One-couple orthodontic appliance systems.

Abstract

One-couple orthodontic appliances are capable of applying well-defined forces and couples to effect controlled tooth movement during treatment. There are two sites of attachment: one in which the appliance is inserted into a bracket or tube where both a couple and force is generated, and one at which the appliance is tied as a point contact where only a force is produced. Using relatively simple designs, powerful biomechanical force systems that are easy to discern clinically can be applied to move teeth according to a prescribed plan. Several one-couple appliances are described to move individual or groups of teeth in all three dimensions. A complete biomechanical analysis of each appliance is presented and clinical reports follow each description.