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Buccolingual Inclination Effects of Self-Ligating and Conventional Premolar Brackets: A Cone Beam Computed Tomography Study.

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Evaluación de la Colocación de Brackets; Un Sistema Personalizado Frente al Método Convencional

Kübra Sucu1, Mete Özer2

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AndrewsColocación de bracketsInsigniaKalange

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Área de la Ciencia:

  • Ortodoncia
  • Tecnología Dental

Sus antecedentes:

  • La colocación precisa de los brackets es crucial para un tratamiento de ortodoncia eficaz.
  • Las variaciones en la colocación de los brackets pueden afectar los resultados y la eficiencia del tratamiento.

Objetivo del estudio:

  • Evaluar y comparar la precisión de la colocación de brackets entre el sistema Insignia (personalizado) y el sistema Kalange modificado (convencional).
  • Evaluar las desviaciones de la prescripción de Andrews para la colocación de brackets.

Principales métodos:

  • Se analizaron veintiséis pacientes, 11 tratados con el sistema Insignia y 15 con el método Kalange modificado.
  • Se utilizaron modelos digitales para medir la posición del bracket en relación con el punto del eje facial (FA).
  • Se identificaron y analizaron los dientes con desviación significativa (TSD) superior a 0,5 mm.

Principales resultados:

  • El grupo Kalange modificado mostró un mayor porcentaje de dientes con desviación significativa (69,5%) en comparación con el grupo Insignia (56,65%).
  • Ambos sistemas exhibieron una mayor desviación incisal/oclusal en los dientes anteriores en comparación con los dientes posteriores.
  • Las desviaciones fueron predominantemente oclusales o incisales en ambos grupos de tratamiento.

Conclusiones:

  • Tanto el sistema Insignia como el método Kalange modificado demuestran una tendencia a la colocación de brackets incisal/oclusal en relación con el punto FA de Andrews.
  • La colocación de los brackets anteriores es consistentemente más incisal que la colocación posterior en ambos métodos evaluados.