Self-Ligation in Orthodontics : An Evidence-based Approach to Biomechanics and Treatment / Edition 1

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Self-Ligation in Orthodontics is a major new text that reviews, analyses and clarifies the currently available peer-reviewed evidence on a number of applications of this technology, espousing diverse perspectives to make this a unique scientific resource on self-ligation. The book embraces all aspects of self-ligating brackets, extending from therapeutic outcome, to biomechanics, materials, and treatment manifestations. Each chapter addresses a specific question pertinent to the properties and clinical performance of self-ligating brackets including: force and moment generation during engagement; temporal variation of force in active self-ligating brackets; periodontal considerations and oral microbiota alterations; root resorption; treatment efficiency and associated dental effects. A work of substantial, thoughtful, and useful scholarship, Self-Ligation in Orthodontics will be a significant resource for clinicians and researchers in orthodontics, and related dental specialists. First comprehensive resource on self-ligation in orthodontics Surveys available peer-reviewed evidence Epitomizes the management of self-ligating treatment suggesting important treatment concepts and tips for the practicing clinician Includes diverse perspectives to provide a balanced and scholarly approach Richly illustrated with detailed color clinical images

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Editorial Reviews

From the Publisher
"The introduction and subsequent 12 chapters have been written by apool of 18 internation authors.  Each chapter is supported byliterature references and there is a four-page index." (BDANews, December 2010)
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Product Details

  • ISBN-13: 9781405181907
  • Publisher: Wiley
  • Publication date: 6/2/2009
  • Edition number: 1
  • Pages: 208
  • Product dimensions: 8.70 (w) x 10.90 (h) x 0.70 (d)

Meet the Author

THE EDITORS Both editors graduated from the School ofDentistry, University of Athens (Greece) and the Orthodonticpostgraduate program of the Ohio State University, earning aMaster's degree.

Theodore Eliades additionally holds a doctorate inbiomedical materials from the University of Athens, and a PhD inbiomaterials from the University of Manchester. He is an AssociateProfessor of Orthodontics at the Aristotle University ofThessaloniki (Greece), and affiliated with institutes in the USAand EU (Texas, Marquette, Manchester, and Bonn). His research onbiomaterials has generated 85 articles, 15 chapters and 4 books,the diffusion of which into fields associated with natural andengineering sciences led to a fellowship at the Institute ofMaterials, Minerals and Mining, and a membership in both the RoyalSociety of Chemistry and the Institute of Physics. Dr Eliades isEditor-in-Chief of the forthcoming Journal of Dental Biomechanics(Sage), Associate Editor of the European Journal of Orthodontics,and the American Journal of Orthodontics and DentofacialOrthopedics, Editorial Board member in 5, and reviewer in 20journals.

Nikolaos Pandis completed a fellowship in CraniofacialOrthodontics at the University of Texas, Southwester MedicalCenter. He is currently a doctoral Fellow at the University of Bonnand enrolled in the Master of Clinical Trials program at theCollege of Hygiene and Tropical Medicine, University of London. Hehas published over 20 articles in the areas of self-ligatingappliances and bonding, and is a Diplomate of the American Board ofOrthodontics. Dr Pandis maintains an orthodontic practice in Corfu,Greece.

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Table of Contents


Foreword (Lysle E. Johnston, Jr).

Foreword (Larry W. White).





Development of Light Force Orthodontics: the Original Pin-a-slotAppliance as Ancestor to Modern Brackets (Jeffrey S. Thompsonand William J.Thompson ).


Pin-a-slot appliances

1 Historical Aspects and Evolution of Ligation and Appliances(Nigel Harradine).


Early ligatures

Elastomeric ligatures

Begg pins



2 The Significance of Bracket Material Properties inOrthodontic Mechanics (Theodore Eliades, Spiros Zinelis andWilliam A. Brantley).


Bracket base


Base–wing joint

Bracket slot

3 Biomechanics of Self-Ligation: Analysis of Forces andMoments Exerted by Self-ligating Brackets (Nikolaos Pandis,Theodore Eliades and Christoph Bourauel).


Forces generated during initial alignment with self-ligating andconventional brackets

Forces generated by conventional and self-ligating bracketsduring simulated intrusion–extrusion and bucco-lingualcorrection

Moments generated during simulated rotational correction withself-ligating and conventional brackets

Consistency in the ligation force with active self-ligatingbrackets throughout treatment


4 Essentials of Clinical Research Design (ArgyPolycrhonopoulou).


Study design

Non-experimental/observational studies

Experimental studies/intervention studies


5 Determinants of Tooth Movement: Molecular Response ofPeriodontal Ligament and Bone to Loading (Efthimia K.Basdra).


Periodontal ligament

Orthodontic tooth movement

6 Efficiency and Treatment Outcome with Self-LigatingBrackets (Nikolaos Pandis, Peter Miles and TheodoreEliades).


Treatment duration

Dental arch changes

Torque delivery

Space closure

Handling efficiency


7 Root Resorption in Orthodontics (M. Ali Darendeliler andLam L. Cheng).


History of OIIRR

Incidence of OIIRR

Location of OIIRR

Severity of OIIRR

Diagnosis of OIIRR

Pathogenesis of OIIRR

Light microscopy of OIIRR

Scanning electron microscopy of OIIRR

Biochemistry and molecular biology related to OIIRR

Physical properties of orthodontically induced inflammatory rootresorbed cementum

Factors affecting OIIRR

Repair of OIIRR

Orthodontic relapse and OIIRR

Clinical consequences of OIIRR

Prevention and management of OIIRR

8 Root Resorption with Self-Ligating Brackets (MariaMavragani, Nikolaos Pandis and Theodore Eliades).


Relevant literature

Potential factors affecting OIIRR

9 Attachment of Oral Microbiota to Dental Surfaces (DanielJ. Smith).


The oral bacterial challenge

Salivary component interactions with oral bacteria

Adaptive immunity in the oral cavity

10 Salivary Levels of Cariogenic Bacteria in Patients Treatedwith Self-Ligating and Conventional Brackets (WilliamPapaioannou, Nikolaos Pandis and Theodore Eliades).


Effect of orthodontic therapy on oral cariogenic bacteria

11 Periodontal Impact of Orthodontic Treatment withSelf-Ligating Brackets (Jan van Gastel, Marc Quirynen, WimTeughels and Carine Carels).


Short-term effects

Long-term effects

Different bracket systems

12 Treatment Mechanics with Self-Ligating Brackets (DavidBirnie).


Diagnostic philosophies

Aspects of clinical biomechanics

Archwire sequencing with self-ligating brackets

Tooth movement



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