FRICTION-BOON OR BANE IN ORTHODONTICS

Abstract

Sameer Ahmed 1 , Jahnavi R 2 , Chandra Mouli B 3

ABSTRACT: OBJECTIVE: Most fixed appliance techniques involve some degree of sliding between brackets and arch wires. A sound knowledge of the various factors affecting the magnitude of friction is of paramount importance to the clinician. The present study was performed to evaluate and compare the frictional resistance and characteristics between self-ligating brackets and pre-adjusted edgewise brackets with different types of ligation. MATERIALS AND METHODS: Tidy's frictional test design was used to simulate retraction of tooth along with artificial saliva to simulate wet conditions in oral cavity. The jig with this assembly was mounted on the Instron machine with the cross head moving upwards at a speed of 5mm/min. The movable bracket was suspended from the load cell of the testing machine, while the jig was mounted on cross head of machine and the load cell readings were recorded on digital display. Following wires are used 0.016 HANT, 0.019X 0.025HANT, 0.019X 0.025 SS, 0.021X 0.025 SS wires are used. The brackets used were 0.022 slot Damon, 0.022 Smart clip and 0.022 slot MBT system. RESULTS: Self ligating brackets were shown to produce lesser friction when compared to the conventional brackets used with modules, and stainless steel ligatures. Damon self-ligating brackets produce a least friction of all the brackets used in the study. Stainless steel ligatures produced the least friction compared to elastomeric. CONCLUSION: Self ligation brackets produce lesser friction than the conventional brackets ligated with elastomeric modules and stainless steel ligature. Damon self-ligating brackets produce a least friction of all the brackets used in the study width of the bracket was also found to be directly proportional to the friction produced 0.0016HANT with elastomeric modules produce more friction due increase in flexibility of wire.

image