Treatment efficiency of conventional vs self-ligating brackets: effects of archwire size and material.

Autor: Turnbull NR; Orthodontic Department, Queen Alexandra Hospital, Portsmouth, Hampshire, United Kingdom. nicholasturnbull@hotmail.com, Birnie DJ
Jazyk: angličtina
Zdroj: American journal of orthodontics and dentofacial orthopedics : official publication of the American Association of Orthodontists, its constituent societies, and the American Board of Orthodontics [Am J Orthod Dentofacial Orthop] 2007 Mar; Vol. 131 (3), pp. 395-9.
DOI: 10.1016/j.ajodo.2005.07.018
Abstrakt: Introduction: In this prospective clinical study, we assessed the relative speed of archwire changes, comparing self-ligating brackets with conventional elastomeric ligation methods, and further assessed this in relation to the stage of orthodontic treatment represented by different wire sizes and types.
Methods: The time taken to remove and ligate archwires for 131 consecutive patients treated with either self-ligating or conventional brackets was prospectively assessed. The study was carried out in the orthodontic department of a district general hospital in the United Kingdom. The main outcome measure was the time to remove or place elastomeric ligatures or open/close self-ligating brackets for 2 matched groups of fixed appliance patients: Damon2 self-ligating bracket (SDS Ormco, Orange, Calif) and a conventional mini-twin bracket (Orthos, SDS Ormco). The relative effects of various wire sizes and materials on ligation times were investigated. The study was carried out by 1 operator experienced in the use of self-ligating and conventional brackets.
Results: The Damon2 self-ligating system had a significantly shorter mean archwire ligation time for both placing (P <.001) and removing (P <.01) wires compared with the conventional elastomeric system. Ligation of an archwire was approximately twice as quick with the self-ligating system. Opening a Damon slide was on average 1 second quicker per bracket than removing an elastic from the mini-twin brackets, and closing a slide was 2 seconds faster per bracket. This difference in ligation time between the Damon2 and the conventional mini-twin brackets became more marked for larger wire sizes used in later treatment stages.
Conclusions: The type of bracket and the size of wire used are statistically significant predictors for speed of ligation and chairside time. The self-ligating system offered quicker and arguably more efficient wire removal and placement for most orthodontic treatment stages.
Databáze: MEDLINE
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