Springs are a part of the active components of removable orthodontic appliances
used to bring about tooth movement
- Those parts which deliver forces to the teeth and/or skeletal structures to
bring about changes in position.
- To bring about tooth movement, always use light and continuous forces
- Heavy forces damage the periodontium, bring about root resorption etc
Removable appliance has 3 components
Spring is a part of active component
Components of a spring.
Classification of springs
(1) Based on the presence or absence of helix they can be classified as
- Simple –without helix
- Compound –with helix
(2) Based on the presence of loop or helix they can be classified as
- Helical springs – have a helix
- Looped springs – have a loop
(3) Based on the nature of stability of the springs they can be classified as:
- Self –supported spring = made of thicker gauge wire ,can support themselves
- Supported springs = made of thinner gauge wire and thus lack adequate stability, springs are encased in metallic tube to give adequate support .
Ideal requisites of a spring :-
- Simple to fabricate.
- Easily adjustable.
- Should fit into the avilable space with out discomfort to the patient.
- Easy to clean.
- Should apply force of required magnitude and direction.
- Should not slip or dislodge when placed over a sloping tooth surface
- It should remain active over a long period of time.
Factor to be considered in designing a spring
- Diameter of wire :- flexibility of the spring to a large extent depends upon
diameter of wire
- The force (F) delivered by a spring is expressed by the formula F α dr4/l3
- F= force applied by spring D=diameter of wire L= length of wire
- Length of wire :- force can be decreased by increasing the length of wire .
- Thus springs that are longer are more flexible and remains active for long
duration of time .
- By doubling the length of wire force can be reduced by eight times .
- Patient comfort :- spring should be comfortable to patient in design ,
shape , size or force generation .
- Direction of tooth movement :- the direction of tooth movement is
determined by the point of contact between the spring and the tooth .
Palatally placed spring are used for labial and mesio – distal tooth
movement .buccally placed spring are used when the tooth is to be moved
palatally and in a mesio-distal direction .
FEW EXAMPLES OF SPRING ARE…
FINGER SPRING
- It is constructed using 0.5 mm SS wire .
- Parts Helix (2 mm) -Active arm -Retentive arm
- The helix is positioned opposite to the direction of intended tooth
movement.
- It should also be placed along the long axis of the tooth to be moved and
perpendicular to the directon of tooth movement
- INDICA TION – Mesio-distal movement of teeth e.g. closure of anterior
diastemas
- Activation Opening the coil or moving the active arm towards the tooth to
be moved 2-3 mm of activation
Z-SPRING (DOUBLE CANTILEVER ):
- A useful variation of the finger spring where a second limb is formed
with a second coil.
- Construction: it consists of 2 helices of small diameter can be made for 1
or more incisors.
- The spring is positioned perpendicular to the palatal surface of the tooth
with a long retentive arm.
- The Z-spring needs to be boxed in wax prior to acrylization.
- INDICA TION: to move one or more teeth in the same direction E.g.
proclining 2 or more upper incisors for the correction of anterior tooth
crossbites.
- To correct mild rotation if only one helix is activated.
- Activation: By opening both the helices up to 2 mm at a time.
CRANKED SINGLE CANTILEVER SPRING
- It is constructed with 0.5mm wire .
- The spring consist of coil , close to its emergence from base plate .
- The spring is cranked to keep it clear of the other teeth .it is used to move
teeth labially .
T SPRING
- It is made of 0.5 mm wire .
- The spring consist of t shaped arm whose arm are embedded in acrylic.
- It is used for buccal movement of premolar and some canine .
- It is activated by pulling the free end of the spring toward the intended
direction of tooth movement.
COFFIN SPRING
- It is made of 1.2mm wire .
- It consist of a u or omega shaped wire placed in the midpalatal region
with retentive arm incorporated in base plates .
- It is retended by adams clasp in molar. It is used in slow dentoalveolar
arch expansion in patient with upper arch constriction or in unilateral
crossbite.