Document Detail


Efficiency of mandibular arch alignment with 2 preadjusted edgewise appliances.
MedLine Citation:
PMID:  19409342     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
INTRODUCTION: The aim of this study was to compare the efficiency of mandibular arch alignment in 3 dimensions with a self-ligating bracket system (SmartClip, 3M Unitek, Monrovia, Calif) and a conventional preadjusted edgewise twin bracket (Victory, 3M Unitek) in nonextraction patients. This was a prospective, randomized, controlled clinical trial at the Royal London Hospital, School of Dentistry, and Kent and Canterbury Hospital, United Kingdom. Sixty-six consecutive patients satisfying the inclusion criteria were enrolled in the study. They were randomly allocated with a computer-generated system to 1 of the 2 bracket systems. METHODS: Pretreatment mandibular arch irregularity was measured by using a coordinate measuring machine (Merlin II, International Metrology Systems, Gloucester, United Kingdom). A 0.016-in round martensitic active nickel-titanium aligning archwire (3M Unitek) was placed in all subjects. Mandibular arch irregularity was remeasured 8 weeks later. RESULTS: Sixty-five subjects completed the study. Bracket type had little influence on alignment efficiency overall (P = 0.08), or in the buccal (P = 0.173) or labial segments (P = 0.528) after adjustment for pretreatment differences by analysis of covariance (ANCOVA). Alignment efficiency was highly correlated to pretreatment irregularity overall (P <0.001), both in the buccal (P = 0.001) and labial (P <0.001) segments. Increasing age appeared to have a negative effect on alleviation of irregularity, although this effect did not reach statistical significance (P = 0.053). CONCLUSIONS: The null hypothesis that efficiency of alignment in the mandibular arch in nonextraction patients is independent of bracket type was accepted. Alignment efficiency is largely influenced by initial irregularity.
Authors:
Padhraig S Fleming; Andrew T DiBiase; Grammati Sarri; Robert T Lee
Publication Detail:
Type:  Journal Article; Multicenter Study; Randomized Controlled Trial    
Journal Detail:
Title:  American journal of orthodontics and dentofacial orthopedics : official publication of the American Association of Orthodontists, its constituent societies, and the American Board of Orthodontics     Volume:  135     ISSN:  1097-6752     ISO Abbreviation:  Am J Orthod Dentofacial Orthop     Publication Date:  2009 May 
Date Detail:
Created Date:  2009-05-04     Completed Date:  2009-05-18     Revised Date:  2009-12-08    
Medline Journal Info:
Nlm Unique ID:  8610224     Medline TA:  Am J Orthod Dentofacial Orthop     Country:  United States    
Other Details:
Languages:  eng     Pagination:  597-602     Citation Subset:  D; IM    
Affiliation:
Orthodontic Department, Royal London Hospital, London, United Kingdom. padhraigfleming@hotmail.com
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Child
Dental Arch / physiopathology*
Double-Blind Method
Female
Humans
Male
Malocclusion / therapy*
Mandible
Orthodontic Appliance Design
Orthodontic Brackets*
Orthodontics, Corrective / instrumentation*
Prospective Studies
Treatment Outcome
Young Adult
Comments/Corrections
Comment In:
Am J Orthod Dentofacial Orthop. 2009 Dec;136(6):756-7   [PMID:  19962584 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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