Finishing & detailing procedures in fixed appliance treatment / fixed orthodontic courses in india

FINISHING AND DETAILING
PROCEDURES IN FIXED
APPLIANCE TREATMENT
www.indiandentalacademy.com

INTRODUCTION
Finishing and Detailing: vary for different
techniques of fixed appliance treatment .
1.Tip
2.Torque &
3. In -out compensation including rotation
control allows the Orthodontist to spend
more time on specific tooth movements

STEPS IN FINISHING &
DETAILING
• ROOT PARELLELING
• TORQUE OF INCISORS
• CORRECTION OF VERTICAL
RELATIONSHIPS
A) EXCESSIVE OVERBITE
B) ANTERIOR OPEN BITE
• MIDLINE DISCREPANCIES
• TOOTH SIZE DISCREPANCIESwww.indiandentalacademy.com

• FINAL “SETTLING” OF TEETH
• POSITIONERS FOR FINISHING
• SPECIAL FINISHING PROCEDURES TO
AVOID RELAPSE
A) CONTROL OF UNFAVORABLE
GROWTH
B) CONTROL OF SOFT TISSUE
REBOUND

ROOT PARALLELING
IN THE BEGG TECHNIQUE
• UPRIGHTING SPRINGS MADE OF
0.014INCH SS ROUND USED
• LENGTH OF SPRINGS INCREASED
BY DOUBLE-HELIX
• BASE ARCH WIRES IN
MAXILLA -0.020 INCH SS ROUND
MANDIBLE- 0.018 INCH SS ROUNDwww.indiandentalacademy.com

ROOT PARALLELING
• IN ADVANCED BEGG
• MINI-UPRIGHTING SPRINGS MADE
OF 0.010/ 0.012 PULSE STRAIGHTENED
SUPREME WIRE
• BASE ARCH WIRES IN BOTH
MAXILLA & MANDIBLE ARE 0.020
PREMIUM ARCH WIRES

ROOT PARALLELING
IN THE EDGE WISE TECHNIQUE
• ALMOST ALWAYS NOT REQUIRED
• IF NECESSARY UPRIGHTING SPRINGS
AS EMPLOYED IN BEGG TECHNIQUE
ARE USED.
• VERTICAL SLOT SHOULD BE
PRESENT BEHIND THE EDGE WISE
BRACKET
• BASE ARCH WIRE IS 0.018 INCH SS-
ROUND FOR 22-SLOT APPLIANCE.www.indiandentalacademy.com

ROOT PARALLELING
IN PAE TECHNIQUE
• BUILT IN TIP EITHER IN BASE OR
FACE
• 18- SLOT
ARCH WIRE IS 0.017 x 0.022 inch OR
0.017 x 0.025 inch SS RECTANGULAR
IF GREATER DEGREE OF TIPPING
HAS OCCURRED 0.017 x 0.025 inch
BETA TI OR NI TI WIRE IS USED

• 22 - SLOT
ARCH WIRE USED IS 0.021 x 0.025 inch
BETA-TI WIRE
IF SIGNIFICANT ROOT PARALLELING
REQUIRED 0.021 x 0.025 inch NI TI
WIRE SHOULD BE USED FIRST

ROOT PARALLELING
IN THE TIP-EDGE TECHNIQUE
• STANDARD UPRIGHTING SPRINGS & SIDE
WINDER SPRINGS MADE OF 0.014/ 0.016
INCH SS-ROUND WIRE
• BASE ARCH WIRES
ROUND - 0.022 INCH SS WIRE
MAXILLARY ARCH
SLIGHTLY CONSTRICTED
SLIGHT CURVE OF SPEE
NO ANCHOR BENDSwww.indiandentalacademy.com

• MANDIBULAR ARCH
SLIGHTLY EXPANDED
SLIGHT REVERSE CURVE OF SPEE
MODERATE ANCHOR BENDS
NO CUSPID TIES USED AS THEY
PREVENT ROOT PARALLELING . ENDS OF
ARCH WIRES ARE ANNEALED AND BENT
AROUND BUCCAL TUBES TO PREVENT
OPENING OF SPACES

• RECTANGULAR - 0.0215 x 0.027
INCH SS
MAXILLARY ARCH
INVERTED “ROCKING HORSE”
CURVE
MANDIBULAR ARCH
GENTLE REVERSE CURVE OF SPEE

• RECTANGULAR BASE ARCH WIRES
SIMILAR TO THE ROUND ARCH WIRES
• NOT NECESSARY TO INCORPORATE
EXPANSION OR CONTRACTION.
• CRIMPABLE HOOKS PLACED MESIAL TO
CUSPID BRACKETS.
• ELASTOMERIC TIP-EDGE RINGS MAINTAIN
FINAL TIP ANGULATIONS.
• MAJOR ADVANTAGE OF TIP-EDGE BRACKET
-AUTOMATICALLY STOPS ROOT
PARALLELING AT DESIRED TIP ANGLES.

TORQUE OF INCISORS IN
BEGG TECHNIQUE
• MAXILLARY ARCH
ROOT TORQUING AUXILLARIES
( PIGGYBACK ARCH ) MADE OF 0.014/ 0.016
INCH HARD SS ROUND ARCH WIRE ARE
USED
BASE ARCH WIRE- 0.020 INCH SS -ROUND
• MANDIBULAR ARCH
IF REQUIRED LOWER REVERSE TORQUING
AUXILLARY MADE OF 0.014/ 0.016 INCH
HARD SS ROUND ARCH WIRE IS USED
BASE ARCH WIRE- 0.018 INCH SS -ROUND

ADVANCED BEGG
• WRAP AROUND TYPE TORQUING
AUXILLARY
• MAA AUXILLARY
• LOWER REVERSE TORQUING AUXILLARY
( IF REQUIRED )
• TANDEM ARCHWIRES
• TITANAL & NI TI WIRES
• BUILT IN TORQUE IN BRACKETS
• RECTANGULAR WIRE IN RIBBON ARCH
MODE www.indiandentalacademy.com

THE EDGE WISE TECHNIQUE
• TORQUE IS BUILT IN THE BRACKET SLOT
• BURSTONE TORQUING ARCH USED IN
CLASS II DIV.2
• 18 SLOT
ARCH WIRE USED - 0.017 x 0.025 INCH SS
RECTANGULAR
• 22 SLOT
FULL DIMENSION RECTANGULAR WIRES
TOO STIFF . HENCE BEGG TORQUING
AUXILLARIES USED WITH ROUND WIRESwww.indiandentalacademy.com

THE PAE TECHNIQUE
• BUILT IN TORQUE IN BRACKET -
SLOT
• TORQUING DONE WITH FULL
DIMENSION NITI / BETA TI ARCH
WIRES
• 18 SLOT
ARCH WIRE USED - 0.017 x 0.025 INCH
NITI / BETA TI

• 22 SLOT
ARCH WIRES USED -
0.021 x 0.025 INCH BETA TI
0.021 x 0.025 INCH BRAIDED SS
0.021 x 0.025 INCH SOLID SS
( SHOULD BE PRECEEDED BY
0.021 x 0.025 INCH BETA TI )
0.021 x 0.025 INCH TITANIUM
NIOBIUM (WHEN MULTIPLE
BENDS ARE REQUIRED.)

TIP - EDGE TECHNIQUE
• FOUR-SPUR TORQUING AUXILLARY
• TWO-SPUR TORQUING AUXILLARY
• RECIPROCAL TORQUING AUXILLARY
• ONE TO ONE RECIPROCAL TORQUING AUXILLARY
• INDIVIDUAL TORQUING AUXILLARY
• LOWER REVERSE TORQUING AUXILLARY
( ALL AUXILLARIES BENT FROM 0.014/
0.016 INCH SS ROUND IN CONJUNCTION WITH
0.022 INCH SS BASE ARCH WIRES )

• RECTANGULAR TORQUING
AUXILLARY ( 0.016 x 0.022
INCH NITI WIRE LINGUAL TO
0.022 INCH ROUND SS WIRE )
• RECTANGULAR ARCH WIRES
IN BRACKETS WITH BUILT IN
TORQUE (20 DEGREE
TORQUE) (0.02175 x 0.028 INCH
BRAIDED ARCH WIRE)

CORRECTION OF VERTICAL
RELATIONSHIPS
• EXCESSIVE OVERBITE
CAUSED BY:
EXCESSIVE CURVE OF SPEE IN THE LOWER
ARCH
ELONGATION OF MAXILLARY INCISORS

CORRECTED BY :
• AUXILLARY INTRUSION ARCH
• 0.016/ 0.018 INCH STEEL ROUND
ARCH WIRE WITH ACCENTUATED
CURVE OF SPEE WITH AN
AUXILLARY ARCH
• RECTANGULAR FINISHING ARCH
WIRE CUT DISTAL TO LATERAL
INCISORS WITH AN AUXILLARYwww.indiandentalacademy.com

CAUSED BY :
• EXCESSIVE
ERUPTION OF
POSTERIOR TEETH
• EXCESSIVELY
LEVELLED LOWER
ARCH
ANTERIOR OPEN BITE
CORRECTED BY :
• HIGH-PULL HEAD
GEAR TO UPPER
MOLARS
• ELONGATING THE
LOWER INCISORS
USING 0.016/ 0.018
INCH LIGHT
ROUND WIRE WITH
SLIGHT CURVE OF
SPEE

MIDLINE DISCREPANCIES
CAUSED BY:
• UNRESOLVED PRE-
EXISTING MIDLINE
DISCREPANCY
• ASYMMETRIC
CLOSURE OF
SPACES
CORRECTED BY :
• CLASS II OR CLASS
III ELASTICS
BILATERALLY
WITH HEAVIER
FORCE ON ONE
SIDE OR COMBINE
WITH DIAGONAL
ELASTIC
ANTERIORLYwww.indiandentalacademy.com

MIDLINE DISCREPANCIES
• SKELETAL
ASYMMETRY
• MANDIBULAR
SHIFT
• MAXILLARY ARCH
DISPLACED
TRANSVERSELY
RELATIVE TO
MANDIBULAR
ARCH
• CAMOUFLAGE vs
SURGICAL
CORRECTION
• POSTERIOR
PARALLEL CROSS
ELASTICS

TOOTH SIZE
DISCREPANCIES
• TOOTH SIZE EXCESS
CORRECTED BY :
INTERPROXIMAL
STRIPPING WITH TOPICAL
FLOURIDE TREATMENT

• TOOTH SIZE DEFICIENCY:
CORRECTED BY :
LEAVING SPACE BETWEEN TEETH.
ADHESION OF COMPOSITE RESINS
COIL SPRINGS
COMPENSATION WITH TORQUE OF
UPPER INCISORS
FINISHING WITH MILDLY
EXCESSIVE OVERJET OR OVERBITE

FINAL SETTLING OF TEETH
• BY PLACING LIGHT ROUND ARCH
WIRES THAT ALLOW TEETH TO FIND
THEIR OWN OCCLUSAL LEVEL
• WITH LACED POSTERIOR VERTICAL
ELASTICS
• WITH A TOOTH POSITIONER
• BY PLACING FINISHING WIRES FOR
INTRICATE DETAILING
• ARTISTIC POSITIONING OF TEETH

POSITIONERS FOR
FINISHING
• INDICATIONS
UNUSUAL DEGREE OF
INFLAMMATION AND SWELLING AT
THE END OF TREATMENT.
OPENBITE TENDENCY

USES
• ALLOWS THE FIXED APPLIANCE TO
BE REMOVED QUICKLY
• REPOSITION THE TEETH
• MASSAGE THE GINGIVA

MATERIALS USED
• IMPAK
• CONCEPT
• SILASTIC
• WHITE RUBBER

TYPES
• FOOTBALL TYPE MOUTH GUARD
• MORA -STYLE MOUTH GUARD
• ERUPTION GUIDANCE APPLIANCE
• PRE-FORMED POSITONERS

SPECIAL FINISHING
PROCEDURES
CONTROL OF UNFAVORABLE GROWTH
• CONTINUATION OF ACTIVE
TREATMENT AFTER THE APPLIANCE
HAS BEEN REMOVED
• CONTINUATION OF EXTRA-ORAL
FORCE IN CONJUNCTION WITH
ORTHODONTIC RETAINERS .
• USE OF FUNCTIONAL APPLIANCE
AFTER FIXED APPLIANCE THERAPYwww.indiandentalacademy.com

CONTROL OF SOFT TISSUE
REBOUND
OVERTREATMENT
• CORRECTION OF CLASS II OR CLASS
III MALOCCLUSION
• CROSS BITE CORRECTION
• IRREGULAR AND ROTATED TEETH .

ADJUNCTIVE
PERIODONTAL SURGERY
• CIRCUMFERENTIAL SUPRACRESTAL
FIBROTOMY
• THE PAPILLA SPLIT PROCEDURE
• GINGIVOPLASTY

CONCLUSION
EVOLUTION HAS NOT ONLY
TAKEN PLACE IN BRACKET SYSTEMS
& TECHNIQUES BUT ALSO IN
FINISHING & DETAILING
PROCEDURES.WHATEVER THE
APPROACH,THE ULTIMATE GOAL
SHOULD BE ‘ACHIEVEMENT OF A
FUNCTIONAL & STABLE
OCCLUSION’.www.indiandentalacademy.com

Finishing & detailing procedures in fixed appliance treatment / fixed orthodontic courses in india

Recommended

Recommended

More Related Content

What's hot

What's hot (19)

Similar to Finishing & detailing procedures in fixed appliance treatment / fixed orthodontic courses in india

Similar to Finishing & detailing procedures in fixed appliance treatment / fixed orthodontic courses in india (20)

More from Indian dental academy

More from Indian dental academy (20)

Recently uploaded

Recently uploaded (20)

Finishing & detailing procedures in fixed appliance treatment / fixed orthodontic courses in india