The korean journal of orthodontics (대한치과교정학회지)

The Korean Association Of Orthodontists (대한치과교정학회)
권호 표지
DOI QR코드

DOI QR Code

Type of tooth movement during en masse retraction of the maxillary anterior teeth using labial versus lingual biocreative therapy in adults: A randomized clinical trial

  • Sadek, Mais M. (Department of Orthodontics, Faculty of Dentistry, Ain Shams University) ;
  • Sabet, Noha E. (Faculty of Dentistry, Ain Shams University) ;
  • Hassan, Islam T. (Department of Orthodontics, Faculty of Dentistry, Ain Shams University)
  • Received : 2019.06.03
  • Accepted : 2019.08.09
  • Published : 2019.11.25
Download PDF
⟨ Previous Next ⟩

Abstract

Objective: The objective of this two-arm parallel trial was to compare the type of tooth movement during en masse retraction of the maxillary anterior teeth using labial versus lingual biocreative therapy. Methods: Twenty-eight subjects were randomized in a 1 : 1 ratio to either the labial or lingual group. En masse anterior retraction was performed using labial biocreative therapy in group A and lingual biocreative therapy in group B. Cone beam computed tomography scans were taken before and after retraction and the primary outcome was the type of tooth movement during anterior retraction. Data were analyzed using paired t-tests for comparisons within each group and independent-sample t-test for comparison of the mean treatment changes between the two groups. Results: Significant differences were found between the two groups in relation to the type of tooth movement (labiolingual inclination of the central incisor; mean difference, $5.85{\pm}1.85^{\circ}$). The canine showed significant distal tipping in the lingual group (mean difference, $6.98{\pm}1.25^{\circ}$). The canine was significantly more intruded in the lingual group (mean difference, $1.67{\pm}0.49mm$). Good anchorage control and significant soft tissue changes occurred in both groups. No serious adverse effects were detected. Conclusions: With a 10-mm retraction hook, the labial biocreative technique with the reverse curve overlay provided anterior retraction with good torque control, while in the lingual group, anterior retraction occurred with controlled tipping movement with significant distal tipping and intrusion of the canine (trial registration: The trial was registered at ClinicalTrials.gov [NCT03239275]).

Keywords

References

  1. Antoszewska-Smith J, Sarul M, Łyczek J, Konopka T, Kawala B. Effectiveness of orthodontic miniscrew implants in anchorage reinforcement during en-masse retraction: a systematic review and meta-analysis. Am J Orthod Dentofacial Orthop 2017;151:440-55. https://doi.org/10.1016/j.ajodo.2016.08.029
  2. Sung EH, Kim SJ, Chun YS, Park YC, Yu HS, Lee KJ. Distalization pattern of whole maxillary dentition according to force application points. Korean J Orthod 2015;45:20-8. https://doi.org/10.4041/kjod.2015.45.1.20
  3. Lee KJ, Park YC. The biomechanics of miniscrews: from single-tooth control to total-arch movement. In: Burstone CJ, Choy K, eds. The biomechanical foundation of clinical orthodontics. Chicago: Quintessence Publishing; 2015. p. 435.
  4. Chung KR, Kim SH, Kook YA, Son JH. Anterior torque control using partial-osseointegrated miniimplants: biocreative therapy type I technique. World J Orthod 2008;9:95-104.
  5. Chung KR, Kim SH, Kook YA, Choo H. Anterior torque control using partial-osseointegrated miniimplants: biocreative therapy type II technique. World J Orthod 2008;9:105-13.
  6. Mo SS, Kim SH, Sung SJ, Chung KR, Chun YS, Kook YA, et al. Factors controlling anterior torque with C-implants depend on en-masse retraction without posterior appliances: biocreative therapy type II technique. Am J Orthod Dentofacial Orthop 2011;139:e183-99. https://doi.org/10.1016/j.ajodo.2010.09.023
  7. Burstone CJ. The segmented arch approach to space closure. Am J Orthod 1982;82:361-78. https://doi.org/10.1016/0002-9416(82)90185-3
  8. Chung KR, Kook YA, Kim SH, Mo SS, Jung JA. Class II malocclusion treated by combining a lingual retractor and a palatal plate. Am J Orthod Dentofacial Orthop 2008;133:112-23. https://doi.org/10.1016/j.ajodo.2006.04.033
  9. Chung KR, Cho JH, Kim SH, Kook YA, Cozzani M. Unusual extraction treatment in Class II division 1 using C-orthodontic mini-implants. Angle Orthod 2007;77:155-66. https://doi.org/10.2319/020106-35R.1
  10. Chung KR, Jeong DM, Park HJ, Kim SH, Nelson G. Severe bidentoalveolar protrusion treated with lingual Biocreative therapy using palatal miniplate. Korean J Orthod 2010;40:276-87. https://doi.org/10.4041/kjod.2010.40.4.276
  11. Kim SH, Hwang YS, Ferreira A, Chung KR. Analysis of temporary skeletal anchorage devices used for en-masse retraction: a preliminary study. Am J Orthod Dentofacial Orthop 2009;136:268-76. https://doi.org/10.1016/j.ajodo.2007.08.023
  12. Kim JS, Kim SH, Kook YA, Chung KR, Nelson G. Analysis of lingual en masse retraction combining a C-lingual retractor and a palatal plate. Angle Orthod 2011;81:662-9. https://doi.org/10.2319/100110-574.1
  13. Mo SS, Kim SH, Sung SJ, Chung KR, Chun YS, Kook YA, et al. Factors controlling anterior torque during C-implant-dependent en-masse retraction without posterior appliances. Am J Orthod Dentofacial Orthop 2011;140:72-80. https://doi.org/10.1016/j.ajodo.2009.09.026
  14. Mo SS, Kim SH, Sung SJ, Chung KR, Chun YS, Kook YA, et al. Torque control during lingual anterior retraction without posterior appliances. Korean J Orthod 2013;43:3-14. https://doi.org/10.4041/kjod.2013.43.1.3
  15. Jee JH, Ahn HW, Seo KW, Kim SH, Kook YA, Chung KR, et al. En-masse retraction with a preformed nickel-titanium and stainless steel archwire assembly and temporary skeletal anchorage devices without posterior bonding. Korean J Orthod 2014;44:236-45. https://doi.org/10.4041/kjod.2014.44.5.236
  16. Jang HJ, Roh WJ, Joo BH, Park KH, Kim SJ, Park YG. Locating the center of resistance of maxillary anterior teeth retracted by Double J Retractor with palatal miniscrews. Angle Orthod 2010;80:1023-8. https://doi.org/10.2319/121409-712.1
  17. Seo KW, Kwon SY, Kim KA, Park KH, Kim SH, Ahn HW, et al. Displacement pattern of the anterior segment using antero-posterior lingual retractor combined with a palatal plate. Korean J Orthod 2015;45:289-98. https://doi.org/10.4041/kjod.2015.45.6.289
  18. Tominaga JY, Ozaki H, Chiang PC, Sumi M, Tanaka M, Koga Y, et al. Effect of bracket slot and archwire dimensions on anterior tooth movement during space closure in sliding mechanics: a 3-dimensional finite element study. Am J Orthod Dentofacial Orthop 2014;146:166-74. https://doi.org/10.1016/j.ajodo.2014.04.016
  19. Sung SJ, Jang GW, Chun YS, Moon YS. Effective en-masse retraction design with orthodontic miniimplant anchorage: a finite element analysis. Am J Orthod Dentofacial Orthop 2010;137:648-57. https://doi.org/10.1016/j.ajodo.2008.06.036
  20. Bourauel C, Drescher D. Retraktion der oberen Schneidezahne mit pseudoelastischen Behandlungselementen- Rechnerische und biomechanische Prufung sowie klinische Anwendung. J Orofac Orthop 1994;55:36-44.
  21. Melsen B, Fotis V, Burstone CJ. Vertical force considerations in differential space closure. J Clin Orthod 1990;14:678-83.

Cited by

  1. Critical issues concerning biocreative strategy in contemporary temporary skeletal anchorage device orthodontics: A narrative review vol.24, pp.suppl, 2021, https://doi.org/10.1111/ocr.12444
  2. Root proximity of the anchoring miniscrews of orthodontic miniplates in the mandibular incisal area: Cone-beam computed tomographic analysis vol.51, pp.4, 2019, https://doi.org/10.4041/kjod.2021.51.4.231