Duration and anchorage management of canine retraction with bodily versus tipping mechanics

Abstract

Objective: To compare tipping mechanics (TM) and bodily mechanics (BM) with respect to duration, angulation, and anchorage loss during canine retraction.

Materials and methods: TM and BM brackets were bonded to the upper right and left canines, respectively, of 14 subjects requiring maxillary first premolar extractions. The upper canines were retracted with variable nickel titanium closed coil springs (F = 0.50 or 0.75 N) attached posteriorly to a Nance anchorage appliance through the first molars. Panoramic radiographs and dental casts were taken at five time points. Canine angulation was assessed with custom metallic jigs inserted into the vertical slots of the canine brackets prior to radiographic exposure.

Results: The canine crown contacted the second premolar after 102.2 +/- 106 and 99.0 +/- 80.0 days, and achieved root uprighting in 72.0 +/- 31.3 and 37.2 +/- 42.7 additional days with the TM and BM groups, respectively. Only the uprighting stage differed significantly between the two mechanics (P < .05). During retraction, tooth angulation differed significantly (P < .001) between the TM (6 degrees ) and BM (-0.8 degrees ) groups. Anchorage loss, as assessed by mesial molar movement, was 1.2 +/- 0.3 mm and 1.4 +/- 0.5 mm for the TM and BM groups, respectively.

Conclusions: Bodily canine retraction occurred faster (38 days) than tipping due to a shorter duration of root uprighting. Anchorage loss (17%-20%) was similar for both retraction methods, ie, maximum anchorage could not be provided by the Nance appliance. Both TM and BM brackets had inadequate rotational control of the retracted canine.