Torque in orthodontics refers to:

 # Torque in orthodontics refers to:
a. The change in mesiodistal inclination of teeth
b. The change in labiolingual inclination of teeth
c. The rotation of teeth
d. None of the above



The correct answer is B. The change in labiolingual inclination of teeth.

Torquing is considered as reverse tipping during which there is movement of root only without the movement of the crown. This type of tooth movement is usually used to correct the effects of uncontrolled tipping. 

Orchid Multispeciality Dental Clinic, Damak Jhapa

 Name of Dental Clinic: Orchid Multispeciality Dental Clinic
Address (Full): Province 1, Jhapa Damak-8 
Year of Establishment: 2080
Name of the chief Dental Surgeon: Dr. Pawan Singh
CONTACT NUMBER: 9819239757
NMC Number of Dental Surgeon: 17464

Which of the following materials used in orthodontics commonly causes sensitivity?

 # Which of the following materials used in orthodontics commonly causes sensitivity?
A. Steel
B. Ceramic
C. Nickel
D. Plastic



The correct answer is C. Nickel.

Most allergies in orthodontics are related to latex and nickel. Nickel can evoke IgE-mediated (immediate) and cell-mediated (delayed) hypersensitivity reactions. 

Double cantilever spring OR Z-spring

 Z-Spring

Double cantilever/Z-spring can be used for the labial movement of palatally locked incisors and also for correcting minor rotations of these teeth.

Parts of Z-Spring
a. Square loop
b. Two helices
c. Retentive arm
d. Retentive tag

Helices of Z-spring
There are two helices of small internal diameter.

Squarsh loop: Active arm with squarsh loop is incorporated at the free end of active arm and it helps in preventing soft tissue damage.

Retentive arm: It has a long retentive arm of about 10 to 12 mm length, which gets embedded in acrylic base material.

Retentive tag: Retentive tag of Z-spring is perpendicular to the retentive arm and is of 2 to 3 mm in length.





Fabrication
 Stainless steel wire of 0.5 mm or 23 gauge isn used for the fabrication of Z-spring.
 Pliers used: Universal pliers can be used for the fabrication of Z-spring.
 Z-spring can be designed to more one or two incisor in a labial direction over equal distances.
 The spring is constructed such that it is perpendicular to the palatal surface of the teeth to be moved.
 Z-spring is a supported spring and needs boxing in the wax prior to acrylization. However, the helices are kept free from acrylic so that they can be activated.

Activation of Z-Spring
 For labial movement of incisors, the Z-spring is activated by simultaneously opening both helices by 2 to 3 mm.
 For correction of minor rotations, activation is done by opening only upper helix by 2 to 3 mm.

Uses
Z-spring is used for:
a. Labial movement of one or two incisors. It is often used for correction of anterior crossbite occurring due to palatally locked upper incisors.
b. It can also be used for the correction of mild rotation of incisors.

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