Objectives: The aim of this study was to evaluate dental and/or skeletal changes following orthodontic treatment with Damon self-ligating (SL) brackets in non-extraction patients. Methods: Frontal and lateral cephalomteric radiographs of 20 patients before and after non-extraction treatment with Damon SL brackets were analyzed in a three-dimensional analysis computer program (3DCeph, UIC, IL., USA). Changes of intermolar and intercanine distances, incisor positions and maxillary basal bone width of Damon treated subjects were compared to corresponding untreated controls (Bolton templates). Comparisons between the two groups were made with Nonparametric (Mann-Whitney U) test. Results and Conclusions: Transverse changes in distances between crowns of upper and lower first molars and canines in Damon group were similar to untreated individuals (P >0.01). However, in Damon group distances between roots of upper molars and lower canines increased 4.59 and 3.49 mm respectively, compared with 0.8 and -0.01 mm in the Control group (P <0.001, P= 0.001). Lingual root torque of upper incisors and proclination of lower incisors were larger in the Damon group (P<0.05). Damon treatment did not result in buccal tipping of molar crowns or maxillary base width increase (P>0.05). Overall, teeth alignment with Damon system was accomplished with a combination of arch width changes and incisor proclination and/or lingual root torque.

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