quarta-feira, 26 de maio de 2010

The History and Development of Self-Ligating


Nigel Harradine

Self-ligating brackets do not require an elastic or wire ligature, but have an

inbuilt mechanism that can be opened and closed to secure the archwire. In

the overwhelming majority of designs, this mechanism is a metal face to the

bracket slot that is opened and closed with an instrument or fingertip.

Brackets of this type have existed for a surprisingly long time in orthodontics—

the Russell Lock edgewise attachment being described by Stolzenberg

in 1935. Many designs have been patented, although only a minority have

become commercially available. In addition, there are lingual self-ligation

brackets, and in general terms, the same challenges and potential differences

apply on the lingual surface. Specific comparison of some types of

lingual self-ligating brackets can be found in the article by Silvia Geron in

this issue. New designs have continued to appear, the Time bracket (Adenta

GmbH, Gliching, Germany) becoming available in 1994, the Damon SL

bracket (“A” Company, San Diégo, CA) in 1996,5,6 and the TwinLock bracket

(Ormco Corp., Orange, CA) in 1998, being three designs from that decade.

Since the turn of the century, the pace of development has greatly accelerated

with the launch of at least 13 new brackets and rapidly increasing sales

for such brackets. This article aims to outline the history and development

of this type of bracket and to put the current situation in context. The

generic advantages claimed for these brackets will be described. In addition,

the problems encountered with various bracket types will be discussed to

provide a summary of why, despite these claimed advantages, self-ligation

has for so long and until so recently been a small part of orthodontics.

(Semin Orthod 2008;14:5-18.) © 2008 Elsevier Inc. All rights reserved.

Um comentário:

  1. Os brackets auto-ligados além de não precisarem de ligaduras elásticas para garantir que o fio fique dentro da canaleta, proporcionam uma outra filosia de tratamento.
    Para se ter uma idéia, há clínicas de Ortodontia q só instalam aparalhos auto-ligados. E toda a logística de atendimento é baseada nesta filosofia de tratamento. Vale a pena conferir.