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2013wires for assistants

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Small intro course for dental assistants interested in Orthodontics.

Published in: Business, Health & Medicine
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2013wires for assistants

  1. 1. Welcome Dental Assistants
  2. 2. ORTHODONTICS FOR THE DENTAL ASSISTANT DR JEAN MARC RETROUVEY Jan 31 2013
  3. 3. • Bracketing review1 • Familiarize yourself with orthodontic wires technology2 • When to use wires effectively3 Today’s Overview
  4. 4. BRACKETING REVIEW
  5. 5. Learning Objectives • Wire Technology • Wire insertion and removal • Indications for a type of wire
  6. 6. WIRES
  7. 7. What should an assistant know? Different types of wires……. 1: Shape ( main types) - round - rectangular
  8. 8. Different types • Nickel Titanium – Non Bendale – Super elastic – Very flexible – Come back to original shape • Stainless steel – Bendable – Fairly rigid
  9. 9. Nickel Titanium wires
  10. 10. Use of Nickel Titanium • Initial Alignment • Correction of rotations • Torque control
  11. 11. Most popular sizes for NiTi Size Contact information O.014 round Initial alignment 0.016-0.018 round Completion of alignment Rotations 0.016x0.022 Complete alignment Torque initiation 0.018x0.025 Completion of torque
  12. 12. Pre expansion
  13. 13. TORQUE?
  14. 14. Torque control • You need a rectangular wire in a bracket.
  15. 15. Torque: only with rectangular wires
  16. 16. Torque
  17. 17. Torque correcion and arch form development
  18. 18. 6 to 7 appointments NitiWiresize 0.014 0.016x0,025 Sequence ( normal for the MGH) 0.016
  19. 19. Stainless steel wires • Working wire • Set up arch shape • Slide teeth on wire ( railroad track) • Coordination of arches
  20. 20. Most popular sizes for SS Size Contact information 0.016-0.018 round Bends to accommodate tooth anatomy 0.016x0.022 Sliding mechanics Arch form Coordination 0.018x0.025 Same but stiffer
  21. 21. Arch coordination with SS wires
  22. 22. 5 years post ortho
  23. 23. How do we tie wires to brackets
  24. 24. What do we use to insert a wire into the brackets • Mathieu plier
  25. 25. What do we use to insert a wire into the brackets • Weingart or Howe
  26. 26. What do we use to cut a wire? • Wire cutter • Distal end cutter
  27. 27. Conclusions • 2 main types of wires • Come in different sizes • Different purposes • Different ways to tie wires to brackets • Weingart is used to insert and remove wires • Distal end cutter is used to cut a wire
  28. 28. Resources • www.retrouvey.com • www.dentalpedia.ca • www.discoverorotho.com
  29. 29. QUESTIONS?
  30. 30. THANK YOU

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