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The use of low-tack chewing gum for individuals wearing orthodontic appliances.

A clinical study was carried out to determine the acceptability of a sugar-free, low-tack chewing gum by orthodontic patients undergoing fixed appliance treatment. Twenty-five orthodontic and 25 non-orthodontic control subjects were questioned on their preference between regular-tack and low-tack chewing gum. The orthodontic subjects showed a strong preference for the low-tack gum compared with the regular-tack gum. It was concluded that low-tack, sugar-free chewing gum can be used by orthodontic patients to increase saliva flow, with the potential to promote remineralization and help reduce white spot lesion formation related to fixed orthodontic appliances. This gum should also be of value in patients being treated for xerostomia who are wearing a partial denture.

Adhesiveness↗

Salivary nickel and chromium in subjects with different types of fixed orthodontic appliances.

The aim was to investigate nickel and chromium concentrations in saliva of patients with different types of fixed appliances. Saliva samples were collected from 47 orthodontic patients, ages 8 to 30 years. Four samples from each subject were collected: (1) before insertion of the appliance, (2) 1 to 2 days after, (3) 1 week after, and (4) 1 month after insertion of the appliance. A considerable variation in the concentrations of both nickel and chromium was observed. No significant differences were found between the no-appliance samples and the samples obtained after insertion of the appliances. The results suggest that nickel and chromium concentrations of saliva are not significantly affected by fixed orthodontic appliances during the first month of treatment.

Adolescent↗

[The determinants of wear behavior in treatment with removable orthodontic appliances].

The interplay of significant determinants of patient appliance wear is discussed in terms of a conceptual model reflecting the current state of research in orthodontic compliance. Appliance wear is determined by treatment-related factors such as regimen and perceived comfort, as well as by external factors such as patient personality and parental attitudes. Patient attitudes are the critical link between these influences. In the focus of this article are the patient's experiences and perceptions of treatment and the way they are affected by appliance and prescribed wear. Furthermore, possible measures to enhance compliance are highlighted.

Child↗

Bending properties and transformation temperatures of heat treated Ni-Ti alloy wire for orthodontic appliances.

The effect of heat treatment temperature on bending properties and transformation temperatures of a Ni-Ti alloy wire, 1.0 mm in diameter, was investigated so that superelasticity could be used in orthodontic appliances needing shape memory processes. The heat treatment process was at 713 K for 1.8 ks and between 673 K and 813 K for 1.8 ks. A three-point bending test and differential scanning calorimetry were performed. The transformation temperatures of the wires were lowered with increasing heat treatment temperature. The reverse transformation finishing temperature was below the body temperature with the treatment above 753 K. Residual deflection of the Ni-Ti wire after bending was small with the secondary heat treatment above 733 K. The load in the unloading process was less changeable and increased with the treatment temperature between 733-813 K. Secondary heat treatment in this range was suitable for using superelasticity in expansion arch appliances.

Dental Alloys↗

Two-couple orthodontic appliance systems utility arches: a two-couple intrusion arch.

The utility arch is a two-couple intrusion arch wire used for control of anterior deep overbite. It is similar to a one-couple intrusion arch in that it is commonly made with rectangular wire, attached to the teeth only at the molars and the incisors and is activated for incisor intrusion by a molar tip back bend. It differs from a one-couple intrusion arch by the insertion of the incisor segment into the incisor brackets. This results in a fixed point of application of the intrusion force anterior to the incisors and, therefore, incisor rotation by the moment of the force. In addition, insertion of the rectangular wire into the incisor brackets usually creates a third-order couple for incisor rotation. Depending on how it is used, the moment of this couple may be activated in either direction and the resulting associated equilibrium forces will either supplement or reduce the vertical equilibrium forces created by the activation bends at the molars.

Dental Stress Analysis↗

Two-couple orthodontic appliance systems: torquing arches.

Twists placed in an arch wire between incisor brackets are often used in an attempt to obtain root torque. This is only partially effective because of the equal and opposite reciprocals acting on the adjacent teeth. Alternatively, a V-bend in a torquing arch, inserted at only the molar and incisor brackets, may use the bending properties of the arch wire to create dissimilar moments in a two-bracket system. If the greater moment is present at the incisors, all of the incisors are rotated en masse in the same direction, with the associated equal and opposite vertical equilibrium forces directed at the incisors and molars. The lesser moment at the molar also usually has equilibrium forces that may reduce or supplement vertical forces at the molar and incisor depending on the magnitude and direction of the moment present. If the arch wire is unrestrained the resulting tooth movement shows rotation of the incisors around the CRes and movement of the CRes in the direction of the vertical equilibrium force present. The alternative use of a single force to rotate incisor crowns facially results in a reciprocal distal force at the posterior teeth and rotation of the incisors with a center of rotation apical to the CRes.

Dental Stress Analysis↗