Authors :
Dr. Sharath Kumar Shetty B.; Dr. Brigit Alphonsa Gervasis; Dr. T B Binshad Mohammed
Volume/Issue :
Volume 10 - 2025, Issue 5 - May
Google Scholar :
https://tinyurl.com/zzb5he2h
DOI :
https://doi.org/10.38124/ijisrt/25may1691
Note : A published paper may take 4-5 working days from the publication date to appear in PlumX Metrics, Semantic Scholar, and ResearchGate.
Abstract :
Traditional orthodontic treatment has often prioritized dental occlusion over facial aesthetics, leading to
suboptimal smile outcomes. The Pitts 21TM bracket system, developed by Dr. Thomas Pitts, integrates modern biomechanics
with aesthetic goals through innovations such as square wire finishing, progressive slot depth, and Smile Arc Protection
(SAP). This review explores the biomechanical advantages, aesthetic enhancements, and clinical protocols associated with
the Pitts 21 system, with an emphasis on its role in achieving early 3D control and more predictable treatment outcomes.
The Pitts 21 bracket system represents a significant advancement in aesthetic orthodontics. By merging biomechanical
precision with facially driven treatment planning, it allows clinicians to achieve superior functional and visual outcomes in
a more efficient manner.
Keywords :
Pitts 21, Self-Ligating Brackets, Smile Arc Protection, 3D Control, Orthodontic Aesthetics, Torque Expression.
References :
- Pitts, T.Begin with the end in mind and finish with beauty. Eur. J. Clin. Orthod. 2:39–46, 2014.
- Ortho Classic. Pitts21 Bracket System [Internet]. McMinnville (OR): Ortho Classic; [cited 2025 May 21]. Available from: https://orthoclassic.com
- Pitts Protocol (2015) The 14 Keys to Pitts Case Management and Active Early Concepts. Pitts Protocol, 1:8–15. http://issuu.com/orthoclassic/doc s/pitts_protocol_issue_1
- Pitts, T. Secrets of excellent finishing. News Trends Orthod. 14:6–23, 2009.
- Pitts, T. Begin with the end in mind: Bracket placement and early elastics protocols for smile arc protection. Clin. Impress. 17:4–13, 2009.
- Creekmore, T.D. & Kunik, R.L. Straight wire: The next generation. Am. J. Orthod. 104:8–20, 1993.
- Sarver DM. The importance of incisor positioning in the esthetic smile: the smile arc. American journal of orthodontics and dentofacial orthopedics. 2001 Aug 1;120(2):98-111.
- Pitts, T. & Brown, D. Flipping and Flocking. The Protocol V3, 2015: 6–18.
- Pitts, T. & Brown, D. Active Early Principles. Pitts Protocols, 2015 (2): 8–15.
- Pitts TR. Bracket positioning for smile arc protection. Journal of clinical orthodontics: JCO. 2017 Mar;51(3):142-56.
- Bernisha RP, Mishra G, Raj GP, Chitra P. Incisor torque expression characteristics in two passive self-ligating brackets placed at different heights. A finite element investigation. Journal of Oral Biology and Craniofacial Research. 2024 Jan 1;14(1):98-106.
- Satapathy RK, Verma S, Sowmya J, Chitra P. Torque moments and stress analysis in two passive self-ligating brackets across different incisor inclinations: A 3-dimensional finite element study. Journal of Oral Biology and Craniofacial Research. 2024 Sep 1;14(5):487-93.
- Harsha SB, Riyaz K, Manjappa LS, Talwar A, Ravuru D, Mogaveera NK, Gupta S, Mogaveera NK. Comparative Analysis of Displacements and Stress Produced by Square and Rectangular Bracket Slot With Incremental Torque: A Finite Element Analysis Study. Cureus. 2024 Oct 15;16(10).
Traditional orthodontic treatment has often prioritized dental occlusion over facial aesthetics, leading to
suboptimal smile outcomes. The Pitts 21TM bracket system, developed by Dr. Thomas Pitts, integrates modern biomechanics
with aesthetic goals through innovations such as square wire finishing, progressive slot depth, and Smile Arc Protection
(SAP). This review explores the biomechanical advantages, aesthetic enhancements, and clinical protocols associated with
the Pitts 21 system, with an emphasis on its role in achieving early 3D control and more predictable treatment outcomes.
The Pitts 21 bracket system represents a significant advancement in aesthetic orthodontics. By merging biomechanical
precision with facially driven treatment planning, it allows clinicians to achieve superior functional and visual outcomes in
a more efficient manner.
Keywords :
Pitts 21, Self-Ligating Brackets, Smile Arc Protection, 3D Control, Orthodontic Aesthetics, Torque Expression.