journal article·2022-11-01Open access

Clinical Application and Biomechanics of Various Lingual Retractors with Temporary Skeletal Anchorage Devices: A Narrative Review

Jin-Young Choi, Kyung-A Kim, Jhong Lee, Ye-Seul Lee, Kyu-Rhim Chung, Ki-Ho Park

Applied Sciences· Volume 12· Issue 21

Abstract

The lingual retractor is an appliance with esthetic advantages and biomechanical superiority in the retraction of anterior teeth, when used in combination with temporary skeletal anchorage devices (TSADs). These appliances can address the patients’ chief complaint during the early stages of bialveolar protrusion treatment. This narrative review presents the clinical applications and biomechanics of various lingual retractors with TSADs.This review includes all research and case reports related to various lingual retractors such as the C-lingual retractor (CLR), double J retractor (DJR), and antero-posterior lingual retractor (APLR). Anterior torque and vertical control can be achieved with all three types of lingual retractors by changing the length of the lever arms and the position of the TSADs. Torquing springs in DJR are designed to slide along palatal mini-implants or to apply intermaxillary elastics to counteract retroclination of the incisors during space closure. APLR allows three-dimensional control of the anterior tooth movement with anterior lever arms, guide bars, posterior tubes, and position of TSADs. Various lingual retractors with TSADs are effectively proper anterior torque and vertical control.
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Research context

OpenAlex topics: Orthodontics and Dentofacial Orthopedics · Temporomandibular Joint Disorders · dental development and anomalies

SciVX discovery tags are terminology-based. OpenAlex topics are source-provided classifications.

Affiliations

Department of Orthodontics, Kyung Hee University Dental Hospital, Seoul 02447, Korea

Department of Orthodontics, School of Dentistry, Kyung Hee University, Seoul 02447, Korea

Department of Dentistry, Graduate School, Kyung Hee University, Seoul 02447, Korea

Department of Orthodontics, Graduate School of Dentistry, Kyung Hee University, Seoul 02447, Korea

References (38)

Show source-provided references
1. Park, J.H. (2020). Chapter 50. TAD-assisted Lingual Retractors. Temporary Anchorage Devices in Clinical Orthodontics, Wiley Blackwell.10.1002/9781119513636 ↗
2. Class II malocclusion treated by combining a lingual retractor and a palatal plate10.1016/j.ajodo.2006.04.033 ↗
3. Speedy surgical-orthodontic treatment with temporary anchorage devices as an alternative to orthognathic surgery10.1016/j.ajodo.2007.03.036 ↗
4. Esthetic segmental retraction of maxillary anterior teeth with a palatal appliance and orthodontic mini-implants10.1016/j.ajodo.2005.05.051 ↗
5. Antero-posterior lingual sliding retraction system for orthodontic correction of hyperdivergent Class II protrusion10.1186/1746-160X-10-22 ↗
6. Lever-arm and mini-implant system for anterior torque control during retraction in lingual orthodontic treatment
7. Locating the center of resistance of maxillary anterior teeth retracted by Double J Retractor with palatal miniscrews10.2319/121409-712.1 ↗
8. Effective en-masse retraction design with orthodontic mini-implant anchorage: A finite element analysis10.1016/j.ajodo.2008.06.036 ↗
9. Analysis of lingual en masse retraction combining a C-lingual retractor and a palatal plate10.2319/100110-574.1 ↗
10. Corticotomy-assisted orthodontics
11. Severe anterior open bite malocclusion with multiple odontoma treated by C-lingual retractor and horseshoe mechanics
12. Severe Class II anterior deep bite malocclusion treated with a C-lingual retractor
13. Gummy smile correction using lingual orthodontics and augmented corticotomy in extremely thin alveolar housing10.1097/SCS.0000000000003716 ↗
14. Esthetic orthodontic treatment with a double J retractor and temporary anchorage devices10.1016/j.ajodo.2011.01.024 ↗
15. Three-dimensional evaluation of interradicular spaces and cortical bone thickness for the placement and initial stability of microimplants in adults10.1016/j.ajodo.2009.04.015 ↗
16. Control of maxillary dentition with 2 midpalatal orthodontic miniscrews10.1016/j.ajodo.2010.02.040 ↗
17. Clinical observations and success rates of palatal implants10.1016/j.ajodo.2008.02.022 ↗
18. Lingual mechanotherapy by lingual bonded edgewise appliance
19. Melsen, B. (1991). Lingual orthodontics in adults. Current Controversies in Orthodontics, Quintessence Publishing Co.
20. Lingual lever-arm technique for en masse translation in patients with generalized marginal bone loss
21. Lever-arm mechanics in lingual orthodontics
22. A new treatment method to retract anterior teeth with the double J retractor system in Class III malocclusions10.1053/j.sodo.2011.01.002 ↗
23. En-masse retraction of maxillary anterior teeth with the Double J retractor and palatal miniscrews: A case report10.1016/j.ajodo.2020.11.043 ↗
24. Computer-aided designing and manufacturing of lingual fixed orthodontic appliance using 2D/3D registration software and rapid prototyping10.1155/2014/164164 ↗
25. Evaluation of the C-lingual retractor and the conventional lingual orthodontic brackets in terms of speech performance and oral discomfort: A randomized controlled trial
26. Palatal en-masse retraction of segmented maxillary anterior teeth: A finite element study10.4041/kjod.2019.49.3.188 ↗
27. Maxillary Corticotomies with Bone-to-Bone Retraction and Mandibular Segmental Osteotomy for Correcting an Anterior Double Protrusion10.1097/SCS.0000000000003925 ↗
28. Torque control during lingual anterior retraction without posterior appliances10.4041/kjod.2013.43.1.3 ↗
29. Type of tooth movement during en masse retraction of the maxillary anterior teeth using labial versus lingual biocreative therapy in adults: A randomized clinical trial10.4041/kjod.2019.49.6.381 ↗
30. Zakkar, M., and Farah, H. Evaluation of C-lingual retractor effects on anterior teeth using cone beam computed tomographic imaging. Int. J. Appl. Dent. Sci., 2020. 6, 452–457.
31. Torque control of maxillary anterior teeth with the double J retractor and palatal miniscrews during en masse retraction: A case report10.2319/092621-725.1 ↗
32. The vertical location of the center of resistance for maxillary six anterior teeth during retraction using three dimensional finite element analysis
33. Finiteelement investigation of the center of resistance of the maxillary dentition10.4041/kjod.2009.39.2.83 ↗
34. Control of anterior segment using an antero-posterior lingual sliding retraction system: A preliminary cone-beam CT study10.1186/s40510-017-0202-0 ↗
35. Displacement pattern of the anterior segment using antero-posterior lingual retractor combined with a palatal plate10.4041/kjod.2015.45.6.289 ↗
36. Group distal movement of teeth using microscrew implant anchorage
37. Morphometric evaluation of changes in the alveolar bone and roots of the maxillary anterior teeth before and after en masse retraction using cone-beam computed tomography10.2319/041812-325.1 ↗
38. En-masse retraction with a preformed nickel-titanium and stainless steel archwire assembly and temporary skeletal anchorage devices without posterior bonding10.4041/kjod.2014.44.5.236 ↗