Rotation control in orthodontics

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The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and offering a wide range of dental certified courses in different formats.for more details please visit www.indiandentalacademy.com

Education

ROTATION CONTROL
IN
ORTHODONTICS
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PERIODONTIUM
• 2 Mineralized components are (a) cementum, (b)
Alveolar bone
• 2 Fibrous components (a) periodontal ligament (b)
laminapropria of gingiva
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PERIODONTAL LIGAMENT
The periodontal ligament occupies the periodontal space ,
which is located between cementum and the periodontal
surface of the alveolar bone
PRINCIPLE FIBRES
Alveolar crestal group
This group radiate from the crest of the alveolar process
and attach themselves to the cervical part of the cementum
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MECHANICS
FORCE
CENTRE OF RESISTANCE
CENTRE OF ROTATION
COUPLE
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REMOVABLE APPLIANCES
BEGGS MECHANOTHERAPY
PRE ADJUSTED EDGEWISE MECHANOTHERAPY
TIP EDGE MECHANOTHERAPY
EDGE WISE MECHANOTHERAPY
ROTATION CONTROL BY VARIOUS
APPLIANCES
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BEGG’ S MECHANOTHERAPY
(1) Vertical looped arch wires plays a great role
in
rotating the central and lateral incisors .
(2) Rotating springs made of 0.014 “ wire
provides a positive force and rotates all teeth .
It establishes a two point contact between the
tooth and the arch wire .www.indiandentalacademy.com

(3) BRACKET OFFSETTING
The brackets are not placed in the center of the
tooth instead it is placed according to the rotation .
(4) LINGUAL BUTTONS pre assembled on thin 0.004” base
are used as points of engagement for rubber elastics and
elastic threads.
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(5) ROTATION OF SEVERELY ROTATED
MOLAR TOOTH .
There are occasions when the molars are so badly
rotated , or when the bicuspids are so buccal or
both , the arch wire engagement in the molar tube
is impossible . The procedure of choice is to make a
2 point contact between the distal end of the arch
wire and the molar tube.
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(1) BRACKET SYSTEMS
(2) STEINERS METAL WEDGES
(3) RUBBER ROTATIONAL WEDGES
(4) “ L “ LOOPS & “ R “ LOOPS
(5) TRANS PALATAL ARCHES
(6) LINGUAL CLEATS
(7) INTIAL WIRES
PRE ADJUSTED EDGE WISE
MECHANOTHERAPY
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BRACKET SYSTEMS
Double width bracket ( Twin bracket )
Single width bracket ( Lang bracket )
( Lewis bracket )
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EDGE WISE MECHANOTHERAPY
&
TIP EDGE MECHANOTHERAPY
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POST TREATMENT
* CIRCUMFERENTIAL SUPRA CRESTAL
FIBROTOMY
*OVER CORRECTION
* PERMANENT RETAINERS
* POSITIONERS
RETENTION
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DURING TREATMENT
* “ T “ PINS
* WINGS IN THE BRACKET
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Orthodontic instruments are specifically designed for orthodontic treatment and are usually made of stainless steel. Commonly used instruments include stainless steel mirrors for examining teeth, dental probes for positioning attachments, tweezers for retrieving fragments, and rulers for measuring treatment progress. Other important instruments are ligature directors for tucking wire ends, pliers for directing and bending wires, and debonding pliers for removing brackets. A variety of forceps and cutters are also used to place and secure elastic ligatures and cut archwires to length.

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Initial orthodontic alignment typically lasts around 6 months and involves progressively larger nickel-titanium wires to correct rotations, angulations, and displacements between teeth. The goal is to align the bracket slots to allow for stiffer wires and further treatment objectives like overjet reduction and space closure. Low-strength, flexible nickel-titanium wires are best for initial alignment due to their ability to engage severely misaligned teeth.

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- Space redistribution during orthodontic treatment involves sliding teeth along an archwire to make space for crowded or displaced teeth. This is usually done after initial alignment and often involves the use of round stainless steel wires due to their low resistance to sliding and rigidity. - Active mechanics like coils springs can be used on nickel-titanium wires earlier in treatment than previously thought to aid in space redistribution if using light forces. Individual retraction of canines using elastics or springs is another option to create space. - Cinching the distal ends of archwires during sliding mechanics helps control arch length and direct space closure. Piggyback wires allow combining flexible and rigid wires to better control tooth movements.

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Denis is a dynamic and results-driven Chief Information Officer (CIO) with a distinguished career spanning information systems analysis and technical project management. With a proven track record of spearheading the design and delivery of cutting-edge Information Management solutions, he has consistently elevated business operations, streamlined reporting functions, and maximized process efficiency. Certified as an ISO/IEC 27001: Information Security Management Systems (ISMS) Lead Implementer, Data Protection Officer, and Cyber Risks Analyst, Denis brings a heightened focus on data security, privacy, and cyber resilience to every endeavor. His expertise extends across a diverse spectrum of reporting, database, and web development applications, underpinned by an exceptional grasp of data storage and virtualization technologies. His proficiency in application testing, database administration, and data cleansing ensures seamless execution of complex projects. What sets Denis apart is his comprehensive understanding of Business and Systems Analysis technologies, honed through involvement in all phases of the Software Development Lifecycle (SDLC). From meticulous requirements gathering to precise analysis, innovative design, rigorous development, thorough testing, and successful implementation, he has consistently delivered exceptional results. Throughout his career, he has taken on multifaceted roles, from leading technical project management teams to owning solutions that drive operational excellence. His conscientious and proactive approach is unwavering, whether he is working independently or collaboratively within a team. His ability to connect with colleagues on a personal level underscores his commitment to fostering a harmonious and productive workplace environment. Date: May 29, 2024 Tags: Information Security, ISO/IEC 27001, ISO/IEC 42001, Artificial Intelligence, GDPR ------------------------------------------------------------------------------- Find out more about ISO training and certification services Training: ISO/IEC 27001 Information Security Management System - EN | PECB ISO/IEC 42001 Artificial Intelligence Management System - EN | PECB General Data Protection Regulation (GDPR) - Training Courses - EN | PECB Webinars: https://pecb.com/webinars Article: https://pecb.com/article ------------------------------------------------------------------------------- For more information about PECB: Website: https://pecb.com/ LinkedIn: https://www.linkedin.com/company/pecb/ Facebook: https://www.facebook.com/PECBInternational/ Slideshare: http://www.slideshare.net/PECBCERTIFICATION

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Rotation control in orthodontics

1. www.indiandentalacademy.com

2. ROTATION CONTROL IN ORTHODONTICS www.indiandentalacademy.com

3. PERIODONTIUM • 2 Mineralized components are (a) cementum, (b) Alveolar bone • 2 Fibrous components (a) periodontal ligament (b) laminapropria of gingiva www.indiandentalacademy.com

4. PERIODONTAL LIGAMENT The periodontal ligament occupies the periodontal space , which is located between cementum and the periodontal surface of the alveolar bone PRINCIPLE FIBRES Alveolar crestal group This group radiate from the crest of the alveolar process and attach themselves to the cervical part of the cementum www.indiandentalacademy.com

5. MECHANICS FORCE CENTRE OF RESISTANCE CENTRE OF ROTATION COUPLE www.indiandentalacademy.com

6. REMOVABLE APPLIANCES BEGGS MECHANOTHERAPY PRE ADJUSTED EDGEWISE MECHANOTHERAPY TIP EDGE MECHANOTHERAPY EDGE WISE MECHANOTHERAPY ROTATION CONTROL BY VARIOUS APPLIANCES www.indiandentalacademy.com

7. BEGG’ S MECHANOTHERAPY (1) Vertical looped arch wires plays a great role in rotating the central and lateral incisors . (2) Rotating springs made of 0.014 “ wire provides a positive force and rotates all teeth . It establishes a two point contact between the tooth and the arch wire .www.indiandentalacademy.com

8. (3) BRACKET OFFSETTING The brackets are not placed in the center of the tooth instead it is placed according to the rotation . (4) LINGUAL BUTTONS pre assembled on thin 0.004” base are used as points of engagement for rubber elastics and elastic threads. www.indiandentalacademy.com

9. (5) ROTATION OF SEVERELY ROTATED MOLAR TOOTH . There are occasions when the molars are so badly rotated , or when the bicuspids are so buccal or both , the arch wire engagement in the molar tube is impossible . The procedure of choice is to make a 2 point contact between the distal end of the arch wire and the molar tube. www.indiandentalacademy.com

10. (1) BRACKET SYSTEMS (2) STEINERS METAL WEDGES (3) RUBBER ROTATIONAL WEDGES (4) “ L “ LOOPS & “ R “ LOOPS (5) TRANS PALATAL ARCHES (6) LINGUAL CLEATS (7) INTIAL WIRES PRE ADJUSTED EDGE WISE MECHANOTHERAPY www.indiandentalacademy.com

11. BRACKET SYSTEMS Double width bracket ( Twin bracket ) Single width bracket ( Lang bracket ) ( Lewis bracket ) www.indiandentalacademy.com

12. EDGE WISE MECHANOTHERAPY & TIP EDGE MECHANOTHERAPY www.indiandentalacademy.com

13. POST TREATMENT * CIRCUMFERENTIAL SUPRA CRESTAL FIBROTOMY *OVER CORRECTION * PERMANENT RETAINERS * POSITIONERS RETENTION www.indiandentalacademy.com

14. DURING TREATMENT * “ T “ PINS * WINGS IN THE BRACKET www.indiandentalacademy.com

15. CONCLUSION www.indiandentalacademy.com

16. www.indiandentalacademy.com

Rotation control in orthodontics

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