Assessment of Dentoalveolar Changes Following Leveling and Alignment of Severely Crowded Upper Anterior Teeth Using Self-Ligating Brackets Alone or With Flapless Piezocision Compared to Traditional Brackets: A Randomized Controlled Clinical Trial

Braces are undoubtedly a blessing for those whose teeth are misaligned in various ways, yet many people may not enjoy the traditional metal braces. However, some people are totally fine with having their teeth fused with the set of metal brackets and various metal components flowing through. A few people may simply not feel comfortable in that way. Orthodontists have developed a huge array of bracket styles by concentrating on the wide range of preferences and financial constraints that their patients present. These various dental bracket types are all advantageous from one point of view or another. Orthodontic supplies and materials are being produced using technology that is advancing exponentially. Every day, more technologies, processes, and designs emerge. These tools assist the orthodontist in providing patients with the best functional and cosmetic outcomes. Since Edward Hartley Angle's time through MBT brackets and then lingual brackets, orthodontic brackets have advanced significantly. Orthodontists' lives have been greatly facilitated by these brackets. Numerous new materials and designs will be developed as technology progresses. The purpose of this article was to give a general overview of the different orthodontic brackets and demonstrate how the logic underlying them helps orthodontists in their day-to-day jobs.

Section: Reviewmentioning

confidence: 99%

A Review on Orthodontic Brackets and Their Application in Clinical Orthodontics

Mundhada,

Jadhav,

Reche

2023

“…Many attempts have been made clinically and in vivo to find different methods that achieve faster results and reduce the duration of orthodontic treatment, including surgical methods such as traditional corticotomy [ 6 ], flapless corticotomy [ 7 ], laser-assisted flapless corticotomy [ 8 ], piezocision [ 9 ] and corticision [ 10 ] that depend mainly on inducing the regional acceleratory phenomenon (RAP). Or non-surgical methods such as low-level laser therapy (LLLT)[ 11 ], biomechanical appliance modification [ 12 ], and pulsed electromagnetic fields [ 13 ]. Those non-invasive techniques to accelerate orthodontic tooth movement have achieved promising results as surgical methods with greater patient acceptance [ 14 ].…”

Section: Introductionmentioning

confidence: 99%

A Novel Method to Accelerate Orthodontic Tooth Movement Using Low-Intensity Direct Electrical Current in Patients Requiring en-Masse Retraction of the Upper Anterior Teeth: A Preliminary Clinical Report

Shaadouh¹,

Hajeer²,

Al-Sabbagh³

et al. 2023

Self Cite

Background: Shortening the duration of orthodontic treatment by speeding up the rate of tooth movement has become an essential goal for both orthodontists and patients. This preliminary report aimed to investigate the safety and effectiveness of a new intraoral removable electrical device in accelerating the en-masse retraction of the upper anterior teeth using low-intensity direct electrical current. Methods: This prospective preliminary interventional clinical study was conducted at the Department of Orthodontics, Faculty of Dentistry, Damascus University, Syria, between March 2019 and February 2020. The sample consisted of six patients (four females and two males; mean age: 19.55 ± 0.89 years) whose initial diagnosis was class II division I malocclusion, and their treatment plan suggested the extraction of upper first premolars followed by en-masse retraction. The electrical stimulation was applied on the maxillary anterior region during the en-masse retraction phase using a specially fabricated removable device that was designed by two coauthors of this manuscript (RIS, MYH). Patients were asked to wear their own electrical devices inside their mouths for five hours daily. The primary outcomes were the en-masse retraction rate and duration. The secondary outcomes were safety and patient acceptance. Results: The average total retraction rate during the treatment period was 0.97±0.06 mm/month. The total amount of retraction achieved during follow-up was 5.65 ± 0.85 mm, which was about 91.86% of the space resulting from the extraction of the upper first premolars. The mean treatment duration to complete the en-masse retraction was 5.66±0.81 months. No side effects of the electrical stimulation were found during the follow-up. Conclusions: Low-intensity direct electrical current could be an effective method to accelerate orthodontic movement. The electrical accelerating device used in this study effectively increased the en-masse retraction rate of the upper anterior teeth without any side effects and with high patient acceptance.

“…The patient was instructed post-operative regimen, which included taking two tablets of antibiotic per day for one week after corticotomy, applying ice packs for the first 12 hours after corticotomy, eating soft food in the first three days, using a mouthwash during the first few days, and avoiding smoking during the first week. Instead of taking non-steroid anti-inflammatory drugs, which were not permitted to avoid overlapping with the RAP effect, only 500 mg acetaminophen (Panadol) was allowed to be taken when necessary [ 31 , 32 ].…”

Section: Methodsmentioning

confidence: 99%

Effectiveness of Flapless Cortico-Alveolar Perforations Using Mechanical Drills Versus Traditional Corticotomy on the Retraction of Maxillary Canines in Class II Division 1 Malocclusion: A Three-Arm Randomized Controlled Clinical Trial

Alfailany,

Hajeer,

Al-Bitar

et al. 2023

Self Cite

Background and objectives: Both invasive and minimally invasive surgical methods have recently gained popularity in accelerating orthodontic tooth movement. Traditional corticotomy (TC) was one of the first effective invasive surgical techniques in shortening orthodontic treatment time, whereas the flapless cortico-alveolar perforations (FCAPs) technique is a modern minimally invasive method that has recently shown good results in different types of orthodontic tooth movement. Therefore, this study aimed to compare the effectiveness of TC versus FCAPs in maxillary canine retraction when treating Class II division 1 malocclusion patients. Materials and methods: This was a single-blinded, single-center, three-arm randomized controlled trial. A total of 51 patients (22 males, 29 females, mean age 20.98 ± 1.95) whose treatment planning included the extraction of maxillary first premolars were enrolled and randomly divided into three groups: the TC group, the FCAPs group, and the control group. The assessed outcomes were the amount of canine retraction, anchorage loss, and canines’ rotation, which was evaluated at five-time points till the completion of canine retraction. Results: There were statistically significant differences in the amount of canine retraction between the three groups in the first two months (p < 0.001), with greater mean values in the TC group (p < 0.001) in the first month. However, the amount of canine retraction in the FCAPs group was significantly greater in the second month compared to the TC group (p = 0.003) and the control group (p < 0.001). In the first month of canine retraction, anchorage loss, and canine rotation were significantly lesser in the TC and FCAPs groups than in the control group (p < 0.001). On the contrary, the canines’ rotation amount after the completion of retraction was greater in the TC group than in the other two groups (p < 0.001). Conclusion: TC and FCAPs are efficient adjunctive surgical methods for accelerating canine retraction. At the end of the first month, the TC accelerated canine retraction by 59.85% and FCAPs by 44% compared to the conventional retraction. At the end of the second month, the acceleration was less than recorded in the first month (35.44% and 50.20%, respectively). The acceleration effect of the surgical interventions appeared transient and did not last in the following observation period.