The Root Torqueing Auxiliaries in Orthodontics

in Orthodontics, Torque is a vital ingredient in the achievement of optimal esthetics, function and health of teeth and surrounding tissues, as also in stability of the treatment results

1. ROOT TORQUING AUXILIARIES
ARUN BOSCO JERALD
2018 BATCH

2. CONTENTS
•Introduction
•Historical background
•The Torquing Auxiliary with Spurs
•Four spurs
•2 spurs (van der Heydtauxiliay)
•Short 4 spurs
•Reciprocal
•One to one reciprocal torquing auxiliary
•SPEC auxiliary
•Reverse torqueing auxiliary
•Brandt type
•Udder type
•Tan auxiliary
•Pre–wound torquingauxiliary (rat trap)
•Single root-torquingauxiliary
•Individual torquingauxiliary
•Jenner auxiliary
•Labial root torque only on the lateral incisors

3. •Buccal root torque on the molars
•Vertical auxiliary
•Kitchtonauxiliary
•Universal TorquingSpring
•Individual tooth Auxiliary
•UprightingTorquingAuxiliary
•Warren springs
•Burstone'storquingauxiliary
•TorquingFlaps
•Side Winder Spring
•TorquingBar
•Mollenhauer’sAligning Auxiliary (MAA)
•Goodman torqueing Springs
•Simple individual Tooth Torqueing (SITT)
•Single tooth torqueing auxiliary
•Conclusion
•References

4. INTRODUCTION
•Torque is a vital ingredient in the achievement of optimal esthetics,
function and health of teeth and surrounding tissues, as also in
stability of the treatment results.
•The word "torque" IiteraIlymeans "twist".
•In orthodontic parlance, the term is used in two ways.
•When we say that the archwireis torqued for lingual root torque, it
refers to a twist in the rectangular archwireand then to the tooth
displacement obtained from such a twist

5. •The torquingdisplacement could be from application of any third
order couple → from a torquingauxiliary and not necessarily from a
rectangular wire twist.

6. •In the latter context, torque actually would mean
the facio-lingual rotation of a tooth around its
mesio-distal axis that passes through the Centre of
Resistance.
•In common usage, however, it is generally implied
that the crown of the rotating tooth is restricted
from getting displaced, permitting only a facio-
lingual displacement of the root

7. HISTORICAL BACKGROUND
•The pioneers in Orthodontics realized the importance of torque
from early days, and endeavored to incorporate torque control in
their appliances.
•Two early appliances attempting such control viz. that of Calvin
Case and the Pin and tube appliance of Angle did not become
popular; but the subsequent developments gave orthodontic
specialty two main mechanisms of applying torque.

8. •One was Angle's innovation (1928) of obtaining torque from torsion
in a rectangular archwire(in the ribbon and edgewise modes
respectively In the Ribbon arch and Edgewise appliances), which
got widespread acceptance.
•Later, Dr. P R Begg(1956) designed a torquingauxiliary made in
round wire to be used alongside the base archwire.
•In this technique Australian archwire(A. J. Wilcock) was used in all
the stages.

9. •For torque, he used different torquingauxiliaries, instead of relying
on the torsion of the wire (third order bend).
•He used various torquingauxiliaries for torque forces in which force
levels differed by
•the number of coils used
•degree of activation and
•the dimension of the wire

10. •Andrews (1972) totally changed the concept of incorporating
torque separately by introducing his fully programmed bracket
system (Straight Wire Appliance-SWA) in which he incorporated slot
sitting features and even inclined the base of bracket to reduce
bending of archwire.
•Proffit(1986) quoted a force of 75-125 gm being suitable for
torquingmovements.
•The lower end of the range was considered suitable for teeth with
small root area, whilst higher forces would be appropriate for teeth
with larger roots.

11. •Kesling(1986) combined Angle’s edgewise bracket system with the
differential force concept of Beggfor his Tip Edge system
(Preadjusted Edgewise).
•In this system, each bracket had the requirement of a torquing
auxiliary for achieving the final prescription similar to Begg
philosophy.
•Further later, next generations of SWA; Roth philosophy and MBT
prescription used the inbuilt features at the base of the bracket
instead of using any kind of auxiliary.

12. •Conceptually, the special feature of the Beggappliance in
separating the root moving forces from the archwireforces gives it
a unique advantage, as pointed out by Kesling.
•The reactions generated by the former are spread through the
archwireon to the entire arch, rather than predominantly
expressing on the adjacent teeth.

13. •The root torquingauxiliaries developed by Dr.Beggviz. the ’Spur’
design (having four, two, or six spurs) and the 'Mouse-trap' for
lingual root torque, and the 'Udder arch' for labial root torque have
stood the test of time.
•Many other ingenious designs like the Vander Hydt, Kitchtonand
ART (anterior root torquing) auxiliaries were introduced
subsequently.

14. THE TORQUINGAUXILIARY WITH SPURS
•The auxiliary bent into a small circle, when fixed in the mouth, is
spread out along the wider anterior curvature of the archwire.

15. •The lingual torqueing effect is on account of two factors
•Firstly, the vertical plane in which the torquingauxiliary orients when
fitted on the two central incisors is changed to the horizontal plane
of the archwirewhen fully tied to it.
•Secondly, when the torquingauxiliary is opened to the larger arc of
anterior portion of the archwire, it rolls inwards.

16. •Both these effects force the tips of the spurs to press in a lingual
direction against the gingival portion of the crowns.
•Reciprocally, their inter-spur spans of the auxiliary tend to lift away
in a labial direction.
•Thus a force couple is created.
•The labial forces are resisted by the bracket slots and the base
archwireto which the auxiliary is tied, thus accentuating the action
of the lingual root moving forces

17. •The auxiliary is now made from 0.012” Premium Plus wire(preferably
pulse straightened) unlike in 0.014” or 0.016” Special Plus wire
previously used.
•Considering identical activations, a short spur will produce much
greater force that will drop rapidly when the teeth start getting
torqued; a longer spur will produce a gentler and more constant
force.
•On an average, the length of the spur should be kept at about
5mm; but it should be varied depending on the clinical crown
height, leaving it about 1mm short of the gum to facilitate proper
hygiene

18. •Inclination of the spurs to the horizontal (occlusal) plane is kept 0°
•The auxiliary, being made of a lesser diameter wire, is likely to deform
more than the previous heavy auxiliaries when engaged in all the
brackets.
•Thus, the angle of the spur from the inter-spur span opens up and the
legs of the spur tend to converge and may even cross each other
on tying the auxiliary in the mouth.

20. •This is remedied by slightly over angulating the spur and by keeping
the legs a little divergent.
•On placing in the mouth, the tips of the spurs will move to the
mesio-distal center of the crowns, and the legs also will become
parallel.
•For the same reason, the distal leg of every spur is kept slightly
shorter by about 0.5 mm, so that the distal leg does not project
incisallyto the main archwireon tying

21. •The inter-spur span is curved as recommended by Kesling
•If it is kept straight or angulated midway it does not rest entirely on
the base wire but starts projecting away.
•This is because the tied torquingauxiliary has to follow the shape of
anterior curvature of the archwire.
•A straight or angulated inter-spur span cannot assume a perfect
curvature

23. •A curved auxiliary running piggyback smoothly over the base wire
not only looks neat and is more hygienic.
•It also transfers its reaction better to the entire arch rather than the
one which touches the latter only at few points
•The constructed auxiliary takes the shape of an open-ended circle
•The normally recommended size of the circle is an old 50 paise
coin.
•The forces generated by the auxiliary increase with a decrease in
the diameter of the circle and vice-versa.

24. Modifications
a) Reverse (labial) torque on one or both the lateral incisors: -
Boxes at right angle to the plane of the spurs are made to lie at
the incisal area of the lateral incisor(s).
Crossover bends are made on either side of the lateral incisor
bracket to permit the auxiliary to pass over the base wire

25. b) Torquingboxes on the canines for lingual root torque: -
Instead of making spurs for the canines, boxes can be provided.
The ends of this auxiliary need not extend beyond the canine
area

28. RECIPROCAL TORQUEING AUXILIARY (‘SPEC’ DESIGN)
•This torquingmechanism is employed when two adjacent teeth
require root torque in opposite directions.
•An instandinglateral incisor needing labial root torque for its bodily
correction, and the adjacent canine needing lingual root torque
because its root is very prominent.
•The ‘Spec’ auxiliary made in lighter 0.009” or 0.010” size wires could
be used for controlling the root movements during the first and
second stages.

29. •Very often, the canine is mesiallyangulated, and is thus likely to
obstruct labial movement of the lateral incisor root.
•A light uprightingspring must be simultaneously placed on the
canine to remove such interference.
•If needed for the stage III, it should be made in 0.012” size wire.

30. •The box on the tooth requiring labial root torque is placed incisal to
the main wire, while the box on the other tooth requiring lingual
root torque sits piggyback on the main wire.
•Hence a crossover bend is required between the two adjacent
teeth because the auxiliary has to cross over the mainwire.
•Varying the angulation between the planes of the two boxes can
control the force generated by the auxiliary.

31. Spec auxiliary with crossover bends. Note the uprightingspring on the
canine for moving its root away from that of the lateral incisor.

32. REVERSE TORQUEING AUXILIARY
•Reverse root torquingauxiliary has the objective of repositioning
the mandibular incisor roots and bringing them forward in a
controlled manner
•Indications
1.Bimaxillary proclinationor class II div. 1
2.Almost all non-extraction cases
3. To increase the mandibular anchorage

33. •Two types are used
1.Brandt type
2.Udder type

34. TAN AUXILIARY
•Reverse torqueing auxiliary for controlling the roots of canines or
premolars
•FranciskusTan (J Clin Orth, 1987)
•It was described for the labial root movement of a palatally
impacted maxillary canine, whose crown has been aligned but the
root is still placed palatallyand needs labial root torque.
•However, if required for lingual root torque in other situations, it is
simply inverted.

35. •It could be used equally well on the premolars
•It is made from 0.012” P+ wire and fitted in conjunction with a
0.018” or 0.020” base wire.
•It is inserted in the molar tube from the distal end.
•An offset is placed in the auxiliary to bypass the main wire.

36. •In the original article it was rotated by 180°for activating; but, V P
Jayadesuggests activation by 90°rotation
•In order to resist the palatal root torque on the molar that arises as
a reaction from the auxiliary, the molars are stabilized with a TPA

37. PRE–WOUND TORQUINGAUXILIARY (RAT TRAP)
•Designed by Beggin 1955.
•Used for torqueing the maxillary anterior roots
palatally
•Bending was originally hand done but now
available commercially in graded size.
•Usually wound from 0.014“–0.016“ round wire
about a 0.020“ main arch wire.
•A small incisal offset or V in the midline of the
main arch acts as reciprocating stop for auxiliary

38. SINGLE ROOT-TORQUEING AUXILIARY
•Proposed by Kesling(1996)
•This is a very useful design for any tooth (excepting molars) requiring
root torque in the labial or lingual direction.
•It is particularly indicated on an upper premolar, which needs
buccal root torque to eliminate cuspalinterference from its
hanging palatal cusp.

39. •It is convenient to place the long arm of the auxiliary piggyback
over the main archwiresince it need not be untied, but it could lie
occlusal to the base wire in the slot as well.
•The long arm should extend to three to four adjacent teeth when
engaged in the brackets.
•The long arm always faces mesiallyfor the premolar teeth
•Depending on how the curvature is pointing before the auxiliary is
tied, the torque generated will have lingual (palatal) or buccal root
moving effect.

40. •For example, the auxiliary fitted with its convexity facing upwards
will have a buccal root torquingeffect on the upper premolars, but
the effect will be for lingual root torque on the lowers, and vice-
versa.
•The effect is transmitted by the vertical extension of the auxiliary
through the bracket pillar onto the tooth; unlike most other
auxiliaries, which exert force directly on the tooth surface.

42. •The long arm could face either mesiallyor distally on the anterior
teeth, and the action will depend on how the curvature of the long
arm relates to the base archwire.
•The auxiliary is usually made in 0.012 size Premium Plus wire, but
could be made in thinner wires for smaller teeth like the lower
incisors.
•The force generated by it can be varied by changing acuity of the
curvature.
•More acute the curve, greater is the force generated.

45. LABIAL ROOT TORQUE ONLY ON THE LATERAL INCISORS
•This design is similar to the Jenner auxiliary.
•However, it is shorter, made from 0.012” size wire and is placed with
the convexity of the auxiliary facing gingivally.
•The auxiliary is engaged first in the incisor brackets and the main
wire is then engaged piggyback.
•The boxes extend labially on the incisal area of the crowns.

47. BUCCAL ROOT TORQUE ON THE MOLARS
•Auxiliary made in 0.014” size wire is fitted in the round molar tubes
alongside the main archwire.
•It has ‘boot’ design occlusal extensions on the molars, and it is
inserted from the mesial end of the molar tubes.
•The boot portion is twisted lingually and given a toe-in and the
whole auxiliary is suitably contracted.
•The auxiliary need not be engaged in other brackets.
•It can be ligated to the main wire at 2 -3 places on either side.

49. JCO, 1973

50. INDIVIDUAL TOOTH AUXILIARY
•A. J. O'MEARA (JCO 1986)
•0.014” Special Plus wire
•Palatal root torque for individual teeth.
•It is activatedby extending terminal hooks over
the arch wire.
•Activation can be increased by shortening the
hooks, or by displacing the outer arms lingually
relative to the body of the spring.

51. UPRIGHTINGTORQUINGAUXILIARY
•A. J. O'MEARA (JCO 1986)
•Similar to a pin uprightingspring.
•Provides root torque as well as up righting.
•Spring is engaged in the bracket above the main arch wire.
•It is activated by extending the hook over the arch wire.
•Also helps lock the arch wire in the bracket

52. WARREN SPRINGS
•By Rocky Mountain Orthodontics
•Made from 0.009" or 0.010“ or 0.011 size wires
•They derive resistance from the two different
dimensions of the rectangular archwire, on to
which they are slipped.
•They can be used for lingual or labial root torque
depending on whether they face gingivally or
incisally.

53. •The reciprocal twist in the archwireis resisted by the stiffness of the
SS archwire, which being undersize (e.g., 0.018"x 0.025" in 0.022"
slot), has no appreciable reciprocal torquingeffect on the
adjacent teeth.

54. BURSTONE'STORQUTNGAUXILIARY
•The Torquingelement in this auxiliary is an edgewise wire in the
rectangular slot; but its adivationis derived from the flexion of the
long arm hooked on the archwire, and not from the localized twists
in the wire

55. •Particularly useful in Class II division 2 cases in which maxillary
central incisors need a large amount of torque
•It is made in near full size edgewise SS or TMA rectangular wires
(0.017"x 0.025" in 0.018" slot and 0.019"x 0,025" in 0.022" slot).
•Proffit: 0.021 ×0.025 in 0.022 slot
•If made in SS, helices are added to reduce the force deflection
rate.
•The long arms provide the torquingeffect when the end loops are
brought occlusally to engage on to the archwire

56. •It could be made either for 2 or for 4 incisors.
•The base archwirebypasses these teeth with
a step-down that also helps in resisting the
extrusive effect of the torquingauxiliary
•This is a good design not only because of its
low load deflection rate and long action but
also because it is statically determinate and
therefore superior since it is a one-couple
system.

57. KeslingP C, AJODO, 1988
KeslingP C, AJODO, 1989
KeslingP C, JCO, 1999

58. MOLLENHAUER’SALIGNING AUXILIARY (MAA)
•MollenhauerB, Aust Orth J, 1990
•0.009” supreme grade wire
•Development
•Precursor “Spec” in 0.010” wire; Forces generated were relatively
high.
•0.009” Supreme wire become available in 1984.
•Initially used as aligning wire (AOJ’87) then
as aligning rectangles-MAA (AOJ’90)

59. Requirements
1) Ultra light root moving forces. Hence
a) 0.009” wire
b) reciprocal torque not more than 45
0
2) Yet, wire must be resilient to resist deformation.
Hence supreme grade, preferably pulse straightened.
3) Strong base wire to resist the vertical and transverse reactive
forces. Hence 0.018” Premium plus.

60. 4) Thickest possible lock pins or hook pins
(e.g. Ceramaflexpin) for transmitting
lingual root torque to teeth ( since
auxiliaries are kept incisallyfor better
hygiene).

61. Advantages of MAA according to Mollenhauer
1.Efficacy of intrusion and retraction.
2.Reciprocabilityof torque ( on in-standing laterals or palatally
placed canines). Hence periodontal benefits ( gingival
dehiscence prevented).
3.Early root control with short stage III
4.Possibility of cortical bone growth ( at point A and point B).

62. Applications of MAA
1. Body alignment of crowded teeth by combination of
a) Expansion + Crown alignment (looped arch wire like effect) &
b) Root torque.

63. 2) After stage I as braking mechanics
( by bending more positive torque)
3) For labial root torque on
a)Lower incisor in class II
b)Upper incisor in class III (For cortical bone development)
4) MAA-tip for controlling Mesio-distal angulation of root apices in
stage I

64. ModificationofMAA
•With available pins holding down the boxes for lingual root torque
was difficult.
•So, torquingaction of MAA is directly applied on gingival surface of
teeth.
•For this base wire is engaged first and MAA is engaged piggy back

65. •When reciprocal root torque is required on adjacent teeth the
concerned box rides over the main arch wire with a cross over
band and pressed against the incisor surface of the crown

67. CONCLUSION
•Torque is probably one of the most important and potent forces of
orthodontic treatment mechanism.
•With proper understanding and systemic technical approach, it is
not difficult to accomplish.
•The operator’s ability to control torque properly will mean the
difference between artistically treated cases that has all esthetic
beauty desired in a finished denture and an ordinary tooth
straightening accomplishment that contains very few of these
desirable features.

68. •The auxiliaries provide adequate forces which can be easily
controlled by the clinician thus providing aesthetic results.
•After proper knowledge and practice, it depends upon the
operator to decide which auxiliary to use.
•With the continuously evolving techniques and introduction of 3
rd
generation Straight wire appliance, the torque has now been
incorporated into the brackets (either in face or base)

69. •Thus the need of different auxiliary has reduced thereby reducing
the extra bulk of wire in the mouth and thus decreasing the
chances of plaque accumulation and facilitating good oral
hygiene.
•Still some clinicians sometimes depend on these torquingauxiliaries
to provide torque to a single tooth as it has more control on the
tooth and provide a light continuous force.

70. REFERENCES
•Dr.Vijay P. Jayade, Dr.Chetan V. Jayade, REFINED BEGG FOR MODERN TIMES,
September 2001
•Dr.Vijay P. Jayade, Dr.Chetan V. Jayade, Essentials of Orthodontic Biomechanics
•William R. Proffit, Contemporary Orthodontics, 6
th
edition, 2019
•Chakraborty P, Mathur P, Mahajan S and Tandon R, TorquingAuxiliaries -A Review. SF J
Oral Med Dent Health. 2020; 1(1): 1002.
•BeggPR. Differential force in orthodontic treatment. Am J Orthod.1956;42:481-510.
•MollenhauerB. An aligning auxiliary for ribbon arch brackets: Rectangular boxes from
ultrafine high tensile wires. AustOrthodJ. 1990;11:219-26.
•KeslingCK. Improving incisor torque control with nickel titanium torque bars. J Clin
Orthod.1999;33:224-30
•Ivor M. D’Souza, Kiran Kumar H.C., K. SadashivaShetty, V. Kishore, The Rat Trap Lingual
TorquingAuxiliary, JCO, Dec 2013