A novel and simple technique for correcting localised rotations in the early alignment stage

Abstract

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.