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传统与主动、被动自锁托槽诱导扭矩能力的比较实验研究

A comparative experimental investigation of torque capabilities induced by conventional and active, passive self-ligating brackets.

作者信息

Katsikogianni Eleni N, Reimann Susanne, Weber Anna, Karp Jakob, Bourauel Christoph

机构信息

*Endowed Chair of Oral Technology, School of Dentistry, Rheinische Friedrich-Wilhelms University, Bonn, **Department of Orthodontics, School of Dentistry, University of Heidelberg, and

*Endowed Chair of Oral Technology, School of Dentistry, Rheinische Friedrich-Wilhelms University, Bonn.

出版信息

Eur J Orthod. 2015 Aug;37(4):440-6. doi: 10.1093/ejo/cju067. Epub 2014 Nov 19.

Abstract

INTRODUCTION

A proper selected bracket-archwire combination displays a determining factor in the efficacy of torque applied to a tooth at the final stages of an orthodontic treatment. The objective of the current study was to assess the torque capabilities of various bracket systems combined with diverse archwire materials and cross-sections.

METHODS

The study comprised of four different 0.018-inch slot orthodontic brackets: the passive and the active self-ligating 1. Swiss Nonligating Bracket (SNB) and 2. SPEED and the metallic and the plastic conventional ligating 3. Mini Mono and 4. Brilliant, respectively, and four different archwire types: stainless steel and Nitinol: 0.016×0.016 inch and 0.016×0.022 inch. A 20 degrees labial crown torque (+20 degrees) and then a 20 degrees palatal crown torque (-20 degrees) were applied gradually on the upper right central incisor. Maximum torquing moments and torque play were registered.

RESULTS

Highest torquing moments were expressed by combining SPEED® with 0.016×0.022 inch stainless steel archwire. Lowest moments, but highest torque loss were registered by inserting a 0.016×0.016 inch Nitinol archwire in conventional ligating brackets.

CONCLUSIONS

Active self-ligating system manifests the best torque effectiveness. An evident dependence of the torque expression is displayed both on the type of ligation and on the material of the archwire.

摘要

引言

在正畸治疗的最后阶段,恰当选择的托槽-弓丝组合是对牙齿施加扭矩效果的一个决定性因素。本研究的目的是评估各种托槽系统与不同弓丝材料及横截面组合时的扭矩能力。

方法

该研究包括四种不同的0.018英寸槽沟正畸托槽:被动和主动自结扎的1. 瑞士无结扎托槽(SNB)和2. SPEED托槽,以及金属和塑料传统结扎的3. 迷你单翼托槽和4. 光辉托槽,还有四种不同的弓丝类型:不锈钢和镍钛合金,尺寸分别为0.016×0.016英寸和0.016×0.022英寸。对上颌右上中切牙逐渐施加20度唇向冠扭矩(+20度),然后再施加20度腭向冠扭矩(-20度)。记录最大扭矩值和扭矩变化。

结果

将SPEED®托槽与0.016×0.022英寸不锈钢弓丝组合时表现出最高的扭矩值。在传统结扎托槽中插入0.016×0.016英寸镍钛合金弓丝时记录到最低的扭矩值,但扭矩损失最大。

结论

主动自结扎系统表现出最佳的扭矩效果。扭矩表现明显依赖于结扎方式和弓丝材料。

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