iDentistry The Journal September-December 2017 | Page 17

The Journal 7. Modified torque requirements in adult patients with skeletal malocclusion: Adult patients with skeletal class II or class III malocclusions require different incisor inclinations to accommodate the discrepancy in interjaw relationships. To compensate for class II interjaw relationships, upper incisors must be less inclined while in case of classIII upper incisor crowns must be inclined more labially. Torque in incisor brackets should be harmonious with anticipated interjaw relationship (Fig: 7) 9. Expansion of contricted arches: Ÿ Expansion of constricted arches results in buccal tipping of posterior teeth. Ÿ This require incorporation of extra buccal root torque for proper placement of teeth in arch. 10. Reverse curve wires : Reverse spee archwires are frequently used to flatten the curve of spee and deep bite correction. Fig 5 Fig 7 8. Deep bite and open bite cases: Ÿ Patients with open and deep bite require alteration in bracket position i.e. Above or below FA point. Ÿ This results in improper expression of inbuilt torque. Ÿ The change in tooth curvature at position above or below FA point result in increased or decreased expression of lingual root torque (Fig: 8) Spee is levelled by intrusion and flaring of incisors while there is extrusion and distal tipping of posteriors. (Fig: 9) Fig 8 16 Vol. 13 No. 3 Sep-Dec 2017