NEET MDS Lessons
Orthodontics
Types of Springs
In orthodontics, various types of springs are utilized to achieve specific tooth movements. Each type of spring has unique characteristics and applications. Below are a few examples of commonly used springs in orthodontic appliances:
1. Finger Spring
- Construction: Made from 0.5 mm stainless steel wire.
- Components:
- Helix: 2 mm in diameter.
- Active Arm: The part that exerts force on the tooth.
- Retentive Arm: Helps retain the appliance in place.
- Placement: The helix is positioned opposite to the direction of the intended tooth movement and should be aligned along the long axis of the tooth, perpendicular to the direction of movement.
- Indication: Primarily used for mesio-distal movement of teeth, such as closing anterior diastemas.
- Activation: Achieved by opening the coil or moving the active arm towards the tooth to be moved by 2-3 mm.
2. Z-Spring (Double Cantilever)
- Construction: Comprises two helices of small diameter, suitable for one or more incisors.
- Positioning: The spring is positioned perpendicular to the palatal surface of the tooth, with a long retentive arm.
- Preparation: The Z-spring needs to be boxed in wax prior to acrylization.
- Indication: Used to move one or more teeth in the same direction, such as proclining two or more upper incisors to correct anterior tooth crossbites. It can also correct mild rotation if only one helix is activated.
- Activation: Achieved by opening both helices up to 2 mm at a time.
3. Cranked Single Cantilever Spring
- Construction: Made from 0.5 mm wire.
- Design: The spring consists of a coil located close to its emergence from the base plate. It is cranked to keep it clear of adjacent teeth.
- Indication: Primarily used to move teeth labially.
4. T Spring
- Construction: Made from 0.5 mm wire.
- Design: The spring consists of a T-shaped arm, with the arms embedded in acrylic.
- Indication: Used for buccal movement of premolars and some canines.
- Activation: Achieved by pulling the free end of the spring toward the intended direction of tooth movement.
5. Coffin Spring
- Construction: Made from 1.2 mm wire.
- Design: Consists of a U or omega-shaped wire placed in the midpalatal region, with a retentive arm incorporated into the base plates.
- Retention: Retained by Adams clasps on molars.
- Indication: Used for slow dentoalveolar arch expansion in patients with upper arch constriction or in cases of unilateral crossbite.