Frictionless Mechanics
Frictionless Mechanics
Frictionless Mechanics
MECHANICS
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CONTENTS
•Introduction
•Classification of Retraction Mechanics
•Biomechanics of looped archwire retraction
1. Design of loop
2. Biomechanical considerations
3. Clinical considerations
•Advantages & disadvantages of loop mechanics
•Various types of loop designs
•Conclusion
•reference
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Introduction
Orthodontic tooth movement results from application of forces
to the teeth.
Closure of extraction spaces is an important step in orthodontic
treatment plan.
Space closure can be done either by en-mass retraction of
anteriors or by individual canine retraction followed by
retraction of incisors.
Individual canine retraction is indicated in cases with anterior
crowding and severe protrusion.
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The principles for retraction currently used in edge-wise
mechanics can be described as.
1. Frictional system in which the teeth, through application of
force, slide distally along a continuous arch wire.
2. non-frictional” system with forces and couples built into
the loops of an arch section.
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Frictionless mechanics
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Uncontrolled tipping
•A horizontal force at the level of
bracket will cause movements of the
root apex and crown in opposite
directions.
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Point of force application – Cres
Center of Rotation – Infinity.
M/F = 10:1
Translation:
•This type of tooth movement is also known as ‘bodily movement’.
Translation of a tooth takes place when the root apex and crown move the
same distance and in the same direction.
•A horizontal force applied at the Cres of a tooth will result in this type of
tooth movement.
•However, the bracket where the force application takes place is at a
distance from the Cres. This force alone applied at the bracket will not
result in translation. To achieve translation at the level of the bracket, a
couple of forces are required that are equivalent to the force system
through the Cres of tooth. 9
Root movement (TORQUE):
•Root movement is achieved by keeping the
crown of a tooth stationary and applying a
moment and force to move only the root.
•Root movement is termed as ‘torque’.
•Point of force application – a point apical to the
Cres
•Center of Rotation – at the incisal edge or
bracket.
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Pure rotation:
This type of tooth movement occurs when tooth
rotates about its center of resistance.
A couple is required to produce pure rotation.
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FORCE SYSTEMS:
In order to achieve the described tooth movements, the proper force system
is a critical requirement. The following factors related to the force system
are potentially under the control of the clinician.
1. Moment-to-force ratio
2. Constancy of forces and moments.
3. Magnitude of forces and moments
Moment-to-force ratio:
The proportion of rotational tendency (moment) to the force applied at
the bracket will determine the type of tooth movement. This is
represented by M/F at the bracket.
Moment-to-force ratio plays an important role in anchorage control. By
varying the moment-to-force ratio applied to the anterior and posterior
segments during space closure after bicuspid extractions, the amount of
forward displacement of the posterior segments can be controlled.
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TYPE OF TOOTH MOVEMENT M/F Ratio
Translation 10/1
Force constancy:
Relatively constant force within an optimal range produces the
most desirable type of tooth movement. We will have to design the
active components of an appliance such that they have desirable
spring properties as follows.
A)Low Load deflection rate of the spring appliances,
B) Frictionless force application system. 13
Load deflection rate:
-Refers to the amount of force produced for every unit of activation
of an orthodontic wire or spring. The lower this rate, the more
constant is the force as the tooth moves and the appliance is
deactivated.
Four major design parameters available to the clinician to vary the
load deflection rate are:
1. Wire cross-section.
2. Wire length.
3. Wire material.
4. Wire configuration.
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1. Wire cross-section.
• Load deflection rate varies directly as the fourth power of the diameter of
a round wire and as the third power of the depth of a rectangular wire.
• Therefore, reducing the cross section of the wire can significantly reduce
the load deflection characteristics of an orthodontic appliance.
• On the other hand those parts of the appliance that are concerned with
preservation of anchorage require a relatively rigid wire with a large
cross-section for more advantageous stress distribution in the periodontal
structure and to prevent the movement of the anchorage unit.
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2. Wire Length:
The wire length changes the load deflection rate inversely as the third
power.
1
L.D.R.
Wire length
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Force and moment magnitude:
A small error in activation of spring with a high load
deflection rate will result in a larger error in the
activation force. In addition to the consideration of tissue
damage, force and moment magnitude are important in
anchorage control.
Distributing the force over more teeth can reduce the
stress levels on the anchor units
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Biomechanical considerations serve not only to explain the
effect of an orthodontic appliance but also to detect side
effects of therapy and to assist in planning strategies for the
avoidance or therapeutic exploitation of these side effects.
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CLASSIFICATION OF RETRACTION
MECHANICS
A] Based on wire configuration
Continuous arch mechanics
Segmented arch mechanics
B] Based on friction
• Friction mechanics {Sliding Mechanics}
e.g Canine retraction with coil springs
Continuous anterior retraction i.e. as in MBT
Retraction with J- Hook headgear
• Frictionless mechanics
Use of loops or specialized springs
T-loop, Omega loop ,PG retraction spring etc
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C] Based on mode of retraction
Cuspid retraction
En masse retraction
D] Based on Anchorage
•Type A – Maximum Anchorage
•Type B – Moderate Anchorage
Type C – Minimum Anchorage
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Once a decision to extract the teeth has been made, the
orthodontist has to plan how to close the space not devoted to
relief of crowding.
There are two schools of thought of Retraction Mechanics
1.Seperate canine and incisor retraction
2.En masse retraction
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1.Canines and incisors retracted separately to conserve anchorage
when using sliding mechanics
-The principle is that by retracting fewer teeth at a time, less strain
is placed on the posterior anchorage
-However it is time consuming and moreover the anchorage is taxed
twice. 24
2. The second concept is En masse Retraction
•Where the canines and incisors are retracted together
•Here the anchorage is based on type of tooth movement of anterior and
posterior segment i.e. translation or root torquing in the posterior teeth Vs.
controlled tipping in the anterior segment.
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WHAT IS FRICTIONLESS MECHANICS?????
•In frictionless mechanics, teeth are moved without the
brackets sliding over the archwire.
•Retraction is accomplished with the help of loops or springs.
Loops
•Theoretically, with closing loops for space closure, more accurately defined
force systems can be applied to groups of teeth.
•Precise anchorage control, anteroposterior and vertical control can be
obtained. 27
ANCHORAGE CLASSIFICATION
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Group C Anchorage: - “Noncritical anchorage”- 75% or more
extraction space is closed by mesial movement of molars.
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SPACE CLOSURE WITH
FRICTIONLESS
MECHANICS
•According to Charles Burstone,
the moment to force ratio needed
for translation is 10:1
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A regular 10mm high vertical loop offers a moment to force
ratio of only 3:1 when it is activated by 1mm
In order to get the moment to force ratio of 10:1, the activation
of the spring should be reduced to as low as 0.2mm
But then the force levels will not be sufficient to bring about
retraction
In order to increase the moment to force ratio the height of the
vertical loops can be increased. But only a limited space is
available in the vestibule
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The loop design can be varied, e.g. a T-loop has a higher
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Asymmetric angulation of the pre-activation
bends (gable bends):
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•Closing loop archwires (Attraction springs) has three important
characteristics
1. The α moment {anterior}
2. The β moment {posterior}
3. The horizontal force generated
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DESIGN OF THE LOOP
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GROUP ‘B’ ANCHORAGE
En masse anterior retraction-posterior protraction
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GROUP ‘C’ ANCHORAGE
En masse posterior protraction
•Use of asymmetric .017”/.025” TMA T-
loop spring with α moment more than β
moment.
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ADVANTAGES OF FRICTIONLESS SYSTEM
1. Effectively increases moment-to-force ratios by means of
loops. This allows for torque control of anterior teeth during
space closure.
2. Lengthens the distance between points of force application,
thereby reducing the wire's load/deflection rate and
increasing its working range.
3. Offers more predictable mechanics in which amounts of
force and moment are measurable.
4. Selective mechanics such as incisor intrusion and molar
uprighting are easier to perform. 43
DISADVANTAGES OF FRICTIONLESS SPACE CLOSURE
1. A good understanding of mechanics is required when using
retraction loops, because minor errors in mechanics can result
in major errors in tooth movement.
2. More wire bending time and chair side time is required than
sliding mechanics.
3. Retraction loops may be uncomfortable for the patients, that
they lie in the vestibule.
4. Like sliding mechanics, the frictionless space closure might
produce an undesirable mesial out moment when retracting a
single tooth.
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VARIOUS LOOP DESIGNS THAT HAVE BEEN TRIED FOR
FRICTIONLESS SPACE CLOSURE
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Since that time various loop designs have been advocated –
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METHODS OF FRICTIONLESS RETRACTION OTHER
THAN CONTINUOUS LOOP MECHANICS
1.Separate canine retraction with frictionless mechanics.
2.Rapid canine retraction using distraction of periodontal ligament
3.Drum spring retractor for canine retraction
4.Separate canine retraction with cuspid to cuspid bypass.
5.Retraction with utility arches
6.The three piece intrusion and retraction arch.
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ADVANTAGES OF A LOOP:
1.The inconsistency of the force system developed by a SWA
can be avoided by using loops.
2.The addition of wire length into the appliance while
maintaining the wire size reduces the load-deflection rate.
3.Greater constancy of force.
4.Since the distribution of the wire with respect to the bracket
determines the moment-to-force ratio, and tooth movement is
produced by the deactivation of the loop itself, friction is not an
issue.
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5. It is possible to design a loop in such ways that forces and
moments are dissociated to generate many combinations of
moment and force.
6. The desired combination of moments and forces can be
reached by choosing different points of force application,
controlling the horizontal dimension of the loop or by
angulating the horizontal arm of the loop.
A B C
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A B C
7. Combining wires of different dimension can produce
composite loops. For correcting major rotations or tipping, the
combination loops are advantageous as their working range is
large.
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RICKETT’S CANINE RETRACTOR(1974)
•This is a combination of a double closed helix and an Extended crossed
T made with blue Elgiloy wire.
•It delivered 30-50gms per mm of activation.
Activated by pulling 3-4mm.
1.38mm activation per month.
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Rickett’s Maxillary Cuspid Retraction Spring
• The maxillary cuspid retraction spring is a double vertical helical
extended crossed T closing loop spring which contains 70 mm of
the wire made of 0.016’’ × 0.022’’ SS wire.
• It produces only 50 gm per mm of activation, because of the
additional wire used in its design and all loops are being
contracted during its activation.
• 3–4 mm of activation is sufficient for upper cuspid retraction .
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Rickett’s Mandibular Cuspid Retraction
difficult to use in the lower arch due to the fact that it would
extend into the chewing area.
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PG { PAULGJESSING } RETRACTION SPRING
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35º
Anti rotation bend
5.5 mm
Apical loop
30º
15º
Beta bend
Anti tip bend
12º
2 mm
Occlusal loop
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BEFORE RETRACTION
AFTER RETRACTION
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DELTA LOOP
•The design similar to that of opening loop
•William R. Proffit (1993)
•0.016”/0.022” SS wire used in .018” slot and 0.018”/0.025” SS wire in .
022” slot
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VERTICAL LOOP
Dr.Robert.W.Strang(1933) 0.016” stainless steel wire
To generate space during leveling alignment.
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Vertical loop with HELIX
The advantage of Helix in a vertical loop is that it increases the working
range
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Open Vertical Loop
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OMEGA LOOP
•Morris Stoner in 1975
•Material : 0.016 inch s.s
•It distributes the stresses more evenly through the curvatures
instead of concentrating on the apex.
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Bull Loop
mandible.
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Double keyhole loop
This was introduced by John Parker. The double keyhole loop is
4 weeks
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Tear Drop Loop
R.G. ALEXANDER in 1983
height of approximately 5 mm
The loops are placed distal to the maxillary lateral incisor
bracket.
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THE OPUS LOOP/STANDARD OPUS
•In 1997 Dr. Raymond E. Siatkoski.
•This specialized spring can deliver sufficiently high “inherent M/F ratio”
within the range of 8-9 to produce en masse translation without giving the
pre-activation bends.
Continuous arch wire closing loop design, optimization and verification Part I and II. Am J Orthod 67
Dentofacial Orthop 1997;112;393-402
•Groups of teeth can be moved more accurately to achieve
predetermined anteroposterior treatment goals for esthetics and
stability
•The distinct advantage of Opus loop is that it is free of residual
moments and produces the periods of “true rest” when deactivated.
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THE RECTANGULAR LOOP
CHARACTERISTICS:
1.Can be used for first, second and third order corrections
2.Since the loop is inserted in at least two brackets, it
represents a statically indeterminate force system.
3.The clinician can determine the moment-to-force ratio
delivered to the active unit.
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4. All combination of moments and forces can be
produced. The direction of moment generated at the
loop depends on the point of force application in
relation to the horizontal dimension of the box.
5. The point at which the moment changes sense is called
‘point of dissociation’. At this point, no relationship
exists between moment and force. The localization of
this point depends on the length as well as the
dimension of the wire.
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Fabrication of R loop for the 2nd premolar correction:
Step 1: Measure the distance between mesial of molar tube and the
distal of 2nd premolar bracket (D)
Step 2: The ‘R’ loop is fabricated using the formula A = B = C each
being equal to half of D.
Note: Distance D for any tooth is measured from the distal of the
bracket (of the tooth to be corrected) to the mesial of the bracket (of
the tooth distal to it).
A
B C
A=B=C
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NITI CANINE RETRACTION
SPRING
JCO/2002/Yasoo Watanabe
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No preliminary leveling stage
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‘T’ LOOP (Burstone in1976)
1.Made of 0.017”x 0.025” TMA wire
2.generates relatively high horizontal forces of
approximately 350 gm.
3.No side determination be made, however,
the alpha leg (anterior leg) of the T loop is longer
10
than beta leg (posterior leg) by 1mm to mm
2 mm
4 mm 5 mm
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PREACTIVATION CHECK LIST:
1. Check the neutral position of the loop (0 mm).
2. Determine the amount of activation.
3. From the center of the T, mark distance D on both arms of the
spring. Place a vertical bend gingivally 5mm anterior to the
mark on the anterior leg.
4. Check for comfort and passivity and necessary adjustments
are made to achieve the same.
5. Placement of Alpha and Beta preactivation bends:
Preactivation bends are placed at six points in the spring each of
30˚, 77
The present trend is that off-centered positioning with a
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6-7mm
M/F Ratio 8:1
Controlled Tipping
4mm
M/F Ratio 10:1
Bodily movement
2mm
M/F Ratio 12:1
Root Uprighting
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Composite retraction spring:
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Titanium T loop retraction spring
respectively.
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S Luthra and Ashima Valiathan JIOS 1998
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The Asymmetric T Loop
James J. Hilgers (1992)
5mm vertical step, 2mm anterior loop, and 5mm posterior loop.
A. Short mesial
loop compressed
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• Broussard system uses a combination closing and bite
opening loop with step between anterior and posterior
segments.
• Here, simultaneous torque, intrusion and retraction
movements are achieved.
•
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Hilgers modification with reduced loop size for
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Modified ‘T’ loop arch wire
(bite opening), space closure and torque toward the end of active
treatment. The modified T-loop archwire achieves all these
corrections.
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K SIR
Simultaneous intrusion and retraction of the anterior teeth –Varun
kalra
The main indication for the K-SIR archwire is for the retraction
Kalra V. Simultaneous intrusion and retraction of anterior teeth. J Clin Orthod 1998;32;535-
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540.
Material : 0.019x0.025 TMA wire with closed 7x2mm U loops at
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90° bends placed in archwire at level of U-loops.
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Trial activation
Trial activation-releases the stresses and decreases the
severity of the v-bend
After trial activation neutral position is determined with the
legs extended horizontally
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In the neutral position – U loops are 3.5mm wide
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As the loops deactivate-force levels M/F
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The main indication of the K-sir-retraction of the anteriors
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Advantages of the k-sir arch
1. Simplicity of design
2. Easy to fabricate.
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RETRACTION WITH UTILITY ARCHES
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It is known as 2/4 appliance because it engages only molars
and incisors
treatment.
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Types of utility arches
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CONCLUSION
Extraction therapy is followed by the closure of spaces. Though some
amount of space is spent to alleviate the crowding, the remaining space
opens a new window in orthodontics.
Controlled retraction, usually in extraction cases, requires the creation
of a bio mechanical system to deliver a pre determined force and a
relatively constant moment /force ratio in order to avoid side effects.
Although bracket design and proprietary treatment protocols are broadly
used in clinical circumstances, achieving predictable and stable
orthodontic results requires more than simply selecting a particular
bracket system
103
The fundamental basis of orthodontic treatment remains the
application of mechanical forces to produce desirable tooth
movement.
Today’s orthodontist needs the knowledge of both friction and
frictionless mechanics
No single technique suits every situation. There are specific
indications for both.
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References
Burstone. C.J. ‘ Mechanics of segmented arch technique’.
company, 1997
Philadelphia , Pennsylvania.
Proffit W.R. ‘Contemporary Orthodontics’.
Burstone C.J. ‘Rationale of the segmented arch’. Am.J.Orthod 48:805-
822,1962
105
Smith R.J.,Burstone C.J.‘Mechanics of tooth movement’. Am.J.Orthod
85:294-307,1984
106
Siatkowski R.E. Continuos archwire closing loop design,
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