Aim To determine cephalometrically the mechanism of the treatment effects of non-extraction and multiloop edgewise archwire （MEAW） technique on postpeak Class Ⅱ Division 1 patients. Methodology In this retrospectiv...Aim To determine cephalometrically the mechanism of the treatment effects of non-extraction and multiloop edgewise archwire （MEAW） technique on postpeak Class Ⅱ Division 1 patients. Methodology In this retrospective study, 16 postpeak Class Ⅱ Division 1 patients successfully corrected using a non-extraction and MEAW technique were cephalometrically evaluated and compared with 16 matched control subjects treated using an extraction technique. Using CorelDRAW software, standardized digital cephalograms preand post-active treatments were traced and a reference grid was set up. The superimpositions were based on the cranial base, the mandibular and the maxilla regions,and skeletal and dental changes were measured. Changes following treatment were evaluated using the paired-sample t-test. Student＇s t-test for unpaired samples was used to assess the differences in changes between the MEAW and the extraction control groups. Results The correction of the molar relationships comprised 54% skeletal change （mainly the advancement of the mandible） and 46% dental change. Correction of the anterior teeth relationships comprised 30% skeletal change and 70% dental change. Conclusion The MEAW technique can produce the desired vertical and sagittal movement of the tooth segment and then effectively stimulate mandibular advancement by utilizing the residual growth potential of the condyle.展开更多
Background As the only active component in final treatment phase of Tip-Edge Plus technique, the activation of nickel-titanium orthodontic archwires is one of the factors that affect the torque expression. It is neces...Background As the only active component in final treatment phase of Tip-Edge Plus technique, the activation of nickel-titanium orthodontic archwires is one of the factors that affect the torque expression. It is necessary to evaluate the mechanical properties of the nickel-titanium wire used in the final treatment phase in simulated oral environments to forecast the treatment outcomes. Methods The mechanical properties of 171 thermal nickel-titanium wires of 0.35 mm （0.014-in） in diameters with different deflection of 40 mm in length were investigated with three-point bending test. The samples were divided into 2 groups： as-received and bended groups. In the bended group, samples were divided into 7 subgroups according to the amounts of deflection and named by the canine angulations （-25~, -19~, -13~, -7~, -1~, ＋5~, ＋11~）. The deflection of wires was made by inserting the wires into the deep tunnel of Tip-Edge Plus brackets positioned in plaster casts with different canine angulations to mimic the use of nickel-titanium wires in the final treatment phase. Immersed the bended group in artificial saliva （pH 6.8） and preserved at 37.0~C. Eight durations of incubation were tested： 1 to 8 weeks. Three analogous samples of each group and subgroups were tested per week. Stiffness （YS：E） and the load-deflection characteristics of unloading plateau section were obtained. Results Significant changes in specific mechanical properties were observed in long-term immersed and large deflected wires compared with as-received groups. Both immersion time and deflection affected the mechanical properties of wires in the simulated oral environment, and the two factors had synergistic effect. In groups -25~, -19~ and -13~, stiffness （YS：E） increased then decreased and average plateau force and ratio of variance decreased then increased correspondingly at specific time. Conclusions In the final treatment phase of Tip-Edge Plus technique, the mechanical properties of nickel-titanium wire are associated with the using time and amounts of deflection and it may affect treatment outcomes. As the main reason for wire deflection, canine crown angulation plays an important role in the wire performance. It may be wise to focus on the canine crown angulations and using time in clinic with Tip-Edge Plus technique and make proper adjustment to help to make sure the treatment outcomes.展开更多
BACKGROUND Correcting skeletal class III malocclusion with anterior crossbite in adolescents using only orthodontic treatment poses challenges.This report highlights a novel approach leveraging improved superelastic N...BACKGROUND Correcting skeletal class III malocclusion with anterior crossbite in adolescents using only orthodontic treatment poses challenges.This report highlights a novel approach leveraging improved superelastic Ni-Ti alloy wire(ISW)to address these conditions effectively.CASE SUMMARY A 17-year-old male patient presented with the chief complaint of an underbite.The patient was given a diagnosis of skeletal class III malocclusion and anterior crossbite.The orthodontic treatment plan was implemented and did not require teeth extractions or orthognathic surgery.Key interventions involved the app-lication of ISW,intermaxillary elastics,and ISW unilateral multi-bend edgewise archwire.The unique combination of these techniques enabled the correction without the need for extractions or surgery.This approach leverages the advanced biomechanical properties of ISW,including its super-elasticity and shape memory,to enhance treatment efficacy.The treatment lasted 17 months,and major improvements in overjet,overbite,and alignment were achieved.The results were favorable,and stability was discovered during follow-up.CONCLUSION The application of ISW for treating skeletal class III malocclusion with anterior crossbite in a 17-year-old male patient resulted in exceptional outcomes.The treatment led to a marked improvement in the patient’s facial profile and to proper overjet,overbite,and midline alignment.These results were maintained over a one-year follow-up,indicating that a minimally invasive orthodontic approach can effectively address complex skeletal discrepancies in adolescent patients.This case illustrates that with the careful use of advanced orthodontic techniques,major skeletal challenges can be resolved without resorting to surgical procedures.展开更多
文摘Aim To determine cephalometrically the mechanism of the treatment effects of non-extraction and multiloop edgewise archwire （MEAW） technique on postpeak Class Ⅱ Division 1 patients. Methodology In this retrospective study, 16 postpeak Class Ⅱ Division 1 patients successfully corrected using a non-extraction and MEAW technique were cephalometrically evaluated and compared with 16 matched control subjects treated using an extraction technique. Using CorelDRAW software, standardized digital cephalograms preand post-active treatments were traced and a reference grid was set up. The superimpositions were based on the cranial base, the mandibular and the maxilla regions,and skeletal and dental changes were measured. Changes following treatment were evaluated using the paired-sample t-test. Student＇s t-test for unpaired samples was used to assess the differences in changes between the MEAW and the extraction control groups. Results The correction of the molar relationships comprised 54% skeletal change （mainly the advancement of the mandible） and 46% dental change. Correction of the anterior teeth relationships comprised 30% skeletal change and 70% dental change. Conclusion The MEAW technique can produce the desired vertical and sagittal movement of the tooth segment and then effectively stimulate mandibular advancement by utilizing the residual growth potential of the condyle.
文摘Background As the only active component in final treatment phase of Tip-Edge Plus technique, the activation of nickel-titanium orthodontic archwires is one of the factors that affect the torque expression. It is necessary to evaluate the mechanical properties of the nickel-titanium wire used in the final treatment phase in simulated oral environments to forecast the treatment outcomes. Methods The mechanical properties of 171 thermal nickel-titanium wires of 0.35 mm （0.014-in） in diameters with different deflection of 40 mm in length were investigated with three-point bending test. The samples were divided into 2 groups： as-received and bended groups. In the bended group, samples were divided into 7 subgroups according to the amounts of deflection and named by the canine angulations （-25~, -19~, -13~, -7~, -1~, ＋5~, ＋11~）. The deflection of wires was made by inserting the wires into the deep tunnel of Tip-Edge Plus brackets positioned in plaster casts with different canine angulations to mimic the use of nickel-titanium wires in the final treatment phase. Immersed the bended group in artificial saliva （pH 6.8） and preserved at 37.0~C. Eight durations of incubation were tested： 1 to 8 weeks. Three analogous samples of each group and subgroups were tested per week. Stiffness （YS：E） and the load-deflection characteristics of unloading plateau section were obtained. Results Significant changes in specific mechanical properties were observed in long-term immersed and large deflected wires compared with as-received groups. Both immersion time and deflection affected the mechanical properties of wires in the simulated oral environment, and the two factors had synergistic effect. In groups -25~, -19~ and -13~, stiffness （YS：E） increased then decreased and average plateau force and ratio of variance decreased then increased correspondingly at specific time. Conclusions In the final treatment phase of Tip-Edge Plus technique, the mechanical properties of nickel-titanium wire are associated with the using time and amounts of deflection and it may affect treatment outcomes. As the main reason for wire deflection, canine crown angulation plays an important role in the wire performance. It may be wise to focus on the canine crown angulations and using time in clinic with Tip-Edge Plus technique and make proper adjustment to help to make sure the treatment outcomes.
文摘BACKGROUND Correcting skeletal class III malocclusion with anterior crossbite in adolescents using only orthodontic treatment poses challenges.This report highlights a novel approach leveraging improved superelastic Ni-Ti alloy wire(ISW)to address these conditions effectively.CASE SUMMARY A 17-year-old male patient presented with the chief complaint of an underbite.The patient was given a diagnosis of skeletal class III malocclusion and anterior crossbite.The orthodontic treatment plan was implemented and did not require teeth extractions or orthognathic surgery.Key interventions involved the app-lication of ISW,intermaxillary elastics,and ISW unilateral multi-bend edgewise archwire.The unique combination of these techniques enabled the correction without the need for extractions or surgery.This approach leverages the advanced biomechanical properties of ISW,including its super-elasticity and shape memory,to enhance treatment efficacy.The treatment lasted 17 months,and major improvements in overjet,overbite,and alignment were achieved.The results were favorable,and stability was discovered during follow-up.CONCLUSION The application of ISW for treating skeletal class III malocclusion with anterior crossbite in a 17-year-old male patient resulted in exceptional outcomes.The treatment led to a marked improvement in the patient’s facial profile and to proper overjet,overbite,and midline alignment.These results were maintained over a one-year follow-up,indicating that a minimally invasive orthodontic approach can effectively address complex skeletal discrepancies in adolescent patients.This case illustrates that with the careful use of advanced orthodontic techniques,major skeletal challenges can be resolved without resorting to surgical procedures.
