Replacing brackets with simple tubes for the finishing stage of orthodontic treatment

Document Type

Article

Publication Title

Seminars in Orthodontics

Abstract

The term "simple tube" generically refers to a tube-shaped orthodontic appliance that lacks a bracket base and is bonded to the tooth surface by partially covering it with a flowable composite resin. This report introduces the application of simple tubes in combination with the deflection-based bonding (DbB) technique as an alternative to conventional orthodontic brackets during the finishing stage of orthodontic treatment. The DbB technique involves pre-threading simple tubes onto a nickel-titanium archwire and bonding them to the teeth under deflected conditions, thereby allowing precise adjustments of tooth position through controlled wire deflections. This approach enables individualized in-out compensation and passive bonding for teeth that require no further movement, facilitating efficient detailing and occlusal settling. By leveraging the low-profile design of simple tubes and the mechanical advantages of the DbB technique, this method enhances patient comfort, improves oral hygiene, and provides a more aesthetic appearance. Despite inherent limitations, such as the difficulty of archwire replacement, the integration of simple tubes with the DbB technique offers notable biomechanical benefits, including the application of lighter, more controlled forces tailored to the incisors. This report highlights the potential of using simple tubes in conjunction with the DbB technique to enhance clinical outcomes and improve patient experience during the orthodontic finishing phase.

DOI

10.1053/j.sodo.2025.09.009

Publication Date

1-1-2025

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