strong>torque</strong> can contribute to kinetic frictional<br />

resistance in the buccal segments during anterior<br />

retraction using sliding mechanics with crown-attachment<br />

sets including <strong>self</strong>-ligating brackets. At small <strong>torque</strong><br />

angles, friction will tend to be less with passive than<br />

70

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