Bracket choice and the importance of its placement for orthodontic treatment outcome – case report

Vol. 13 – Number 50 – 2020 Case report Page 76-83 Bracket choice and the importance of its placement for orthodontic treatment outcome – case report Liliana Avila Maltagliati1 Luiza Pereira Alves2 Débora Laury3 Marina Roscoe4 Mayara Paim Patel1 Abstract This case report demonstrates an option to get the proper torque, by changing the bracket placement and highlight the importance of bracket choice for mechanics. The case reported is a short face patient with spaces to close and had a pronounced lingual inclination of the lower incisors that was not benefited by the necessary mechanics. Through the combined use of brackets with -6 degrees of torque, placed upside down and sliding mechanics with a rigid wire, the spaces were closed improving torque instead of worsening it, and a proper occlusion with a pleasant smile could be achieved. Some individualization on bracket placement can help mechanics to get the desired tooth position, overcoming an inadequate torque control by the bracket/archwire combination. Descriptors: Orthodontics, orthodontic brackets, torque. 1 Undergraduate and graduate professor – UNG-Guarulhos. 2 Master in Orthodontics – UNG-Guarulhos. 3 Student of the professional master’s course in Orthodontics – UNG-Guarulhos. 4 Undergraduate and graduate teacher – USP.