SlideShare a Scribd company logo
1 of 87
COMPONENTS OF BEGGCOMPONENTS OF BEGG
APPLIANCEAPPLIANCE
www.indiandentalacademy.comwww.indiandentalacademy.com
MODIFIED RIBBON ARCH BRACKET ( TP -256-MODIFIED RIBBON ARCH BRACKET ( TP -256-
500)500)
www.indiandentalacademy.comwww.indiandentalacademy.com
Requirements for a light wire bracketsRequirements for a light wire brackets
Ease of arch wire engagementEase of arch wire engagement
A means to guide both the tail and head of lock pinA means to guide both the tail and head of lock pin
during lockingduring locking
Positive retention of arch wire in all 3 stagesPositive retention of arch wire in all 3 stages
Free tipping and sliding on arch wireFree tipping and sliding on arch wire
Ability to effect and hold rotationAbility to effect and hold rotation
Ability to prevent accidental tipping in stage III.Ability to prevent accidental tipping in stage III.
These brackets are fabricated from stainlessThese brackets are fabricated from stainless
steel strips, hence it is economical.steel strips, hence it is economical.
www.indiandentalacademy.comwww.indiandentalacademy.com
TYPESTYPES
A.A. 1. Full flange1. Full flange
2.Half flange2.Half flange
B.B. 1. Bondable1. Bondable
2. Weldable2. Weldable
Full flange brackets will have moreFull flange brackets will have more
friction with arch wire and hence hindrance tofriction with arch wire and hence hindrance to
smooth tipping movement of anterior.smooth tipping movement of anterior.
in half flange brackets, contact of thein half flange brackets, contact of the
flange with arch wire is minimal , thus friction isflange with arch wire is minimal , thus friction is
also minimal.also minimal.
www.indiandentalacademy.comwww.indiandentalacademy.com
www.indiandentalacademy.comwww.indiandentalacademy.com
ARCH WIREARCH WIRE
www.indiandentalacademy.comwww.indiandentalacademy.com
AUSTRALIAN ARCHWIRESAUSTRALIAN ARCHWIRES
Round austenitic stainless steel wire of 0.016 inchRound austenitic stainless steel wire of 0.016 inch
diameter, which has been heat treated and colddiameter, which has been heat treated and cold
drawn down to its proper diameter, in order to givedrawn down to its proper diameter, in order to give
it the required properties of resiliency, toughnessit the required properties of resiliency, toughness
and tensile strengthand tensile strength
It was made thin enough, to distribute force at anIt was made thin enough, to distribute force at an
optimal level for tooth movement over aoptimal level for tooth movement over a
considerable period of time, over long distance andconsiderable period of time, over long distance and
with minimal loss of force intensity while doing so.with minimal loss of force intensity while doing so.
www.indiandentalacademy.comwww.indiandentalacademy.com
SIX TYPES OF AUSTRALIAN WIRESIX TYPES OF AUSTRALIAN WIRE
1.1. REGULAR GRADE:REGULAR GRADE:
-- Lowest grade – easy to bendLowest grade – easy to bend
- Used for practice bending and forming auxiliaries.- Used for practice bending and forming auxiliaries.
2.2. REGULAR PLUS:REGULAR PLUS:
-- Easy to form, more resilient than regular gradeEasy to form, more resilient than regular grade
- Used for auxiliaries and arch wires when more- Used for auxiliaries and arch wires when more
pressure and resistance to deformation as desired.pressure and resistance to deformation as desired.
3. SPECIAL GRADE:3. SPECIAL GRADE:
-- Highly resilient yet can be formed into shape.Highly resilient yet can be formed into shape.
www.indiandentalacademy.comwww.indiandentalacademy.com
SPECIAL PLUS GRADE:SPECIAL PLUS GRADE:
-- Hardness and resiliency of 0.016” wire, isHardness and resiliency of 0.016” wire, is
excellent for supporting anchorage, and reducingexcellent for supporting anchorage, and reducing
deep overbites.deep overbites.
- Must be bent with care.- Must be bent with care.
EXTRA SP ECIAL PLUS GRADEEXTRA SP ECIAL PLUS GRADE ::
-- Also called premium plusAlso called premium plus
- This grade is unequalled in resiliency and- This grade is unequalled in resiliency and
hardness.hardness.
- More difficult to bend and more subjected to- More difficult to bend and more subjected to
fracture.fracture.
www.indiandentalacademy.comwww.indiandentalacademy.com
SUPREME GRADE:SUPREME GRADE:
-- It is ultra light tensile fine round stainless steelIt is ultra light tensile fine round stainless steel
wire.wire.
- It was initially introduce in 0.010” diameter and- It was initially introduce in 0.010” diameter and
then further reduced to 0.009 diameter.then further reduced to 0.009 diameter.
-It is primarily used in the early treatment for-It is primarily used in the early treatment for
rotation. Alignment and leveling.rotation. Alignment and leveling.
- Although supreme exceeds the yield strength of- Although supreme exceeds the yield strength of
E.S.P, it is intended for use in either short section orE.S.P, it is intended for use in either short section or
full arches where sharp bends are not required.full arches where sharp bends are not required.
www.indiandentalacademy.comwww.indiandentalacademy.com
www.indiandentalacademy.comwww.indiandentalacademy.com
BAND MATERIALBAND MATERIAL
These bands made of stainless steel strips of differentThese bands made of stainless steel strips of different
size and thickness are recommended for different teeth.size and thickness are recommended for different teeth.
These available on 8 feet rolls or cut of 2 inches to 2.5These available on 8 feet rolls or cut of 2 inches to 2.5
inches.inches.
1. For incisors - 0.125 x 0.003 inch1. For incisors - 0.125 x 0.003 inch
2. For canines, premolars – 0.150 x 0.004 inch2. For canines, premolars – 0.150 x 0.004 inch
3. For molars - 0.150 x 0.005 or 0.180 x 0.006 inch3. For molars - 0.150 x 0.005 or 0.180 x 0.006 inch
www.indiandentalacademy.comwww.indiandentalacademy.com
SEVEN SYNERGISTIC COMPO NENTSSEVEN SYNERGISTIC COMPO NENTS
1. A diagnosis and treatment plan that recognizes the persistence of1. A diagnosis and treatment plan that recognizes the persistence of
hereditary forces of mesial migration and vertical eruption of teeth and hashereditary forces of mesial migration and vertical eruption of teeth and has
its objectives the over correction of malrelationships of both teeth and jaws.its objectives the over correction of malrelationships of both teeth and jaws.
2. The simultaneous movement of all teeth. From the beginning of2. The simultaneous movement of all teeth. From the beginning of
treatment each tooth is directed towards its final position in the dental arch.treatment each tooth is directed towards its final position in the dental arch.
3. The total separation of root moving forces from arch wire forces during3. The total separation of root moving forces from arch wire forces during
the final third stage of treatment.the final third stage of treatment.
4. The application of proper elastic forces to create the desired differential4. The application of proper elastic forces to create the desired differential
movement of the teeth.movement of the teeth.
www.indiandentalacademy.comwww.indiandentalacademy.com
5. The use of light round continuos arch wires bent from the hardest5. The use of light round continuos arch wires bent from the hardest
wire possible – Not only must the wire be of highest quality, but thewire possible – Not only must the wire be of highest quality, but the
aech wire have proper form, including bite opening bends, to controlaech wire have proper form, including bite opening bends, to control
the vertical dimension.the vertical dimension.
6. The use of molar attachments that prevent free mesiodistal6. The use of molar attachments that prevent free mesiodistal
tipping and yet permit the arch wire to slide freely mesio distally.tipping and yet permit the arch wire to slide freely mesio distally.
This permits the rapid retraction of the anterior teeth.This permits the rapid retraction of the anterior teeth.
7. The use of attachments on all teth, except anchor molars, that7. The use of attachments on all teth, except anchor molars, that
control rotations yet permit free tipping in the desired direction andcontrol rotations yet permit free tipping in the desired direction and
free sliding along arch wires.free sliding along arch wires.
www.indiandentalacademy.comwww.indiandentalacademy.com
www.indiandentalacademy.comwww.indiandentalacademy.com
The method consist essentially of tipping movements ofThe method consist essentially of tipping movements of
the teeth. Two successive tipping movements arethe teeth. Two successive tipping movements are
required to achieve bodily movement. The first torequired to achieve bodily movement. The first to
position the tooth crowns and second to position theposition the tooth crowns and second to position the
tooth roots. As a result of these tipping movements,tooth roots. As a result of these tipping movements,
complemented by intrusion, extrusion and rotation ofcomplemented by intrusion, extrusion and rotation of
teeth whenever required, optimal occlusion, axialteeth whenever required, optimal occlusion, axial
positioning and alignment of the teeth are secured.positioning and alignment of the teeth are secured.
www.indiandentalacademy.comwww.indiandentalacademy.com
www.indiandentalacademy.comwww.indiandentalacademy.com
ObjectivesObjectives
►Correction of Deep Anterior Over BiteCorrection of Deep Anterior Over Bite
►Correction of Proclination of the AnteriorsCorrection of Proclination of the Anteriors
►Correction Of Crowding and irregularitiesCorrection Of Crowding and irregularities
►Correction of RotationsCorrection of Rotations
www.indiandentalacademy.comwww.indiandentalacademy.com
►Corrrection of Buccolingual andCorrrection of Buccolingual and
Labiolingual CrossbitesLabiolingual Crossbites
►Axial Relations of the Anchor molarsAxial Relations of the Anchor molars
correctedcorrected
►Correction of Anteriorposterior OcclusalCorrection of Anteriorposterior Occlusal
Relationship of the Buccal SegmentsRelationship of the Buccal Segments
►Closure of spaces between Anterior teethClosure of spaces between Anterior teeth
www.indiandentalacademy.comwww.indiandentalacademy.com
Stage I arch wireStage I arch wire
www.indiandentalacademy.comwww.indiandentalacademy.com
:: - Made from 0.016 heat treated- Made from 0.016 heat treated
high tensile stainless steel wire.high tensile stainless steel wire.
incorporate -: anchor bends,incorporate -: anchor bends,
intermaxillary hooks,intermaxillary hooks,
vertical loop.vertical loop.
Canine contoursCanine contours
www.indiandentalacademy.comwww.indiandentalacademy.com
VERTICAL LOOPVERTICAL LOOP
www.indiandentalacademy.comwww.indiandentalacademy.com
FunctionsFunctions -:-:
Correction of CrowdingCorrection of Crowding
,spacing,Rotations of Central and Lateral,spacing,Rotations of Central and Lateral
Incisors, StopsIncisors, Stops
CautionsCautions
1)1) Not given distal to CaninesNot given distal to Canines
2)2) Should not impede on tissuesShould not impede on tissues
3)3) Removed as soon as Function has beenRemoved as soon as Function has been
servedserved
www.indiandentalacademy.comwww.indiandentalacademy.com
www.indiandentalacademy.comwww.indiandentalacademy.com
ANCHOR BENDSANCHOR BENDS
www.indiandentalacademy.comwww.indiandentalacademy.com
Initially called Tip back BendsInitially called Tip back Bends
Functions :-Functions :- 1)to activate the archwires1)to activate the archwires
so that they can depress the upper andso that they can depress the upper and
lower anterior in their sockets thuslower anterior in their sockets thus helpinghelping
inin opening the biteopening the bite
2) To bestow upon the anchor molars the2) To bestow upon the anchor molars the
power to resist forward pull of class IIpower to resist forward pull of class II
elaticselatics
www.indiandentalacademy.comwww.indiandentalacademy.com
Factors that effect Anchor bendsFactors that effect Anchor bends
1)1) Degree of Deep –BiteDegree of Deep –Bite
2)2) Diameter of the wireDiameter of the wire
3)3) Meio-Distal inclination of the anchorMeio-Distal inclination of the anchor
molarsmolars
4) Position of the anchor bends4) Position of the anchor bends
Checking For Degree of Anchor bend…Checking For Degree of Anchor bend…
www.indiandentalacademy.comwww.indiandentalacademy.com
Adverse effects of excessive anchorAdverse effects of excessive anchor
bendsbends
1)1) Greater tipping forces exerted on anchorGreater tipping forces exerted on anchor
molarsmolars  cause them to tip-back andcause them to tip-back and
elevate their MMRelevate their MMR pseudo bitepseudo bite
openingopening
2)2) Causes rotation of arch wire in molarCauses rotation of arch wire in molar
tubetube
www.indiandentalacademy.comwww.indiandentalacademy.com
Intermaxillary HooksIntermaxillary Hooks
www.indiandentalacademy.comwww.indiandentalacademy.com
Intermaxillary HooksIntermaxillary Hooks
www.indiandentalacademy.comwww.indiandentalacademy.com
CANINE CONDOURCANINE CONDOUR
www.indiandentalacademy.comwww.indiandentalacademy.com
Application of the applianceApplication of the appliance
The arch wire is engaged into the bracket slotsThe arch wire is engaged into the bracket slots
and secured in position with stage i lock pinsand secured in position with stage i lock pins
The segment of the arch wire between hooksThe segment of the arch wire between hooks
made to lie gingival to distal segmentmade to lie gingival to distal segment  moremore
effective intrusive force on Incisorseffective intrusive force on Incisors
Arch wire should assume the 6 o’clock – 12Arch wire should assume the 6 o’clock – 12
o’clock positions in molar tubes when arch wireo’clock positions in molar tubes when arch wire
is contracted for placement .is contracted for placement .
www.indiandentalacademy.comwww.indiandentalacademy.com
2-3 mm through distal aspect of molar2-3 mm through distal aspect of molar
tubestubes if notif not  ends lie in MTends lie in MT 
frictional bindingfrictional binding hindrance to free distalhindrance to free distal
tipping of canines.tipping of canines.
www.indiandentalacademy.comwww.indiandentalacademy.com
Lingually Locked out TeethLingually Locked out Teeth
www.indiandentalacademy.comwww.indiandentalacademy.com
Lingually Locked out TeethLingually Locked out Teeth
It may be difficult to engage the wire in theIt may be difficult to engage the wire in the
brackets at times if the space betweenbrackets at times if the space between
proximating teeth is less than the length ofproximating teeth is less than the length of
the bracket area for a blocked out tooththe bracket area for a blocked out tooth
The ligate the arch wire to the bracket ofThe ligate the arch wire to the bracket of
blocked out tooth….blocked out tooth….
www.indiandentalacademy.comwww.indiandentalacademy.com
TOE - IN BENDS:TOE - IN BENDS:
Incorporated in the arch wire as anti – rotationalIncorporated in the arch wire as anti – rotational
bends. The toe in bends should never exceed more thanbends. The toe in bends should never exceed more than
5 degree.5 degree.
TOE – OUT BENDSTOE – OUT BENDS
To correct the disto – buccal molar rotation.To correct the disto – buccal molar rotation.
www.indiandentalacademy.comwww.indiandentalacademy.com
Tying Intermaxillary hook to cuspidTying Intermaxillary hook to cuspid
bracketbracket
www.indiandentalacademy.comwww.indiandentalacademy.com
If there is no restraining ties betweenIf there is no restraining ties between
intermaxillary hooks and cuspid bracketsintermaxillary hooks and cuspid brackets
cuspid teeth will continue to tip distallycuspid teeth will continue to tip distally
and slide along the arch wireand slide along the arch wire resulting inresulting in
spacingspacing
Ligation done in figure of eight andLigation done in figure of eight and
always pass ligature through circle and notalways pass ligature through circle and not
through crevice….through crevice….
www.indiandentalacademy.comwww.indiandentalacademy.com
Achieving objectivesAchieving objectives
Correction of deep biteCorrection of deep bite
- Intrusion of the upper and lower anteriorsIntrusion of the upper and lower anteriors
via anchor bendsvia anchor bends
Correction of overjetCorrection of overjet
- Class II elastics which bring about tippingClass II elastics which bring about tipping
of the six upper and lower anteriorsof the six upper and lower anteriors
- Force used 60-70 gms. each sideForce used 60-70 gms. each side
www.indiandentalacademy.comwww.indiandentalacademy.com
Importance of simultaneous using of class IIImportance of simultaneous using of class II
elastics and anchor bendselastics and anchor bends
Correction of Molar relationCorrection of Molar relation
Alignment of teethAlignment of teeth
Elimination of crowding -: by way of using VerticalElimination of crowding -: by way of using Vertical
loopsloops
Correction of crowdingCorrection of crowding
www.indiandentalacademy.comwww.indiandentalacademy.com
RotationsRotations
Need to eliminate rotationsNeed to eliminate rotations
Methods which may be employed toMethods which may be employed to
eliminate rotationseliminate rotations
1)using section of wire1)using section of wire
between vertical loopsbetween vertical loops
2)using elastic ligature,2)using elastic ligature,
thread or coil springthread or coil spring
3)using spring auxillary3)using spring auxillary
www.indiandentalacademy.comwww.indiandentalacademy.com
Correction of rotations of labial segment…Correction of rotations of labial segment…
achieved by way of adjusting theachieved by way of adjusting the
horizontal section of the arch wirehorizontal section of the arch wire
between two vertical loops….between two vertical loops….
Corrections may be maintained by way ofCorrections may be maintained by way of
bayonet bends.bayonet bends.
www.indiandentalacademy.comwww.indiandentalacademy.com
Rotations of Cuspid and BicuspidRotations of Cuspid and Bicuspid
1)Elastic ties1)Elastic ties
2)Rotating springs2)Rotating springs
www.indiandentalacademy.comwww.indiandentalacademy.com
Rotation of molarsRotation of molars
Slightly rotated -: incorporate toe-in or toe-Slightly rotated -: incorporate toe-in or toe-
out bendsout bends
Moderately rotated -: elastic ligature tiesModerately rotated -: elastic ligature ties
Severely rotated -: Bayonet /Toe-in bendSeverely rotated -: Bayonet /Toe-in bend
www.indiandentalacademy.comwww.indiandentalacademy.com
Closure of anteriorClosure of anterior
spaces -:spaces -:
1)1) Contraction LoopsContraction Loops
Dig 107 pg111Dig 107 pg111
www.indiandentalacademy.comwww.indiandentalacademy.com
2) Plain Arch wire in2) Plain Arch wire in
conjunction withconjunction with
elastics….adv…elastics….adv…
eliminates need foreliminates need for
loopsloops
dig 108 pg 111and 109dig 108 pg 111and 109
pg 112pg 112
www.indiandentalacademy.comwww.indiandentalacademy.com
Correction of crossbiteCorrection of crossbite
Resulting from local tooth displacementsResulting from local tooth displacements
or angulationsor angulationscorrected with the use ofcorrected with the use of
cross-elastics between the buccal hookscross-elastics between the buccal hooks
on the lower molar and buttons/cleats onon the lower molar and buttons/cleats on
lingual surface of the upperslingual surface of the uppers
www.indiandentalacademy.comwww.indiandentalacademy.com
www.indiandentalacademy.comwww.indiandentalacademy.com
ProblemsProblems
Failure to correct deep overbiteFailure to correct deep overbite
Patient not wearing elasticsPatient not wearing elastics
Arch wire getting distortedArch wire getting distorted
Insufficient anchorage bendsInsufficient anchorage bends
Anchor bends positioned too far mesialAnchor bends positioned too far mesial
from MTfrom MT
Bends displaced in MTBends displaced in MT
Use of Torquing and uprighting springsUse of Torquing and uprighting springs
www.indiandentalacademy.comwww.indiandentalacademy.com
8) Arch wire in premolar bracket, By pass8) Arch wire in premolar bracket, By pass
clamp …clamp …
9) Incorrect bracket placement9) Incorrect bracket placement
Insufficient retraction of maxillaryInsufficient retraction of maxillary
anterior teethanterior teeth
Patients not wearing class II elasticsPatients not wearing class II elastics
Binding of arch wireBinding of arch wire
www.indiandentalacademy.comwww.indiandentalacademy.com
3) Hinderance to free tipping of teeth :- loops, pins,3) Hinderance to free tipping of teeth :- loops, pins,
wedging of class II elasticswedging of class II elastics
4) Occlusal interferences :- bite, arch form,bracket4) Occlusal interferences :- bite, arch form,bracket
placementplacement
5) Flaring of incisors caused by excessive5) Flaring of incisors caused by excessive
expansion of loops in initial arch wireexpansion of loops in initial arch wire
Mandibular molars tipping linguallyMandibular molars tipping lingually
1)1) Insufficient expansion in arch wireInsufficient expansion in arch wire
2)2) Excessive and improperly placed anchorExcessive and improperly placed anchor
bendsbends
3)3) Prolonged use of loopsProlonged use of loops
4)4) Excessive traction from class II elasticsExcessive traction from class II elastics
www.indiandentalacademy.comwww.indiandentalacademy.com
Rotation of Mandibular molarsRotation of Mandibular molars
1)1) Incorrectly formed anchor bendsIncorrectly formed anchor bends
2)2) Distortion of arch wireDistortion of arch wire
3)3) Incorrectly placed molar tubesIncorrectly placed molar tubes
4)4) Excessive elastic tractionExcessive elastic traction
Anterior SpacingAnterior Spacing
1)Intermaxillary hooks not tied back to1)Intermaxillary hooks not tied back to
caninescanines
2)Excessive expansion of loops initially2)Excessive expansion of loops initially
www.indiandentalacademy.comwww.indiandentalacademy.com
Maxillary Molar Rotation or TippingMaxillary Molar Rotation or Tipping
1)Incorrectly formed anchorage bends1)Incorrectly formed anchorage bends
2)Anchorage bends formed too far mesially2)Anchorage bends formed too far mesially
3)Arch wire distortion3)Arch wire distortion
4)Incorrect Buccolingaul angulation of molar4)Incorrect Buccolingaul angulation of molar
tubetube
www.indiandentalacademy.comwww.indiandentalacademy.com
www.indiandentalacademy.comwww.indiandentalacademy.com
ObjectivesObjectives
Maintainence of corrections achieved thusMaintainence of corrections achieved thus
farfar
Closure of extraction spaces :-partially byClosure of extraction spaces :-partially by
retraction of anteriors and partially byretraction of anteriors and partially by
movement of posteriorsmovement of posteriors
Correction of midline discrepanciesCorrection of midline discrepancies
www.indiandentalacademy.comwww.indiandentalacademy.com
Arch wireArch wire
0.020 inch wire is used0.020 inch wire is used
Usually plain arch wire with -Usually plain arch wire with -
intermaxillary hooksintermaxillary hooks
anchor bendsanchor bends
premolar offsetspremolar offsets
Arch wire kept expandedArch wire kept expanded
wire not engaged in premolar bracketwire not engaged in premolar bracket
but important to ligate to the wirebut important to ligate to the wire
Use Stge II lock pinsUse Stge II lock pins
www.indiandentalacademy.comwww.indiandentalacademy.com
MD molar relation is maintained.MD molar relation is maintained.
Spaces between anterior teethSpaces between anterior teeth
prevented form openingprevented form opening
Maintaining the bite opening achievedMaintaining the bite opening achieved
Maintainence of corrected rotations …Maintainence of corrected rotations …
incisors by use of bayonet bendsincisors by use of bayonet bends
bicuspids …replacing elastics withbicuspids …replacing elastics with
ligature threadsligature threads
www.indiandentalacademy.comwww.indiandentalacademy.com
Closure of extraction spacesClosure of extraction spaces
Achieved partially by retraction opfAchieved partially by retraction opf
anteriors and partially by mesialanteriors and partially by mesial
movement of posteriors…best judge ofmovement of posteriors…best judge of
this would be lateral ceph.this would be lateral ceph.
Need for over retraction of labial segmentNeed for over retraction of labial segment
while closing of extraction spaces.while closing of extraction spaces.
www.indiandentalacademy.comwww.indiandentalacademy.com
How is this space closureHow is this space closure
achievedachieved
Space closure achieved by wearing class ISpace closure achieved by wearing class I
or horizontal elastics.or horizontal elastics.
Worn from intermaxillary hook to molarWorn from intermaxillary hook to molar
tube of same arch on same sidetube of same arch on same side
caution….tend to cause molar rotationcaution….tend to cause molar rotation
www.indiandentalacademy.comwww.indiandentalacademy.com
Intermaxillary elastics also worn…reasonsIntermaxillary elastics also worn…reasons
www.indiandentalacademy.comwww.indiandentalacademy.com
Braking AuxillariesBraking Auxillaries
www.indiandentalacademy.comwww.indiandentalacademy.com
Arch SymmetryArch Symmetry
www.indiandentalacademy.comwww.indiandentalacademy.com
END OF STAGE IIEND OF STAGE II
www.indiandentalacademy.comwww.indiandentalacademy.com
Problems in Stage IIProblems in Stage II
Anterior bite closingAnterior bite closing
Insufficent /distortion of anchor bendsInsufficent /distortion of anchor bends
Patient not wearing class II elasticsPatient not wearing class II elastics
Anchor molars out of occlusionAnchor molars out of occlusion
Anterior teeth assuming class III relationAnterior teeth assuming class III relation
Excessive wearing of class II elasticsExcessive wearing of class II elastics
www.indiandentalacademy.comwww.indiandentalacademy.com
Opening of anterior spacesOpening of anterior spaces
Intermaxillary hook not ligated to cuspidIntermaxillary hook not ligated to cuspid
Hooks formed too far apartHooks formed too far apart
Distobuccal rotation of Anchor molarsDistobuccal rotation of Anchor molars
Insufficient molar toe-in bendsInsufficient molar toe-in bends
Too much force from horizontal elasticsToo much force from horizontal elastics
Elastics pulling on distal of molar tubesElastics pulling on distal of molar tubes
www.indiandentalacademy.comwww.indiandentalacademy.com
Posterior spaces not closingPosterior spaces not closing
Binding of arch wire…thus not free toBinding of arch wire…thus not free to
slidde distally through buccal tubeslidde distally through buccal tube
Lack of wearing of class I elasticsLack of wearing of class I elastics
Anterior teeth not free to tip distallyAnterior teeth not free to tip distally
Occlusal interferencesOcclusal interferences
www.indiandentalacademy.comwww.indiandentalacademy.com
www.indiandentalacademy.comwww.indiandentalacademy.com
STAGE IIISTAGE III
OBJECTIVES:OBJECTIVES:
1. Maintain all corrections achieved1. Maintain all corrections achieved
during first and second stages.during first and second stages.
2. Achieve desired axial inclinations of2. Achieve desired axial inclinations of
all teeth.all teeth.
www.indiandentalacademy.comwww.indiandentalacademy.com
Arch WireArch Wire
0.020 arch wire is used0.020 arch wire is used
Functions -: maintenanceFunctions -: maintenance
transmitting forcestransmitting forces
stabilizing against adversestabilizing against adverse
reciprocal forcesreciprocal forces
www.indiandentalacademy.comwww.indiandentalacademy.com
Form -: upper …constrictedForm -: upper …constricted
Lower …expandedLower …expanded
Anchor bends-: decreased in magnitudeAnchor bends-: decreased in magnitude
Molar offsetsMolar offsets
Bends in vertical plane in premolar-molarBends in vertical plane in premolar-molar
area to compensate for verticalarea to compensate for vertical
discrepancy in bracket – tube positiondiscrepancy in bracket – tube position
www.indiandentalacademy.comwww.indiandentalacademy.com
AuxillariesAuxillaries
1)1) Uprighting springsUprighting springs
2)2) Anterior root torqueing auxillaries-:upperAnterior root torqueing auxillaries-:upper
lowerlower
3)3) Reverse torqueing auxillaryReverse torqueing auxillary
4)4) Pre-Wound torqueing auxillaryPre-Wound torqueing auxillary
5)5)
www.indiandentalacademy.comwww.indiandentalacademy.com
Uprighting springsUprighting springs
www.indiandentalacademy.comwww.indiandentalacademy.com
Uprighting springsUprighting springs
Function -:serve to correct the mesiodistalFunction -:serve to correct the mesiodistal
inclination of the teeth …i.e for parallelinginclination of the teeth …i.e for paralleling
of the rootsof the roots
Springs to be made from the most resilientSprings to be made from the most resilient
wireswires
Diameter of wire used will depend on theDiameter of wire used will depend on the
tooth being uprighted…differential forcetooth being uprighted…differential force
conceptconcept
www.indiandentalacademy.comwww.indiandentalacademy.com
Upper and lower canines-0.016inchorUpper and lower canines-0.016inchor
0.018inch,2- coil0.018inch,2- coil
Upper and lower second premolars- 0.016Upper and lower second premolars- 0.016
inch , 2- coilinch , 2- coil
Upper lateral incisors – 0.014 inch,2- coilsUpper lateral incisors – 0.014 inch,2- coils
Lower lateral incisors – 0,014 inch ,3- coilsLower lateral incisors – 0,014 inch ,3- coils
www.indiandentalacademy.comwww.indiandentalacademy.com
Important to take into account reciprocalImportant to take into account reciprocal
action of springs.action of springs.
Arch length held by either -:lingual ligatureArch length held by either -:lingual ligature
cinching archcinching arch
wire round MTwire round MT
Use spring – pin combinationUse spring – pin combination
www.indiandentalacademy.comwww.indiandentalacademy.com
Consists of a leg to fit through the verticalConsists of a leg to fit through the vertical
slot in the attachment,a helical loop andslot in the attachment,a helical loop and
an arm into which a hook is incorporatedan arm into which a hook is incorporated
running parallel to the main archrunning parallel to the main arch
When hook end latched to base wire makeWhen hook end latched to base wire make
sure lever arm lies parallel with the wiresure lever arm lies parallel with the wire
www.indiandentalacademy.comwww.indiandentalacademy.com
www.indiandentalacademy.comwww.indiandentalacademy.com
Function -:to torque the roots ofFunction -:to torque the roots of
maxillary anterior teeth.maxillary anterior teeth.
0.014 inch or 0.016 inch arch wire is0.014 inch or 0.016 inch arch wire is
usedused
vertical spurs 3-4 mm in height are bentvertical spurs 3-4 mm in height are bent
into the the arch wire to conform tointo the the arch wire to conform to
points just distal to the central andpoints just distal to the central and
lateral incisor brackets.lateral incisor brackets.
Force generated from horizontal sectionForce generated from horizontal section
of the auxillary when spurs areof the auxillary when spurs are
appplied to the labial surface ….andappplied to the labial surface ….and
transmitted via the spurstransmitted via the spurswww.indiandentalacademy.comwww.indiandentalacademy.com
The spurs must be angled to the labialThe spurs must be angled to the labial
surfaces of the incisorssurfaces of the incisors
the ends should terminate 2-3mm distalthe ends should terminate 2-3mm distal
to the cuspid bracketsto the cuspid brackets
Activation is done by forming it into anActivation is done by forming it into an
arc smaller than that of the anteriorarc smaller than that of the anterior
portion of the patients dental arch.portion of the patients dental arch.
Reason for constricted arch formReason for constricted arch form
thus inclination of teeth govern-: degreethus inclination of teeth govern-: degree
ofof
www.indiandentalacademy.comwww.indiandentalacademy.com
Reverse Torqueing AuxillaryReverse Torqueing Auxillary
Uses -: to upright labially inclinedUses -: to upright labially inclined
mandibular incisorsmandibular incisors
-: to retard further forward shift of-: to retard further forward shift of
the mandiblethe mandible
www.indiandentalacademy.comwww.indiandentalacademy.com
Lower Lingual TorqueingLower Lingual Torqueing
AuxillaryAuxillary
www.indiandentalacademy.comwww.indiandentalacademy.com
Bite deepens-:Bite deepens-:
1 ) class II elastics not worn) class II elastics not worn
1 excessive torque force on maxillaryexcessive torque force on maxillary
incisorsincisors
1 excessive force of caninie and premolarexcessive force of caninie and premolar
uprighting springsuprighting springs
1 insufficient gingival bow in base arch wireinsufficient gingival bow in base arch wire
www.indiandentalacademy.comwww.indiandentalacademy.com
Reappearance of overjet -:Reappearance of overjet -:
class II elatics not wornclass II elatics not worn
excessive torquing forceexcessive torquing force
Maxillary molars tip bucallyMaxillary molars tip bucally
1) not adequate constriction of base1) not adequate constriction of base
arch wire,torquing auxillaryarch wire,torquing auxillary
2)excessive or prolonged torquing force2)excessive or prolonged torquing force
www.indiandentalacademy.comwww.indiandentalacademy.com
Base arch wire cinched back withoutBase arch wire cinched back without
the required compensation in arch wirethe required compensation in arch wire
formform
Molars rotate mesiolinguallyMolars rotate mesiolingually
Incorrect placement of molar bucal tubeIncorrect placement of molar bucal tube
Distortion of arch wire in area of molarDistortion of arch wire in area of molar
Chinching back of arch wire withoutChinching back of arch wire without
required compensationrequired compensation
www.indiandentalacademy.comwww.indiandentalacademy.com
Anterior spaces openingAnterior spaces opening
Intermaxillary hooks contacting theIntermaxillary hooks contacting the
canine bracketscanine brackets
Intermaxillary hooks not ligated to theIntermaxillary hooks not ligated to the
canine bracketscanine brackets
Labial force of lowers against upperLabial force of lowers against upper
Incisors if bite has deepenedIncisors if bite has deepened
ClassIII incisor relation…prolongedClassIII incisor relation…prolonged
wearing of or excessive traction fromwearing of or excessive traction from
classII elasticsclassII elasticswww.indiandentalacademy.comwww.indiandentalacademy.com
Extrusion of teeth being uprightedExtrusion of teeth being uprighted
Failure to ligate base arch wireFailure to ligate base arch wire
too mesial positioning of anchor bendstoo mesial positioning of anchor bends
Failure of teeth to uprightFailure of teeth to upright
Related to springs….incorrectlyRelated to springs….incorrectly
formed,placed,distortion,interference informed,placed,distortion,interference in
their free slidingtheir free sliding
ligature tied on wrong sideligature tied on wrong side
overclosure of extraction spaces…overclosure of extraction spaces…
causing bands of neighbouring teeth tocausing bands of neighbouring teeth to
get caught on one anotherget caught on one anotherwww.indiandentalacademy.comwww.indiandentalacademy.com
Failure to achieve incisor torqueFailure to achieve incisor torque
Insufficient force from torquing auxillaryInsufficient force from torquing auxillary
Binding of arch wireBinding of arch wire
Maxillary incisors locked behindMaxillary incisors locked behind
mandibular incisorsmandibular incisors
Rotaion of canine/premolarRotaion of canine/premolar
Incorrect bracket placementIncorrect bracket placement
Distortion or improper placement ofDistortion or improper placement of
uprighting springuprighting spring
arm of spring not parallel to wire.arm of spring not parallel to wire.www.indiandentalacademy.comwww.indiandentalacademy.com

More Related Content

What's hot

Damon system by Dr Analhaq Shaikh
Damon system by Dr Analhaq ShaikhDamon system by Dr Analhaq Shaikh
Damon system by Dr Analhaq ShaikhAnalhaq Shaikh
 
Roth philosophy /certified fixed orthodontic courses by Indian dental academy
Roth philosophy /certified fixed orthodontic courses by Indian dental academy Roth philosophy /certified fixed orthodontic courses by Indian dental academy
Roth philosophy /certified fixed orthodontic courses by Indian dental academy Indian dental academy
 
Molar distalisation in Orthodontics
Molar distalisation in OrthodonticsMolar distalisation in Orthodontics
Molar distalisation in OrthodonticsMiliya Parveen
 
Andrew’s straight wire appliance /certified fixed orthodontic courses by Indi...
Andrew’s straight wire appliance /certified fixed orthodontic courses by Indi...Andrew’s straight wire appliance /certified fixed orthodontic courses by Indi...
Andrew’s straight wire appliance /certified fixed orthodontic courses by Indi...Indian dental academy
 
orthodontic bracket prescription 1
orthodontic bracket prescription 1 orthodontic bracket prescription 1
orthodontic bracket prescription 1 Maher Fouda
 
Traditional begg technique stage 1 and stage 2
Traditional begg technique stage 1 and stage 2Traditional begg technique stage 1 and stage 2
Traditional begg technique stage 1 and stage 2Indian dental academy
 
Part one the royal london space planning
Part one the royal london space planningPart one the royal london space planning
Part one the royal london space planningMohanad Elsherif
 
orthodontics bracket systems / online orthodontics courses
 orthodontics bracket systems / online orthodontics courses  orthodontics bracket systems / online orthodontics courses
orthodontics bracket systems / online orthodontics courses Indian dental academy
 
Loops in orthodontics /certified fixed orthodontic courses by Indian dental ...
Loops in orthodontics  /certified fixed orthodontic courses by Indian dental ...Loops in orthodontics  /certified fixed orthodontic courses by Indian dental ...
Loops in orthodontics /certified fixed orthodontic courses by Indian dental ...Indian dental academy
 
Moment to force ratio final presentation /certified fixed orthodontic courses...
Moment to force ratio final presentation /certified fixed orthodontic courses...Moment to force ratio final presentation /certified fixed orthodontic courses...
Moment to force ratio final presentation /certified fixed orthodontic courses...Indian dental academy
 
Finishing & detaling in orthodontics
Finishing & detaling in orthodonticsFinishing & detaling in orthodontics
Finishing & detaling in orthodonticsIndian dental academy
 

What's hot (20)

Damon system by Dr Analhaq Shaikh
Damon system by Dr Analhaq ShaikhDamon system by Dr Analhaq Shaikh
Damon system by Dr Analhaq Shaikh
 
preadjusted edgewise appliance
preadjusted edgewise appliancepreadjusted edgewise appliance
preadjusted edgewise appliance
 
Frictionless mechanics
Frictionless mechanicsFrictionless mechanics
Frictionless mechanics
 
Utility arch
Utility archUtility arch
Utility arch
 
Roth philosophy /certified fixed orthodontic courses by Indian dental academy
Roth philosophy /certified fixed orthodontic courses by Indian dental academy Roth philosophy /certified fixed orthodontic courses by Indian dental academy
Roth philosophy /certified fixed orthodontic courses by Indian dental academy
 
Orthodontic triage
Orthodontic triageOrthodontic triage
Orthodontic triage
 
Molar distalisation in Orthodontics
Molar distalisation in OrthodonticsMolar distalisation in Orthodontics
Molar distalisation in Orthodontics
 
Andrew’s straight wire appliance /certified fixed orthodontic courses by Indi...
Andrew’s straight wire appliance /certified fixed orthodontic courses by Indi...Andrew’s straight wire appliance /certified fixed orthodontic courses by Indi...
Andrew’s straight wire appliance /certified fixed orthodontic courses by Indi...
 
orthodontic bracket prescription 1
orthodontic bracket prescription 1 orthodontic bracket prescription 1
orthodontic bracket prescription 1
 
Traditional begg technique stage 1 and stage 2
Traditional begg technique stage 1 and stage 2Traditional begg technique stage 1 and stage 2
Traditional begg technique stage 1 and stage 2
 
Fixed functional appliance
Fixed functional applianceFixed functional appliance
Fixed functional appliance
 
Part one the royal london space planning
Part one the royal london space planningPart one the royal london space planning
Part one the royal london space planning
 
orthodontics bracket systems / online orthodontics courses
 orthodontics bracket systems / online orthodontics courses  orthodontics bracket systems / online orthodontics courses
orthodontics bracket systems / online orthodontics courses
 
Loops in orthodontics /certified fixed orthodontic courses by Indian dental ...
Loops in orthodontics  /certified fixed orthodontic courses by Indian dental ...Loops in orthodontics  /certified fixed orthodontic courses by Indian dental ...
Loops in orthodontics /certified fixed orthodontic courses by Indian dental ...
 
Burstone’s T Loop
Burstone’s T LoopBurstone’s T Loop
Burstone’s T Loop
 
Evolution of orthodontic brackets
Evolution of orthodontic bracketsEvolution of orthodontic brackets
Evolution of orthodontic brackets
 
Moment to force ratio final presentation /certified fixed orthodontic courses...
Moment to force ratio final presentation /certified fixed orthodontic courses...Moment to force ratio final presentation /certified fixed orthodontic courses...
Moment to force ratio final presentation /certified fixed orthodontic courses...
 
Self ligating brackets
Self ligating brackets Self ligating brackets
Self ligating brackets
 
Attritional occlusion
Attritional occlusion  Attritional occlusion
Attritional occlusion
 
Finishing & detaling in orthodontics
Finishing & detaling in orthodonticsFinishing & detaling in orthodontics
Finishing & detaling in orthodontics
 

Similar to Components of begg appliance

Components of beggs appliancs /certified fixed orthodontic courses by Indian ...
Components of beggs appliancs /certified fixed orthodontic courses by Indian ...Components of beggs appliancs /certified fixed orthodontic courses by Indian ...
Components of beggs appliancs /certified fixed orthodontic courses by Indian ...Indian dental academy
 
Components of beggs appliance /certified fixed orthodontic courses by Indian ...
Components of beggs appliance /certified fixed orthodontic courses by Indian ...Components of beggs appliance /certified fixed orthodontic courses by Indian ...
Components of beggs appliance /certified fixed orthodontic courses by Indian ...Indian dental academy
 
Components of begg appliance /certified fixed orthodontic courses by Indian d...
Components of begg appliance /certified fixed orthodontic courses by Indian d...Components of begg appliance /certified fixed orthodontic courses by Indian d...
Components of begg appliance /certified fixed orthodontic courses by Indian d...Indian dental academy
 
Stages in beggs technique /certified fixed orthodontic courses by Indian dent...
Stages in beggs technique /certified fixed orthodontic courses by Indian dent...Stages in beggs technique /certified fixed orthodontic courses by Indian dent...
Stages in beggs technique /certified fixed orthodontic courses by Indian dent...Indian dental academy
 
Auxilleries /certified fixed orthodontic courses by Indian dental academy
Auxilleries /certified fixed orthodontic courses by Indian dental academy Auxilleries /certified fixed orthodontic courses by Indian dental academy
Auxilleries /certified fixed orthodontic courses by Indian dental academy Indian dental academy
 
Aligning and leveling in straight wire technique(PAE Technique)
Aligning and leveling in straight wire technique(PAE Technique)Aligning and leveling in straight wire technique(PAE Technique)
Aligning and leveling in straight wire technique(PAE Technique)Indian dental academy
 
Ideal requisites of orthodontic wires
Ideal requisites of orthodontic wiresIdeal requisites of orthodontic wires
Ideal requisites of orthodontic wiresIndian dental academy
 
COMBINATION ANCHORAGE TECHNIQUE / dental crown & bridge courses
COMBINATION ANCHORAGE TECHNIQUE / dental crown & bridge coursesCOMBINATION ANCHORAGE TECHNIQUE / dental crown & bridge courses
COMBINATION ANCHORAGE TECHNIQUE / dental crown & bridge coursesIndian dental academy
 
COMBINATION ANCHORAGE TECHNIQUE / dental crown & bridge courses
COMBINATION ANCHORAGE TECHNIQUE / dental crown & bridge coursesCOMBINATION ANCHORAGE TECHNIQUE / dental crown & bridge courses
COMBINATION ANCHORAGE TECHNIQUE / dental crown & bridge coursesIndian dental academy
 
Orthodontics Removable appliances ch17
Orthodontics Removable appliances ch17Orthodontics Removable appliances ch17
Orthodontics Removable appliances ch17Cezar Edward Lahham
 
Combination anchorage technique /certified fixed orthodontic courses by India...
Combination anchorage technique /certified fixed orthodontic courses by India...Combination anchorage technique /certified fixed orthodontic courses by India...
Combination anchorage technique /certified fixed orthodontic courses by India...Indian dental academy
 

Similar to Components of begg appliance (20)

Components of beggs appliancs /certified fixed orthodontic courses by Indian ...
Components of beggs appliancs /certified fixed orthodontic courses by Indian ...Components of beggs appliancs /certified fixed orthodontic courses by Indian ...
Components of beggs appliancs /certified fixed orthodontic courses by Indian ...
 
Components of beggs appliance /certified fixed orthodontic courses by Indian ...
Components of beggs appliance /certified fixed orthodontic courses by Indian ...Components of beggs appliance /certified fixed orthodontic courses by Indian ...
Components of beggs appliance /certified fixed orthodontic courses by Indian ...
 
Components of begg appliance /certified fixed orthodontic courses by Indian d...
Components of begg appliance /certified fixed orthodontic courses by Indian d...Components of begg appliance /certified fixed orthodontic courses by Indian d...
Components of begg appliance /certified fixed orthodontic courses by Indian d...
 
Stages in beggs technique /certified fixed orthodontic courses by Indian dent...
Stages in beggs technique /certified fixed orthodontic courses by Indian dent...Stages in beggs technique /certified fixed orthodontic courses by Indian dent...
Stages in beggs technique /certified fixed orthodontic courses by Indian dent...
 
Auxilleries /certified fixed orthodontic courses by Indian dental academy
Auxilleries /certified fixed orthodontic courses by Indian dental academy Auxilleries /certified fixed orthodontic courses by Indian dental academy
Auxilleries /certified fixed orthodontic courses by Indian dental academy
 
Aligning and leveling in straight wire technique(PAE Technique)
Aligning and leveling in straight wire technique(PAE Technique)Aligning and leveling in straight wire technique(PAE Technique)
Aligning and leveling in straight wire technique(PAE Technique)
 
Aligning and leveling in pea2
Aligning and leveling in pea2Aligning and leveling in pea2
Aligning and leveling in pea2
 
Kameda technique
Kameda techniqueKameda technique
Kameda technique
 
Ideal requisites of orthodontic wires
Ideal requisites of orthodontic wiresIdeal requisites of orthodontic wires
Ideal requisites of orthodontic wires
 
Beddtiot seminar 5
Beddtiot seminar 5Beddtiot seminar 5
Beddtiot seminar 5
 
COMBINATION ANCHORAGE TECHNIQUE / dental crown & bridge courses
COMBINATION ANCHORAGE TECHNIQUE / dental crown & bridge coursesCOMBINATION ANCHORAGE TECHNIQUE / dental crown & bridge courses
COMBINATION ANCHORAGE TECHNIQUE / dental crown & bridge courses
 
COMBINATION ANCHORAGE TECHNIQUE / dental crown & bridge courses
COMBINATION ANCHORAGE TECHNIQUE / dental crown & bridge coursesCOMBINATION ANCHORAGE TECHNIQUE / dental crown & bridge courses
COMBINATION ANCHORAGE TECHNIQUE / dental crown & bridge courses
 
Tip edge applaince
Tip edge applainceTip edge applaince
Tip edge applaince
 
C a t presentation
C a t presentationC a t presentation
C a t presentation
 
Combination anchorage technique (2)
Combination anchorage technique (2)Combination anchorage technique (2)
Combination anchorage technique (2)
 
C a t presentation
C a t presentationC a t presentation
C a t presentation
 
Orthodontics Removable appliances ch17
Orthodontics Removable appliances ch17Orthodontics Removable appliances ch17
Orthodontics Removable appliances ch17
 
Combination anchorage technique
Combination anchorage technique Combination anchorage technique
Combination anchorage technique
 
Removable appliances
Removable appliancesRemovable appliances
Removable appliances
 
Combination anchorage technique /certified fixed orthodontic courses by India...
Combination anchorage technique /certified fixed orthodontic courses by India...Combination anchorage technique /certified fixed orthodontic courses by India...
Combination anchorage technique /certified fixed orthodontic courses by India...
 

More from Indian dental academy

Indian Dentist - relocate to united kingdom
Indian Dentist - relocate to united kingdomIndian Dentist - relocate to united kingdom
Indian Dentist - relocate to united kingdomIndian dental academy
 
1ST, 2ND AND 3RD ORDER BENDS IN STANDARD EDGEWISE APPLIANCE SYSTEM /Fixed ort...
1ST, 2ND AND 3RD ORDER BENDS IN STANDARD EDGEWISE APPLIANCE SYSTEM /Fixed ort...1ST, 2ND AND 3RD ORDER BENDS IN STANDARD EDGEWISE APPLIANCE SYSTEM /Fixed ort...
1ST, 2ND AND 3RD ORDER BENDS IN STANDARD EDGEWISE APPLIANCE SYSTEM /Fixed ort...Indian dental academy
 
Invisalign -invisible aligners course in india
Invisalign -invisible aligners course in india Invisalign -invisible aligners course in india
Invisalign -invisible aligners course in india Indian dental academy
 
Invisible aligners for your orthodontics pratice
Invisible aligners for your orthodontics praticeInvisible aligners for your orthodontics pratice
Invisible aligners for your orthodontics praticeIndian dental academy
 
Development of muscles of mastication / dental implant courses
Development of muscles of mastication / dental implant coursesDevelopment of muscles of mastication / dental implant courses
Development of muscles of mastication / dental implant coursesIndian dental academy
 
Corticosteriods uses in dentistry/ oral surgery courses  
Corticosteriods uses in dentistry/ oral surgery courses  Corticosteriods uses in dentistry/ oral surgery courses  
Corticosteriods uses in dentistry/ oral surgery courses  Indian dental academy
 
Cytotoxicity of silicone materials used in maxillofacial prosthesis / dental ...
Cytotoxicity of silicone materials used in maxillofacial prosthesis / dental ...Cytotoxicity of silicone materials used in maxillofacial prosthesis / dental ...
Cytotoxicity of silicone materials used in maxillofacial prosthesis / dental ...Indian dental academy
 
Diagnosis and treatment planning in completely endntulous arches/dental courses
Diagnosis and treatment planning in completely endntulous arches/dental coursesDiagnosis and treatment planning in completely endntulous arches/dental courses
Diagnosis and treatment planning in completely endntulous arches/dental coursesIndian dental academy
 
Properties of Denture base materials /rotary endodontic courses
Properties of Denture base materials /rotary endodontic coursesProperties of Denture base materials /rotary endodontic courses
Properties of Denture base materials /rotary endodontic coursesIndian dental academy
 
Use of modified tooth forms in complete denture occlusion / dental implant...
Use of modified  tooth forms  in  complete denture occlusion / dental implant...Use of modified  tooth forms  in  complete denture occlusion / dental implant...
Use of modified tooth forms in complete denture occlusion / dental implant...Indian dental academy
 
Dental luting cements / oral surgery courses  
Dental   luting cements / oral surgery courses  Dental   luting cements / oral surgery courses  
Dental luting cements / oral surgery courses  Indian dental academy
 
Dental casting alloys/ oral surgery courses  
Dental casting alloys/ oral surgery courses  Dental casting alloys/ oral surgery courses  
Dental casting alloys/ oral surgery courses  Indian dental academy
 
Dental casting investment materials/endodontic courses
Dental casting investment materials/endodontic coursesDental casting investment materials/endodontic courses
Dental casting investment materials/endodontic coursesIndian dental academy
 
Dental casting waxes/ oral surgery courses  
Dental casting waxes/ oral surgery courses  Dental casting waxes/ oral surgery courses  
Dental casting waxes/ oral surgery courses  Indian dental academy
 
Dental ceramics/prosthodontic courses
Dental ceramics/prosthodontic coursesDental ceramics/prosthodontic courses
Dental ceramics/prosthodontic coursesIndian dental academy
 
Dental implant/ oral surgery courses  
Dental implant/ oral surgery courses  Dental implant/ oral surgery courses  
Dental implant/ oral surgery courses  Indian dental academy
 
Dental perspective/cosmetic dentistry courses
Dental perspective/cosmetic dentistry coursesDental perspective/cosmetic dentistry courses
Dental perspective/cosmetic dentistry coursesIndian dental academy
 
Dental tissues and their replacements/ oral surgery courses  
Dental tissues and their replacements/ oral surgery courses  Dental tissues and their replacements/ oral surgery courses  
Dental tissues and their replacements/ oral surgery courses  Indian dental academy
 

More from Indian dental academy (20)

Indian Dentist - relocate to united kingdom
Indian Dentist - relocate to united kingdomIndian Dentist - relocate to united kingdom
Indian Dentist - relocate to united kingdom
 
1ST, 2ND AND 3RD ORDER BENDS IN STANDARD EDGEWISE APPLIANCE SYSTEM /Fixed ort...
1ST, 2ND AND 3RD ORDER BENDS IN STANDARD EDGEWISE APPLIANCE SYSTEM /Fixed ort...1ST, 2ND AND 3RD ORDER BENDS IN STANDARD EDGEWISE APPLIANCE SYSTEM /Fixed ort...
1ST, 2ND AND 3RD ORDER BENDS IN STANDARD EDGEWISE APPLIANCE SYSTEM /Fixed ort...
 
Invisalign -invisible aligners course in india
Invisalign -invisible aligners course in india Invisalign -invisible aligners course in india
Invisalign -invisible aligners course in india
 
Invisible aligners for your orthodontics pratice
Invisible aligners for your orthodontics praticeInvisible aligners for your orthodontics pratice
Invisible aligners for your orthodontics pratice
 
online fixed orthodontics course
online fixed orthodontics courseonline fixed orthodontics course
online fixed orthodontics course
 
online orthodontics course
online orthodontics courseonline orthodontics course
online orthodontics course
 
Development of muscles of mastication / dental implant courses
Development of muscles of mastication / dental implant coursesDevelopment of muscles of mastication / dental implant courses
Development of muscles of mastication / dental implant courses
 
Corticosteriods uses in dentistry/ oral surgery courses  
Corticosteriods uses in dentistry/ oral surgery courses  Corticosteriods uses in dentistry/ oral surgery courses  
Corticosteriods uses in dentistry/ oral surgery courses  
 
Cytotoxicity of silicone materials used in maxillofacial prosthesis / dental ...
Cytotoxicity of silicone materials used in maxillofacial prosthesis / dental ...Cytotoxicity of silicone materials used in maxillofacial prosthesis / dental ...
Cytotoxicity of silicone materials used in maxillofacial prosthesis / dental ...
 
Diagnosis and treatment planning in completely endntulous arches/dental courses
Diagnosis and treatment planning in completely endntulous arches/dental coursesDiagnosis and treatment planning in completely endntulous arches/dental courses
Diagnosis and treatment planning in completely endntulous arches/dental courses
 
Properties of Denture base materials /rotary endodontic courses
Properties of Denture base materials /rotary endodontic coursesProperties of Denture base materials /rotary endodontic courses
Properties of Denture base materials /rotary endodontic courses
 
Use of modified tooth forms in complete denture occlusion / dental implant...
Use of modified  tooth forms  in  complete denture occlusion / dental implant...Use of modified  tooth forms  in  complete denture occlusion / dental implant...
Use of modified tooth forms in complete denture occlusion / dental implant...
 
Dental luting cements / oral surgery courses  
Dental   luting cements / oral surgery courses  Dental   luting cements / oral surgery courses  
Dental luting cements / oral surgery courses  
 
Dental casting alloys/ oral surgery courses  
Dental casting alloys/ oral surgery courses  Dental casting alloys/ oral surgery courses  
Dental casting alloys/ oral surgery courses  
 
Dental casting investment materials/endodontic courses
Dental casting investment materials/endodontic coursesDental casting investment materials/endodontic courses
Dental casting investment materials/endodontic courses
 
Dental casting waxes/ oral surgery courses  
Dental casting waxes/ oral surgery courses  Dental casting waxes/ oral surgery courses  
Dental casting waxes/ oral surgery courses  
 
Dental ceramics/prosthodontic courses
Dental ceramics/prosthodontic coursesDental ceramics/prosthodontic courses
Dental ceramics/prosthodontic courses
 
Dental implant/ oral surgery courses  
Dental implant/ oral surgery courses  Dental implant/ oral surgery courses  
Dental implant/ oral surgery courses  
 
Dental perspective/cosmetic dentistry courses
Dental perspective/cosmetic dentistry coursesDental perspective/cosmetic dentistry courses
Dental perspective/cosmetic dentistry courses
 
Dental tissues and their replacements/ oral surgery courses  
Dental tissues and their replacements/ oral surgery courses  Dental tissues and their replacements/ oral surgery courses  
Dental tissues and their replacements/ oral surgery courses  
 

Recently uploaded

What is Model Inheritance in Odoo 17 ERP
What is Model Inheritance in Odoo 17 ERPWhat is Model Inheritance in Odoo 17 ERP
What is Model Inheritance in Odoo 17 ERPCeline George
 
Hierarchy of management that covers different levels of management
Hierarchy of management that covers different levels of managementHierarchy of management that covers different levels of management
Hierarchy of management that covers different levels of managementmkooblal
 
HỌC TỐT TIẾNG ANH 11 THEO CHƯƠNG TRÌNH GLOBAL SUCCESS ĐÁP ÁN CHI TIẾT - CẢ NĂ...
HỌC TỐT TIẾNG ANH 11 THEO CHƯƠNG TRÌNH GLOBAL SUCCESS ĐÁP ÁN CHI TIẾT - CẢ NĂ...HỌC TỐT TIẾNG ANH 11 THEO CHƯƠNG TRÌNH GLOBAL SUCCESS ĐÁP ÁN CHI TIẾT - CẢ NĂ...
HỌC TỐT TIẾNG ANH 11 THEO CHƯƠNG TRÌNH GLOBAL SUCCESS ĐÁP ÁN CHI TIẾT - CẢ NĂ...Nguyen Thanh Tu Collection
 
AMERICAN LANGUAGE HUB_Level2_Student'sBook_Answerkey.pdf
AMERICAN LANGUAGE HUB_Level2_Student'sBook_Answerkey.pdfAMERICAN LANGUAGE HUB_Level2_Student'sBook_Answerkey.pdf
AMERICAN LANGUAGE HUB_Level2_Student'sBook_Answerkey.pdfphamnguyenenglishnb
 
Full Stack Web Development Course for Beginners
Full Stack Web Development Course  for BeginnersFull Stack Web Development Course  for Beginners
Full Stack Web Development Course for BeginnersSabitha Banu
 
AmericanHighSchoolsprezentacijaoskolama.
AmericanHighSchoolsprezentacijaoskolama.AmericanHighSchoolsprezentacijaoskolama.
AmericanHighSchoolsprezentacijaoskolama.arsicmarija21
 
Crayon Activity Handout For the Crayon A
Crayon Activity Handout For the Crayon ACrayon Activity Handout For the Crayon A
Crayon Activity Handout For the Crayon AUnboundStockton
 
Procuring digital preservation CAN be quick and painless with our new dynamic...
Procuring digital preservation CAN be quick and painless with our new dynamic...Procuring digital preservation CAN be quick and painless with our new dynamic...
Procuring digital preservation CAN be quick and painless with our new dynamic...Jisc
 
Roles & Responsibilities in Pharmacovigilance
Roles & Responsibilities in PharmacovigilanceRoles & Responsibilities in Pharmacovigilance
Roles & Responsibilities in PharmacovigilanceSamikshaHamane
 
MULTIDISCIPLINRY NATURE OF THE ENVIRONMENTAL STUDIES.pptx
MULTIDISCIPLINRY NATURE OF THE ENVIRONMENTAL STUDIES.pptxMULTIDISCIPLINRY NATURE OF THE ENVIRONMENTAL STUDIES.pptx
MULTIDISCIPLINRY NATURE OF THE ENVIRONMENTAL STUDIES.pptxAnupkumar Sharma
 
ECONOMIC CONTEXT - PAPER 1 Q3: NEWSPAPERS.pptx
ECONOMIC CONTEXT - PAPER 1 Q3: NEWSPAPERS.pptxECONOMIC CONTEXT - PAPER 1 Q3: NEWSPAPERS.pptx
ECONOMIC CONTEXT - PAPER 1 Q3: NEWSPAPERS.pptxiammrhaywood
 
Earth Day Presentation wow hello nice great
Earth Day Presentation wow hello nice greatEarth Day Presentation wow hello nice great
Earth Day Presentation wow hello nice greatYousafMalik24
 
Like-prefer-love -hate+verb+ing & silent letters & citizenship text.pdf
Like-prefer-love -hate+verb+ing & silent letters & citizenship text.pdfLike-prefer-love -hate+verb+ing & silent letters & citizenship text.pdf
Like-prefer-love -hate+verb+ing & silent letters & citizenship text.pdfMr Bounab Samir
 
How to do quick user assign in kanban in Odoo 17 ERP
How to do quick user assign in kanban in Odoo 17 ERPHow to do quick user assign in kanban in Odoo 17 ERP
How to do quick user assign in kanban in Odoo 17 ERPCeline George
 
Introduction to AI in Higher Education_draft.pptx
Introduction to AI in Higher Education_draft.pptxIntroduction to AI in Higher Education_draft.pptx
Introduction to AI in Higher Education_draft.pptxpboyjonauth
 
ACC 2024 Chronicles. Cardiology. Exam.pdf
ACC 2024 Chronicles. Cardiology. Exam.pdfACC 2024 Chronicles. Cardiology. Exam.pdf
ACC 2024 Chronicles. Cardiology. Exam.pdfSpandanaRallapalli
 

Recently uploaded (20)

What is Model Inheritance in Odoo 17 ERP
What is Model Inheritance in Odoo 17 ERPWhat is Model Inheritance in Odoo 17 ERP
What is Model Inheritance in Odoo 17 ERP
 
Hierarchy of management that covers different levels of management
Hierarchy of management that covers different levels of managementHierarchy of management that covers different levels of management
Hierarchy of management that covers different levels of management
 
HỌC TỐT TIẾNG ANH 11 THEO CHƯƠNG TRÌNH GLOBAL SUCCESS ĐÁP ÁN CHI TIẾT - CẢ NĂ...
HỌC TỐT TIẾNG ANH 11 THEO CHƯƠNG TRÌNH GLOBAL SUCCESS ĐÁP ÁN CHI TIẾT - CẢ NĂ...HỌC TỐT TIẾNG ANH 11 THEO CHƯƠNG TRÌNH GLOBAL SUCCESS ĐÁP ÁN CHI TIẾT - CẢ NĂ...
HỌC TỐT TIẾNG ANH 11 THEO CHƯƠNG TRÌNH GLOBAL SUCCESS ĐÁP ÁN CHI TIẾT - CẢ NĂ...
 
AMERICAN LANGUAGE HUB_Level2_Student'sBook_Answerkey.pdf
AMERICAN LANGUAGE HUB_Level2_Student'sBook_Answerkey.pdfAMERICAN LANGUAGE HUB_Level2_Student'sBook_Answerkey.pdf
AMERICAN LANGUAGE HUB_Level2_Student'sBook_Answerkey.pdf
 
Full Stack Web Development Course for Beginners
Full Stack Web Development Course  for BeginnersFull Stack Web Development Course  for Beginners
Full Stack Web Development Course for Beginners
 
AmericanHighSchoolsprezentacijaoskolama.
AmericanHighSchoolsprezentacijaoskolama.AmericanHighSchoolsprezentacijaoskolama.
AmericanHighSchoolsprezentacijaoskolama.
 
Crayon Activity Handout For the Crayon A
Crayon Activity Handout For the Crayon ACrayon Activity Handout For the Crayon A
Crayon Activity Handout For the Crayon A
 
Procuring digital preservation CAN be quick and painless with our new dynamic...
Procuring digital preservation CAN be quick and painless with our new dynamic...Procuring digital preservation CAN be quick and painless with our new dynamic...
Procuring digital preservation CAN be quick and painless with our new dynamic...
 
Roles & Responsibilities in Pharmacovigilance
Roles & Responsibilities in PharmacovigilanceRoles & Responsibilities in Pharmacovigilance
Roles & Responsibilities in Pharmacovigilance
 
9953330565 Low Rate Call Girls In Rohini Delhi NCR
9953330565 Low Rate Call Girls In Rohini  Delhi NCR9953330565 Low Rate Call Girls In Rohini  Delhi NCR
9953330565 Low Rate Call Girls In Rohini Delhi NCR
 
MULTIDISCIPLINRY NATURE OF THE ENVIRONMENTAL STUDIES.pptx
MULTIDISCIPLINRY NATURE OF THE ENVIRONMENTAL STUDIES.pptxMULTIDISCIPLINRY NATURE OF THE ENVIRONMENTAL STUDIES.pptx
MULTIDISCIPLINRY NATURE OF THE ENVIRONMENTAL STUDIES.pptx
 
ECONOMIC CONTEXT - PAPER 1 Q3: NEWSPAPERS.pptx
ECONOMIC CONTEXT - PAPER 1 Q3: NEWSPAPERS.pptxECONOMIC CONTEXT - PAPER 1 Q3: NEWSPAPERS.pptx
ECONOMIC CONTEXT - PAPER 1 Q3: NEWSPAPERS.pptx
 
TataKelola dan KamSiber Kecerdasan Buatan v022.pdf
TataKelola dan KamSiber Kecerdasan Buatan v022.pdfTataKelola dan KamSiber Kecerdasan Buatan v022.pdf
TataKelola dan KamSiber Kecerdasan Buatan v022.pdf
 
Model Call Girl in Tilak Nagar Delhi reach out to us at 🔝9953056974🔝
Model Call Girl in Tilak Nagar Delhi reach out to us at 🔝9953056974🔝Model Call Girl in Tilak Nagar Delhi reach out to us at 🔝9953056974🔝
Model Call Girl in Tilak Nagar Delhi reach out to us at 🔝9953056974🔝
 
Earth Day Presentation wow hello nice great
Earth Day Presentation wow hello nice greatEarth Day Presentation wow hello nice great
Earth Day Presentation wow hello nice great
 
Like-prefer-love -hate+verb+ing & silent letters & citizenship text.pdf
Like-prefer-love -hate+verb+ing & silent letters & citizenship text.pdfLike-prefer-love -hate+verb+ing & silent letters & citizenship text.pdf
Like-prefer-love -hate+verb+ing & silent letters & citizenship text.pdf
 
How to do quick user assign in kanban in Odoo 17 ERP
How to do quick user assign in kanban in Odoo 17 ERPHow to do quick user assign in kanban in Odoo 17 ERP
How to do quick user assign in kanban in Odoo 17 ERP
 
OS-operating systems- ch04 (Threads) ...
OS-operating systems- ch04 (Threads) ...OS-operating systems- ch04 (Threads) ...
OS-operating systems- ch04 (Threads) ...
 
Introduction to AI in Higher Education_draft.pptx
Introduction to AI in Higher Education_draft.pptxIntroduction to AI in Higher Education_draft.pptx
Introduction to AI in Higher Education_draft.pptx
 
ACC 2024 Chronicles. Cardiology. Exam.pdf
ACC 2024 Chronicles. Cardiology. Exam.pdfACC 2024 Chronicles. Cardiology. Exam.pdf
ACC 2024 Chronicles. Cardiology. Exam.pdf
 

Components of begg appliance

  • 1. COMPONENTS OF BEGGCOMPONENTS OF BEGG APPLIANCEAPPLIANCE www.indiandentalacademy.comwww.indiandentalacademy.com
  • 2. MODIFIED RIBBON ARCH BRACKET ( TP -256-MODIFIED RIBBON ARCH BRACKET ( TP -256- 500)500) www.indiandentalacademy.comwww.indiandentalacademy.com
  • 3. Requirements for a light wire bracketsRequirements for a light wire brackets Ease of arch wire engagementEase of arch wire engagement A means to guide both the tail and head of lock pinA means to guide both the tail and head of lock pin during lockingduring locking Positive retention of arch wire in all 3 stagesPositive retention of arch wire in all 3 stages Free tipping and sliding on arch wireFree tipping and sliding on arch wire Ability to effect and hold rotationAbility to effect and hold rotation Ability to prevent accidental tipping in stage III.Ability to prevent accidental tipping in stage III. These brackets are fabricated from stainlessThese brackets are fabricated from stainless steel strips, hence it is economical.steel strips, hence it is economical. www.indiandentalacademy.comwww.indiandentalacademy.com
  • 4. TYPESTYPES A.A. 1. Full flange1. Full flange 2.Half flange2.Half flange B.B. 1. Bondable1. Bondable 2. Weldable2. Weldable Full flange brackets will have moreFull flange brackets will have more friction with arch wire and hence hindrance tofriction with arch wire and hence hindrance to smooth tipping movement of anterior.smooth tipping movement of anterior. in half flange brackets, contact of thein half flange brackets, contact of the flange with arch wire is minimal , thus friction isflange with arch wire is minimal , thus friction is also minimal.also minimal. www.indiandentalacademy.comwww.indiandentalacademy.com
  • 7. AUSTRALIAN ARCHWIRESAUSTRALIAN ARCHWIRES Round austenitic stainless steel wire of 0.016 inchRound austenitic stainless steel wire of 0.016 inch diameter, which has been heat treated and colddiameter, which has been heat treated and cold drawn down to its proper diameter, in order to givedrawn down to its proper diameter, in order to give it the required properties of resiliency, toughnessit the required properties of resiliency, toughness and tensile strengthand tensile strength It was made thin enough, to distribute force at anIt was made thin enough, to distribute force at an optimal level for tooth movement over aoptimal level for tooth movement over a considerable period of time, over long distance andconsiderable period of time, over long distance and with minimal loss of force intensity while doing so.with minimal loss of force intensity while doing so. www.indiandentalacademy.comwww.indiandentalacademy.com
  • 8. SIX TYPES OF AUSTRALIAN WIRESIX TYPES OF AUSTRALIAN WIRE 1.1. REGULAR GRADE:REGULAR GRADE: -- Lowest grade – easy to bendLowest grade – easy to bend - Used for practice bending and forming auxiliaries.- Used for practice bending and forming auxiliaries. 2.2. REGULAR PLUS:REGULAR PLUS: -- Easy to form, more resilient than regular gradeEasy to form, more resilient than regular grade - Used for auxiliaries and arch wires when more- Used for auxiliaries and arch wires when more pressure and resistance to deformation as desired.pressure and resistance to deformation as desired. 3. SPECIAL GRADE:3. SPECIAL GRADE: -- Highly resilient yet can be formed into shape.Highly resilient yet can be formed into shape. www.indiandentalacademy.comwww.indiandentalacademy.com
  • 9. SPECIAL PLUS GRADE:SPECIAL PLUS GRADE: -- Hardness and resiliency of 0.016” wire, isHardness and resiliency of 0.016” wire, is excellent for supporting anchorage, and reducingexcellent for supporting anchorage, and reducing deep overbites.deep overbites. - Must be bent with care.- Must be bent with care. EXTRA SP ECIAL PLUS GRADEEXTRA SP ECIAL PLUS GRADE :: -- Also called premium plusAlso called premium plus - This grade is unequalled in resiliency and- This grade is unequalled in resiliency and hardness.hardness. - More difficult to bend and more subjected to- More difficult to bend and more subjected to fracture.fracture. www.indiandentalacademy.comwww.indiandentalacademy.com
  • 10. SUPREME GRADE:SUPREME GRADE: -- It is ultra light tensile fine round stainless steelIt is ultra light tensile fine round stainless steel wire.wire. - It was initially introduce in 0.010” diameter and- It was initially introduce in 0.010” diameter and then further reduced to 0.009 diameter.then further reduced to 0.009 diameter. -It is primarily used in the early treatment for-It is primarily used in the early treatment for rotation. Alignment and leveling.rotation. Alignment and leveling. - Although supreme exceeds the yield strength of- Although supreme exceeds the yield strength of E.S.P, it is intended for use in either short section orE.S.P, it is intended for use in either short section or full arches where sharp bends are not required.full arches where sharp bends are not required. www.indiandentalacademy.comwww.indiandentalacademy.com
  • 12. BAND MATERIALBAND MATERIAL These bands made of stainless steel strips of differentThese bands made of stainless steel strips of different size and thickness are recommended for different teeth.size and thickness are recommended for different teeth. These available on 8 feet rolls or cut of 2 inches to 2.5These available on 8 feet rolls or cut of 2 inches to 2.5 inches.inches. 1. For incisors - 0.125 x 0.003 inch1. For incisors - 0.125 x 0.003 inch 2. For canines, premolars – 0.150 x 0.004 inch2. For canines, premolars – 0.150 x 0.004 inch 3. For molars - 0.150 x 0.005 or 0.180 x 0.006 inch3. For molars - 0.150 x 0.005 or 0.180 x 0.006 inch www.indiandentalacademy.comwww.indiandentalacademy.com
  • 13. SEVEN SYNERGISTIC COMPO NENTSSEVEN SYNERGISTIC COMPO NENTS 1. A diagnosis and treatment plan that recognizes the persistence of1. A diagnosis and treatment plan that recognizes the persistence of hereditary forces of mesial migration and vertical eruption of teeth and hashereditary forces of mesial migration and vertical eruption of teeth and has its objectives the over correction of malrelationships of both teeth and jaws.its objectives the over correction of malrelationships of both teeth and jaws. 2. The simultaneous movement of all teeth. From the beginning of2. The simultaneous movement of all teeth. From the beginning of treatment each tooth is directed towards its final position in the dental arch.treatment each tooth is directed towards its final position in the dental arch. 3. The total separation of root moving forces from arch wire forces during3. The total separation of root moving forces from arch wire forces during the final third stage of treatment.the final third stage of treatment. 4. The application of proper elastic forces to create the desired differential4. The application of proper elastic forces to create the desired differential movement of the teeth.movement of the teeth. www.indiandentalacademy.comwww.indiandentalacademy.com
  • 14. 5. The use of light round continuos arch wires bent from the hardest5. The use of light round continuos arch wires bent from the hardest wire possible – Not only must the wire be of highest quality, but thewire possible – Not only must the wire be of highest quality, but the aech wire have proper form, including bite opening bends, to controlaech wire have proper form, including bite opening bends, to control the vertical dimension.the vertical dimension. 6. The use of molar attachments that prevent free mesiodistal6. The use of molar attachments that prevent free mesiodistal tipping and yet permit the arch wire to slide freely mesio distally.tipping and yet permit the arch wire to slide freely mesio distally. This permits the rapid retraction of the anterior teeth.This permits the rapid retraction of the anterior teeth. 7. The use of attachments on all teth, except anchor molars, that7. The use of attachments on all teth, except anchor molars, that control rotations yet permit free tipping in the desired direction andcontrol rotations yet permit free tipping in the desired direction and free sliding along arch wires.free sliding along arch wires. www.indiandentalacademy.comwww.indiandentalacademy.com
  • 16. The method consist essentially of tipping movements ofThe method consist essentially of tipping movements of the teeth. Two successive tipping movements arethe teeth. Two successive tipping movements are required to achieve bodily movement. The first torequired to achieve bodily movement. The first to position the tooth crowns and second to position theposition the tooth crowns and second to position the tooth roots. As a result of these tipping movements,tooth roots. As a result of these tipping movements, complemented by intrusion, extrusion and rotation ofcomplemented by intrusion, extrusion and rotation of teeth whenever required, optimal occlusion, axialteeth whenever required, optimal occlusion, axial positioning and alignment of the teeth are secured.positioning and alignment of the teeth are secured. www.indiandentalacademy.comwww.indiandentalacademy.com
  • 18. ObjectivesObjectives ►Correction of Deep Anterior Over BiteCorrection of Deep Anterior Over Bite ►Correction of Proclination of the AnteriorsCorrection of Proclination of the Anteriors ►Correction Of Crowding and irregularitiesCorrection Of Crowding and irregularities ►Correction of RotationsCorrection of Rotations www.indiandentalacademy.comwww.indiandentalacademy.com
  • 19. ►Corrrection of Buccolingual andCorrrection of Buccolingual and Labiolingual CrossbitesLabiolingual Crossbites ►Axial Relations of the Anchor molarsAxial Relations of the Anchor molars correctedcorrected ►Correction of Anteriorposterior OcclusalCorrection of Anteriorposterior Occlusal Relationship of the Buccal SegmentsRelationship of the Buccal Segments ►Closure of spaces between Anterior teethClosure of spaces between Anterior teeth www.indiandentalacademy.comwww.indiandentalacademy.com
  • 20. Stage I arch wireStage I arch wire www.indiandentalacademy.comwww.indiandentalacademy.com
  • 21. :: - Made from 0.016 heat treated- Made from 0.016 heat treated high tensile stainless steel wire.high tensile stainless steel wire. incorporate -: anchor bends,incorporate -: anchor bends, intermaxillary hooks,intermaxillary hooks, vertical loop.vertical loop. Canine contoursCanine contours www.indiandentalacademy.comwww.indiandentalacademy.com
  • 23. FunctionsFunctions -:-: Correction of CrowdingCorrection of Crowding ,spacing,Rotations of Central and Lateral,spacing,Rotations of Central and Lateral Incisors, StopsIncisors, Stops CautionsCautions 1)1) Not given distal to CaninesNot given distal to Canines 2)2) Should not impede on tissuesShould not impede on tissues 3)3) Removed as soon as Function has beenRemoved as soon as Function has been servedserved www.indiandentalacademy.comwww.indiandentalacademy.com
  • 26. Initially called Tip back BendsInitially called Tip back Bends Functions :-Functions :- 1)to activate the archwires1)to activate the archwires so that they can depress the upper andso that they can depress the upper and lower anterior in their sockets thuslower anterior in their sockets thus helpinghelping inin opening the biteopening the bite 2) To bestow upon the anchor molars the2) To bestow upon the anchor molars the power to resist forward pull of class IIpower to resist forward pull of class II elaticselatics www.indiandentalacademy.comwww.indiandentalacademy.com
  • 27. Factors that effect Anchor bendsFactors that effect Anchor bends 1)1) Degree of Deep –BiteDegree of Deep –Bite 2)2) Diameter of the wireDiameter of the wire 3)3) Meio-Distal inclination of the anchorMeio-Distal inclination of the anchor molarsmolars 4) Position of the anchor bends4) Position of the anchor bends Checking For Degree of Anchor bend…Checking For Degree of Anchor bend… www.indiandentalacademy.comwww.indiandentalacademy.com
  • 28. Adverse effects of excessive anchorAdverse effects of excessive anchor bendsbends 1)1) Greater tipping forces exerted on anchorGreater tipping forces exerted on anchor molarsmolars  cause them to tip-back andcause them to tip-back and elevate their MMRelevate their MMR pseudo bitepseudo bite openingopening 2)2) Causes rotation of arch wire in molarCauses rotation of arch wire in molar tubetube www.indiandentalacademy.comwww.indiandentalacademy.com
  • 32. Application of the applianceApplication of the appliance The arch wire is engaged into the bracket slotsThe arch wire is engaged into the bracket slots and secured in position with stage i lock pinsand secured in position with stage i lock pins The segment of the arch wire between hooksThe segment of the arch wire between hooks made to lie gingival to distal segmentmade to lie gingival to distal segment  moremore effective intrusive force on Incisorseffective intrusive force on Incisors Arch wire should assume the 6 o’clock – 12Arch wire should assume the 6 o’clock – 12 o’clock positions in molar tubes when arch wireo’clock positions in molar tubes when arch wire is contracted for placement .is contracted for placement . www.indiandentalacademy.comwww.indiandentalacademy.com
  • 33. 2-3 mm through distal aspect of molar2-3 mm through distal aspect of molar tubestubes if notif not  ends lie in MTends lie in MT  frictional bindingfrictional binding hindrance to free distalhindrance to free distal tipping of canines.tipping of canines. www.indiandentalacademy.comwww.indiandentalacademy.com
  • 34. Lingually Locked out TeethLingually Locked out Teeth www.indiandentalacademy.comwww.indiandentalacademy.com
  • 35. Lingually Locked out TeethLingually Locked out Teeth It may be difficult to engage the wire in theIt may be difficult to engage the wire in the brackets at times if the space betweenbrackets at times if the space between proximating teeth is less than the length ofproximating teeth is less than the length of the bracket area for a blocked out tooththe bracket area for a blocked out tooth The ligate the arch wire to the bracket ofThe ligate the arch wire to the bracket of blocked out tooth….blocked out tooth…. www.indiandentalacademy.comwww.indiandentalacademy.com
  • 36. TOE - IN BENDS:TOE - IN BENDS: Incorporated in the arch wire as anti – rotationalIncorporated in the arch wire as anti – rotational bends. The toe in bends should never exceed more thanbends. The toe in bends should never exceed more than 5 degree.5 degree. TOE – OUT BENDSTOE – OUT BENDS To correct the disto – buccal molar rotation.To correct the disto – buccal molar rotation. www.indiandentalacademy.comwww.indiandentalacademy.com
  • 37. Tying Intermaxillary hook to cuspidTying Intermaxillary hook to cuspid bracketbracket www.indiandentalacademy.comwww.indiandentalacademy.com
  • 38. If there is no restraining ties betweenIf there is no restraining ties between intermaxillary hooks and cuspid bracketsintermaxillary hooks and cuspid brackets cuspid teeth will continue to tip distallycuspid teeth will continue to tip distally and slide along the arch wireand slide along the arch wire resulting inresulting in spacingspacing Ligation done in figure of eight andLigation done in figure of eight and always pass ligature through circle and notalways pass ligature through circle and not through crevice….through crevice…. www.indiandentalacademy.comwww.indiandentalacademy.com
  • 39. Achieving objectivesAchieving objectives Correction of deep biteCorrection of deep bite - Intrusion of the upper and lower anteriorsIntrusion of the upper and lower anteriors via anchor bendsvia anchor bends Correction of overjetCorrection of overjet - Class II elastics which bring about tippingClass II elastics which bring about tipping of the six upper and lower anteriorsof the six upper and lower anteriors - Force used 60-70 gms. each sideForce used 60-70 gms. each side www.indiandentalacademy.comwww.indiandentalacademy.com
  • 40. Importance of simultaneous using of class IIImportance of simultaneous using of class II elastics and anchor bendselastics and anchor bends Correction of Molar relationCorrection of Molar relation Alignment of teethAlignment of teeth Elimination of crowding -: by way of using VerticalElimination of crowding -: by way of using Vertical loopsloops Correction of crowdingCorrection of crowding www.indiandentalacademy.comwww.indiandentalacademy.com
  • 41. RotationsRotations Need to eliminate rotationsNeed to eliminate rotations Methods which may be employed toMethods which may be employed to eliminate rotationseliminate rotations 1)using section of wire1)using section of wire between vertical loopsbetween vertical loops 2)using elastic ligature,2)using elastic ligature, thread or coil springthread or coil spring 3)using spring auxillary3)using spring auxillary www.indiandentalacademy.comwww.indiandentalacademy.com
  • 42. Correction of rotations of labial segment…Correction of rotations of labial segment… achieved by way of adjusting theachieved by way of adjusting the horizontal section of the arch wirehorizontal section of the arch wire between two vertical loops….between two vertical loops…. Corrections may be maintained by way ofCorrections may be maintained by way of bayonet bends.bayonet bends. www.indiandentalacademy.comwww.indiandentalacademy.com
  • 43. Rotations of Cuspid and BicuspidRotations of Cuspid and Bicuspid 1)Elastic ties1)Elastic ties 2)Rotating springs2)Rotating springs www.indiandentalacademy.comwww.indiandentalacademy.com
  • 44. Rotation of molarsRotation of molars Slightly rotated -: incorporate toe-in or toe-Slightly rotated -: incorporate toe-in or toe- out bendsout bends Moderately rotated -: elastic ligature tiesModerately rotated -: elastic ligature ties Severely rotated -: Bayonet /Toe-in bendSeverely rotated -: Bayonet /Toe-in bend www.indiandentalacademy.comwww.indiandentalacademy.com
  • 45. Closure of anteriorClosure of anterior spaces -:spaces -: 1)1) Contraction LoopsContraction Loops Dig 107 pg111Dig 107 pg111 www.indiandentalacademy.comwww.indiandentalacademy.com
  • 46. 2) Plain Arch wire in2) Plain Arch wire in conjunction withconjunction with elastics….adv…elastics….adv… eliminates need foreliminates need for loopsloops dig 108 pg 111and 109dig 108 pg 111and 109 pg 112pg 112 www.indiandentalacademy.comwww.indiandentalacademy.com
  • 47. Correction of crossbiteCorrection of crossbite Resulting from local tooth displacementsResulting from local tooth displacements or angulationsor angulationscorrected with the use ofcorrected with the use of cross-elastics between the buccal hookscross-elastics between the buccal hooks on the lower molar and buttons/cleats onon the lower molar and buttons/cleats on lingual surface of the upperslingual surface of the uppers www.indiandentalacademy.comwww.indiandentalacademy.com
  • 49. ProblemsProblems Failure to correct deep overbiteFailure to correct deep overbite Patient not wearing elasticsPatient not wearing elastics Arch wire getting distortedArch wire getting distorted Insufficient anchorage bendsInsufficient anchorage bends Anchor bends positioned too far mesialAnchor bends positioned too far mesial from MTfrom MT Bends displaced in MTBends displaced in MT Use of Torquing and uprighting springsUse of Torquing and uprighting springs www.indiandentalacademy.comwww.indiandentalacademy.com
  • 50. 8) Arch wire in premolar bracket, By pass8) Arch wire in premolar bracket, By pass clamp …clamp … 9) Incorrect bracket placement9) Incorrect bracket placement Insufficient retraction of maxillaryInsufficient retraction of maxillary anterior teethanterior teeth Patients not wearing class II elasticsPatients not wearing class II elastics Binding of arch wireBinding of arch wire www.indiandentalacademy.comwww.indiandentalacademy.com
  • 51. 3) Hinderance to free tipping of teeth :- loops, pins,3) Hinderance to free tipping of teeth :- loops, pins, wedging of class II elasticswedging of class II elastics 4) Occlusal interferences :- bite, arch form,bracket4) Occlusal interferences :- bite, arch form,bracket placementplacement 5) Flaring of incisors caused by excessive5) Flaring of incisors caused by excessive expansion of loops in initial arch wireexpansion of loops in initial arch wire Mandibular molars tipping linguallyMandibular molars tipping lingually 1)1) Insufficient expansion in arch wireInsufficient expansion in arch wire 2)2) Excessive and improperly placed anchorExcessive and improperly placed anchor bendsbends 3)3) Prolonged use of loopsProlonged use of loops 4)4) Excessive traction from class II elasticsExcessive traction from class II elastics www.indiandentalacademy.comwww.indiandentalacademy.com
  • 52. Rotation of Mandibular molarsRotation of Mandibular molars 1)1) Incorrectly formed anchor bendsIncorrectly formed anchor bends 2)2) Distortion of arch wireDistortion of arch wire 3)3) Incorrectly placed molar tubesIncorrectly placed molar tubes 4)4) Excessive elastic tractionExcessive elastic traction Anterior SpacingAnterior Spacing 1)Intermaxillary hooks not tied back to1)Intermaxillary hooks not tied back to caninescanines 2)Excessive expansion of loops initially2)Excessive expansion of loops initially www.indiandentalacademy.comwww.indiandentalacademy.com
  • 53. Maxillary Molar Rotation or TippingMaxillary Molar Rotation or Tipping 1)Incorrectly formed anchorage bends1)Incorrectly formed anchorage bends 2)Anchorage bends formed too far mesially2)Anchorage bends formed too far mesially 3)Arch wire distortion3)Arch wire distortion 4)Incorrect Buccolingaul angulation of molar4)Incorrect Buccolingaul angulation of molar tubetube www.indiandentalacademy.comwww.indiandentalacademy.com
  • 55. ObjectivesObjectives Maintainence of corrections achieved thusMaintainence of corrections achieved thus farfar Closure of extraction spaces :-partially byClosure of extraction spaces :-partially by retraction of anteriors and partially byretraction of anteriors and partially by movement of posteriorsmovement of posteriors Correction of midline discrepanciesCorrection of midline discrepancies www.indiandentalacademy.comwww.indiandentalacademy.com
  • 56. Arch wireArch wire 0.020 inch wire is used0.020 inch wire is used Usually plain arch wire with -Usually plain arch wire with - intermaxillary hooksintermaxillary hooks anchor bendsanchor bends premolar offsetspremolar offsets Arch wire kept expandedArch wire kept expanded wire not engaged in premolar bracketwire not engaged in premolar bracket but important to ligate to the wirebut important to ligate to the wire Use Stge II lock pinsUse Stge II lock pins www.indiandentalacademy.comwww.indiandentalacademy.com
  • 57. MD molar relation is maintained.MD molar relation is maintained. Spaces between anterior teethSpaces between anterior teeth prevented form openingprevented form opening Maintaining the bite opening achievedMaintaining the bite opening achieved Maintainence of corrected rotations …Maintainence of corrected rotations … incisors by use of bayonet bendsincisors by use of bayonet bends bicuspids …replacing elastics withbicuspids …replacing elastics with ligature threadsligature threads www.indiandentalacademy.comwww.indiandentalacademy.com
  • 58. Closure of extraction spacesClosure of extraction spaces Achieved partially by retraction opfAchieved partially by retraction opf anteriors and partially by mesialanteriors and partially by mesial movement of posteriors…best judge ofmovement of posteriors…best judge of this would be lateral ceph.this would be lateral ceph. Need for over retraction of labial segmentNeed for over retraction of labial segment while closing of extraction spaces.while closing of extraction spaces. www.indiandentalacademy.comwww.indiandentalacademy.com
  • 59. How is this space closureHow is this space closure achievedachieved Space closure achieved by wearing class ISpace closure achieved by wearing class I or horizontal elastics.or horizontal elastics. Worn from intermaxillary hook to molarWorn from intermaxillary hook to molar tube of same arch on same sidetube of same arch on same side caution….tend to cause molar rotationcaution….tend to cause molar rotation www.indiandentalacademy.comwww.indiandentalacademy.com
  • 60. Intermaxillary elastics also worn…reasonsIntermaxillary elastics also worn…reasons www.indiandentalacademy.comwww.indiandentalacademy.com
  • 63. END OF STAGE IIEND OF STAGE II www.indiandentalacademy.comwww.indiandentalacademy.com
  • 64. Problems in Stage IIProblems in Stage II Anterior bite closingAnterior bite closing Insufficent /distortion of anchor bendsInsufficent /distortion of anchor bends Patient not wearing class II elasticsPatient not wearing class II elastics Anchor molars out of occlusionAnchor molars out of occlusion Anterior teeth assuming class III relationAnterior teeth assuming class III relation Excessive wearing of class II elasticsExcessive wearing of class II elastics www.indiandentalacademy.comwww.indiandentalacademy.com
  • 65. Opening of anterior spacesOpening of anterior spaces Intermaxillary hook not ligated to cuspidIntermaxillary hook not ligated to cuspid Hooks formed too far apartHooks formed too far apart Distobuccal rotation of Anchor molarsDistobuccal rotation of Anchor molars Insufficient molar toe-in bendsInsufficient molar toe-in bends Too much force from horizontal elasticsToo much force from horizontal elastics Elastics pulling on distal of molar tubesElastics pulling on distal of molar tubes www.indiandentalacademy.comwww.indiandentalacademy.com
  • 66. Posterior spaces not closingPosterior spaces not closing Binding of arch wire…thus not free toBinding of arch wire…thus not free to slidde distally through buccal tubeslidde distally through buccal tube Lack of wearing of class I elasticsLack of wearing of class I elastics Anterior teeth not free to tip distallyAnterior teeth not free to tip distally Occlusal interferencesOcclusal interferences www.indiandentalacademy.comwww.indiandentalacademy.com
  • 68. STAGE IIISTAGE III OBJECTIVES:OBJECTIVES: 1. Maintain all corrections achieved1. Maintain all corrections achieved during first and second stages.during first and second stages. 2. Achieve desired axial inclinations of2. Achieve desired axial inclinations of all teeth.all teeth. www.indiandentalacademy.comwww.indiandentalacademy.com
  • 69. Arch WireArch Wire 0.020 arch wire is used0.020 arch wire is used Functions -: maintenanceFunctions -: maintenance transmitting forcestransmitting forces stabilizing against adversestabilizing against adverse reciprocal forcesreciprocal forces www.indiandentalacademy.comwww.indiandentalacademy.com
  • 70. Form -: upper …constrictedForm -: upper …constricted Lower …expandedLower …expanded Anchor bends-: decreased in magnitudeAnchor bends-: decreased in magnitude Molar offsetsMolar offsets Bends in vertical plane in premolar-molarBends in vertical plane in premolar-molar area to compensate for verticalarea to compensate for vertical discrepancy in bracket – tube positiondiscrepancy in bracket – tube position www.indiandentalacademy.comwww.indiandentalacademy.com
  • 71. AuxillariesAuxillaries 1)1) Uprighting springsUprighting springs 2)2) Anterior root torqueing auxillaries-:upperAnterior root torqueing auxillaries-:upper lowerlower 3)3) Reverse torqueing auxillaryReverse torqueing auxillary 4)4) Pre-Wound torqueing auxillaryPre-Wound torqueing auxillary 5)5) www.indiandentalacademy.comwww.indiandentalacademy.com
  • 73. Uprighting springsUprighting springs Function -:serve to correct the mesiodistalFunction -:serve to correct the mesiodistal inclination of the teeth …i.e for parallelinginclination of the teeth …i.e for paralleling of the rootsof the roots Springs to be made from the most resilientSprings to be made from the most resilient wireswires Diameter of wire used will depend on theDiameter of wire used will depend on the tooth being uprighted…differential forcetooth being uprighted…differential force conceptconcept www.indiandentalacademy.comwww.indiandentalacademy.com
  • 74. Upper and lower canines-0.016inchorUpper and lower canines-0.016inchor 0.018inch,2- coil0.018inch,2- coil Upper and lower second premolars- 0.016Upper and lower second premolars- 0.016 inch , 2- coilinch , 2- coil Upper lateral incisors – 0.014 inch,2- coilsUpper lateral incisors – 0.014 inch,2- coils Lower lateral incisors – 0,014 inch ,3- coilsLower lateral incisors – 0,014 inch ,3- coils www.indiandentalacademy.comwww.indiandentalacademy.com
  • 75. Important to take into account reciprocalImportant to take into account reciprocal action of springs.action of springs. Arch length held by either -:lingual ligatureArch length held by either -:lingual ligature cinching archcinching arch wire round MTwire round MT Use spring – pin combinationUse spring – pin combination www.indiandentalacademy.comwww.indiandentalacademy.com
  • 76. Consists of a leg to fit through the verticalConsists of a leg to fit through the vertical slot in the attachment,a helical loop andslot in the attachment,a helical loop and an arm into which a hook is incorporatedan arm into which a hook is incorporated running parallel to the main archrunning parallel to the main arch When hook end latched to base wire makeWhen hook end latched to base wire make sure lever arm lies parallel with the wiresure lever arm lies parallel with the wire www.indiandentalacademy.comwww.indiandentalacademy.com
  • 78. Function -:to torque the roots ofFunction -:to torque the roots of maxillary anterior teeth.maxillary anterior teeth. 0.014 inch or 0.016 inch arch wire is0.014 inch or 0.016 inch arch wire is usedused vertical spurs 3-4 mm in height are bentvertical spurs 3-4 mm in height are bent into the the arch wire to conform tointo the the arch wire to conform to points just distal to the central andpoints just distal to the central and lateral incisor brackets.lateral incisor brackets. Force generated from horizontal sectionForce generated from horizontal section of the auxillary when spurs areof the auxillary when spurs are appplied to the labial surface ….andappplied to the labial surface ….and transmitted via the spurstransmitted via the spurswww.indiandentalacademy.comwww.indiandentalacademy.com
  • 79. The spurs must be angled to the labialThe spurs must be angled to the labial surfaces of the incisorssurfaces of the incisors the ends should terminate 2-3mm distalthe ends should terminate 2-3mm distal to the cuspid bracketsto the cuspid brackets Activation is done by forming it into anActivation is done by forming it into an arc smaller than that of the anteriorarc smaller than that of the anterior portion of the patients dental arch.portion of the patients dental arch. Reason for constricted arch formReason for constricted arch form thus inclination of teeth govern-: degreethus inclination of teeth govern-: degree ofof www.indiandentalacademy.comwww.indiandentalacademy.com
  • 80. Reverse Torqueing AuxillaryReverse Torqueing Auxillary Uses -: to upright labially inclinedUses -: to upright labially inclined mandibular incisorsmandibular incisors -: to retard further forward shift of-: to retard further forward shift of the mandiblethe mandible www.indiandentalacademy.comwww.indiandentalacademy.com
  • 81. Lower Lingual TorqueingLower Lingual Torqueing AuxillaryAuxillary www.indiandentalacademy.comwww.indiandentalacademy.com
  • 82. Bite deepens-:Bite deepens-: 1 ) class II elastics not worn) class II elastics not worn 1 excessive torque force on maxillaryexcessive torque force on maxillary incisorsincisors 1 excessive force of caninie and premolarexcessive force of caninie and premolar uprighting springsuprighting springs 1 insufficient gingival bow in base arch wireinsufficient gingival bow in base arch wire www.indiandentalacademy.comwww.indiandentalacademy.com
  • 83. Reappearance of overjet -:Reappearance of overjet -: class II elatics not wornclass II elatics not worn excessive torquing forceexcessive torquing force Maxillary molars tip bucallyMaxillary molars tip bucally 1) not adequate constriction of base1) not adequate constriction of base arch wire,torquing auxillaryarch wire,torquing auxillary 2)excessive or prolonged torquing force2)excessive or prolonged torquing force www.indiandentalacademy.comwww.indiandentalacademy.com
  • 84. Base arch wire cinched back withoutBase arch wire cinched back without the required compensation in arch wirethe required compensation in arch wire formform Molars rotate mesiolinguallyMolars rotate mesiolingually Incorrect placement of molar bucal tubeIncorrect placement of molar bucal tube Distortion of arch wire in area of molarDistortion of arch wire in area of molar Chinching back of arch wire withoutChinching back of arch wire without required compensationrequired compensation www.indiandentalacademy.comwww.indiandentalacademy.com
  • 85. Anterior spaces openingAnterior spaces opening Intermaxillary hooks contacting theIntermaxillary hooks contacting the canine bracketscanine brackets Intermaxillary hooks not ligated to theIntermaxillary hooks not ligated to the canine bracketscanine brackets Labial force of lowers against upperLabial force of lowers against upper Incisors if bite has deepenedIncisors if bite has deepened ClassIII incisor relation…prolongedClassIII incisor relation…prolonged wearing of or excessive traction fromwearing of or excessive traction from classII elasticsclassII elasticswww.indiandentalacademy.comwww.indiandentalacademy.com
  • 86. Extrusion of teeth being uprightedExtrusion of teeth being uprighted Failure to ligate base arch wireFailure to ligate base arch wire too mesial positioning of anchor bendstoo mesial positioning of anchor bends Failure of teeth to uprightFailure of teeth to upright Related to springs….incorrectlyRelated to springs….incorrectly formed,placed,distortion,interference informed,placed,distortion,interference in their free slidingtheir free sliding ligature tied on wrong sideligature tied on wrong side overclosure of extraction spaces…overclosure of extraction spaces… causing bands of neighbouring teeth tocausing bands of neighbouring teeth to get caught on one anotherget caught on one anotherwww.indiandentalacademy.comwww.indiandentalacademy.com
  • 87. Failure to achieve incisor torqueFailure to achieve incisor torque Insufficient force from torquing auxillaryInsufficient force from torquing auxillary Binding of arch wireBinding of arch wire Maxillary incisors locked behindMaxillary incisors locked behind mandibular incisorsmandibular incisors Rotaion of canine/premolarRotaion of canine/premolar Incorrect bracket placementIncorrect bracket placement Distortion or improper placement ofDistortion or improper placement of uprighting springuprighting spring arm of spring not parallel to wire.arm of spring not parallel to wire.www.indiandentalacademy.comwww.indiandentalacademy.com