Vol. 6, Issue 4 (2020)
Separation efficacy of four different orthodontic separators
Author(s): Dr. Shikha Shalini, Dr. Garima Verma, Dr. Neal B Kedia
Abstract: For treatment with a fixed orthodontic appliance, interproximal separation in between molars and premolars is necessary to create enough space for the bands that anchor the appliance. The ideal separator should give rapid and good separation without causing the patient discomfort or pain, thereby making the fitting of the band to the tooth. During the past 10 years, springs, brass wire and elastomerics have most often been used. If an orthodontic band measuring 0.16 mm thickness is placed around a tooth having an average periodontal ligament (PDL) space of 0.25 mm without proper separation, there is a risk of contacting the alveolar bone, producing hyalinization areas in the PDL and evoking pain response of resident mechanoreceptors. Hence based on above findings the present study was planned for Evaluation of Different Type of Teeth Separators to observe the Separation effect. The present study was planned in Department of Orthodontics and Dento-facial Orthopaedic, Buddha Institute of Dental Sciences and Hospital, Patna, Bihar. Total 60 cases of males and females of age between 14 to 22 years were enrolled in the present study. Four types of separators, Elastomeric separators, dumbbell separators Kesling separators and Kansal separators were used for separation before placement of orthodontic bands. So, 15 cases were included in each separator group. Hence every patient had only one type of separator in all 4 quadrants. The present study concludes that Dumbbell separator showed maximum separation followed by elastomeric and Kesling separators. Kansal separator showed least amount of separation as compared to other three types of separators. On comparing time taken by all four separators for adequate separation, dumbbell separator took minimum time, followed by elastomeric. Kesling and Kansal separator took maximum time among all four separators in the present study. So we conclude by saying that if we are using Elastomeric or Dumbell separator then after 2 days we get sufficient space to insert band but if we are using Kesling or Kansal then we have to wait for atleast 3 days.