{"id":353833,"date":"2022-09-16T10:39:23","date_gmt":"2022-09-16T13:39:23","guid":{"rendered":"https:\/\/fgmdentalgroup.com\/nao-categorizado\/adhesive-devices-complementary-to-orthodontic-treatment-case-report\/"},"modified":"2023-12-12T16:12:34","modified_gmt":"2023-12-12T19:12:34","slug":"adhesive-devices-complementary-to-orthodontic-treatment-case-report","status":"publish","type":"post","link":"https:\/\/fgmdentalgroup.com\/intl\/blog\/posts\/adhesive-devices-complementary-to-orthodontic-treatment-case-report\/","title":{"rendered":"Adhesive devices complementary to orthodontic treatment: case report"},"content":{"rendered":"&#13;\n<p>Authors: Dr. Thiago Roberto Gemeli, Dr. Barbara Robaskievicz and Dr. Rafael Cury Cecato<\/p>&#13;\n&#13;\n<p>The correct installation of orthodontic brackets is an important foundation when the intention is to perform a more precise treatment in a shorter time. The correct positioning of the pieces will allow the orthodontist to obtain dental movements with greater three-dimensional control, favoring the stages of alignment, leveling and torque.<\/p>&#13;\n&#13;\n<p>In addition to the care associated with the positioning itself, it is worth mentioning the importance of other associated procedures that precede bonding, such as prophylaxis. Cementing brackets on a dirt-free surface contributes to this purpose and should always be recommended (fig. 2).<\/p>&#13;\n&#13;\n<p>Respect for the technique required by the adhesive system used makes it possible to obtain better clinical results. Prioritizing the same commercial brand among bonding agents and resins becomes essential for the operative success of the orthodontist, especially with regard to increasing the resistance of the tooth\/bracket interface.<\/p>&#13;\n&#13;\n<p>Another condition to be observed by the orthodontist is related to the use of complementary devices, which are responsible for bringing greater comfort and brevity to the orthodontic intervention. For example, composites developed to inhibit the sharp action of wires, stops for disocclusion and\/or intrusion of dental elements, among others, are cited.<\/p>&#13;\n&#13;\n<h3 class=\"wp-block-heading\">Case report<\/h3>&#13;\n&#13;\n<p>Female patient, 14 years old, attended a private clinic reporting dissatisfaction with oral aesthetics. The clinical evaluation revealed a slight disharmony between the facial thirds (brachycephalic pattern). Therefore, the intermaxillary angle was reduced, suggesting a posterior approach to increase the vertical dimension through the extrusion of dental elements from both arches. Intraorally, a slight discrepancy caused by the presence of diastema and gyroversions in the upper arch, in addition to subtle crowding in the lower arch.<\/p>&#13;\n&#13;\n<figure class=\"wp-block-image size-large\"><img fetchpriority=\"high\" decoding=\"async\" width=\"1024\" height=\"683\" class=\"wp-image-294757\" src=\"https:\/\/fgmdentalgroup.com\/wp-content\/uploads\/2022\/11\/11-1-1024x683.jpeg\" alt=\"Fig. 1 Initial clinical condition\" title=\"\" srcset=\"https:\/\/fgmdentalgroup.com\/wp-content\/uploads\/2022\/11\/11-1-1024x683.jpeg 1024w, https:\/\/fgmdentalgroup.com\/wp-content\/uploads\/2022\/11\/11-1-300x200.jpeg 300w, https:\/\/fgmdentalgroup.com\/wp-content\/uploads\/2022\/11\/11-1-768x512.jpeg 768w, https:\/\/fgmdentalgroup.com\/wp-content\/uploads\/2022\/11\/11-1.jpeg 1280w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/>&#13;\n<figcaption class=\"wp-element-caption\">Fig. 1 Initial clinical condition<\/figcaption>&#13;\n<\/figure>&#13;\n&#13;\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" width=\"1024\" height=\"682\" class=\"wp-image-294758\" src=\"https:\/\/fgmdentalgroup.com\/wp-content\/uploads\/2022\/11\/2-31-1024x682.jpg\" alt=\"Fig. 2 Dental prophylaxis with pumice stone prior to orthodontic bonding\" title=\"\" srcset=\"https:\/\/fgmdentalgroup.com\/wp-content\/uploads\/2022\/11\/2-31-1024x682.jpg 1024w, https:\/\/fgmdentalgroup.com\/wp-content\/uploads\/2022\/11\/2-31-300x200.jpg 300w, https:\/\/fgmdentalgroup.com\/wp-content\/uploads\/2022\/11\/2-31-768x512.jpg 768w, https:\/\/fgmdentalgroup.com\/wp-content\/uploads\/2022\/11\/2-31.jpg 1280w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/>&#13;\n<figcaption class=\"wp-element-caption\">Fig. 2 Dental prophylaxis with pumice stone prior to orthodontic bonding<\/figcaption>&#13;\n<\/figure>&#13;\n&#13;\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" width=\"1024\" height=\"682\" class=\"wp-image-294759\" src=\"https:\/\/fgmdentalgroup.com\/wp-content\/uploads\/2022\/11\/3-21-1024x682.jpg\" alt=\"Fig. 3 Application of conditioning agent (Condac 37) to enamel for 20 seconds\" title=\"\" srcset=\"https:\/\/fgmdentalgroup.com\/wp-content\/uploads\/2022\/11\/3-21-1024x682.jpg 1024w, https:\/\/fgmdentalgroup.com\/wp-content\/uploads\/2022\/11\/3-21-300x200.jpg 300w, https:\/\/fgmdentalgroup.com\/wp-content\/uploads\/2022\/11\/3-21-768x512.jpg 768w, https:\/\/fgmdentalgroup.com\/wp-content\/uploads\/2022\/11\/3-21.jpg 1280w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/>&#13;\n<figcaption class=\"wp-element-caption\">Fig. 3 Application of conditioning agent (Condac 37) to enamel for 20 seconds<\/figcaption>&#13;\n<\/figure>&#13;\n&#13;\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"682\" class=\"wp-image-294760\" src=\"https:\/\/fgmdentalgroup.com\/wp-content\/uploads\/2022\/11\/4-31-1024x682.jpg\" alt=\"Fig. 4 Application of adhesive (Ambar APS) on the buccal face of element 21\" title=\"\" srcset=\"https:\/\/fgmdentalgroup.com\/wp-content\/uploads\/2022\/11\/4-31-1024x682.jpg 1024w, https:\/\/fgmdentalgroup.com\/wp-content\/uploads\/2022\/11\/4-31-300x200.jpg 300w, https:\/\/fgmdentalgroup.com\/wp-content\/uploads\/2022\/11\/4-31-768x512.jpg 768w, https:\/\/fgmdentalgroup.com\/wp-content\/uploads\/2022\/11\/4-31.jpg 1280w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/>&#13;\n<figcaption class=\"wp-element-caption\">Fig. 4 Application of adhesive (Ambar APS) on the buccal face of element 21<\/figcaption>&#13;\n<\/figure>&#13;\n&#13;\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"682\" class=\"wp-image-294761\" src=\"https:\/\/fgmdentalgroup.com\/wp-content\/uploads\/2022\/11\/5-31-1024x682.jpg\" alt=\"Fig. 5 Application of resin cement (Orthocem) directly on the bracket mesh\" title=\"\" srcset=\"https:\/\/fgmdentalgroup.com\/wp-content\/uploads\/2022\/11\/5-31-1024x682.jpg 1024w, https:\/\/fgmdentalgroup.com\/wp-content\/uploads\/2022\/11\/5-31-300x200.jpg 300w, https:\/\/fgmdentalgroup.com\/wp-content\/uploads\/2022\/11\/5-31-768x512.jpg 768w, https:\/\/fgmdentalgroup.com\/wp-content\/uploads\/2022\/11\/5-31.jpg 1280w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/>&#13;\n<figcaption class=\"wp-element-caption\">Fig. 5 Application of resin cement (Orthocem) directly on the bracket mesh<\/figcaption>&#13;\n<\/figure>&#13;\n&#13;\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"682\" class=\"wp-image-294762\" src=\"https:\/\/fgmdentalgroup.com\/wp-content\/uploads\/2022\/11\/6-31-1024x682.jpg\" alt=\"Fig. 6 Bracket of element 21 being pressed onto the tooth surface\" title=\"\" srcset=\"https:\/\/fgmdentalgroup.com\/wp-content\/uploads\/2022\/11\/6-31-1024x682.jpg 1024w, https:\/\/fgmdentalgroup.com\/wp-content\/uploads\/2022\/11\/6-31-300x200.jpg 300w, https:\/\/fgmdentalgroup.com\/wp-content\/uploads\/2022\/11\/6-31-768x512.jpg 768w, https:\/\/fgmdentalgroup.com\/wp-content\/uploads\/2022\/11\/6-31.jpg 1280w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/>&#13;\n<figcaption class=\"wp-element-caption\">Fig. 6 Bracket of element 21 being pressed onto the tooth surface<\/figcaption>&#13;\n<\/figure>&#13;\n&#13;\n<figure class=\"wp-block-image size-large is-resized\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-294764\" src=\"https:\/\/fgmdentalgroup.com\/wp-content\/uploads\/2022\/11\/7-31-1024x682.jpg\" alt=\"Fig. 7 Presence of stops (OrthoBite) on the upper canines\" width=\"840\" height=\"559\" title=\"\" srcset=\"https:\/\/fgmdentalgroup.com\/wp-content\/uploads\/2022\/11\/7-31-1024x682.jpg 1024w, https:\/\/fgmdentalgroup.com\/wp-content\/uploads\/2022\/11\/7-31-300x200.jpg 300w, https:\/\/fgmdentalgroup.com\/wp-content\/uploads\/2022\/11\/7-31-768x512.jpg 768w, https:\/\/fgmdentalgroup.com\/wp-content\/uploads\/2022\/11\/7-31.jpg 1280w\" sizes=\"(max-width: 840px) 100vw, 840px\" \/>&#13;\n<figcaption class=\"wp-element-caption\">Fig. 7 Presence of stops (OrthoBite) on the upper canines<\/figcaption>&#13;\n<\/figure>&#13;\n&#13;\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"682\" class=\"wp-image-294765\" src=\"https:\/\/fgmdentalgroup.com\/wp-content\/uploads\/2022\/11\/8-31-1024x682.jpg\" alt=\"Fig. 8 When disoccluding, the stops allow the extrusion of the posterior batteries and help in the vertical control of the treatment\" title=\"\" srcset=\"https:\/\/fgmdentalgroup.com\/wp-content\/uploads\/2022\/11\/8-31-1024x682.jpg 1024w, https:\/\/fgmdentalgroup.com\/wp-content\/uploads\/2022\/11\/8-31-300x200.jpg 300w, https:\/\/fgmdentalgroup.com\/wp-content\/uploads\/2022\/11\/8-31-768x512.jpg 768w, https:\/\/fgmdentalgroup.com\/wp-content\/uploads\/2022\/11\/8-31.jpg 1280w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/>&#13;\n<figcaption class=\"wp-element-caption\">Fig. 8 When disoccluding, the stops allow the extrusion of the posterior batteries and help in the vertical control of the treatment<\/figcaption>&#13;\n<\/figure>&#13;\n&#13;\n<h2 class=\"wp-block-heading\">clinical tip<\/h2>&#13;\n&#13;\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"620\" height=\"348\" class=\"wp-image-294766\" src=\"https:\/\/fgmdentalgroup.com\/wp-content\/uploads\/2022\/11\/dica-clinica-11.png\" alt=\"Clinical tip 1 &#x2013; Use a microbrush soaked with Ambar APS to accommodate, adapt and sculpt the post more easily\" title=\"\" srcset=\"https:\/\/fgmdentalgroup.com\/wp-content\/uploads\/2022\/11\/dica-clinica-11.png 620w, https:\/\/fgmdentalgroup.com\/wp-content\/uploads\/2022\/11\/dica-clinica-11-300x168.png 300w\" sizes=\"(max-width: 620px) 100vw, 620px\" \/>&#13;\n<figcaption class=\"wp-element-caption\">Clinical tip 1 \u2013 Use a microbrush soaked with Ambar APS to accommodate, adapt and sculpt the post more easily<\/figcaption>&#13;\n<\/figure>&#13;\n&#13;\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"615\" height=\"402\" class=\"wp-image-294767\" src=\"https:\/\/fgmdentalgroup.com\/wp-content\/uploads\/2022\/11\/dica-clinica-21.jpg\" alt=\"Clinical tip 2 &#x2013; Use a Top Comfort protective resin on accessory devices that have the potential to traumatize adjacent soft tissues\" title=\"\" srcset=\"https:\/\/fgmdentalgroup.com\/wp-content\/uploads\/2022\/11\/dica-clinica-21.jpg 615w, https:\/\/fgmdentalgroup.com\/wp-content\/uploads\/2022\/11\/dica-clinica-21-300x196.jpg 300w\" sizes=\"(max-width: 615px) 100vw, 615px\" \/>&#13;\n<figcaption class=\"wp-element-caption\">Clinical tip 2 \u2013 Use a Top Comfort protective resin on accessory devices that have the potential to traumatize adjacent soft tissues<\/figcaption>&#13;\n<\/figure>&#13;\n&#13;\n<p>The use of techniques and supplies that help stabilize the orthodontic bond is an important factor to be considered by the orthodontist. Establishing an operative protocol that includes a prophylactic approach, proper selection and manipulation of the adhesive system, in addition to providing deocclusion with stops, are practices that contribute to a faster, more comfortable and profitable orthodontic treatment.<\/p>&#13;\n","protected":false},"excerpt":{"rendered":"<p>The correct installation of orthodontic brackets is an important foundation when the intention is to perform a more precise treatment in a shorter time. The correct positioning of the pieces will allow the orthodontist to obtain dental movements with greater three-dimensional control, favoring the stages of alignment, leveling and torque.<\/p>\n","protected":false},"author":16,"featured_media":353835,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[],"tags":[354,669],"produto-relacionado":[],"categoria-post":[1024],"linha-de-atuacao":[25],"class_list":["post-353833","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","tag-casos-clinicos","tag-clinics-cases","categoria-post-clinical-case","linha-de-atuacao-produto-estetica"],"_links":{"self":[{"href":"https:\/\/fgmdentalgroup.com\/intl\/wp-json\/wp\/v2\/posts\/353833"}],"collection":[{"href":"https:\/\/fgmdentalgroup.com\/intl\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/fgmdentalgroup.com\/intl\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/fgmdentalgroup.com\/intl\/wp-json\/wp\/v2\/users\/16"}],"replies":[{"embeddable":true,"href":"https:\/\/fgmdentalgroup.com\/intl\/wp-json\/wp\/v2\/comments?post=353833"}],"version-history":[{"count":0,"href":"https:\/\/fgmdentalgroup.com\/intl\/wp-json\/wp\/v2\/posts\/353833\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/fgmdentalgroup.com\/intl\/wp-json\/wp\/v2\/media\/353835"}],"wp:attachment":[{"href":"https:\/\/fgmdentalgroup.com\/intl\/wp-json\/wp\/v2\/media?parent=353833"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/fgmdentalgroup.com\/intl\/wp-json\/wp\/v2\/categories?post=353833"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/fgmdentalgroup.com\/intl\/wp-json\/wp\/v2\/tags?post=353833"},{"taxonomy":"produto-relacionado","embeddable":true,"href":"https:\/\/fgmdentalgroup.com\/intl\/wp-json\/wp\/v2\/produto-relacionado?post=353833"},{"taxonomy":"categoria-post","embeddable":true,"href":"https:\/\/fgmdentalgroup.com\/intl\/wp-json\/wp\/v2\/categoria-post?post=353833"},{"taxonomy":"linha-de-atuacao","embeddable":true,"href":"https:\/\/fgmdentalgroup.com\/intl\/wp-json\/wp\/v2\/linha-de-atuacao?post=353833"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}