Int J Stomatol

Int J Stomatol ›› 2024, Vol. 51 ›› Issue (2): 241-248.doi: 10.7518/gjkq.2024011

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Application and research progress of various intrusive arches in the orthodontic intrusion of anterior teeth

Jiaping Si(),Lü Lin,Sijie Wang,Yu Zhou,Xiaoyan Chen()   

  1. Dept. of Orthodontics, Stomatology Hospital, School of Stomatology, Zhejiang University School of Medicine, Zhejiang Provincial Clinical Research Center for Oral Diseases, Key Laboratory of Oral Biomedical Research of Zhejiang Pro-vince, Cancer Center of Zhejiang University, Hangzhou 310006, ChinaSFoundation:upported by: Special Fund for Basic Scientific Research of Zhejiang University (2021FZZX005-36); Research Project of the China Dental Disease Prevention and Control Foundation (A2021-090 )
  • Received:2023-06-29 Revised:2023-10-09 Online:2024-03-01 Published:2024-03-11
  • Contact: Xiaoyan Chen E-mail:3150103226@zju.edu.cn;ortho_chenxy@zju.edu.cn
  • Supported by:
    Special Fund for Basic Scientific Research of Zhejiang University(2021FZZX005-36);Research Project of the China Dental Disease Prevention and Control Foundation(A2021-090)

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Abstract:

Deep overbite of anterior teeth is a common and difficult malocclusion in clinical practice and is often accompanied by different degrees of joint, periodontal, and aesthetic problems. Intrusive arch is one of the main ways to correct deep overbite of anterior teeth in clinical practice. Various types of intrusion arch exist, and indications, clinical effects, side effects, wire bending, and biomechanics differ among different types of intrusive arches. Therefore, in clinical practice, orthodontists should choose an appropriate intrusion arch that caters to the target position and the patient’s dental bone condition and adjusts the size and direction of the intrusion force to achieve the best effect. This article reviews the application and research progress of different types of intrusive arch to provide reference for its implementation in clinical research and clinical practice.

Key words: tooth intrusion, intrusion arch, orthodontic wire, root resorption

CLC Number: 

  • R783.5

TrendMD: 

Fig 1

Burstone intrusion arch"

Fig 2

Ricketts utility arch"

Fig 3

Three-piece intrusion arch"

Fig 4

Connecticut intrusion arch"

Fig 5

K-SIR appliance"

Tab 1

Comparison of characteristics, clinical effects, advantages and disadvantages of various intrusion arches"

辅弓类型力偶类型压低力值/N弓丝材质绝对压低值/mm优点缺点
Burstone压低辅弓单力偶0.6不锈钢丝1.8（每月0.45）

1）压低效率高；

2）压低力持续轻柔

1）磨牙支抗消耗大；

2）前牙易唇倾

Ricketts多用途弓双力偶1.25~1.6不锈钢丝或钴铬合金丝1.6（每月0.44）

1）压低效率高；

2）弯制简单

1）前牙三维控制困难；

2）牙根吸收较显著；

3）磨牙支抗消耗较大

三段式片段弓压低技术双力偶0.6前牙段TMA丝，后牙段不锈钢丝1.66（每月0.42）

1）灵活调整压低力方向；

2）后牙支抗消耗少；

3）牙槽骨损伤较少

1）弯制复杂；

2）舒适度较差

Connecticut辅弓单力偶0.4~0.6超弹镍钛丝和TMA丝1.4 mm（每月0.35）

1）操作方便，椅旁时间少；

2）压低力持续轻柔

1）压低效率较低；

2）非个性化定制

K-SIR弓丝双力偶1.25TMA丝1.25 mm（每月0.33）

1）压低内收同时进行，缩短整体治疗时间；

2）磨牙不良反应小

1）适应证较局限；

2）前牙压低量较少

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