Comparison of prescriptions /dental courses

INDIAN DENTAL ACADEMY
Leader in continuing Dental Education
www.indiandentalacademy.com

 The Roth prescription
 The Alexander prescription
 The MBT prescription
 Bibliography

 Level slot lineup

one prescription
for most cases,
and to finish to
an "end of
appliance
therapy"

 To provide idealized tooth position prior to
appliance removal
 Allow the teeth to settle to Andrews non
Orthodontic normals

Single prescription
with overcorrection
in all planes of space
"Six Keys to Normal
Occlusion"

 Key : canine & premolars
 Center of bracket at max convexity of
crowns on posterior teeth. (center of CC)
 Canine bracket more incisally
 1 mm + lateral incisors
 Central incisors = lateral incisors

Andrews 50
Andrews -90
X 2

 Most variable
 Centre occlusogingivally & mesiodistally
To offset the rotation
accompanying distal traction
Andrews 20
samewww.indiandentalacademy.com

 1-1.5 mm higher incisally than the rest of
occlusal plane
Andrews -70
reciprocal effect of building more
positive torque into the incisors
2° more distal tip
They are being retracted in most
treatment
+ 20

 1-1.5 mm shorter than maxillary canine
tip.(To eliminate the need to place reverse
and compensating bends into the finishing
wires)
Andrews
70 & 30
Same

 Mesiodistally – prominent buccaal
developmental ridge (long axis)
 Occlusogingivally – maximum convexity
(center of CC)

3° distal tip from normal
(20)
Entire buccal segment
These teeth settle more mesially
than the uppers &
simultaneously rotate mesially
thus necessitating extra distal
rotation

 0.5-1 mm higher than the rest of occlusal
plane
same
Andrews 50

 0.5-1 mm more incisal than canine tip (level COS)
same

 Size and shape of teeth
 Accessibility of tooth
 Patient comfort and the frequency of bracket
wing breakage.

Bracket
selection
Bracket
height
Bracket
angulation
Bracket
torque
Bracket
in-out.

Twin brackets (Diamond brackets)

Maxillary Arch
 Centrals X
 Laterals X – 0.5mm
 Cuspids X + 0.5mm
 Bicuspids X
 1st Molars X – 0.5mm
 2nd Molars X – 1.0mm
 Mandibular Arch
 Centrals X – 0.5mm
 Laterals X – 0.5mm
 Cuspids X + 0.5mm
 Bicuspids X
 1st Molars X – 0.5mmwww.indiandentalacademy.com

Banding (Incisal edge reference)
Maxillary Arch
 Centrals 3°
 Laterals 6°
 Cuspids 6°
 Bicuspids and Molars 0°
Mandibular Arch
 Centrals 00
 Laterals 00
 Cuspids 6°
 Bicuspids 0°
 1st Molars – 6°
 2nd Molars 0°

Disadvantages of additional anterior tip
 Significant drain on A/P anchorage.
 Increased the tendency to bite deepening
during alignment stage.
 Brought upper canine root apex too close to
the first premolar root in some cases.

 For maxilla
 Central incisors 5mm
 Lateral incisors 4.5mm
 Canine 5mm
 1st bicuspid 4.5mm
 2nd bicuspid 4mm
 1st molar 3mm
 2nd molar 2mm
 For Mandible
 Central incisors 4mm
 Lateral incisors 4mm
 Canine 4.5mm
 1st bicuspid 4mm
 2nd bicuspid 3.5mm
 1st molar 2.5mm
 2nd molar 2.5mm

 Torque is not efficiently expressed owing to
two reasons:
 The area of torque application is small and
depends on the twist effect of a relatively
small wire compared with the bulk of tooth.
 Because full thickness wire will prevent
sliding .019/.025 steel wires in .022 slot are
used. These wires have ‘slop’ of about 100
depending on the tolerances in bracket and
wire manufacturing and the amount of wire
edge ‘rounding’ or ‘radiusing’

Comparison of prescriptions /dental courses

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