The timing of significant arch dimensional changes with fixed orthodontic appliances: data from a multicenter randomised controlled trial.

Fleming, Padhraig S; Lee, Robert T; Mcdonald, Tom; Pandis, Nikolaos; Johal, Ama (2014). The timing of significant arch dimensional changes with fixed orthodontic appliances: data from a multicenter randomised controlled trial. Journal of dentistry, 42(1), pp. 1-6. Elsevier Science 10.1016/j.jdent.2013.11.010

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OBJECTIVES To identify the timing of significant arch dimensional increases during orthodontic alignment involving round and rectangular nickel-titanium (NiTi) wires and rectangular stainless steel (SS). A secondary aim was to compare the timing of changes occurring with conventional and self-ligating fixed appliance systems. METHODS In this non-primary publication, additional data from a multicenter randomised trial initially involving 96 patients, aged 16 years and above, were analysed. The main pre-specified outcome measures were the magnitude and timing of maxillary intercanine, interpremolar, and intermolar dimensions. Each participant underwent alignment with a standard Damon (Ormco, Orange, CA) wire sequence for a minimum of 34 weeks. Blinding of clinicians and patients was not possible; however, outcome assessors and data analysts were kept blind to the appliance type during data analysis. RESULTS Complete data were obtained from 71 subjects. Significant arch dimensional changes were observed relatively early in treatment. In particular, changes in maxillary inter-first and second premolar dimensions occurred after alignment with an 0.014in. NiTi wire (P<0.05). No statistical differences in transverse dimensions were found between rectangular NiTi and working SS wires for each transverse dimension (P>0.05). Bracket type had no significant effect on the timing of the transverse dimensional changes. CONCLUSIONS Arch dimensional changes were found to occur relatively early in treatment, irrespective of the appliance type. Nickel-titanium wires may have a more profound effect on transverse dimensions than previously believed. CLINICAL SIGNIFICANCE On the basis of this research orthodontic expansion may occur relatively early in treatment. Nickel-titanium wires may have a more profound effect on transverse dimensions than previously believed.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > School of Dental Medicine > Department of Orthodontics

UniBE Contributor:

Pandis, Nikolaos

Subjects:

600 Technology > 610 Medicine & health

ISSN:

0300-5712

Publisher:

Elsevier Science

Language:

English

Submitter:

Eveline Carmen Schuler

Date Deposited:

02 Dec 2014 11:05

Last Modified:

25 Jan 2017 12:15

Publisher DOI:

10.1016/j.jdent.2013.11.010

PubMed ID:

24269833

Uncontrolled Keywords:

Bracket, Expansion, Orthodontic, Self-ligating

BORIS DOI:

10.7892/boris.60622

URI:

https://boris.unibe.ch/id/eprint/60622

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