Kanyas S Dhivya, Sankar Hanumanth, Kommi Pradeep Babu, Arani Nandakumar, Keerthi V Naga
Post Graduate Student, Department of Orthodontics and Dentofacial Orthopedics, Indira Gandhi Institute of Dental Sciences , Puducherry, India .
Senior Lecturer, Department of Orthodontics and Dentofacial Orthopedics, Indira Gandhi Institute of Dental Sciences , Puducherry, India .
J Clin Diagn Res. 2016 Mar;10(3):ZD11-2. doi: 10.7860/JCDR/2016/17404.7478. Epub 2016 Mar 1.
People approach orthodontist mainly for aesthetic purpose, midline diastema is one of the condition which causes aesthetic compromise. The midline diastema can be caused by various reasons such as high frenal attachment, midline pathology, etc. In the field of orthodontics, relapse rate is high while treating midline diastema. This relapse can be reduced only when there is bodily movement of the incisors in mesial direction. In this article, two cases of midline diastema are selected. Both the cases were treated using "M" spring which has three coils; two at periphery and one at the center and each coil was of 3mm diameter. "M" spring was fabricated using round 0.018" AJ Wilcock wire for one case and 0.017 X 0.025 TMA for another case. For both cases the duration of treatment was for six weeks. IOPA was taken after six weeks, the case in which rectangular wire was used; there was bodily movement of the central incisor in mesial direction. Whereas in round wire technique, predominantly tipping type of tooth movement was seen. The rectangular wire has two point contacts, because of which bodily movement was obtained. This technique of using rectangular wire to fabricate "M" spring has less inventory and chair side time.
人们找正畸医生主要是出于美观目的,中线牙缝是导致美观受损的情况之一。中线牙缝可由多种原因引起,如系带附着过高、中线病变等。在正畸领域,治疗中线牙缝时复发率很高。只有当切牙向近中方向整体移动时,这种复发才能减少。在本文中,选取了两例中线牙缝病例。两例均使用了有三个线圈的“M”形弹簧进行治疗;两个在外围,一个在中间,每个线圈直径为3毫米。一例使用直径0.018英寸的圆形AJ威尔科克丝制作“M”形弹簧,另一例使用0.017×0.025的TMA矩形丝制作。两例的治疗时长均为六周。六周后拍摄了口腔全景片,使用矩形丝的病例中,中切牙向近中方向整体移动。而在圆形丝技术中,主要观察到的是倾斜型牙齿移动。矩形丝有两个点接触,因此实现了整体移动。这种使用矩形丝制作“M”形弹簧的技术所需库存和椅旁时间较少。