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EFFICACY OF TEMPORARY FIXED RETENTION FOLLOWING ...

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treatment goal at the end of treatment. The expectation is that the case will settle<br />

into a stable Class I occlusion.<br />

The occlusal surfaces of the casts were photocopied at 200% of natural<br />

size. From this photocopy, 41 anatomical landmarks were digitized (Figure 3-3).<br />

The procedure was performed on three sets of dental casts. Landmarks were<br />

identified on the dental casts for (T1), (T2), and (T3). Photocopies of the casts<br />

were then digitized using DentoFacial Planner ® software. Measurement<br />

reliability of the sample lies in the fact that a single technician, Ms. Donna<br />

Niemczyk, digitized all the records.<br />

Five lines were drawn on the mandibular arch photocopy (Figure 3-4).<br />

Lines were drawn along the left and right buccal segments centered over the<br />

alveolar ridge. The point of intersection of these lines, anterior to the incisors,<br />

forms the Buccal Segment Angle. A line bisecting this angle was drawn, as well<br />

as a line connecting the left and right canine cusp tips, and left and right first<br />

molar buccal grooves. On the maxillary casts, three lines were drawn, namely a<br />

line from the incisive papilla to the midline mark between the molars, a line<br />

between maxillary first molar mesial buccal cusp tips crossing the gum lines, and<br />

a line connecting the maxillary canine cusp tips.<br />

Using the lines drawn on the casts, six mandibular arch landmarks were<br />

identified (Figure 3-5):<br />

1. Midline point: The intersection of the buccal segment angle bisector line with<br />

a perpendicular line crossing the incisal edge of the more protrusive central<br />

incisor.<br />

2. Anterior-midarch dividing points (left and right): This coincides with the<br />

contact points of the mandibular canines first or second premolars in a wellaligned<br />

and stable mandibular dental arch. They are centered over basal<br />

bone and are slightly buccal to the buccal segment line.<br />

3. Occlusal depth points (left and right): This is the line drawn across the buccal<br />

segment line corresponding to the occlusal depth value (times the photocopy<br />

magnification factor) distal to the first molar. The procedure is repeated on<br />

the other side.<br />

4. H point: A point on the midline of the mandibular occlusal plane at the<br />

intersection of the buccal segment bisector with a line drawn tangent to the<br />

distal of the more distal first molar and perpendicular to the buccal segment<br />

bisector.<br />

41

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