Comparative Evaluation of Intrusive Effects of Miniscrew, Connecticut Intrusion Arch, and Utility Intrusion Arch – An In Vivo Study

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Authors

  • Department of Orthodontics and Dentofacial Orthopedics, S.G.T. Dental College, Hospital and Research Institute, Budhera, Gurgaon, Haryana 122505 ,IN
  • Department of Orthodontics and Dentofacial Orthopedics, S.G.T. Dental College, Hospital and Research Institute, Budhera, Gurgaon, Haryana 122505 ,IN
  • Department of Orthodontics and Dentofacial Orthopedics, S.G.T. Dental College, Hospital and Research Institute, Budhera, Gurgaon, Haryana 122505 ,IN
  • Department of Orthodontics and Dentofacial Orthopedics, S.G.T. Dental College, Hospital and Research Institute, Budhera, Gurgaon, Haryana 122505 ,IN

Keywords:

Utility Arch, Connecticut Arch, Deep Bite, Miniscrews
Orthodontics and Dentofacial Orthopedics

Abstract

Objectives: This study compared the skeletal and dental changes obtained by incisor intrusion using three methods: utility intrusion arch (UIA), Connecticut intrusion arch (CIA), and miniscrews.

Materials and methods: A total of thirty-eight patients with age range of 14-25 years were included which were divided into three groups: Group I (n = 13), UIA; Group II (n = 13), CIA; and Group III (n = 12), miniscrew. All the groups were further subdivided into maxillary and mandibular arch. Intrusion force of 60 g and 40 g was used for maxillary and mandibular arch respectively for standardization. Intrusion was concluded after 5-6 months or when correction was achieved. Pre-treatment and post-treatment skeletal and dental changes were compared sing lateral cephalograms.

Results: The results suggested that all three methods were effective means of intrusion, but true intrusion measured from center of resistance was maximum in miniscrew group. No anchorage loss and change in axial inclination of incisors was observed in miniscrew group as compared to UIA and CIA group. Overbite decreased in all groups but more significantly in miniscrew group.

Conclusions: Miniscrew intrusion was considered the preferred method of true intrusion to correct deep bite.

Published

2018-09-11

How to Cite

Kaushik, A., Sidhu, M. S., Grover, S., & Kumar, S. (2018). Comparative Evaluation of Intrusive Effects of Miniscrew, Connecticut Intrusion Arch, and Utility Intrusion Arch – An In Vivo Study. Journal of Pierre Fauchard Academy (India Section), 29(4), 69–76. Retrieved from http://informaticsjournals.com/index.php/jpfa/article/view/22210

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References

Strang RHW. A Textbook of Orthodontia. Philadelphia: Lea & Febiger; 1950.

Nanda R, Marzban R, Kuhlberg A. The Connecticut intrusion arch. J Clin Orthod. 1998;32:708–715.

Kokich VG. Managing complex orthodontic problems: the use of implants for anchorage. Semin Orthod. 1996;2: 153–160.

Creekmore TD, Eklund MK. The possibility of skeletal anchorage. J Clin Orthod. 1983;17:266–269.

Polat-Ozsoy O, Arman-Ozcirpici A, Veziroglu F. Miniscrews for upper incisor intrusion. Eur J Orthod. 2009;31:412–416.

Ricketts RM. Bioprogressive therapy as an answer to orthodontic needs. Part 1. Am J Orthod. 1976;70:241–268.

Lindauer SJ, Lewis SM, Shroff B. Overbite correction and smile aesthetics. Semin Orthod. 2005;11:62–66.

Janzen EK. A balanced smile – a most important treatment objective. Am J Orthod. 1989;96:275–280.

Sarver DM, Ackerman MB. Dynamic smile visualization and quantification and its impact on orthodontic diagnosis and treatment planning. In: Romano R, ed. In: The Art of the Smile. New Malden, UK: Quintessence Publishing Co, Ltd.; 2005 :101–139.

Bench RW, Gugino CF, Hilgers JJ. Bioprogressive therapy. Part 12. J Clin Orthod. 1978;12:569–586.

Ricketts RM. Bioprogressive therapy as an answer to orthodontic needs. Part II. Am J Orthod Dentofac Orthop. 1976;70:359–397.

Varlik SK, Alpakan OO, Turkoz C. Deepbite correction with incisor intrusion in adults: a long-term cephalometric study. Am J Orthod Dentofac Orthop. 2013;144:414–419.

Steenbergen EV, Burstone CJ, Prahl-Andersen B, Aartman IH. The influence of force magnitude on intrusion of the maxillary segment. Angle Orthod. 2005;75:723–729.

Al-Buraiki H, Sadowsky C, Schneider B. The effectiveness and long-term stability of overbite correction with incisor intrusion mechanics. Am J Orthod Dentofac Orthop. 2005;127:47–55.

Julia NG, Major PW, Giseon H, Flores-Mir C. True incisor intrusion attained during orthodontic treatment: a systematic review and meta-analysis. Am J Orthod Dentofac Orthop. 2005;128:212–219.

Matsui S, Caputo AA, Chaconas SJ, Kiyomura H. Center of resistance of anterior arch segment. Am J Orthod Dentofac Orthop. 2000;118:171–178.

Ng J, Major PW, Heo G, Flores-Mir C. True incisor intrusion attained during orthodontic treatment: a systematic review and meta-analysis. Am J Orthod Dentofac Orthop. 2005;128:212–219.

Reimann S. Biomechanical finite element investigation of the position of the centre of resistance of upper incisors. Eur J Orthod. 2007;29:219–224.

McDowell EH, Baker IM. The skeletodental adaptations in deep bite correction. Am J Orthod Dentofac Orthop. 1991;100:370–375.

DeVincenzo JP, Winn MW. Maxillary incisor intrusion and facial growth. Angle Orthod. 1987;57:279–289.

Senısık NE, Turkkahraman H. Treatment effects of intrusion arches and mini-implant systems in deepbite patients. Am J Orthod Dentofac Orthop. 2012;141:723–733.

Parker CD, Nanda RS, Currier GF. Skeletal and dental changes associated with the treatment of deep bite malocclusion. Am J Orthod Dentofac Orthop. 1995;107:382–393.

Karthik J, Jayakumar P. The Connecticut intrusion arch. J Ind Orthod Soc. 2002;35:187–194.

Ricketts RM, Bench RW, Gugino CF, et al. Bioprogressive Therapy. Book 1. Denver, CO: Rocky Mountain Orthodontics; 1978.

Sameshima GT, Sinclair MP. Predicting and preventing root resorption. Part 2. Treatment factors. Am J Orthod Dentofac Orthop. 2001;119:511–515.