Abstract
The intrusion arch is a device for orthodontic anterior teeth intrusion, having been introduced by Burstone in 1977 for the treatment of deep bite, especially in the case of Class II division 2. But they are based on the origin of malocclusion and the patient's clinical characteristics, such as smile line, vertical dimension, predicted growth, among others. Use of this arc is governed by the principles of mechanical intrusion, which include obtaining a pure no intrusion proclination movements, therefore, necessary for successful treatment. Among these we can highlight to get a constant magnitude of force and the choice of point of application of force in the anterior segment, which would determine whether the motion would be pure intrusion or intrusion inclined. The mechanical stability of this is making it more advantageous in the treatment of deep bite in relation to treatment with extrusion of posterior teeth, which is notoriously prone to relapse. Thus, based on the principles of mechanics and its stability, several authors have developed some type of intrusion arches, using the original biomechanics, but differing mainly in the type of alloy wire and the point of application of force to the center of resistance to achieve the goals of the treatment
References
AL-BURAIKI, H. et al. The effectiveness and long-term stability of overbite correction with incisor intrusion mechanics. Am J Orthod Dentofacial Orthop.;127(1):47-55, Jan, 2005.
ALMEIDA M R et al. Padronização na confecção do arco de intrusão. Rev. Clín. Ortodon. Dental Press, Maringá, v. 6, n. 3 - jun./jul. 2007.
ALMEIDA, M. R. et al. Emprego racional da biomecânica em Ortodontia: arcos inteligentes. Revista Dental Press de Ortodontia e Ortopedia Facial, v. 11, n. 1, p. 122-156, jan./fev. 2006.
ALMEIDA, M. R. et al. O uso do sobrearco na correção da sobremordida profunda. Rev. Clín. Ortodon. Dental Press, Maringá, v. 32, n. 1, p. 15-31, fev./mar. 2004.
ALMEIDA , M.R. et al. A comparative study of the effect of the intrusion arch and straight wire mechanics on incisor root resorption: A randomized, controlled trial. Angle Orthod (2018) 88 (1): 20–26.
AMASYALI, M, et al. Intrusive Effects of the Connecticut Intrusion Arch and the Utility Intrusion Arch. Turk J Med Sci , 35, 407-415, December 14, 2005.
BURSTONE, C. R. Deep overbite correction by intrusion. Am J Orthod., 72(1):1-22. Jul; 1977.
CLARO, C. A. A.et al. Association between overbite and craniofacial growth pattern. Braz. oral res. [online]. 2010, vol.24, n.4, pp. 425-432.
CLARO,C. A. A. et al. Forces in stainless steel, TiMolium® and TMA® intrusion arches, with different bending magnitudes. Braz Oral Res. Apr-Jun;21(2):140-5. 2007.
DAVIDOVITCH, M.; REBELLATO, J. Two -couple orthodontic appliance systems utility arches: a two -couple intrusion arch. Seminars in Orthodontics, v. 1, n. 1, p. 25-30, Mar. 1995.
DE VICENZO, J P; WINN, M W. Maxillary incisor intrusion and facial growth. Angle Orthodontist, Vol , No , p. 279-289, October, 1987.
FIGUEIREDO, M. A. et al. A versatilidade clínica do arco utilidade. R Dental Press Ortodon Ortop Facial, v. 13, n. 4, p. 127-156, Maringá,jul./ago. 2008.
HADA, DHARMPAl. A comparative study of the effect of the intrusion arch and straight wire mechanics on incisor root resorption: A randomized, controlled trial. Journal of Advanced Medical and Dental Sciences Research; Amritsar Vol. 9, Ed. 6, (Jun 2021): 219-222
MAIA, S. A. et al. Tratamento da mordida profunda segundo a técnica do Arco Segmentado. ConScientiae Saúde, v. 7, n. 1p. 463-470 , 2008.
MELSEN, B. et al. Intrusion of incisors in adult patients with marginal bone loss. Am J Orthod Dentofacial Orthop. 1989 Sep;96(3):232-41.
MOURA, M. L. et al. Combinação de duas técnicas ortodônticas “Arco segmentado” e “Arco reto” na correção da mordida profunda. OrtodontiaSPO 2008;41(ed.espec.):283-8.
NANDA R. Correction of deep overbite in adults. Dent Clin North Am. 41(1):67-87, Jan, 1997.
NANDA, R. et al. The connecticut intrusion arch. J clin orthod, Boulder, v. 32, no. 12, p. 708-715, Dec. 1998.
PINTO, A. S. O que o Senhor Utilizaria na correção da sobremordida profunda onde a intrusão dos incisivos (superiores e/ou inferiores) é necessária? Revista Clínica Ortodôntica Dental Press, v. 3, n. 5, p. 8-19, out./nov.2004.
SAKIMA, M. T et al. Técnica do arco segmentado de Burstone. R Dental Press Ortodon Ortop Facial. v. 5, n. 2, p. 91-115, Maringá,mar./abr. 2000.
SCHUDDY, F. F. The control of vertical overbite in clinical orthodontics. Angle Orthodontist, Vol 38, No 1, p. 19-39, January, 1968.
SHROFF, B. et al. Segmented approach to simultaneous intrusion and space closure: Biomechanics of the three-piece base arch appliance. Am J Orthod Dentofacial Orthop, v.107, n° 2, p.136-143, Feb. 1995.
SHROFF, B. et al. Simultaneous intrusion and retraction using a three-piece base arch. Angle Orthod. Vol. 67, No. 6, pp. 455-461, December 1997.
SIFAKAKIS, I. et al. Forces and moments on posterior teeth generated by incisor intrusion biomechanics. Orthod Craniofac Res. 12(4):305-11, Nov, 2009b.
SIFAKAKIS, I. et al. Forces and Moments Generated with Various Incisor Intrusion Systems on Maxillary and Mandibular Anterior Teeth. The Angle Orthodontist:, Vol. 79, No. 5, pp. 928-933. September 2009a.
SIFAKAKIS, I. et al. A comparative assessment of the forces and moments generated with various maxillary incisor intrusion biomechanics. Eur J Orthod. 2010 Apr;32(2):159-64. Epub 2009 Oct 4.
SHARMA, S. et al. Clinical Evaluation of Efficacy of CIA and CNA Intrusion Arches. Journal of Clinical and Diagnostic Research. 2015 Sep, Vol-9(9): ZC29-ZC33.
SCHWERTNER, A. et al. A prospective clinical trial of the effects produced by the Connecticut intrusion arch on the maxillary dental arch . Angle Orthodontist, Vol 90, No 4 , pp 500-506, 2020 Jul 2020
VAN DEN BULCKE, M. M.; DERMAUT, L. R. The interaction between reaction forces and stabilization systems during intrusion of the anterior teeth and its effect on the posterior unit. Eur J Orthod 12(4):361-9, Nov;1990.
VAN STEENBERGEN, E. et al. The role of a high pull headgear in counteracting side effects from intrusion of the maxillary anterior segment. Angle Orthod.; 74(4):480-6, Aug, 2004.
VAN STEENBERGEN, E. et al. The Influence of Force Magnitude on Intrusion of the Maxillary Segment. The Angle Orthodontist, Vol. 75, No. 5, pp. 723-729, September 2005a.
VAN STEENBERGEN, E. et al. The Relation between the Point of Force Application and Flaring of the Anterior Segment. The Angle Orthodontist. Volume 75, Issue 5, pp. 730-735 , September 2005b.
TRPEVSKA,V. et al. Deep bite correction by incisors intrusion with connecticut intrusion arch – case report. Journal of Morphological Sciences Vol 4 No 2 (2021)
ALMEIDA M R et al. Padronização na confecção do arco de intrusão. Rev. Clín. Ortodon. Dental Press, Maringá, v. 6, n. 3 - jun./jul. 2007.
ALMEIDA, M. R. et al. Emprego racional da biomecânica em Ortodontia: arcos inteligentes. Revista Dental Press de Ortodontia e Ortopedia Facial, v. 11, n. 1, p. 122-156, jan./fev. 2006.
ALMEIDA, M. R. et al. O uso do sobrearco na correção da sobremordida profunda. Rev. Clín. Ortodon. Dental Press, Maringá, v. 32, n. 1, p. 15-31, fev./mar. 2004.
ALMEIDA , M.R. et al. A comparative study of the effect of the intrusion arch and straight wire mechanics on incisor root resorption: A randomized, controlled trial. Angle Orthod (2018) 88 (1): 20–26.
AMASYALI, M, et al. Intrusive Effects of the Connecticut Intrusion Arch and the Utility Intrusion Arch. Turk J Med Sci , 35, 407-415, December 14, 2005.
BURSTONE, C. R. Deep overbite correction by intrusion. Am J Orthod., 72(1):1-22. Jul; 1977.
CLARO, C. A. A.et al. Association between overbite and craniofacial growth pattern. Braz. oral res. [online]. 2010, vol.24, n.4, pp. 425-432.
CLARO,C. A. A. et al. Forces in stainless steel, TiMolium® and TMA® intrusion arches, with different bending magnitudes. Braz Oral Res. Apr-Jun;21(2):140-5. 2007.
DAVIDOVITCH, M.; REBELLATO, J. Two -couple orthodontic appliance systems utility arches: a two -couple intrusion arch. Seminars in Orthodontics, v. 1, n. 1, p. 25-30, Mar. 1995.
DE VICENZO, J P; WINN, M W. Maxillary incisor intrusion and facial growth. Angle Orthodontist, Vol , No , p. 279-289, October, 1987.
FIGUEIREDO, M. A. et al. A versatilidade clínica do arco utilidade. R Dental Press Ortodon Ortop Facial, v. 13, n. 4, p. 127-156, Maringá,jul./ago. 2008.
HADA, DHARMPAl. A comparative study of the effect of the intrusion arch and straight wire mechanics on incisor root resorption: A randomized, controlled trial. Journal of Advanced Medical and Dental Sciences Research; Amritsar Vol. 9, Ed. 6, (Jun 2021): 219-222
MAIA, S. A. et al. Tratamento da mordida profunda segundo a técnica do Arco Segmentado. ConScientiae Saúde, v. 7, n. 1p. 463-470 , 2008.
MELSEN, B. et al. Intrusion of incisors in adult patients with marginal bone loss. Am J Orthod Dentofacial Orthop. 1989 Sep;96(3):232-41.
MOURA, M. L. et al. Combinação de duas técnicas ortodônticas “Arco segmentado” e “Arco reto” na correção da mordida profunda. OrtodontiaSPO 2008;41(ed.espec.):283-8.
NANDA R. Correction of deep overbite in adults. Dent Clin North Am. 41(1):67-87, Jan, 1997.
NANDA, R. et al. The connecticut intrusion arch. J clin orthod, Boulder, v. 32, no. 12, p. 708-715, Dec. 1998.
PINTO, A. S. O que o Senhor Utilizaria na correção da sobremordida profunda onde a intrusão dos incisivos (superiores e/ou inferiores) é necessária? Revista Clínica Ortodôntica Dental Press, v. 3, n. 5, p. 8-19, out./nov.2004.
SAKIMA, M. T et al. Técnica do arco segmentado de Burstone. R Dental Press Ortodon Ortop Facial. v. 5, n. 2, p. 91-115, Maringá,mar./abr. 2000.
SCHUDDY, F. F. The control of vertical overbite in clinical orthodontics. Angle Orthodontist, Vol 38, No 1, p. 19-39, January, 1968.
SHROFF, B. et al. Segmented approach to simultaneous intrusion and space closure: Biomechanics of the three-piece base arch appliance. Am J Orthod Dentofacial Orthop, v.107, n° 2, p.136-143, Feb. 1995.
SHROFF, B. et al. Simultaneous intrusion and retraction using a three-piece base arch. Angle Orthod. Vol. 67, No. 6, pp. 455-461, December 1997.
SIFAKAKIS, I. et al. Forces and moments on posterior teeth generated by incisor intrusion biomechanics. Orthod Craniofac Res. 12(4):305-11, Nov, 2009b.
SIFAKAKIS, I. et al. Forces and Moments Generated with Various Incisor Intrusion Systems on Maxillary and Mandibular Anterior Teeth. The Angle Orthodontist:, Vol. 79, No. 5, pp. 928-933. September 2009a.
SIFAKAKIS, I. et al. A comparative assessment of the forces and moments generated with various maxillary incisor intrusion biomechanics. Eur J Orthod. 2010 Apr;32(2):159-64. Epub 2009 Oct 4.
SHARMA, S. et al. Clinical Evaluation of Efficacy of CIA and CNA Intrusion Arches. Journal of Clinical and Diagnostic Research. 2015 Sep, Vol-9(9): ZC29-ZC33.
SCHWERTNER, A. et al. A prospective clinical trial of the effects produced by the Connecticut intrusion arch on the maxillary dental arch . Angle Orthodontist, Vol 90, No 4 , pp 500-506, 2020 Jul 2020
VAN DEN BULCKE, M. M.; DERMAUT, L. R. The interaction between reaction forces and stabilization systems during intrusion of the anterior teeth and its effect on the posterior unit. Eur J Orthod 12(4):361-9, Nov;1990.
VAN STEENBERGEN, E. et al. The role of a high pull headgear in counteracting side effects from intrusion of the maxillary anterior segment. Angle Orthod.; 74(4):480-6, Aug, 2004.
VAN STEENBERGEN, E. et al. The Influence of Force Magnitude on Intrusion of the Maxillary Segment. The Angle Orthodontist, Vol. 75, No. 5, pp. 723-729, September 2005a.
VAN STEENBERGEN, E. et al. The Relation between the Point of Force Application and Flaring of the Anterior Segment. The Angle Orthodontist. Volume 75, Issue 5, pp. 730-735 , September 2005b.
TRPEVSKA,V. et al. Deep bite correction by incisors intrusion with connecticut intrusion arch – case report. Journal of Morphological Sciences Vol 4 No 2 (2021)
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