24/07/2015
Force does matter.....
The alteration in the point of force applicationâlabial or lingual could influence the magnitude of the moments in the sagittal plane.
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The experimental investigations of the initial force system produced by lingual appliances are scarce. Regarding the force magnitude, it is anticipated that an archwire of the same dimension and composition would exert higher forces at the anterior region if ligated lingually since the wire stiffness is increased (Moran, 1987). The bending stiffness of a beam is inversely proportional to the cube of length and the torsional stiffness is inversely proportional to length (Thurow, 1982). Moreover, the decrease in stiffness for bending is proportional to the cube of interbracket width increase (Creekmore, 1976). In the present experiment, the forces measured on the lateral incisor for the STb and Incognito brackets were 23 and 38per cent higher relative to conventional brackets, respectively. It is more difficult to apply light optimal forces with lingual brackets since the load/deflection rate is increased in comparison with conventional appliances (Moran, 1987; Geron et al., 2004). The difference between the two lingual systems could be attributed to the interaction of the ligation mode with the different slot designs. In case of the Incognito lingual brackets, the archwire was ligated with German overties, which provide maximum seating force, and the vertical walls of the slot provided additional stabilization to the archwire in the horizontal plane. The effect of the German overties onto the archwire stabilization is expected to be less pronounced in thinner archwires and minor tooth displacements since in these cases, the seating force for the wire is expected to be lower.
The moment created from a force applied lingually may produce a tooth movement much more complicated and unpredictable. Theoretically, the moments created from a horizontal force could be the same between the two bracket systems if force magnitude remains the same and if the vector of the force remains on the same horizontal plane and consequently on the same distance from the centre of resistance. This explains the similar patterns of tooth displacement at horizontal loadings observed between labial and lingual systems in a three-dimensional finite element model of an upper incisor (Jost-Brinkmann et al., 1993). In the present experimental set-up, the alteration in the point of force application, labial or lingual, and the differences in force magnitude have additive actions on the magnitude of the initial moments in the sagittal plane. As a result, these moments were higher in both lingual appliances (Figure 3). The difference in force magnitude between the two lingual appliances was not capable to establish a statistically significant difference between the moments measured from these appliances. This implies that the distance between the force vector and the centre of resistance in Incognito brackets was smaller in comparison to the STb brackets.
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http://ejo.oxfordjournals.org/content/35/1/82
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www.orthotropics.com