Comparison of transverse dimensional and incisor changes between wide and narrow orthodontic archwires: a randomized controlled trial
Objectives To clinically compare the effects of broader archwires to standard archwires, using conventional brackets in both cases, on the transverse and incisor changes in maxillary and mandibular arches during leveling and alignment. Materials and methods Fifty-two patients presenting with crowdin...
Gespeichert in:
| Veröffentlicht in: | Clinical oral investigations 2024-05, Vol.28 (6), p.338, Article 338 |
|---|---|
| Hauptverfasser: | , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | |
|---|---|
| container_issue | 6 |
| container_start_page | 338 |
| container_title | Clinical oral investigations |
| container_volume | 28 |
| creator | Ahmed, Amgad S. Al-Nimri, Kazem S. Ahmed, Wesam S. |
| description | Objectives
To clinically compare the effects of broader archwires to standard archwires, using conventional brackets in both cases, on the transverse and incisor changes in maxillary and mandibular arches during leveling and alignment.
Materials and methods
Fifty-two patients presenting with crowding were allocated into two groups; one group received the broad Damon archwires while the other received standard 3M OrthoForm III Ovoid archwires. All participants were treated with conventional brackets using similar archwire sequences (0.014, 0.018, 0.016 × 0.022/0.016 × 0.025, 0.019 × 0.025 NiTi/CuNiTi archwires). Digital casts were obtained from alginate impressions before treatment (T0) and six weeks after inserting 0.019 × 0.025 NiTi archwires (T1). Pretreatment (T0) and post-alignment (T1) lateral cephalograms were obtained for each patient. The primary outcomes were the changes in the transverse arch dimensions and incisor inclination. The secondary outcomes were the horizontal and vertical linear changes in incisor position.
Results
Complete data were collected for 47 patients. There was a significant increase in arch width during treatment within each group, except for upper inter-molar width in 3M group (
P
= 0.071). Damon wire induced a statistically significant increase in maxillary inter-second premolar width (
P
= 0.042), and mandibular inter-first premolar (
P
= 0.043), inter-second premolar (
P
= 0.008) and inter-molar widths (
P
= 0.033) compared to 3M group. The increase in incisor proclination and the linear change in incisor position were significant within each group, with less mandibular incisor proclination (
P
= 0.004) and horizontal advancement (
P
= 0.038) in the Damon group.
Conclusions
Damon archwires created a comparatively greater increase in the maxillary inter-second premolar width and the mandibular inter-first premolar, inter-second premolar, and inter-molar widths, and less proclination and horizontal advancement in mandibular incisors. The study provides invaluable evidence that using broad archwires with self-ligating brackets is the reason behind any greater expansion observed in this system rather than the unique mechanical and biological features exerted by the self-ligating system.
Clinical relevance
Our results suggest that Damon archwire might be a better alternative compared to the narrower standard archwires that are usually used with conventional brackets, especially in the mandibular arch, in cases where mil |
| doi_str_mv | 10.1007/s00784-024-05724-0 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_3060751878</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>3060208386</sourcerecordid><originalsourceid>FETCH-LOGICAL-c256t-fd794a09b11600041bc300a566850b392d122c86426c839613411ebe3e2be69b3</originalsourceid><addsrcrecordid>eNp9kU1v1DAQhi1ERUvhD3BAlrhwCYztxHa4oRVfUiUu5Ww5zizrKrGXcZYV3PnfdZvyIQ49zIc0z7wjzcvYMwGvBIB5XWqybQOyRmdu8gN2JlqlG2WMePhPf8oel3IFIFpt1CN2qqzpjbHijP3a5HnvKZaceN7yhXwq35EK8jHOmErMyU_cp5HHFCpFPOx8-oqFD7gcERM_xhFvgeSJ8pFnWnZ5zGmJgXsKu2MkLG-451V6zHP8iSMPdUx5mmq7UPTTE3ay9VPBp3f1nH15_-5y87G5-Pzh0-btRRNkp5dmO5q-9dAPQmgAaMUQFIDvtLYdDKqXo5AyWN1KHazqtVCtEDigQjmg7gd1zl6uunvK3w5YFjfHEnCafMJ8KE6BBtMJa2xFX_yHXuUD1WeslASrrK6UXKlAuRTCrdtTnD39cALcjUluNclVk9ytSQ7q0vM76cMw4_hn5bcrFVArUOqoPpv-3r5H9hoMEp4E</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>3060208386</pqid></control><display><type>article</type><title>Comparison of transverse dimensional and incisor changes between wide and narrow orthodontic archwires: a randomized controlled trial</title><source>MEDLINE</source><source>SpringerLink Journals - AutoHoldings</source><creator>Ahmed, Amgad S. ; Al-Nimri, Kazem S. ; Ahmed, Wesam S.</creator><creatorcontrib>Ahmed, Amgad S. ; Al-Nimri, Kazem S. ; Ahmed, Wesam S.</creatorcontrib><description>Objectives
To clinically compare the effects of broader archwires to standard archwires, using conventional brackets in both cases, on the transverse and incisor changes in maxillary and mandibular arches during leveling and alignment.
Materials and methods
Fifty-two patients presenting with crowding were allocated into two groups; one group received the broad Damon archwires while the other received standard 3M OrthoForm III Ovoid archwires. All participants were treated with conventional brackets using similar archwire sequences (0.014, 0.018, 0.016 × 0.022/0.016 × 0.025, 0.019 × 0.025 NiTi/CuNiTi archwires). Digital casts were obtained from alginate impressions before treatment (T0) and six weeks after inserting 0.019 × 0.025 NiTi archwires (T1). Pretreatment (T0) and post-alignment (T1) lateral cephalograms were obtained for each patient. The primary outcomes were the changes in the transverse arch dimensions and incisor inclination. The secondary outcomes were the horizontal and vertical linear changes in incisor position.
Results
Complete data were collected for 47 patients. There was a significant increase in arch width during treatment within each group, except for upper inter-molar width in 3M group (
P
= 0.071). Damon wire induced a statistically significant increase in maxillary inter-second premolar width (
P
= 0.042), and mandibular inter-first premolar (
P
= 0.043), inter-second premolar (
P
= 0.008) and inter-molar widths (
P
= 0.033) compared to 3M group. The increase in incisor proclination and the linear change in incisor position were significant within each group, with less mandibular incisor proclination (
P
= 0.004) and horizontal advancement (
P
= 0.038) in the Damon group.
Conclusions
Damon archwires created a comparatively greater increase in the maxillary inter-second premolar width and the mandibular inter-first premolar, inter-second premolar, and inter-molar widths, and less proclination and horizontal advancement in mandibular incisors. The study provides invaluable evidence that using broad archwires with self-ligating brackets is the reason behind any greater expansion observed in this system rather than the unique mechanical and biological features exerted by the self-ligating system.
Clinical relevance
Our results suggest that Damon archwire might be a better alternative compared to the narrower standard archwires that are usually used with conventional brackets, especially in the mandibular arch, in cases where mild to moderate crowding is planned to be resolved with a non-extraction approach. However, as arch expansion in the absence of posterior crossbites raises the question of long-term stability, the reported advantage of the use of wide wires should be interpreted with caution and should be considered in the retention phase, bearing in mind that achieving a good post-treatment occlusion is important for enhancing post-treatment stability.</description><identifier>ISSN: 1436-3771</identifier><identifier>ISSN: 1432-6981</identifier><identifier>EISSN: 1436-3771</identifier><identifier>DOI: 10.1007/s00784-024-05724-0</identifier><identifier>PMID: 38797781</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Adolescent ; Alginic acid ; Cephalometry ; Clinical outcomes ; Copper ; Crowding ; Dental Arch ; Dental restorative materials ; Dentistry ; Female ; Humans ; Incisor ; Incisors ; Male ; Malocclusion - therapy ; Mandible ; Maxilla ; Medicine ; Nickel - chemistry ; Orthodontic Appliance Design ; Orthodontic Brackets ; Orthodontic Wires ; Orthodontics ; Patients ; Statistical analysis ; Titanium - chemistry ; Tooth Movement Techniques - instrumentation ; Tooth Movement Techniques - methods ; Treatment Outcome</subject><ispartof>Clinical oral investigations, 2024-05, Vol.28 (6), p.338, Article 338</ispartof><rights>The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature 2024. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.</rights><rights>2024. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c256t-fd794a09b11600041bc300a566850b392d122c86426c839613411ebe3e2be69b3</cites><orcidid>0000-0002-3441-2631 ; 0000-0002-5859-9234</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00784-024-05724-0$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00784-024-05724-0$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38797781$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ahmed, Amgad S.</creatorcontrib><creatorcontrib>Al-Nimri, Kazem S.</creatorcontrib><creatorcontrib>Ahmed, Wesam S.</creatorcontrib><title>Comparison of transverse dimensional and incisor changes between wide and narrow orthodontic archwires: a randomized controlled trial</title><title>Clinical oral investigations</title><addtitle>Clin Oral Invest</addtitle><addtitle>Clin Oral Investig</addtitle><description>Objectives
To clinically compare the effects of broader archwires to standard archwires, using conventional brackets in both cases, on the transverse and incisor changes in maxillary and mandibular arches during leveling and alignment.
Materials and methods
Fifty-two patients presenting with crowding were allocated into two groups; one group received the broad Damon archwires while the other received standard 3M OrthoForm III Ovoid archwires. All participants were treated with conventional brackets using similar archwire sequences (0.014, 0.018, 0.016 × 0.022/0.016 × 0.025, 0.019 × 0.025 NiTi/CuNiTi archwires). Digital casts were obtained from alginate impressions before treatment (T0) and six weeks after inserting 0.019 × 0.025 NiTi archwires (T1). Pretreatment (T0) and post-alignment (T1) lateral cephalograms were obtained for each patient. The primary outcomes were the changes in the transverse arch dimensions and incisor inclination. The secondary outcomes were the horizontal and vertical linear changes in incisor position.
Results
Complete data were collected for 47 patients. There was a significant increase in arch width during treatment within each group, except for upper inter-molar width in 3M group (
P
= 0.071). Damon wire induced a statistically significant increase in maxillary inter-second premolar width (
P
= 0.042), and mandibular inter-first premolar (
P
= 0.043), inter-second premolar (
P
= 0.008) and inter-molar widths (
P
= 0.033) compared to 3M group. The increase in incisor proclination and the linear change in incisor position were significant within each group, with less mandibular incisor proclination (
P
= 0.004) and horizontal advancement (
P
= 0.038) in the Damon group.
Conclusions
Damon archwires created a comparatively greater increase in the maxillary inter-second premolar width and the mandibular inter-first premolar, inter-second premolar, and inter-molar widths, and less proclination and horizontal advancement in mandibular incisors. The study provides invaluable evidence that using broad archwires with self-ligating brackets is the reason behind any greater expansion observed in this system rather than the unique mechanical and biological features exerted by the self-ligating system.
Clinical relevance
Our results suggest that Damon archwire might be a better alternative compared to the narrower standard archwires that are usually used with conventional brackets, especially in the mandibular arch, in cases where mild to moderate crowding is planned to be resolved with a non-extraction approach. However, as arch expansion in the absence of posterior crossbites raises the question of long-term stability, the reported advantage of the use of wide wires should be interpreted with caution and should be considered in the retention phase, bearing in mind that achieving a good post-treatment occlusion is important for enhancing post-treatment stability.</description><subject>Adolescent</subject><subject>Alginic acid</subject><subject>Cephalometry</subject><subject>Clinical outcomes</subject><subject>Copper</subject><subject>Crowding</subject><subject>Dental Arch</subject><subject>Dental restorative materials</subject><subject>Dentistry</subject><subject>Female</subject><subject>Humans</subject><subject>Incisor</subject><subject>Incisors</subject><subject>Male</subject><subject>Malocclusion - therapy</subject><subject>Mandible</subject><subject>Maxilla</subject><subject>Medicine</subject><subject>Nickel - chemistry</subject><subject>Orthodontic Appliance Design</subject><subject>Orthodontic Brackets</subject><subject>Orthodontic Wires</subject><subject>Orthodontics</subject><subject>Patients</subject><subject>Statistical analysis</subject><subject>Titanium - chemistry</subject><subject>Tooth Movement Techniques - instrumentation</subject><subject>Tooth Movement Techniques - methods</subject><subject>Treatment Outcome</subject><issn>1436-3771</issn><issn>1432-6981</issn><issn>1436-3771</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kU1v1DAQhi1ERUvhD3BAlrhwCYztxHa4oRVfUiUu5Ww5zizrKrGXcZYV3PnfdZvyIQ49zIc0z7wjzcvYMwGvBIB5XWqybQOyRmdu8gN2JlqlG2WMePhPf8oel3IFIFpt1CN2qqzpjbHijP3a5HnvKZaceN7yhXwq35EK8jHOmErMyU_cp5HHFCpFPOx8-oqFD7gcERM_xhFvgeSJ8pFnWnZ5zGmJgXsKu2MkLG-451V6zHP8iSMPdUx5mmq7UPTTE3ay9VPBp3f1nH15_-5y87G5-Pzh0-btRRNkp5dmO5q-9dAPQmgAaMUQFIDvtLYdDKqXo5AyWN1KHazqtVCtEDigQjmg7gd1zl6uunvK3w5YFjfHEnCafMJ8KE6BBtMJa2xFX_yHXuUD1WeslASrrK6UXKlAuRTCrdtTnD39cALcjUluNclVk9ytSQ7q0vM76cMw4_hn5bcrFVArUOqoPpv-3r5H9hoMEp4E</recordid><startdate>20240527</startdate><enddate>20240527</enddate><creator>Ahmed, Amgad S.</creator><creator>Al-Nimri, Kazem S.</creator><creator>Ahmed, Wesam S.</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-3441-2631</orcidid><orcidid>https://orcid.org/0000-0002-5859-9234</orcidid></search><sort><creationdate>20240527</creationdate><title>Comparison of transverse dimensional and incisor changes between wide and narrow orthodontic archwires: a randomized controlled trial</title><author>Ahmed, Amgad S. ; Al-Nimri, Kazem S. ; Ahmed, Wesam S.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c256t-fd794a09b11600041bc300a566850b392d122c86426c839613411ebe3e2be69b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Adolescent</topic><topic>Alginic acid</topic><topic>Cephalometry</topic><topic>Clinical outcomes</topic><topic>Copper</topic><topic>Crowding</topic><topic>Dental Arch</topic><topic>Dental restorative materials</topic><topic>Dentistry</topic><topic>Female</topic><topic>Humans</topic><topic>Incisor</topic><topic>Incisors</topic><topic>Male</topic><topic>Malocclusion - therapy</topic><topic>Mandible</topic><topic>Maxilla</topic><topic>Medicine</topic><topic>Nickel - chemistry</topic><topic>Orthodontic Appliance Design</topic><topic>Orthodontic Brackets</topic><topic>Orthodontic Wires</topic><topic>Orthodontics</topic><topic>Patients</topic><topic>Statistical analysis</topic><topic>Titanium - chemistry</topic><topic>Tooth Movement Techniques - instrumentation</topic><topic>Tooth Movement Techniques - methods</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ahmed, Amgad S.</creatorcontrib><creatorcontrib>Al-Nimri, Kazem S.</creatorcontrib><creatorcontrib>Ahmed, Wesam S.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>Clinical oral investigations</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ahmed, Amgad S.</au><au>Al-Nimri, Kazem S.</au><au>Ahmed, Wesam S.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Comparison of transverse dimensional and incisor changes between wide and narrow orthodontic archwires: a randomized controlled trial</atitle><jtitle>Clinical oral investigations</jtitle><stitle>Clin Oral Invest</stitle><addtitle>Clin Oral Investig</addtitle><date>2024-05-27</date><risdate>2024</risdate><volume>28</volume><issue>6</issue><spage>338</spage><pages>338-</pages><artnum>338</artnum><issn>1436-3771</issn><issn>1432-6981</issn><eissn>1436-3771</eissn><abstract>Objectives
To clinically compare the effects of broader archwires to standard archwires, using conventional brackets in both cases, on the transverse and incisor changes in maxillary and mandibular arches during leveling and alignment.
Materials and methods
Fifty-two patients presenting with crowding were allocated into two groups; one group received the broad Damon archwires while the other received standard 3M OrthoForm III Ovoid archwires. All participants were treated with conventional brackets using similar archwire sequences (0.014, 0.018, 0.016 × 0.022/0.016 × 0.025, 0.019 × 0.025 NiTi/CuNiTi archwires). Digital casts were obtained from alginate impressions before treatment (T0) and six weeks after inserting 0.019 × 0.025 NiTi archwires (T1). Pretreatment (T0) and post-alignment (T1) lateral cephalograms were obtained for each patient. The primary outcomes were the changes in the transverse arch dimensions and incisor inclination. The secondary outcomes were the horizontal and vertical linear changes in incisor position.
Results
Complete data were collected for 47 patients. There was a significant increase in arch width during treatment within each group, except for upper inter-molar width in 3M group (
P
= 0.071). Damon wire induced a statistically significant increase in maxillary inter-second premolar width (
P
= 0.042), and mandibular inter-first premolar (
P
= 0.043), inter-second premolar (
P
= 0.008) and inter-molar widths (
P
= 0.033) compared to 3M group. The increase in incisor proclination and the linear change in incisor position were significant within each group, with less mandibular incisor proclination (
P
= 0.004) and horizontal advancement (
P
= 0.038) in the Damon group.
Conclusions
Damon archwires created a comparatively greater increase in the maxillary inter-second premolar width and the mandibular inter-first premolar, inter-second premolar, and inter-molar widths, and less proclination and horizontal advancement in mandibular incisors. The study provides invaluable evidence that using broad archwires with self-ligating brackets is the reason behind any greater expansion observed in this system rather than the unique mechanical and biological features exerted by the self-ligating system.
Clinical relevance
Our results suggest that Damon archwire might be a better alternative compared to the narrower standard archwires that are usually used with conventional brackets, especially in the mandibular arch, in cases where mild to moderate crowding is planned to be resolved with a non-extraction approach. However, as arch expansion in the absence of posterior crossbites raises the question of long-term stability, the reported advantage of the use of wide wires should be interpreted with caution and should be considered in the retention phase, bearing in mind that achieving a good post-treatment occlusion is important for enhancing post-treatment stability.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>38797781</pmid><doi>10.1007/s00784-024-05724-0</doi><orcidid>https://orcid.org/0000-0002-3441-2631</orcidid><orcidid>https://orcid.org/0000-0002-5859-9234</orcidid></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1436-3771 |
| ispartof | Clinical oral investigations, 2024-05, Vol.28 (6), p.338, Article 338 |
| issn | 1436-3771 1432-6981 1436-3771 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_3060751878 |
| source | MEDLINE; SpringerLink Journals - AutoHoldings |
| subjects | Adolescent Alginic acid Cephalometry Clinical outcomes Copper Crowding Dental Arch Dental restorative materials Dentistry Female Humans Incisor Incisors Male Malocclusion - therapy Mandible Maxilla Medicine Nickel - chemistry Orthodontic Appliance Design Orthodontic Brackets Orthodontic Wires Orthodontics Patients Statistical analysis Titanium - chemistry Tooth Movement Techniques - instrumentation Tooth Movement Techniques - methods Treatment Outcome |
| title | Comparison of transverse dimensional and incisor changes between wide and narrow orthodontic archwires: a randomized controlled trial |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-06T10%3A46%3A55IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Comparison%20of%20transverse%20dimensional%20and%20incisor%20changes%20between%20wide%20and%20narrow%20orthodontic%20archwires:%20a%20randomized%20controlled%20trial&rft.jtitle=Clinical%20oral%20investigations&rft.au=Ahmed,%20Amgad%20S.&rft.date=2024-05-27&rft.volume=28&rft.issue=6&rft.spage=338&rft.pages=338-&rft.artnum=338&rft.issn=1436-3771&rft.eissn=1436-3771&rft_id=info:doi/10.1007/s00784-024-05724-0&rft_dat=%3Cproquest_cross%3E3060208386%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=3060208386&rft_id=info:pmid/38797781&rfr_iscdi=true |