Correcting severe tooth rotations can be challenging. There are many ways to de-rotate teeth with fixed or removable appliances. Mechanically, the best and most effective way is one that produces a two-force couple system to rotate a tooth around its centre of rotation (longitudinal axis). The aim of this article was to introduce a simple and efficient technique using a closed coil to correct localised tooth rotations in the early alignment stage, utilising a simple two-force couple system. Furthermore, some of the biomechanical principles concerning de-rotation will be revisited.
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