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Clinical efficacy of the damon (self-ligation) system in a borderline case Jigar R Doshi Kalyani Trivedi Tarulatha Shyagali Dental Update 2024 8:1, 707-709.
For many years, orthodontists have ligated brackets with wire or elastomeric ties. Much of our treatment planning and mechanics have been dictated by a mechanical system incorporating significant amounts of friction. This article will present a nearly friction free system using high-tech brackets and wires, which is claimed to reduce the need for auxiliary expanders significantly.
Clinical Relevance: Self-ligation systems have the advantage of low friction mechanics; this may produce significant expansion in the premolar and molar regions. In addition, very low forces for orthodontic tooth movement are applied when compared to conventional brackets.
Article
The first self-ligating brackets were introduced by Dr Jacob Stolzenberg in the early 1930s in the form of the Russell attachment.1 The advantage of all self-ligating brackets involves the reduction in ligation time by non-usage of materials such as elastomeric modules or steel ligatures. This leads to reduced friction when using sliding mechanics and low magnitude forces, resulting in fewer side-effects.2,3 For example, the Damon SL bracket has a second generation self-ligating archwire cover which slides vertically in an occlusal direction in the upper arch and in a gingival direction in the lower arch. When the cover is closed the slot is converted into a rectangular edgewise slot through which the archwire passes. The Damon system uses light forces to transmit archwire energy to the bracket without modification or binding by ligatures; it treats a significant number of cases by non-extraction when biologically possible and is compatible with dental and facial treatment goals.2
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