Frictionless Mechanics in Orthodontics
Frictionless Mechanics in Orthodontics
Frictionless Mechanics in Orthodontics
FRICTIONLESS MECHANICS
IN ORTHODONTICS
Presented By:
SANIA KHAN
PG Third Year 1
CONTENTS:
• Introduction
• History
• Characteristics of force system
• Load deflection rate
• Types of loops in fixed appliance
• Types of loops in removable appliance
• Summary
2
INTRODUCTION
3
• Friction in clinical orthodontics now is receiving
much attention because orthodontic companies have
decided that low friction is good and are using that
concept to market their self-ligating brackets.
Friction and resistance to sliding in orthodontics: A critical review(Am J Orthod Dentofacial Orthop 2009;135:442-7)
4
WHAT IS FRICTION ?
• Friction is a force that retards or resists the relative motion of two
objects in contact.
• The direction of friction is tangential to the common boundary of the
two surfaces in contact.
• As two surfaces in contact slide against each other, two components of
total force arise:
The frictional force component (F) and
The normal force component (N)
Pacheco MR, Jansen WC, Oliveira DD. The role of friction in orthodontics. Dental Press J
Orthod. 2012 Mar-Apr;17(2):170-7. 7
• (Friction and resistance to sliding in orthodontics: A critical review(Am 8
J Orthod Dentofacial Orthop 2009;135:442-7)
• As the tooth moves in the direction of the applied force,
kinetic friction occurs between the bracket and archwire.
9
• All surfaces are more or less irregular, and the physical
explanation of friction is in terms of the true area of contact,
which is determined by asperities and the force with which the
surfaces are forced together.
10
(Friction and resistance to sliding in orthodontics: A critical review(Am J Orthod 11
Dentofacial Orthop 2009;135:442-7)
• Kusy and Whitley 3 divided resistance to sliding (RS) into 3
components:
17
(3) Notching (NO)
1. The first is the early stage of sliding as the tooth tips and
contact of the wire with the corner of the bracket begins to
occur; both friction and binding contribute to resistance to
sliding: RS = FR + BI.
25
FRICTIONLESS MECHANICS
26
FRICTIONLESS MECHANICS
27
FRICTIONLESS MECHANICS
CENTER OF MASS
Each body has point in its mass
Which we call center of mass in
Gravity-free environment.
CENTER OF GRAVITY
In an environment where
Gravity is present
FRICTIONLESS MECHANICS
MOMENT OF COUPLE
It is the product of one of
the force times the distance
between two forces.
C:R FOR OF ANTERIOR & POSTERIOR
SEGMENT
What is friction mechanics?
•Tooth is retracted or slides through the arch wire.
• It is used for both individual canine and enmasse
Retraction.
• Friction is present due to surface irregularities of
arch wire and bracket.
Various methods used
1. Elastic modules with ligature wire
2. Elastomeric chains Stainless steel
3. Closed coil springs Niti
Co-cr-ni alloys
4. J hook head gear
5. Mulligan V bend sliding mechanics
6. Employing tip-Edge brackets on canines.
37
Disadvantages of sliding mechanics
1. It gives variable force.
2. E-chain absorbs water and saliva when exposed
to oral environment causing degradation of force
by 50%-70% by 1st day
3. Excess Stretching of E-chain causes breakdown
of internal bond leading permanent deformation.
4. Permanent staining of E-chain.
5.Dependent on patient cooperation in case of
elastic bands
6.Due to friction and binding between bracket and
arch wire applied force should be higher than the
required optimum force because of decay in force.
Due to all these problems in friction or sliding
mechanics frictionless mechanics stands in
better position for retraction ,as monitoring of
optimum force can be done effectively and it is
active for a longer duration of time.
FRICTIONLESS MECHANICS
40
DISADVANTAGES:
1.As the tooth moves, the applied force decreases . The applied
moment can increase or decrease, dependent on the arch wire
configuration. Therefore, the M/F changes as the tooth moves.
41
• The second approach involves bending arch wire loops of various
configurations.
46
HISTORY
• In 1956, Begg demonstrated control of rotation, space
opening and space closure through the formation of vertical
loops in a single arch.
• He also produced torquing pressures on the anterior segment
by contouring these loops to press against the gingival area of
the teeth.
• STONER incorporated various loops in edgewise mechanism
in 1960
47
Why a loop ?
• By giving a loop ,that will increase the length of the
wire , there by decreasing the force value and
increasing the flexibility.
• To lower the load/deflection rate by addition of
more wire.
• Pre-activation bends can be placed in loops to
obtain higher moment, & to achieve frictionless
tooth movement.
• To avoid the inconsistency of the force system
delivered by a straight wire. The major reason for
putting in a loop is to control the force system to the
teeth on either side of the loop.
49
Ideal properties of a loop:
• The retraction loop should have an optimum size to fit
into the vestibule causing no discomfort to the patient
and must be easy to fabricate.
• For a translatory tooth movement, retraction loop
should provide sufficiently high moment-to-force (M/F)
ratio and low force to deflection (F/D) rate to maintain
optimum force levels for a longer duration of time.
Criteria for selection of loop design
1. Loop position
2. Loop pre-activation
3. Loop design
Loop position
• Often overlooked – position of loops in inter-
bracket space.
• Places immediately distal to canine or lateral
incisors(depending upon type of retraction)
T-LOOP
• Loop placement between the attachments:
Group A anchorage
•
T-LOOP
T-LOOP
• T Loop for type B anchorage:
T-LOOP
T-LOOP
M/F 10 : 1 Translation
GROUP A
GROUP B
GROUP C
AXIAL INCLINATION:
RIGHT ASYMMETRIES
93
Biomechanics in clinical orthodontics -ravindra nanda
RETRACTION
ENMASSE STAGED
Individual
Canine
retraction
Cl-3 elastic
(friction)
MOMENT
3.Its location
Its location is very important for its
performance in closing space.
112
CHARACTERISTICS OF THE FORCE SYSTEM
120
Types of loop
1. Vertical loop
2. Omega loop
3. Horizontal loop
4. Horizontal T loop
5. Box loop
6. Torquing loop
7. Gjessing Spring
8. Opus loop
9. K-loop
10.Ricketts loop 121
Vertical Loop
• 1. .-The single vertical loop may be either an open loop
or a closed loop
• The single open vertical loop has its maximum
efficiency when it is used to open space . In such cases
the arch wire is fixed to the brackets, the loop is
activated by compressing the legs, and as the loop
assumes its original position the teeth move apart.
122
123
124
• The single open vertical loop also may be used
to rotate a tooth . By contouring a vertical loop
in front of the lingually displaced area of the
rotated tooth, the operator can obtain
immediate bracket engagement.
• The increased resiliency created by deflection
of the loop automatically creates a force of
greater duration that works to rotate the tooth
toward its desired position. 125
• The single closed vertical loop is used
primarily to close space
• It is activated by compressing the legs,
and as the loop expends its force it draws
the horizontal extensions of the arch wire
together and moves the attached teeth
with them.
126
Siatkowski:Continuous arch wire closing loop design,optimisation and
127
verification .part I,American journal of orthodontics & dentofacial orthopedics
1997;112:393-402
Double Vertical Loop
The double vertical loop is contoured on either side of a
given tooth, and it has two effective uses.
• One is to move a labially or lingually displaced tooth
into line through the labiolingual spring quality
inherent in the horizontal section between the two
loops .
• The other is to rotate a tooth. The loops are so
contoured as to produce an expansion on one side of
the tooth and a contraction on the other side, causing
a reciprocal rotational activity on the brackets . 128
129
GABLE ANGLE
• The gable angle is bent in such a way that the
perpendicular to the long axis of the loop portion of
each spring formed equal angles with the mesial and
distal horizontal legs of the spring. For example,
• a sectional with a 0 degree gable angle had the mesial
and distal legs of wire in line and the long axis of the
loop portion perpendicular to this line. For a 30
degree gable angle, the mesial and distal legs each
formed 15 degree angles within a mutual plane to a
perpendicular to the long axis of the loop portion. 130
GABLE ANGLE
131
IMPORTANCE OF GABLE BEND
133
134
Chaconas:effects of wire size,loop configuration,and gabling on
canine retraction springs :Am.J.orthod 1974 ;65;58-66
Disadvantages of vertical loop
• While this is easy to fabricate, this design delivers very
high forces (in the order of 1000 g or more) when
activated by only 2 or 3 mm. These force values may
cause a good deal of discomfort to the patient and will
tend to "overpower" the moments, resulting in loss of
anchorage and root controL
• "Dumping" of the teeth toward the extraction site may be
a common side effect. associated with small activations,
• rapid force decay, and
• intermittent force delivery
135
“S” Loop
• The “S” loop is simply a modification of an open
• or closed vertical loop. It develops similar force
activity without the undcsirable occlusal or gingival
thrusts sometimes exhibited by the vertical loop.
136
Omega Loop
-The omega loop is a variation of the open vertical loop. It is shaped like the Greek
letter for which it, was named. It tends to distribute stresses more evenly through
the curvature of the loop instead of concentrating the stresses at the apex, which
may lead to breakage. It is used to give the last tooth in the arch a bodily root
thrust.
137
Horizontal Loop
.-The horizontal loop’s principal value is its reduction of force
in the vertical plane or occlusogingival direction,
permitting immediate bracket engagement in severely
positioned teeth which the operator may want to elevate
or depress.
• It is very effective because of its efficiency in opening the
bite and depressing or elevating the anterior or posterior
segment .
• It permits immediate bracket engagement without
excessive force on severely displaced groups of teeth or
individual teeth. 138
139
Double Horizontal Loop
• -The double horizontal loop is most efficient
when working on an individual tooth above or
below the line of occlusion.
• Considerable deflection can be obtained in the
arch wire with immediate bracket engagement
and continuous activity to draw a tooth into line.
• It can be activated in an occlusogingival and
labiolingual plane but not in the
• mesiodistal plane. 140
141
Horizontal “T” Loop
• The horizontal “T” loop, named for its shape, is
employed to get double the force reduction
available in a single horizontal loop.
• This loop eliminates the undesirable occlusal or
gingival deflection of the arch wire when
activated, which may produce undesirable
tipping.
• The “T” loop will elevate or depress in a true
vertical plane 142
143
Three important criteria in the use of t- loops are:
(I) loop position;
(2) loop preactivation or gabling; and
(3) loop design.
• Loop Position
• An often overlooked but important aspect of closing loops
is the position of the loop within the interbracket space.
when retracting anterior teeth, continuous closing loops
are typically placed immediately distal to the lateral
incisors or canines . The rationale for placing the loops
adjacent to the teeth anterior to the extraction space is
that it allows for repeated activation of the loop as the
space closes.
• a change in the location of the loop can augment or
reduce the posterior anchorage needed for a given patient
144
145
146
147
Force System of Loop Activation
. When an activate T loop is situated between
the brackets spanning a equal space in the
arch, equal and opposite activation moments
are delivered to the adjacent teeth. moments
encourage reciprocal space closure, since the
• anterior and posterior moments are equal in
magnitude
• but opposite in direction .
148
• In contrast, asymmetric or offcenter placement
of the loop results in unequal moments
• The moment magnitudes are greatest at the
teeth closest to the loop and smallest at the
more distant teeth. Since the type of tooth
movement (e.g. tipping or translation) is
determined by the moment/force ratio at the
bracket, differential tooth movement is
encouraged with asymmetrically placed closing
1oop
149
• Vertical effects produced by differential
moment force systems
• Extrusive forces act at the attachments
nearest the loop (greater moment) and
intrusive effects act at the more distant
attachment. The magnitudes of the forces are
proportional to the moment differential and
are nearly constant.
150
Loop Preactivation
• When a closing loop is activated, the anterior
and posterior portions of the archwire deflect
away from a parallel orientation. When the
closing loop archwire is engage into the
brackets, a second- and/or third-order couple
(moment) is felt by the anterior and posterior
sections of the wire . The moments acting on
the archwire,in turn, are delivered to the teeth
as the wire deactivates 151
152
153
Force level
168
CLINICAL APPLICATIONS
• The spring is constructed to resist rotational and
• tipping tendencies during retraction-not to correct
rotations and/or extreme deviations in inclination
of the canine.
• Therefore, leveling of the buccal segments must
be terminated prior to insertion of the spring.
• The circular loop is pulled forward to contact the
distal aspect of the canine bracket and is secured by
a gingival bend of the anterior leg. 169
• Activation to 140 to 160 gm is obtained by
pulling
• distal to the molar tube until the two sections
of the double helix are separated 1 mm ).
• Activation is repeated every 4 weeks, and the
canine is expected to undergo approximately
1.5 mm of controlled movement with each
activation.
170
OPUS LOOP
The purpose for designing this loop was
to design closing loop capable of achieving
inherent, constant M/F of 8.0 to 9.1 mm
without residual moments for en masse space
closure with uniform PDL stress distributions .
• Such a mechanism would be less demanding of
operator skill to apply clinically and might
provide more rapid tooth movement with less
chance of traumatic side effects. 171
• The design process used Castigliano's theorem
to derive equations for moment-to-force ratio
(M/F) in terms of loop geometry. The
equations were used to optimize designs by
optimizing M/F to produce tooth movement
via translation. Further refinements were
performed by use of finite element simulations
of designs. 172
DIMENSIONS OF OPUS LOOP
Siatkowski:Continuous arch wire closing loop design,optimisation and verification .part 181
II,American journal of orthodontics & dentofacial orthopedics 1997;112:487-495
• Being free of residual moments, the design
can produce a true rest period when
deactivated and therefore could be used with
future technology to produce intermittent
force systems during space closure.
182
183
BOX LOOP
• The box loop is a combination of vertical and horizontal
levers designed in such a manner as to have a horizontal
section of wire unattached at the mesial and distal surfaces
of a tooth.
• This free horizontal section is inclined to the bracket slot in
such a manner that, when engaged, it moves the root of a
tooth in a mesial or distal direction.
• When it is used to tip the root of a tooth, the crown of the
tooth to be moved must be tied directly to the tooth behind
it to prevent undesirable movement, in an opposite direction
which would tend to open space between the teeth.
184
185
186
187
K-LOOP
• The K-loop is made of .017" ´ .025" TMA wire, which
can be activated twice as much as stainless steel
before it undergoes permanent deformation. A loop
made of TMA also produces less than half the force
of one made with stainless steel.
188
• Each loop of the K should be 8mm long
and 1.5mm wide . The legs of the K are
bent down 20° and inserted into the
molar tube and the premolar bracket.
189
• The wire is marked at the mesial of the
molar tube and the mesial of the
premolar bracket
190
Stops are bent into the wire 1mm distal to the distal
mark and 1mm mesial to the mesial mark . Each stop
should be well defined and about l.5mm long. These
bends help keep the appliance away from the
mucobuccal fold, allowing a 2mm activation of the K-
loop .
191
• The 20° bends in the appliance legs produce moments that
counteract the tipping moments created by the force of the
appliance, and these moments are reinforced by the moment of
activation as the loop is squeezed into place. Thus, the molar
undergoes a translatory movement instead of tipping . Root
movement continues even after the force has dissipated. If an
extrusive or intrusive force against the molar is not desired, it is
important to center the K-loop between the first molar and the
premolar.
192
• The K-loop molar distalizing appliance has these advantages:
• • Simple yet efficient
• • Controls the moment-to-force ratio to produce bodily
movement, controlled tipping, or uncontrolled tipping as
desired
• • Easy to fabricate and place
• • Hygienic and comfortable for the patient
• • Requires minimal patient cooperation
• • Low cost
193
Ricketts Spring
• Given by Ricketts in 1974
• It’s a combination of double closed helix & a
crossed T-loop
• The loop design is said to deliver 30-50 gm of
force per millimeter of activation when
produced in 0.016” Elgiloy Blue
194
• Ideally a spring should achieve bodily tooth
movement rather than tipping
• For bodily movement to occur,in addition to retraction
force(P) an anti-tilt couple (N) needs to applied to the
crown of the tooth such that the ratio (N/P) is equal
to the perpendicular distance (d) of the centre of
resistence within the root from the line of action of P
• The N/p ratio may be increased by gabling the arms of
the component
• Ricketts originally recommended a 90-degree gable
bend in the cuspid portion
195
• Ricketts was found to be more flexible
spring,but to have a much lower N/P ratio
than the U loop.
196
• The forces & couples acting when a generalised
Ricketts spring is activated were determined by
applying the principles of complementary (strain)
energy method . The conclusions were
• The retraction force P induced on activation is directly
proportional to the displacement
• The increase in leg length H1 stiffness and increases the
anti tilt couple
• An increase in the length H2 decreases the stiffness but decreases the anti
tilt couple
197
• Variations in the size of the radii R1 and R2 of the leg helices
and T coils over the clinically acceptable range causes little
variation in N.Increase in size however does lower stiffness
• The activation of springs with gabled arms causes an initial
contraction to take place whose magnitude increases with
increase in gable angle
• When arms are of unequal length or when the arms are
gabled unequally vertical forces Q arise. These increase as
the gable angle increase.
• The introduction of the gable angle in the horizontal arm
give rise to an increase in anti-tilt movement which
increases with increase in gable angle .This occurs whether
one or both arms are gabled.
198
199
Clinical aspects
• Recommended activation of spring is 2-3 mm to
produce retraction force of 120g
• The incorporation of gable angle in horizontal arm
increses N/P ratio which helps to prevent tipping of
tooth distally & achieve bodily movement.but as
activation forces decrease N/P ratio increase & tend to
cause intrusion of the tooth & mesial tipping of crown
• When both arms are gabled at 45 degree N/P ratio
of11.8 is produced with retraction force of 100g, but as
forces fall to 50g ratio rises to 20mm
200
• Principal advantage of the spring is its great
flexibility
• The spring is not very comfortable to patient
as its bulk causes irritation to gingiva
201
Removable appliances
• Removable appliances by definition are appliances that
can be inserted & removed from the mouth
• Mechanics Of Springs
• Most orthodontic springs are variants of simple
cantilever.
• For a round wire the force generated by a small
deflection within its elastic limit depends on the
deflection ,cross section & length of the wire
• F═d*c/l 202
• 2×L=16 × F
• Increase in diameter from 0.5mm to 0.7mm
doubles the force for given deflection
• DEFLECTION
• Spring activation of 3mm is satisfactory
• If more activation is given patient is more likely to insert incorrectly
• In case of smaller deflection force decreases rapidly as the tooth moves so
that intermittent force occurs
• Expected rate of tooth movement is between 1 & 2mm a month
203
Spring design
• For maximum flexibility spring needs to be as
long as possible
• It is usual to incorporate a coil of 3mm internal
diameter
• Coil should be designed so that it unwinds as
tooth moves because the elastic recovery will
be beter than the spring loaded in opposite
direction
204
Single cantilever spring(Finger spring)
Used to move teeth labially or in the line of the arch
Normally constructed from 0.5mm s.s wire
A coil is incorporated into the spring close to its emergence
from the baseplate.This increases the length of the & thus
the flexibility
For maximum resilience the coil should lie in on the opposite
side of the spring so that it unwinds as the tooth moves
For labial or buccal movement a single cantilever spring
should be cranked to keep it clear from other teeth & so
that spring is protected by baseplate even as tooth moves
205
• The multitude of possible appliance combinations in sliding
mechanics posses a serious challenge in producing a force
system that is optimal for tooth movement.
206
TAKE HOME MESSAGE
• The multitude of possible appliance combinations in sliding
systems posses serious challenge in producing a force
system considered in producing the appliance best suited
for the patient.
207
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