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An easy method of attachment to an impacted canine.

Mittal R, Rai D, Patil A, Garg A - Prog Orthod (2013)

Bottom Line: Since many years, various bonding attachments have been used as a mode of traction for surgically exposed impacted teeth.A 0.010-in. stainless steel ligature wire with eyelets at one end and spiral twisted at the other end was made and used as an attachment to guide surgically exposed impacted canine.Orthodontic guided eruption of an impacted canine of a 16-year-old patient using this simple attachment with 1-year follow-up illustrates adequate amount of attached gingiva.

View Article: PubMed Central - PubMed

Affiliation: Department of Orthodontics, Manav Rachna Dental College, Faridabad, Haryana 121006, India. drrekhagarg@rediffmail.com.

ABSTRACT

Background: Since many years, various bonding attachments have been used as a mode of traction for surgically exposed impacted teeth. It has always been a challenge to select an attachment considering predictability of the bonded attachment, mucogingival and periodontal conditions of the overlying tissues, and additional inventory requirement.

Methods: A 0.010-in. stainless steel ligature wire with eyelets at one end and spiral twisted at the other end was made and used as an attachment to guide surgically exposed impacted canine.

Results: Orthodontic guided eruption of an impacted canine of a 16-year-old patient using this simple attachment with 1-year follow-up illustrates adequate amount of attached gingiva.

Conclusions: Ligature wire attachment is a simple inexpensive attachment that can be custom made without any need for additional inventory, besides being more comfortable to patients.

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Related in: MedlinePlus

Stainless steel ligature wire. (a) A 0.010-in. ligature wire with three eyelets. (b) Ligature wire with spiral at one end and eyelets at the other end. (c) Illustrating close adaptation of spiral to tooth surface.
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Fig1: Stainless steel ligature wire. (a) A 0.010-in. ligature wire with three eyelets. (b) Ligature wire with spiral at one end and eyelets at the other end. (c) Illustrating close adaptation of spiral to tooth surface.

Mentions: A 0.010-in. stainless steel (SS) ligature wire was used to make an attachment for guiding the impacted canine into the occlusion. Three eyelets (Figure 1a) are made with the 0.010-in. SS ligature wire followed by twisting of the same wire into a spiral at the end using a bird beak plier (Figure 1b). The free end of the wire with spiral was closely adapted on the exposed tooth surface with the help of Howe's plier (Figure 1c). The other end with eyelets can be used to pass an elastic thread that can be tied to the main arch wire. This attachment was placed over the etched enamel, and a flowable composite was used to bond it in place. Strength of the bonding can be checked by pulling the ligature with a firm pressure. Bond strength is adequate as the continuous spiral provides large coverage area and meshwork for attachment.Figure 1


An easy method of attachment to an impacted canine.

Mittal R, Rai D, Patil A, Garg A - Prog Orthod (2013)

Stainless steel ligature wire. (a) A 0.010-in. ligature wire with three eyelets. (b) Ligature wire with spiral at one end and eyelets at the other end. (c) Illustrating close adaptation of spiral to tooth surface.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4384930&req=5

Fig1: Stainless steel ligature wire. (a) A 0.010-in. ligature wire with three eyelets. (b) Ligature wire with spiral at one end and eyelets at the other end. (c) Illustrating close adaptation of spiral to tooth surface.
Mentions: A 0.010-in. stainless steel (SS) ligature wire was used to make an attachment for guiding the impacted canine into the occlusion. Three eyelets (Figure 1a) are made with the 0.010-in. SS ligature wire followed by twisting of the same wire into a spiral at the end using a bird beak plier (Figure 1b). The free end of the wire with spiral was closely adapted on the exposed tooth surface with the help of Howe's plier (Figure 1c). The other end with eyelets can be used to pass an elastic thread that can be tied to the main arch wire. This attachment was placed over the etched enamel, and a flowable composite was used to bond it in place. Strength of the bonding can be checked by pulling the ligature with a firm pressure. Bond strength is adequate as the continuous spiral provides large coverage area and meshwork for attachment.Figure 1

Bottom Line: Since many years, various bonding attachments have been used as a mode of traction for surgically exposed impacted teeth.A 0.010-in. stainless steel ligature wire with eyelets at one end and spiral twisted at the other end was made and used as an attachment to guide surgically exposed impacted canine.Orthodontic guided eruption of an impacted canine of a 16-year-old patient using this simple attachment with 1-year follow-up illustrates adequate amount of attached gingiva.

View Article: PubMed Central - PubMed

Affiliation: Department of Orthodontics, Manav Rachna Dental College, Faridabad, Haryana 121006, India. drrekhagarg@rediffmail.com.

ABSTRACT

Background: Since many years, various bonding attachments have been used as a mode of traction for surgically exposed impacted teeth. It has always been a challenge to select an attachment considering predictability of the bonded attachment, mucogingival and periodontal conditions of the overlying tissues, and additional inventory requirement.

Methods: A 0.010-in. stainless steel ligature wire with eyelets at one end and spiral twisted at the other end was made and used as an attachment to guide surgically exposed impacted canine.

Results: Orthodontic guided eruption of an impacted canine of a 16-year-old patient using this simple attachment with 1-year follow-up illustrates adequate amount of attached gingiva.

Conclusions: Ligature wire attachment is a simple inexpensive attachment that can be custom made without any need for additional inventory, besides being more comfortable to patients.

Show MeSH
Related in: MedlinePlus