Spectacular auxillary

INTRODUCTION
“There is nothing constant except
CHANGE”
This paper brings to you The Conceptual
Changes which has made the Begg
philosophy and mechanics undergo the
phenomenal metamorphosis.
www.indiandentalacademy.com

- Drawbacks of conventional Begg philosophy
- Refinements
- MAA (Spec-Tacular Auxillary)
Fabrication
Requirements
Activation
Advantages
Modification
Profoundness
- Case Reports

Controversy in treatment Philosophy
Different treatment Approach
Inadequate finishing
Tipping & torquing not self limiting
DRAWBACKS OF CONVENTIONAL
BEGG PHILOSOPHY

No posterior torque control
Tooth movement is rapid
No true intrusion of upper incisors
Elastics overuse
Arch form
DRAWBACKS Contd…

Uncontrolled tipping in Stage I
And Stage II
Stage III Troubleshooting
Expansion
Buccal Tipping
Intrusion
Disto-Buccal Rotation
DRAWBACKS Contd…

END OF STAGE I END OF STAGE II END OF STAGE III

MESIO-LINGUAL ROTATION UDDER ARCH
FOUR SPUR TORQUING AUXILLARY

Diagnosis - VTO
Treatment in Mixed Dentition
Treatment in Permanent Dentition
Non-Extraction
Extraction of II Bicuspid & I Molar
REFINEMENTS

Components
Modification in Treatment Stages
Stage I - Usage of MAA
Stage II - Avoiding Excessive Tipping by
Braking Mechanics
- Torquing before Uprighting
REFINEMENTS Contd…

Stage III
-Torquing Posteriors
-Lighter Uprighting Force
-Finishing
-Achieving Six Keys of Occlusion
-Retention
REFINEMENTS Contd…

In the year 1990 Barry Mollenhauer of
Australia introduced this SPECS (Spec – Tacular)
Auxillary, which is also known as AN ALIGNING
AUXILLARY FOR RIBBON ARCH BRACKETS,
which has a combination aligning effect from a
multi-looped wire and very light torquing effect
from a torquing auxillary.

FABRICATION
- Tweed’s Plier (Flat Beak Plier)
- 0.009” Supreme Wire
- The wire is held atleast
one inch from the Plier
- Height about 4 mm
- Width varies according to the Teeth

-The Supreme wire has a very high tensile
strength & brittleness
-The base arch wire is .O18” Premium plus SS
wire-with high tensile strength and less
resiliency

LABIAL ROOT TORQUE LABIAL ROOT TORQUE
LINGUAL ROOT TORQUE
ACTIVATION

- Generate very light root moving forces
- In reciprocal torque divergence of adjacent rectangles
should not be more than 45 degrees
REQUIREMENTS

- Resist Deformation
- Base Archwire should resist vertical & transverse
reactive forces
- Main Archwire is engaged piggyback over MAA

-Overbends may be given in between
the rectangles
-The MAA is formed into a curve
ACTIVATION
-Mollenhauer

- Due to In-availability of Cermaflex pins-need for
modification
- The rectangles were made gingival to produce
palatal root torque (Inside the circle)
- Made into curve with base legs cross over each
other
- Interbase span may also be curved slightly
-Dr.Jayade

RECIPROCAL TORQUING LINGUAL ROOT TORQUING
LABIAL ROOT TORQUINGwww.indiandentalacademy.com

BIO-MECHANICS
The M / F ratio for bodily alignment is one and this
is attained by MAA – According to Mollenhauer

-Expansion, Derotation & Vertical Leveling
-Braking Mechanism
-Labial root Torque for Lower Incisors
-Labial root Torque of Upper Incisors in Class III
Cases
-MAA tip using Ligature Wire
MODIFICATION

MAA TIPS
MAA is used here for uprighting teethwww.indiandentalacademy.com

- Efficacy
- Efficiency
- Reciprocality
- Less Time in Stage III
- Stability
- Periodontal Advantages
- Concomittant Intrusion
- Attachment Flexibility
- Tidiness
ADVANTAGES

- Root Control from Stage I
- Ultra light Torquing & Uprighting Force
- Prevents Uncontrolled Tipping
- Stage III made Shorter & Simpler
- To bring Instanding teeth into the arch without
Periodontal Affectation
- Canine Roots abutting against the Labial
Cortical Plate
PROFOUNDNESSPROFOUNDNESS

PRE TREATMENT
CASE - I

PRE MAA

MAA

POST MAA

Pre Treatment Radiograph Post Treatment Radiograph

PRE TREATMENT
CASE - II

Spectacular auxillary

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Spectacular auxillary