Skip to main content
Top
Published in: Head & Face Medicine 1/2009

Open Access 01-12-2009 | Research

Comparative analysis of slot dimension in lingual bracket systems

Authors: Anton Demling, Marc P Dittmer, Rainer Schwestka-Polly

Published in: Head & Face Medicine | Issue 1/2009

Login to get access

Abstract

Background

Orthodontic treatment with fixed appliances requires - among others - the correct clinical expression of torque, which depends on the precise fitting of archwire and slot. Especially in the lingual technique torque problems become clinically more evident than in labial appliances also with respect to the vertical alignment of teeth due to different distances from the center of resistance. The purpose of the present study was to compare the preciseness of slot dimensions of different lingual bracket systems.

Methods

Three lingual bracket systems were included in the study (7th Generation and STb, Ormco, Glendora, CA, USA; Incognito, TOP-Service/3 M Unitek, Monrovia, CA, USA). Non destructive analysis of vertical slot dimensions was performed using precision pin gauges (Azurea, Belprahon, Switzerland) that were tapered in increments of 0.002 mm (0.00008 inch). The sizes of 240 incisor and canine brackets were measured per system (total: 720). Data were compared using one-way ANOVA. A p-value < 0.05 was considered statistically significant.

Results

Average slot dimensions were 0.467 mm ± 0.007 mm (0.0184 inch ± 0.0003 inch) for the 7th Generation bracket system, 0.466 mm ± 0.004 mm (0.0183 inch ± 0.0001) inch for the STb bracket system and 0.459 mm ± 0.004 mm (0.0181 inch ± 0.0001) inch for the Incognito bracket system. Differences between systems were statistically significant (p < 0.05).

Conclusions

The analyzed bracket systems for lingual treatment exhibited significant differences in slot dimension that will clinically result in torque play. These aspects must be considered in lingual orthodontic treatment.
Appendix
Available only for authorised users
Literature
1.
go back to reference Fujita K: New orthodontic treatment with lingual bracket mushroom arch wire appliance. Am J Orthod. 1979, 76: 657-675. 10.1016/0002-9416(79)90211-2.CrossRefPubMed Fujita K: New orthodontic treatment with lingual bracket mushroom arch wire appliance. Am J Orthod. 1979, 76: 657-675. 10.1016/0002-9416(79)90211-2.CrossRefPubMed
2.
go back to reference Alexander CM, Alexander RG, Gorman JC, Hilgers JJ, Kurz C, Scholz RP, Smith JR: Lingual orthodontics. A status report. J Clin Orthod. 1982, 16: 255-262.PubMed Alexander CM, Alexander RG, Gorman JC, Hilgers JJ, Kurz C, Scholz RP, Smith JR: Lingual orthodontics. A status report. J Clin Orthod. 1982, 16: 255-262.PubMed
3.
go back to reference Kurz C, Swartz ML, Andreiko C: Lingual orthodontics: a status report. Part 2: Research and development. J Clin Orthod. 1982, 16: 735-740.PubMed Kurz C, Swartz ML, Andreiko C: Lingual orthodontics: a status report. Part 2: Research and development. J Clin Orthod. 1982, 16: 735-740.PubMed
4.
go back to reference Takemoto K, Scuzzo G: The straight-wire concept in lingual orthodontics. J Clin Orthod. 2001, 35: 46-52.PubMed Takemoto K, Scuzzo G: The straight-wire concept in lingual orthodontics. J Clin Orthod. 2001, 35: 46-52.PubMed
5.
go back to reference Fritz U, Diedrich P, Wiechmann D: Lingual technique--patients' characteristics, motivation and acceptance. Interpretation of a retrospective survey. J Orofac Orthop. 2002, 63: 227-233. 10.1007/s00056-002-0124-3.CrossRefPubMed Fritz U, Diedrich P, Wiechmann D: Lingual technique--patients' characteristics, motivation and acceptance. Interpretation of a retrospective survey. J Orofac Orthop. 2002, 63: 227-233. 10.1007/s00056-002-0124-3.CrossRefPubMed
6.
go back to reference Fillion D: Improving patient comfort with lingual brackets. J Clin Orthod. 1997, 31: 689-694.PubMed Fillion D: Improving patient comfort with lingual brackets. J Clin Orthod. 1997, 31: 689-694.PubMed
7.
go back to reference Fujita K: Multilingual-bracket and mushroom arch wire technique. A clinical report. Am J Orthod. 1982, 82: 120-140. 10.1016/0002-9416(82)90491-2.CrossRefPubMed Fujita K: Multilingual-bracket and mushroom arch wire technique. A clinical report. Am J Orthod. 1982, 82: 120-140. 10.1016/0002-9416(82)90491-2.CrossRefPubMed
8.
go back to reference Wiechmann D: A new bracket system for lingual orthodontic treatment. Part 2: First clinical experiences and further development. J Orofac Orthop. 2003, 64: 372-388. 10.1007/s00056-003-0325-4.CrossRefPubMed Wiechmann D: A new bracket system for lingual orthodontic treatment. Part 2: First clinical experiences and further development. J Orofac Orthop. 2003, 64: 372-388. 10.1007/s00056-003-0325-4.CrossRefPubMed
9.
go back to reference Stamm T, Hohoff A, Ehmer U: A subjective comparison of two lingual bracket systems. Eur J Orthod. 2005, 27: 420-426. 10.1093/ejo/cji034.CrossRefPubMed Stamm T, Hohoff A, Ehmer U: A subjective comparison of two lingual bracket systems. Eur J Orthod. 2005, 27: 420-426. 10.1093/ejo/cji034.CrossRefPubMed
10.
go back to reference Wiechmann D: A new bracket system for lingual orthodontic treatment. Part 1: Theoretical background and development. J Orofac Orthop. 2002, 63: 234-245. 10.1007/s00056-002-0211-5.CrossRefPubMed Wiechmann D: A new bracket system for lingual orthodontic treatment. Part 1: Theoretical background and development. J Orofac Orthop. 2002, 63: 234-245. 10.1007/s00056-002-0211-5.CrossRefPubMed
11.
go back to reference Wiechmann D, Schwestka-Polly R, Hohoff A: Herbst appliance in lingual orthodontics. Am J Orthod Dentofacial Orthop. 2008, 134: 439-446. 10.1016/j.ajodo.2007.09.015.CrossRefPubMed Wiechmann D, Schwestka-Polly R, Hohoff A: Herbst appliance in lingual orthodontics. Am J Orthod Dentofacial Orthop. 2008, 134: 439-446. 10.1016/j.ajodo.2007.09.015.CrossRefPubMed
12.
go back to reference Gioka C, Eliades T: Materials-induced variation in the torque expression of preadjusted appliances. Am J Orthod Dentofacial Orthop. 2004, 125: 323-328. 10.1016/j.ajodo.2003.02.007.CrossRefPubMed Gioka C, Eliades T: Materials-induced variation in the torque expression of preadjusted appliances. Am J Orthod Dentofacial Orthop. 2004, 125: 323-328. 10.1016/j.ajodo.2003.02.007.CrossRefPubMed
13.
go back to reference Meling TR, Odegaard J: On the variability of cross-sectional dimensions and torsional properties of rectangular nickel-titanium arch wires. Am J Orthod Dentofacial Orthop. 1998, 113: 546-557. 10.1016/S0889-5406(98)70266-5.CrossRefPubMed Meling TR, Odegaard J: On the variability of cross-sectional dimensions and torsional properties of rectangular nickel-titanium arch wires. Am J Orthod Dentofacial Orthop. 1998, 113: 546-557. 10.1016/S0889-5406(98)70266-5.CrossRefPubMed
14.
go back to reference Morina E, Eliades T, Pandis N, Jager A, Bourauel C: Torque expression of self-ligating brackets compared with conventional metallic, ceramic, and plastic brackets. Eur J Orthod. 2008, 30: 233-238. 10.1093/ejo/cjn005.CrossRefPubMed Morina E, Eliades T, Pandis N, Jager A, Bourauel C: Torque expression of self-ligating brackets compared with conventional metallic, ceramic, and plastic brackets. Eur J Orthod. 2008, 30: 233-238. 10.1093/ejo/cjn005.CrossRefPubMed
15.
go back to reference Germane N, Bentley BE, Isaacson RJ: Three biologic variables modifying faciolingual tooth angulation by straight-wire appliances. Am J Orthod Dentofacial Orthop. 1989, 96: 312-319. 10.1016/0889-5406(89)90350-8.CrossRefPubMed Germane N, Bentley BE, Isaacson RJ: Three biologic variables modifying faciolingual tooth angulation by straight-wire appliances. Am J Orthod Dentofacial Orthop. 1989, 96: 312-319. 10.1016/0889-5406(89)90350-8.CrossRefPubMed
16.
go back to reference Miethke RR, Melsen B: Effect of variation in tooth morphology and bracket position on first and third order correction with preadjusted appliances. Am J Orthod Dentofacial Orthop. 1999, 116: 329-335. 10.1016/S0889-5406(99)70246-5.CrossRefPubMed Miethke RR, Melsen B: Effect of variation in tooth morphology and bracket position on first and third order correction with preadjusted appliances. Am J Orthod Dentofacial Orthop. 1999, 116: 329-335. 10.1016/S0889-5406(99)70246-5.CrossRefPubMed
17.
go back to reference Meling TR, Odegaard J, Seqner D: On bracket slot height: a methodologic study. Am J Orthod Dentofacial Orthop. 1998, 113: 387-393.PubMed Meling TR, Odegaard J, Seqner D: On bracket slot height: a methodologic study. Am J Orthod Dentofacial Orthop. 1998, 113: 387-393.PubMed
18.
go back to reference Stamm T, Wiechmann D, Heinecken A, Ehmer U: Relation between second and third order problems in lingual orthodontic treatment. J Ling Orthod. 2000, 3: 5-11. Stamm T, Wiechmann D, Heinecken A, Ehmer U: Relation between second and third order problems in lingual orthodontic treatment. J Ling Orthod. 2000, 3: 5-11.
19.
go back to reference Meling TR, Odegaard J, Meling EO: On mechanical properties of square and rectangular stainless steel wires tested in torsion. Am J Orthod Dentofacial Orthop. 1997, 111: 310-320. 10.1016/S0889-5406(97)70190-2.CrossRefPubMed Meling TR, Odegaard J, Meling EO: On mechanical properties of square and rectangular stainless steel wires tested in torsion. Am J Orthod Dentofacial Orthop. 1997, 111: 310-320. 10.1016/S0889-5406(97)70190-2.CrossRefPubMed
20.
go back to reference Cash AC, Good SA, Curtis RV, McDonald F: An evaluation of slot size in orthodontic brackets--are standards as expected?. Angle Orthod. 2004, 74: 450-453.PubMed Cash AC, Good SA, Curtis RV, McDonald F: An evaluation of slot size in orthodontic brackets--are standards as expected?. Angle Orthod. 2004, 74: 450-453.PubMed
21.
go back to reference Sebanc J, Brantley WA, Pincsak JJ, Conover JP: Variability of effective root torque as a function of edge bevel on orthodontic arch wires. Am J Orthod. 1984, 86: 43-51. 10.1016/0002-9416(84)90275-6.CrossRefPubMed Sebanc J, Brantley WA, Pincsak JJ, Conover JP: Variability of effective root torque as a function of edge bevel on orthodontic arch wires. Am J Orthod. 1984, 86: 43-51. 10.1016/0002-9416(84)90275-6.CrossRefPubMed
22.
go back to reference Meling T, Odegaard J, Holthe K, Meling EO, Segner D: A formula for the displacement of an arch wire when subjected to a second-order couple. Am J Orthod Dentofacial Orthop. 1998, 113: 632-640. 10.1016/S0889-5406(98)70223-9.CrossRefPubMed Meling T, Odegaard J, Holthe K, Meling EO, Segner D: A formula for the displacement of an arch wire when subjected to a second-order couple. Am J Orthod Dentofacial Orthop. 1998, 113: 632-640. 10.1016/S0889-5406(98)70223-9.CrossRefPubMed
23.
go back to reference Sernetz F: Standardization of orthodontic products--does it make sense?. J Orofac Orthop. 2005, 66: 307-318. 10.1007/s00056-005-0503-7.CrossRefPubMed Sernetz F: Standardization of orthodontic products--does it make sense?. J Orofac Orthop. 2005, 66: 307-318. 10.1007/s00056-005-0503-7.CrossRefPubMed
24.
go back to reference Badawi HM, Toogood RW, Carey JP, Heo G, Major PW: Torque expression of self-ligating brackets. Am J Orthod Dentofacial Orthop. 2008, 133: 721-728. 10.1016/j.ajodo.2006.01.051.CrossRefPubMed Badawi HM, Toogood RW, Carey JP, Heo G, Major PW: Torque expression of self-ligating brackets. Am J Orthod Dentofacial Orthop. 2008, 133: 721-728. 10.1016/j.ajodo.2006.01.051.CrossRefPubMed
25.
go back to reference O'Higgins EA, Kirschen RH, Lee RT: The influence of maxillary incisor inclination on arch length. Br J Orthod. 1999, 26: 97-102. 10.1093/ortho/26.2.97.CrossRefPubMed O'Higgins EA, Kirschen RH, Lee RT: The influence of maxillary incisor inclination on arch length. Br J Orthod. 1999, 26: 97-102. 10.1093/ortho/26.2.97.CrossRefPubMed
Metadata
Title
Comparative analysis of slot dimension in lingual bracket systems
Authors
Anton Demling
Marc P Dittmer
Rainer Schwestka-Polly
Publication date
01-12-2009
Publisher
BioMed Central
Published in
Head & Face Medicine / Issue 1/2009
Electronic ISSN: 1746-160X
DOI
https://doi.org/10.1186/1746-160X-5-27

Other articles of this Issue 1/2009

Head & Face Medicine 1/2009 Go to the issue