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THE BASICS
of
ORTHODONTIC
MECHANICS
Steven J. Lindauer, 2001 by W.B. Saunders Company
Presented by
Dr S N Das
1st year PGT
(Dept. of Orthodontics,KDDC)Date-02.10.2020
CONTENTS
Introduction
Predicting How Teeth Will Move in Response to Application of
Orthodontic Force Systems
Predicting the Force Systems Created by Orthodontic Appliance
Activations
Predicting How Teeth Will Move in Response to Orthodontic Appliance
Activations
Conclusion
Referenses
INTRODUCTION
The physical concepts that form the foundation of orthodontic
mechanics are the key to understanding how orthodontic
appliances work and are critical for designing new appliances.
Orthodontic appliances obey the laws of physics and can be
activated to generate the desired force systems to achieve
predetermined treatment goals for individual patients.
Through understanding of the basic mechanics underlying
orthodontic appliance activation is the ultimate goal of this
study.
PARAMETERS TO PREDICT
3 sections
"Predicting How Teeth
Will Move in Response
to Application of
Orthodontic Force
Systems,"
"Predicting the Force
Systems Created by
Orthodontic Appliance
Activations,"
“Predicting How Teeth
Will Move in Response
to Orthodontic
Appliance Activations”
described how
moments and
forces displace
individual
teeth.
discussedtheway
inwhichmoments
andforcesare
generatedby
orthodontic
appliances.
shows how these
two steps can be
used together to
predict how teeth
will move when
orthodontic
appliances are
activated.
A. PREDICTING HOW TEETH WILL MOVE
IN RESPONSE TO APPLICATION OF
ORTHODONTIC FORCE SYSTEMS
Force
Moments
Couples
Equivalent force system
Moment to force ratio & centers of rotation
# Tipping
# Crown movement
# Pure translation
# Root movement
# Pure rotation
FORCE
Forces are vectors, having both direction and magnitude. To move a
tooth predictably, a force needs to be applied in the desired direction,
with the desired magnitude, and at the correct position on the tooth.
 There is only one point on a tooth
through which a force can be applied
that will move the tooth in the direction
of the force without tipping or rotating it.
 This point is the center of resistance and
a force acting through it will cause pure
translation of the tooth
 If a tooth were truly a free body
floating in space, the center of
resistance would be coincident with
the tooth's center of mass or gravity.
 However, teeth are restrained by
surrounding tissues, most notably
the periodontal ligament (PDL).
 The location of the center of
resistance,therefore depends on the
size and shape of the tooth as well
as on the quality and level of the
supporting structures.
Forces, as vectors, can be combined or
divided mathematically. Two or more
forces acting at a single point can be
added using simple trigonometry or
vector addition and represented as a
single force at that point.
MOMENTS
When a force is applied at any point other than through the center of
resistance, in addition to moving the center of resistance in the
direction of the force, a moment is created.
 A force applied directly through the center of resistance will cause pure
translation of the tooth in the direction of the force with no rotation.
 If the same force is applied away from the center of resistance, toward the
crown for example, the tooth will move in the direction of the force and there
will be a moment created to tip the crown in the direction of the force
COUPLES
Two equal and opposite, noncolinear forces are called a couple. The 2 forces
cancel out any tendency for the center of resistance of the tooth to move, but the
moments created by the 2 forces do not cancel each other.
The moment of a couple is really the sum of the moments
created by each of the 2 forces that make up the couple:
F 1 and F 2 are equal but opposite. Therefore, the magnitude
of a moment created by a couple is F(d 1 + d2) or F times the
distance between the 2 forces, M = Fd.
A premolar is rotated by stretching
an elastic in one direction from the
buccal attachment and another
elastic from the lingual attachment
in the opposite direction. Thus, 2
equal and opposite forces are
applied and the tooth rotates around
its center of resistance without
translation.
To achieve a first-order
couple, the wire is
angulated to produce equal
magnitudes of force at the
mesial and distal aspects of
the bracket in opposite,
buccal and lingual
directions
A twist or torque in the
wire will produce intrusive
and extrusive forces that
are equal and opposite
acting at the buccal and
lingual aspects of the
bracket slot to produce a
third-order couple
To create a second order
couple, the wire produces
equal but opposite intrusive
and extrusive forces at the
mesial and distal aspects
EQUIVALENT FORCE SYSTEMS
A comprehensive way of describing
tooth movement is to express the
components of movement experienced
by the tooth at the center of resistance,
which include both translation and
rotation.
MOMENT-TO-FORCE RATIOS AND CENTERS
OF ROTATION
 The goal of orthodontic treatment is to move teeth a
prescribed distance in a predetermined direction to enhance
the esthetic and functional aspects of occlusion and achieve
a stable result.
 By varying the ratio of moment to force applied to teeth, the
quality of tooth movement can be changed among tipping,
crown movement, translation, and root movement.
 By changing the ratio of the moment from the applied
couple to the force applied, the center of rotation of tooth
movement can be varied to produce the type of tooth
movement desired.
TIPPING
If the center of resistance is 10 mm apical to the bracket, this moment is 10 mm times
the magnitude of the force.
For example, a distal force of 100 g at the bracket will create an equivalent of 100 g of
distal force at the center of resistance plus a moment of 1,000 g-mm in the direction of
distal crown tip.
CROWN MOVEMENT
If the center of resistance is 10 mm apical to the bracket, a force alone will
produce a moment that is 10 mm times the magnitude of the force.
PURE TRANSLATION
 When a force to move a tooth is applied at a bracket that is 10 mm away from the center of
resistance, a tendency for the tooth to tip is created that is 10 mm times the magnitude of the force.
 To counteract the tendency for tipping, a couple can be applied intentionally to produce a moment
of equal magnitude in the opposite direction
ROOT MOVEMENT
 The couple applied more than negates this tendency to tip, but the center of
resistance still moves in the direction of the force while the crown does not.
 An applied moment-to-force ratio of about 13/1 will result in root movement while
the crown of the tooth remains relatively stationary.
PURE ROTATION
The moment-to-force ratio is infinite and the center of rotation is coincident
with the center of resistance. This is referred to as pure rotation.
B. PREDICTING THE FORCE SYSTEMS CREATED BY
ORTHODONTIC APPLIANCE ACTIVATIONS
 The force systems produced by orthodontic appliance activations
must be resolved separately from the actual forces and moments
that individual teeth will experience at their respective centers of
resistance.
 To deduce how each tooth will be displaced as a result of the
activation, the equivalent force systems acting at the centers of
resistance must be assessed subsequently.
1. Static Equilibrium
2. Equal and Opposite Forces
3. One Couple Appliances--Statically Determinate Systems
4. Two-Couple Appliances--Statically Indeterminate Systems
STATIC EQUILIBRIUM
 Static equilibrium implies that, at any point within a body, the
sum of the forces and moments acting on a body is zero; i.e., if no
net forces or moments are acting on the body, the body remains
at rest(static).
 Statics is the field of mechanics
that examines the action of forces
acting on bodies at rest.
 The orthodontic application is that for every appliance, but not
necessarily for every tooth to which it is attached, the sum of the
forces and the sum of the moments must be equal to zero.
EQUAL AND OPPOSITE FORCES
 Perhaps the simplest orthodontic
appliance to analyze is the elastic
band.
 An elastic band stretched between
two points of attachment will
produce a force of some magnitude
at one end and, by the laws of
equilibrium, produce an opposite
force of the same magnitude at the
other end.
DETERMINATE VS. INDETERMINATE
FORCE SYSTEMS
Force systems can be defined as:
A. Statically Determinate – in which the moments and
forces can be easily discerned, measured and evaluated.
B. Statically Indeterminate – which are too complex for
precisely measuring all forces and moments involved in the
equilibrium. Only the direction of net moments and
approximate net force levels can be determined.
A 1-couple orthodontic appliance is
inserted into a bracket or tube at 1
end and is tied as a point contact at
the other, Because it is not engaged
into an orthodontic bracket, the end
that is tied as a point contact cannot
produce a couple but only a simple
force at that site.
The other end, which is engaged in
the bracket slot, can produce both a
force and a couple at that attachment.
The appliance is a 1-couple system
because a couple is generated only at
the site of full engagement.
ONE COUPLE APPLIANCES
STATICALLY DETERMINATE SYSTEMS
It is statically determinate
because the magnitudes of
the forces and moments
produced can be determined
clinically after the appliance
is inserted into the bracket.
This can be done by inserting
the appliance into the bracket
and measuring the force
required to activate the wire to
the site where it will be tied as a
point contact.
An example of a 1-couple orthodontic appliance is a long arm or
cantilever activated to extrude a high maxillary buccal canine
A long arm or
cantilever to
extrude a high
canine
The passive wire
showing the angle
between the molar
bracket and the wire
The force system exerted by
the wire is in equilibrium
with a crown-mesial moment
at the molar, and equal and
opposite extrusive and
intrusive forces at the canine
and molar, respectively
TWO-COUPLE APPLIANCES
STATICALLY INDETERMINATE SYSTEMS
 A 2-couple appliance is one that is engaged into attachments at
both ends. A couple, therefore, may be generated by the wire at
either or both attachment sites.
 Because of the inability to measure force systems produced by 2-
couple appliances clinically, they are referred to as being statically
indeterminate.
The force systems produced by 2-couple orthodontic appliances
depend on both the wire geometry and bracket angulation
relationships.
Equal and opposite bracket-
wire angle relationships
result in equal and opposite
couples with no forces
Equal bracket-wire angle
relationships in the same
direction result in equal
couples in the same direction
with large forces to maintain
appliance equilibrium
If bracket-wire angle
relationships are unequal, the
attachment with the largest
angle will have the largest
couple and resultant forces will
be in a direction opposite this
moment to maintain equilibrium
The forces and
moments produced by
a straight segment of
round wire inserted
into 2 orthodontic
brackets were first
described by Burstone
and Koenig in 1974.
Equal and oppositely angled brackets result in equal and
opposite couples
As 1 bracket angulation decreases, the magnitude of the
couple at that bracket decreases and forces result
When the angulation of 1 bracket is half that of the other, no
couple is experienced at the bracket with the smaller angulation
and forces are consequently increased
As the bracket angle continues to decrease at 1 end of the appliance,
the couple at the lesser angled bracket is in the same direction as at the
greater angled bracket and forces are even greater
As the bracket angle continues to decrease at 1 end of the appliance,
the couple at the lesser angled bracket is in the same direction as at the
greater angled bracket and forces are even greater
V BENDS & STEP BENDS
When the apex of the V bend is halfway between the brackets,
the wire exerts equal and opposite couples at the 2
attachments and no forces
As the V bend is moved off center, the couple nearer the bend
increases and the couple further from the bend decreases.
Forces result to maintain appliance equilibrium
When the V bend is at ½ the distance between the brackets, a
couple is only present at the bracket nearer the bend. No couple is
experienced at the bracket further from the bend, and forces result
to maintain equilibrium
When the V bend is very close to 1 bracket, couples in the same
direction are experienced at both brackets, with the larger couple at
the bracket closer to the bend. Forces increase as the bend is moved
further off center
A step bend, regardless of where it is placed,
results in equal couples in the same direction at
both attachments. Forces are at a maximum
C. PREDICTING HOW TEETH WILL MOVE IN
RESPONSE TO ORTHODONTIC APPLIANCE
ACTIVATIONS
It is important to distinguish between the 2 concepts: teeth move in response to
forces and moments applied at their brackets, and orthodontic appliances are
activated to transfer forces and moments to the brackets of teeth.
PREDICTING THE RESULT OF APPLIANCE
ACTIVATION
Using the laws of static mechanics, the force systems generated by
an orthodontic appliance are calculated to discern the forces and
moments transferred to teeth at their points of attachment.
A 1-couple appliance is used
to move a canine buccally, out
of crossbite. The force system
exerted by the appliance in
the occlusal view
Forces exerted by the appliance
at the brackets (black) and the
equivalent tbrce systems at the
centers of resistance (gray)
from a mesial aspect
DESIGNING AN ORTHODONTIC APPLIANCE
The steps of force system analysis are reversed if the
objective is designing an appliance to move teeth
predictably.
First, the desired force systems at the centers of resistance
are determined.
From this, the force systems required at the brackets can be
calculated and an appliance designed to deliver the desired
forces and moments.
Designing an orthodontic appliance. Desired force
systems at the centers of resistance to translate 2 teeth
toward each other without tipping
Force systems necessary at the brackets to
achieve the desired force systems
Closing loop designed to deliver the necessary
force systems at the attachments of the 2 teeth
Reanalysis of the appliance's effects shows that space
closing forces placed at the brackets (black) as seen from the
occlusal view will cause the teeth to move toward
each other and rotate (gray)
CONCLUSION
The components of comprehensive orthodontic treatment, preliminary
alignment, overbite control, space closure, root paralleling, and
finishing, rely on a series of biomechanical processes.
The choice of appliances and techniques used by practitioners varies
radically among individuals, but the fundamental forces and
moments they produce are universal.
Appliances will always act according to the laws of physics.
Understanding the basic biomechanical principles involved in
effecting controlled tooth movement makes achieving successful
orthodontic treatment outcomes more predictable and consistent.
REFERENCES
Hurd JJ, Nikolai RJ : Centers of rotation for combined vertical and transverse tooth
movements. Am J Orthod 1976; 70: 551-558.
Mulligan, TF : Common Sense Mechanics. Part 1,2,3 & 4. J Clin Orthod 1979; 13
number 9, 10, 11 & 12.
Burstone CJ, Pryputniewicz RJ : Holographic determination of centers of rotation
produced by orthodontic forces. Am J Orthod 1980; 77: 396- 409.
Smith RJ, Burstone CJ : Mechanics of tooth movement. Am J Orthod 1984; 77: 396-
409.
The basics of Orthodontic Mechanics

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The basics of Orthodontic Mechanics

  • 1. THE BASICS of ORTHODONTIC MECHANICS Steven J. Lindauer, 2001 by W.B. Saunders Company Presented by Dr S N Das 1st year PGT (Dept. of Orthodontics,KDDC)Date-02.10.2020
  • 2. CONTENTS Introduction Predicting How Teeth Will Move in Response to Application of Orthodontic Force Systems Predicting the Force Systems Created by Orthodontic Appliance Activations Predicting How Teeth Will Move in Response to Orthodontic Appliance Activations Conclusion Referenses
  • 3. INTRODUCTION The physical concepts that form the foundation of orthodontic mechanics are the key to understanding how orthodontic appliances work and are critical for designing new appliances. Orthodontic appliances obey the laws of physics and can be activated to generate the desired force systems to achieve predetermined treatment goals for individual patients. Through understanding of the basic mechanics underlying orthodontic appliance activation is the ultimate goal of this study.
  • 4. PARAMETERS TO PREDICT 3 sections "Predicting How Teeth Will Move in Response to Application of Orthodontic Force Systems," "Predicting the Force Systems Created by Orthodontic Appliance Activations," “Predicting How Teeth Will Move in Response to Orthodontic Appliance Activations” described how moments and forces displace individual teeth. discussedtheway inwhichmoments andforcesare generatedby orthodontic appliances. shows how these two steps can be used together to predict how teeth will move when orthodontic appliances are activated.
  • 5. A. PREDICTING HOW TEETH WILL MOVE IN RESPONSE TO APPLICATION OF ORTHODONTIC FORCE SYSTEMS Force Moments Couples Equivalent force system Moment to force ratio & centers of rotation # Tipping # Crown movement # Pure translation # Root movement # Pure rotation
  • 6. FORCE Forces are vectors, having both direction and magnitude. To move a tooth predictably, a force needs to be applied in the desired direction, with the desired magnitude, and at the correct position on the tooth.  There is only one point on a tooth through which a force can be applied that will move the tooth in the direction of the force without tipping or rotating it.  This point is the center of resistance and a force acting through it will cause pure translation of the tooth
  • 7.  If a tooth were truly a free body floating in space, the center of resistance would be coincident with the tooth's center of mass or gravity.  However, teeth are restrained by surrounding tissues, most notably the periodontal ligament (PDL).  The location of the center of resistance,therefore depends on the size and shape of the tooth as well as on the quality and level of the supporting structures.
  • 8. Forces, as vectors, can be combined or divided mathematically. Two or more forces acting at a single point can be added using simple trigonometry or vector addition and represented as a single force at that point.
  • 9. MOMENTS When a force is applied at any point other than through the center of resistance, in addition to moving the center of resistance in the direction of the force, a moment is created.
  • 10.  A force applied directly through the center of resistance will cause pure translation of the tooth in the direction of the force with no rotation.  If the same force is applied away from the center of resistance, toward the crown for example, the tooth will move in the direction of the force and there will be a moment created to tip the crown in the direction of the force
  • 11. COUPLES Two equal and opposite, noncolinear forces are called a couple. The 2 forces cancel out any tendency for the center of resistance of the tooth to move, but the moments created by the 2 forces do not cancel each other. The moment of a couple is really the sum of the moments created by each of the 2 forces that make up the couple: F 1 and F 2 are equal but opposite. Therefore, the magnitude of a moment created by a couple is F(d 1 + d2) or F times the distance between the 2 forces, M = Fd.
  • 12. A premolar is rotated by stretching an elastic in one direction from the buccal attachment and another elastic from the lingual attachment in the opposite direction. Thus, 2 equal and opposite forces are applied and the tooth rotates around its center of resistance without translation.
  • 13. To achieve a first-order couple, the wire is angulated to produce equal magnitudes of force at the mesial and distal aspects of the bracket in opposite, buccal and lingual directions A twist or torque in the wire will produce intrusive and extrusive forces that are equal and opposite acting at the buccal and lingual aspects of the bracket slot to produce a third-order couple To create a second order couple, the wire produces equal but opposite intrusive and extrusive forces at the mesial and distal aspects
  • 14. EQUIVALENT FORCE SYSTEMS A comprehensive way of describing tooth movement is to express the components of movement experienced by the tooth at the center of resistance, which include both translation and rotation.
  • 15. MOMENT-TO-FORCE RATIOS AND CENTERS OF ROTATION  The goal of orthodontic treatment is to move teeth a prescribed distance in a predetermined direction to enhance the esthetic and functional aspects of occlusion and achieve a stable result.  By varying the ratio of moment to force applied to teeth, the quality of tooth movement can be changed among tipping, crown movement, translation, and root movement.  By changing the ratio of the moment from the applied couple to the force applied, the center of rotation of tooth movement can be varied to produce the type of tooth movement desired.
  • 16. TIPPING If the center of resistance is 10 mm apical to the bracket, this moment is 10 mm times the magnitude of the force. For example, a distal force of 100 g at the bracket will create an equivalent of 100 g of distal force at the center of resistance plus a moment of 1,000 g-mm in the direction of distal crown tip.
  • 17. CROWN MOVEMENT If the center of resistance is 10 mm apical to the bracket, a force alone will produce a moment that is 10 mm times the magnitude of the force.
  • 18. PURE TRANSLATION  When a force to move a tooth is applied at a bracket that is 10 mm away from the center of resistance, a tendency for the tooth to tip is created that is 10 mm times the magnitude of the force.  To counteract the tendency for tipping, a couple can be applied intentionally to produce a moment of equal magnitude in the opposite direction
  • 19. ROOT MOVEMENT  The couple applied more than negates this tendency to tip, but the center of resistance still moves in the direction of the force while the crown does not.  An applied moment-to-force ratio of about 13/1 will result in root movement while the crown of the tooth remains relatively stationary.
  • 20. PURE ROTATION The moment-to-force ratio is infinite and the center of rotation is coincident with the center of resistance. This is referred to as pure rotation.
  • 21. B. PREDICTING THE FORCE SYSTEMS CREATED BY ORTHODONTIC APPLIANCE ACTIVATIONS  The force systems produced by orthodontic appliance activations must be resolved separately from the actual forces and moments that individual teeth will experience at their respective centers of resistance.  To deduce how each tooth will be displaced as a result of the activation, the equivalent force systems acting at the centers of resistance must be assessed subsequently. 1. Static Equilibrium 2. Equal and Opposite Forces 3. One Couple Appliances--Statically Determinate Systems 4. Two-Couple Appliances--Statically Indeterminate Systems
  • 22. STATIC EQUILIBRIUM  Static equilibrium implies that, at any point within a body, the sum of the forces and moments acting on a body is zero; i.e., if no net forces or moments are acting on the body, the body remains at rest(static).  Statics is the field of mechanics that examines the action of forces acting on bodies at rest.  The orthodontic application is that for every appliance, but not necessarily for every tooth to which it is attached, the sum of the forces and the sum of the moments must be equal to zero.
  • 23. EQUAL AND OPPOSITE FORCES  Perhaps the simplest orthodontic appliance to analyze is the elastic band.  An elastic band stretched between two points of attachment will produce a force of some magnitude at one end and, by the laws of equilibrium, produce an opposite force of the same magnitude at the other end.
  • 24. DETERMINATE VS. INDETERMINATE FORCE SYSTEMS Force systems can be defined as: A. Statically Determinate – in which the moments and forces can be easily discerned, measured and evaluated. B. Statically Indeterminate – which are too complex for precisely measuring all forces and moments involved in the equilibrium. Only the direction of net moments and approximate net force levels can be determined.
  • 25. A 1-couple orthodontic appliance is inserted into a bracket or tube at 1 end and is tied as a point contact at the other, Because it is not engaged into an orthodontic bracket, the end that is tied as a point contact cannot produce a couple but only a simple force at that site. The other end, which is engaged in the bracket slot, can produce both a force and a couple at that attachment. The appliance is a 1-couple system because a couple is generated only at the site of full engagement. ONE COUPLE APPLIANCES STATICALLY DETERMINATE SYSTEMS
  • 26. It is statically determinate because the magnitudes of the forces and moments produced can be determined clinically after the appliance is inserted into the bracket. This can be done by inserting the appliance into the bracket and measuring the force required to activate the wire to the site where it will be tied as a point contact.
  • 27. An example of a 1-couple orthodontic appliance is a long arm or cantilever activated to extrude a high maxillary buccal canine A long arm or cantilever to extrude a high canine The passive wire showing the angle between the molar bracket and the wire The force system exerted by the wire is in equilibrium with a crown-mesial moment at the molar, and equal and opposite extrusive and intrusive forces at the canine and molar, respectively
  • 28. TWO-COUPLE APPLIANCES STATICALLY INDETERMINATE SYSTEMS  A 2-couple appliance is one that is engaged into attachments at both ends. A couple, therefore, may be generated by the wire at either or both attachment sites.  Because of the inability to measure force systems produced by 2- couple appliances clinically, they are referred to as being statically indeterminate.
  • 29. The force systems produced by 2-couple orthodontic appliances depend on both the wire geometry and bracket angulation relationships. Equal and opposite bracket- wire angle relationships result in equal and opposite couples with no forces Equal bracket-wire angle relationships in the same direction result in equal couples in the same direction with large forces to maintain appliance equilibrium If bracket-wire angle relationships are unequal, the attachment with the largest angle will have the largest couple and resultant forces will be in a direction opposite this moment to maintain equilibrium
  • 30. The forces and moments produced by a straight segment of round wire inserted into 2 orthodontic brackets were first described by Burstone and Koenig in 1974.
  • 31. Equal and oppositely angled brackets result in equal and opposite couples As 1 bracket angulation decreases, the magnitude of the couple at that bracket decreases and forces result When the angulation of 1 bracket is half that of the other, no couple is experienced at the bracket with the smaller angulation and forces are consequently increased As the bracket angle continues to decrease at 1 end of the appliance, the couple at the lesser angled bracket is in the same direction as at the greater angled bracket and forces are even greater As the bracket angle continues to decrease at 1 end of the appliance, the couple at the lesser angled bracket is in the same direction as at the greater angled bracket and forces are even greater
  • 32.
  • 33. V BENDS & STEP BENDS
  • 34. When the apex of the V bend is halfway between the brackets, the wire exerts equal and opposite couples at the 2 attachments and no forces As the V bend is moved off center, the couple nearer the bend increases and the couple further from the bend decreases. Forces result to maintain appliance equilibrium When the V bend is at ½ the distance between the brackets, a couple is only present at the bracket nearer the bend. No couple is experienced at the bracket further from the bend, and forces result to maintain equilibrium When the V bend is very close to 1 bracket, couples in the same direction are experienced at both brackets, with the larger couple at the bracket closer to the bend. Forces increase as the bend is moved further off center A step bend, regardless of where it is placed, results in equal couples in the same direction at both attachments. Forces are at a maximum
  • 35. C. PREDICTING HOW TEETH WILL MOVE IN RESPONSE TO ORTHODONTIC APPLIANCE ACTIVATIONS It is important to distinguish between the 2 concepts: teeth move in response to forces and moments applied at their brackets, and orthodontic appliances are activated to transfer forces and moments to the brackets of teeth.
  • 36. PREDICTING THE RESULT OF APPLIANCE ACTIVATION Using the laws of static mechanics, the force systems generated by an orthodontic appliance are calculated to discern the forces and moments transferred to teeth at their points of attachment.
  • 37. A 1-couple appliance is used to move a canine buccally, out of crossbite. The force system exerted by the appliance in the occlusal view Forces exerted by the appliance at the brackets (black) and the equivalent tbrce systems at the centers of resistance (gray) from a mesial aspect
  • 38. DESIGNING AN ORTHODONTIC APPLIANCE The steps of force system analysis are reversed if the objective is designing an appliance to move teeth predictably. First, the desired force systems at the centers of resistance are determined. From this, the force systems required at the brackets can be calculated and an appliance designed to deliver the desired forces and moments.
  • 39. Designing an orthodontic appliance. Desired force systems at the centers of resistance to translate 2 teeth toward each other without tipping Force systems necessary at the brackets to achieve the desired force systems Closing loop designed to deliver the necessary force systems at the attachments of the 2 teeth Reanalysis of the appliance's effects shows that space closing forces placed at the brackets (black) as seen from the occlusal view will cause the teeth to move toward each other and rotate (gray)
  • 40. CONCLUSION The components of comprehensive orthodontic treatment, preliminary alignment, overbite control, space closure, root paralleling, and finishing, rely on a series of biomechanical processes. The choice of appliances and techniques used by practitioners varies radically among individuals, but the fundamental forces and moments they produce are universal. Appliances will always act according to the laws of physics. Understanding the basic biomechanical principles involved in effecting controlled tooth movement makes achieving successful orthodontic treatment outcomes more predictable and consistent.
  • 41. REFERENCES Hurd JJ, Nikolai RJ : Centers of rotation for combined vertical and transverse tooth movements. Am J Orthod 1976; 70: 551-558. Mulligan, TF : Common Sense Mechanics. Part 1,2,3 & 4. J Clin Orthod 1979; 13 number 9, 10, 11 & 12. Burstone CJ, Pryputniewicz RJ : Holographic determination of centers of rotation produced by orthodontic forces. Am J Orthod 1980; 77: 396- 409. Smith RJ, Burstone CJ : Mechanics of tooth movement. Am J Orthod 1984; 77: 396- 409.