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    Closure of A Maxillary Midline Diastema Using A Modified Omega Loop

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    Closure of A Maxillary Midline Diastema Using A Modified Omega Loop

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    Closure of A Maxillary Midline Diastema Using A Modified Omega Loop

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    vighanesh kadam

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    [Downloaded free from http://www.jios.in on Tuesday, April 24, 2018, IP: 109.165.53.

    246]

    Clinical Innovation

    Closure of a maxillary midline diastema using a modified


    omega loop
    Malvika Gandhi1, Rohan Hattarki2, K M Keluskar3

    Abstract
    A maxillary midline diastema is important from a clinical management standpoint by virtue of its presence, as well as the esthetic concerns
    it causes to the patient. While seen in many children as a part of normal development in the mixed dentition (only to disappear as the
    growth progresses), it may persist in situations associated with some or the other etiological factors. These could be tooth size‑shape
    discrepancy, midline cysts, missing lateral incisors, habits (thumb sucking, tongue thrusting, etc.), familial tendencies, abnormal labial
    frenum, etc., Treatment planning should seek to manage not only the diastemata in question but also the cause behind it. Possible therapeutic
    approaches include orthodontic treatment, restorative dentistry, surgery, and its various combinations. This article describes a modified
    form of loop mechanics used to close diastemata.

    Key words: Loop modification, midline diastema, omega loop

    Various types of closing loops are used during orthodontic • Place 2 crimpable hooks, 1 diametrically opposite the
    treatment for space closure. These loops are either made other, on the arms of the loop [Figure 1]
    up of stainless steel or titanium molybdenum alloy wire. • Place an e‑chain over these hooks on either side.
    Prior to activation of any closing loop, the arms of the The archwire with the loop is then placed intraorally
    loop are kept in close approximation. To activate the loop [Figure 2]
    intraorally, the wire is pulled and cinched distal to the molar
    tube, which tends to move the arms of the loop apart.[1] As
    the loop attempts to rebound to its original configuration,
    the process moves the segments of the teeth posterior to it.
    When using an omega loop in this manner, bodily movement
    of all teeth until the last molar is brought about, to close a
    midline diastema.
    To reduce the amount of wire degeneration or loss of flexibility
    of the wire, following is a simple method:
    • Fabricate an omega loop with a 0.017” × 0.025” stainless
    steel wire

    Access this article online


    Quick Response Code
    Website:
    www.jios.in

    DOI:
    Figure 1: Loop design
    10.4103/0301-5742.165564

    This is an open access article distributed under the terms of the Creative Commons Attribution-
    NonCommercial-ShareAlike 3.0 License, which allows others to remix, tweak, and build
    1
    MDS, PG Student, MDS, Reader, MDS, PhD Professor and Head
    2 3
    upon the work non-commercially, as long as the author is credited and the new creations are
    Department of Orthodontics, KLE VK Institute of Dental Sciences,
    1,2,3
    licensed under the identical terms.
    Belagavi, Karnataka, India
    For reprints contact: [email protected]
    Address for correspondence: Dr. Malvika Gandhi,
    T‑3, Rajouri Garden, New Delhi ‑ 110 027, India.
    E‑mail: [email protected] How to cite this article: Gandhi M, Hattarki R, Keluskar KM. Closure of
    a maxillary midline diastema using a modified omega loop. J Indian Orthod
    Received: 23‑06‑2015, Accepted with Revisions: 15‑07‑2015 Soc 2015;49:161-2.

    © 2015 Journal of Indian Orthodontic Society | Published by Wolters Kluwer - Medknow 161
    [Downloaded free from http://www.jios.in on Tuesday, April 24, 2018, IP: 109.165.53.246]

    Gandhi, et al.: Closure of a maxillary midline diastema using a modified omega loop: A case report

    a c
    a

    d b
    Figure 2: (a) Pretreatment; (b) placement of modified loop intraorally (prior Figure 3: (a) Pretreatment orthopantomograph; (b) Posttreatment
    to activation); (c) closure of diastema (8 weeks of activation completed); orthopantomograph
    (d) posttreatment
    Biomechanics of the modified omega loop
    • Distal end of the wire is pulled and cinched back behind The omega loop tends to distribute stresses more evenly instead
    the molar tube. This causes the arms of the loop to move of concentrating them at the root apex. Accordingly, it has been
    apart, the elastic chain in between gets stretched, and tries used here to apply moment to the last tooth in arch causing
    to close the loop [Figures 3] bodily root thrust.
    • For reactivation, the wire is cinched back every appointment
    such that the arms of the loop are flushed with the mesial Financial support and sponsorship
    wings of the central incisor brackets. Additionally, the e‑chain Nil.
    is also changed every appointment. Reactivation to be done Conflicts of interest
    once every week until diastema closure is achieved. There are no conflicts of interest.

    Advantages of modified omega loop design


    1. The loop remains active for a longer time[2] References
    1. Cureton  SL, Storie  D. Simplified activation of closing loops. J  Clin
    2. Reactivation of the loop is easier
    Orthod 1998;32:490‑2.
    3. Loss of flexibility of the wire is compensated by placement 2. Kassir  C. Activating a modified closing loop. J  Clin Orthod
    of the elastic chain. 2010;44:236.

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    162 Journal of Indian Orthodontic Society | Vol 49 | Issue 3 | Jul-Sep 2015

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