Rare Earth Magnets in Orthodontics

[tirath]

Magnets have been used in dentistry for many years. They can be made to push or pull teeth. The force they deliver can be directed, and they can exert their force through mucosa and bone, as well as within the mouth. In orthodontics they are used for intrusion of teeth, tooth movement along archwires, expansion, retention, in functional applicances, and in the treatment of impacted teeth. New `high energy’ magnets are capable of producing very high forces relative to their size. Although magnets are potentially very useful there are a number of problems that severely affect their performance; the force produced between any two magnets falls dramatically with distance, significant irreversible loss in force is seen if the magents are heated and a dramatic reduction in force is seen if the magnets are not ideally aligned to one another. In addition, magnets corrode badly in the mouth and a robust coating is required to protect them.

        

[sushantpatel_doc]

Over the last decade magnets have been used in orthodontic and dentofacial orthopaedics and attempts have been made to evaluate the biological implications of magnets and magnetic fields during clinical application. This review aims to indicate the advantages and disadvantages of magnets in orthodontics and dentofacial orthopaedics over traditional techniques, and update related clinical experiences. The treatment of impacted teeth and Class II malocclusions by means of magnetic force is favoured and the correction of Class III and open bite malocclusions involving the use of magnets also appears promising. The advantages of magnets over traditional force delivery systems are: frictionless mechanics, when the magnets are in attractive configuration; predictable force levels, no force decay over time and less patient co-operation. However, the size of the magnets can increase the bulk of the appliance and three-dimensional control is limited when the magnets are in a repulsive configuration. In addition magnets used in vivo require a coating to prevent corrosion and the possible side effects of corrosive products.

        

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