The rationale, evolution and clinical application of the self-ligating bracket

Abstract

There is ample evidence in the literature that conventional orthodontic mechanics while intended to move teeth efficiently rarely achieve atraumatic remodeling of periodontal tissues. The vascular supply is often interrupted, which in turn affects the oxidative metabolism. Moreover, teeth splinted in groups do not appear to move as efficiently as single teeth. The novel bracket design and treatment regimen described in this report allow teeth to move individually, yet stay within a group. The self-ligating bracket design allows for rapid leveling because teeth drift along the path of least resistance with little or no friction between the bracket and slot of the wire. The hinge mechanism eliminates much of the friction created by the conventional wire or latex ties used to secure the archwire in the bracket slot. Thus, sliding mechanics is achieved in the true sense of the word. This system is capable of increasing the appointment intervals, and possibly reducing the overall treatment time.