1. The document outlines a standard operating protocol for orthodontic treatment in phases.
2. Phase I details the sequence of archwires from 0.012 NiTi to 0.018 SS along with various mechanics used at each stage like ligatures, elastics, and bendbacks.
3. Phase II focuses on overbite correction, space closure, and interarch mechanics using elastics and springs. Finishing involves individualized arch forms and various elastic options.
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
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
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
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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.
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wick alexander technique of pre adjusted edgewise appliance /certified fixed ...Indian dental academy
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.
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Seminar canine-presentation /certified fixed orthodontic courses by Indian de...Indian dental academy
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.
Indian dental academy provides dental crown & Bridge,rotary endodontics,fixed orthodontics,
Dental implants courses.for details pls visit www.indiandentalacademy.com ,or call
0091-9248678078
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
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
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
Canine retraction /certified fixed orthodontic courses by Indian dental academy Indian dental academy
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.
Indian dental academy provides dental crown & Bridge,rotary endodontics,fixed orthodontics,
Dental implants courses.for details pls visit www.indiandentalacademy.com ,or call
0091-9248678078
wick alexander technique of pre adjusted edgewise appliance /certified fixed ...Indian dental academy
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.
Indian dental academy provides dental crown & Bridge,rotary endodontics,fixed orthodontics,
Dental implants courses.for details pls visit www.indiandentalacademy.com ,or call
00919248678078
Seminar canine-presentation /certified fixed orthodontic courses by Indian de...Indian dental academy
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.
Indian dental academy provides dental crown & Bridge,rotary endodontics,fixed orthodontics,
Dental implants courses.for details pls visit www.indiandentalacademy.com ,or call
0091-9248678078
Space closure by frictionless mechanics 2 /certified fixed orthodontic course...Indian dental academy
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.
Indian dental academy provides dental crown & Bridge,rotary endodontics,fixed orthodontics,
Dental implants courses.for details pls visit www.indiandentalacademy.com ,or call
0091-9248678078
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
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
simultaneous intrusion and retraction of the anterior teeth jco1998.Indian dental academy
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
Methods of transmitting orthodontic forces
Differ according to the type of appliance: as removable, fixed, or functional appliances
I- Removable appliances:
A- Springs:
The springs incorporated into removable appliances, usually has one end fixed to the appliance and other free end is used to apply force upon the teeth.
The force exerted by spring is:
- Directly proportional to the deflection as doubling activation double the force applied, convexly as the tooth moves there is decrease in force applied but this within the elastic limit of the wire
- Directly proportional to the diameter of wire as, the activation of about 3mm in 0.6 give double force than the activation of 3mm in 0.5
- Inversely proportional to the length of spring. For a given activation doubling the length will decrease the force to 1/8 of its original value
For designing the spring, attention should be given to the following:
a- Wire dimension:
= The flexibility of the spring depends on the diameter and length of the wire
= Doubling the diameter for a given deflection increase the force 16 times
= When doubling the length decrease the force to 1/8
= The length of the wire should be increase as possible if you wish to obtain light force because you cannot decrease the diameter below 0.5mm because the spring will be weak and will be distorted
= The effective length of the spring can be increase by incorporating coils but the coil should be at least 3mm in diameter
= Protected palatal springs usually made of 0.5mm but unprotected labial bow and springs should be made of 0.7mm wire
b- The force applied:
For single rooted teeth, it should between 25 and 40gm, the low value for lateral incisors and the high value for canines
c- Deflection:
In most cases activation of 3mm is satisfactory.
With larger activation: the patient is liable to insert the spring incorrectly
With smaller activation: the force will drop off rapidly as the tooth moves and reactivation becomes necessary at shorter interval.
The expected rate of tooth movement with deflection of 3mm at monthly interval is 1:2mm / month
0.7 spring should not activate more than 1mm every month if heavy force to be avoided
Types of springs:
1- Palatal springs:
a- Single cantilever spring: finger spring
This spring may be used to move the teeth labially or in the line of the arch mesiodistally, it usually constructed of 0.5 hard stst wire.
Some operators use 0.6 and activate it only by 1.5mm / month. A coil with diameter less than 3mm is incorporated close to the emergence of the baseplate
Increase the length of spring increase flexibility
The spring may be guarded by a room of acrylic to prevent its distortion but this depend upon the reference of operator
** adjustment of the spring:
The palatal spring should be checked by mirror to ensure correct tooth contact close to the gingival margin
The spring may be activated 1 to 2mm at the initial insertion but should increase to 3mm in subsequent visits.
The spring should be n
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
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
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
Use of a Tip Edge Stage /certified fixed orthodontic courses by Indian dental...Indian dental academy
Welcome to Indian Dental Academy
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.
Indian dental academy has a unique training program & curriculum that provides students with exceptional clinical skills and enabling them to return to their office with high level confidence and start treating patients
State of the art comprehensive training-Faculty of world wide repute &Very affordable.
Problem shooting in beggs technique /certified fixed orthodontic courses by ...Indian dental academy
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.
Indian dental academy provides dental crown & Bridge,rotary endodontics,fixed orthodontics,
Dental implants courses.for details pls visit www.indiandentalacademy.com ,or call
0091-9248678078
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
Definition
Types of rotation
Etiology of rotation
Winging and counter winging rotation
Advantages of derotation
Biomechanics of rotation correction
Methods of correction rotation
Management of molar derotation
Retention of rotated tooth
Methods to prevent relapse
Active retention
K- Sir loop /certified fixed orthodontic courses by Indian dental academy Indian dental academy
Welcome to Indian Dental Academy
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.
Indian dental academy has a unique training program & curriculum that provides students with exceptional clinical skills and enabling them to return to their office with high level confidence and start treating patients
State of the art comprehensive training-Faculty of world wide repute &Very affordable.
Space closure by frictionless mechanics 2 /certified fixed orthodontic course...Indian dental academy
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.
Indian dental academy provides dental crown & Bridge,rotary endodontics,fixed orthodontics,
Dental implants courses.for details pls visit www.indiandentalacademy.com ,or call
0091-9248678078
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
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
simultaneous intrusion and retraction of the anterior teeth jco1998.Indian dental academy
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
Methods of transmitting orthodontic forces
Differ according to the type of appliance: as removable, fixed, or functional appliances
I- Removable appliances:
A- Springs:
The springs incorporated into removable appliances, usually has one end fixed to the appliance and other free end is used to apply force upon the teeth.
The force exerted by spring is:
- Directly proportional to the deflection as doubling activation double the force applied, convexly as the tooth moves there is decrease in force applied but this within the elastic limit of the wire
- Directly proportional to the diameter of wire as, the activation of about 3mm in 0.6 give double force than the activation of 3mm in 0.5
- Inversely proportional to the length of spring. For a given activation doubling the length will decrease the force to 1/8 of its original value
For designing the spring, attention should be given to the following:
a- Wire dimension:
= The flexibility of the spring depends on the diameter and length of the wire
= Doubling the diameter for a given deflection increase the force 16 times
= When doubling the length decrease the force to 1/8
= The length of the wire should be increase as possible if you wish to obtain light force because you cannot decrease the diameter below 0.5mm because the spring will be weak and will be distorted
= The effective length of the spring can be increase by incorporating coils but the coil should be at least 3mm in diameter
= Protected palatal springs usually made of 0.5mm but unprotected labial bow and springs should be made of 0.7mm wire
b- The force applied:
For single rooted teeth, it should between 25 and 40gm, the low value for lateral incisors and the high value for canines
c- Deflection:
In most cases activation of 3mm is satisfactory.
With larger activation: the patient is liable to insert the spring incorrectly
With smaller activation: the force will drop off rapidly as the tooth moves and reactivation becomes necessary at shorter interval.
The expected rate of tooth movement with deflection of 3mm at monthly interval is 1:2mm / month
0.7 spring should not activate more than 1mm every month if heavy force to be avoided
Types of springs:
1- Palatal springs:
a- Single cantilever spring: finger spring
This spring may be used to move the teeth labially or in the line of the arch mesiodistally, it usually constructed of 0.5 hard stst wire.
Some operators use 0.6 and activate it only by 1.5mm / month. A coil with diameter less than 3mm is incorporated close to the emergence of the baseplate
Increase the length of spring increase flexibility
The spring may be guarded by a room of acrylic to prevent its distortion but this depend upon the reference of operator
** adjustment of the spring:
The palatal spring should be checked by mirror to ensure correct tooth contact close to the gingival margin
The spring may be activated 1 to 2mm at the initial insertion but should increase to 3mm in subsequent visits.
The spring should be n
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
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
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
Use of a Tip Edge Stage /certified fixed orthodontic courses by Indian dental...Indian dental academy
Welcome to Indian Dental Academy
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.
Indian dental academy has a unique training program & curriculum that provides students with exceptional clinical skills and enabling them to return to their office with high level confidence and start treating patients
State of the art comprehensive training-Faculty of world wide repute &Very affordable.
Problem shooting in beggs technique /certified fixed orthodontic courses by ...Indian dental academy
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.
Indian dental academy provides dental crown & Bridge,rotary endodontics,fixed orthodontics,
Dental implants courses.for details pls visit www.indiandentalacademy.com ,or call
0091-9248678078
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
Definition
Types of rotation
Etiology of rotation
Winging and counter winging rotation
Advantages of derotation
Biomechanics of rotation correction
Methods of correction rotation
Management of molar derotation
Retention of rotated tooth
Methods to prevent relapse
Active retention
K- Sir loop /certified fixed orthodontic courses by Indian dental academy Indian dental academy
Welcome to Indian Dental Academy
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.
Indian dental academy has a unique training program & curriculum that provides students with exceptional clinical skills and enabling them to return to their office with high level confidence and start treating patients
State of the art comprehensive training-Faculty of world wide repute &Very affordable.
Operation “Blue Star” is the only event in the history of Independent India where the state went into war with its own people. Even after about 40 years it is not clear if it was culmination of states anger over people of the region, a political game of power or start of dictatorial chapter in the democratic setup.
The people of Punjab felt alienated from main stream due to denial of their just demands during a long democratic struggle since independence. As it happen all over the word, it led to militant struggle with great loss of lives of military, police and civilian personnel. Killing of Indira Gandhi and massacre of innocent Sikhs in Delhi and other India cities was also associated with this movement.
Francesca Gottschalk - How can education support child empowerment.pptxEduSkills OECD
Francesca Gottschalk from the OECD’s Centre for Educational Research and Innovation presents at the Ask an Expert Webinar: How can education support child empowerment?
Safalta Digital marketing institute in Noida, provide complete applications that encompass a huge range of virtual advertising and marketing additives, which includes search engine optimization, virtual communication advertising, pay-per-click on marketing, content material advertising, internet analytics, and greater. These university courses are designed for students who possess a comprehensive understanding of virtual marketing strategies and attributes.Safalta Digital Marketing Institute in Noida is a first choice for young individuals or students who are looking to start their careers in the field of digital advertising. The institute gives specialized courses designed and certification.
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How to Make a Field invisible in Odoo 17Celine George
It is possible to hide or invisible some fields in odoo. Commonly using “invisible” attribute in the field definition to invisible the fields. This slide will show how to make a field invisible in odoo 17.
Read| The latest issue of The Challenger is here! We are thrilled to announce that our school paper has qualified for the NATIONAL SCHOOLS PRESS CONFERENCE (NSPC) 2024. Thank you for your unwavering support and trust. Dive into the stories that made us stand out!
This slide is special for master students (MIBS & MIFB) in UUM. Also useful for readers who are interested in the topic of contemporary Islamic banking.
Normal Labour/ Stages of Labour/ Mechanism of LabourWasim Ak
Normal labor is also termed spontaneous labor, defined as the natural physiological process through which the fetus, placenta, and membranes are expelled from the uterus through the birth canal at term (37 to 42 weeks
Unit 8 - Information and Communication Technology (Paper I).pdfThiyagu K
This slides describes the basic concepts of ICT, basics of Email, Emerging Technology and Digital Initiatives in Education. This presentations aligns with the UGC Paper I syllabus.
2024.06.01 Introducing a competency framework for languag learning materials ...Sandy Millin
http://sandymillin.wordpress.com/iateflwebinar2024
Published classroom materials form the basis of syllabuses, drive teacher professional development, and have a potentially huge influence on learners, teachers and education systems. All teachers also create their own materials, whether a few sentences on a blackboard, a highly-structured fully-realised online course, or anything in between. Despite this, the knowledge and skills needed to create effective language learning materials are rarely part of teacher training, and are mostly learnt by trial and error.
Knowledge and skills frameworks, generally called competency frameworks, for ELT teachers, trainers and managers have existed for a few years now. However, until I created one for my MA dissertation, there wasn’t one drawing together what we need to know and do to be able to effectively produce language learning materials.
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2024.06.01 Introducing a competency framework for languag learning materials ...
Standard Operating Protocol.pdf
1. Standard Operating Protocol
Phase I
Usual sequence of wires for most cases unless specified (note term for future reference).
ကကေ့စ်အမ ျားစုကု ပုမှန် archwire sequence အတုင်ျား အသုျားပပြုနုင်ပါတယ်။ ကန င်တစ်ခ န်မှ ပပန်ပပျားသုျားသပ်ကုျားက ျားနုင်ဖု ေ့
အသုျားပပြုတေ့archwireန ေ့
အခ န်က လကတွေကု မှတ်ထ ျားပါ။
Bonding of all teeth. Band on 1st
molars and bond the 2nd
molars (except in openbite case).
သွေ ျားကတွေမှ bracket ကတွေ၊ buccal tube ကတွေကပ်ပါ။ 1st molar မှ band စွေပ်ဖု ေ့
လုအပ်ရင် စွေပ်ပါ။ openbite case ကတွေမှ
လုအပ်သလု ပပြုပပင်ကပပ င်ျားလကုသမှုကပျားရနုင်ပါတယ်။
Laceback from Molar tube to canine with 0.10 ss ligature wire (not given when canine is buccaly
or palatally placed) – Tighten laceback in extraction cases to create 1 mm space mesial to canine
if incisor crowding is present. ဒကနရ မှ မုလ buccal tubeကကန canine အထ 0.10 SS ligature wire န ေ့
ခ ည်တ ကု laceback လုပ်တယ်လု ေ့ကပပ ပါတယ်။ Canine က buccaly / palatally ကရ က်လွေန်ျားကနရင်ကတ ေ့ မခ ည်ဘ
ခ န်ထ ျားရပါလမေ့်မယ်။ က ှှေ့သွေ ျား incisor crowding ပဖစ်ကနရင် canine ရ ေ့mesial ဘက်မှ 1 mm space ရလ ကအ င်
laceback ကု တင်ျားတင်ျားခ ည်ထ ျားနုင်ပါတယ်။
Bendback on each wire (burn NiTi) 1-2 mm distal to the buccal tube. Bendback is not placed in
Class II div 2 cases where proclination of incisors is needed. Use Ovoid archwires for all cases.
Buccal tube ရ ေ့ကန က်ဘက်မှ အစွေန်ျားထွေက်ကနမယေ့် archwire ကု 1-2 mm ကလ က်အကွေ ကကန ကကွေျားလုက်တ ကု
bendback လုပ်တယ်လု ေ့ကခေါ်ပါတယ်။ Niti wire ဆုရင် အပူကပျားပပျားမှ ကကွေျားရပါတယ်။ Class II div 2 case ဆုရင်ကတ ေ့
လုအပ်တေ့ incisor proclination ရကအ င် bendback န ေ့ခ ြုပ်မထ ျားသငေ့်ပါဘူျား။
0.012 NiTi one month – Start derotation with lingual rotation tie / rotation wedges from beginning
itself. Apply light force with Echain / Elastic thread / ligature wire to buccaly / palatally placed
teeth (especially the canine). Place crossbite elastics using lingual button. ဒ 0.012 archwire အဆငေ့်မှ
lingual rotation tie / rotation wedge ကလျားကတွေ သုျားတ န ေ့လုခ င်တေ့ derotation effect ကု ရနုင်ပါတယ်။ Buccaly /
2. palatally ဘက် ကရ က်လွေန်ျားကနတေ့ canine ကတွေကု Elastomeric chain / elastic thread / ligature wire ကတွေ အသုျားပပြုပျား
light force န ေ့ဆွေကကညေ့်နုင်ပါတယ်။ Lingual buttons ကတွေကု အသုျားပပြုပပျား crossbite elastics ကတွေကု တပ်နုင်ပါတယ်။
0.014 NiTi one month – Continue as above till satisfactory result. အထက်က 0.012 wire မှ လုပ
လုခ င်တေ့ရလဒ် ရလ တေ့အထ တပ်ကကညေ့်နုင်ပါတယ်။
0.18 NiTi one month – Continue as above till satisfactory result. အထက်က 0.012 wire မှ လုပ
လုခ င်တေ့ရလဒ် ရလ တေ့အထ တပ်ကကညေ့်နုင်ပါတယ်။
0.018 SS intermediate wires အဆင့်မှာ
A. Anterior spacing ရှိနေရင့်
Do not remove laceback. Size the wire leaving 3 mm distal to the distal of buccal tube. Place in
slot and then use E Chain (Power chain). Start with long power chain (mild force); if spacing is
more, replace after 3 weeks with short power chain (medium force), and then again after 3 weeks
replace with continuous power chain (heavy force). Go on replacing with new sections of
continuous power chain every 3 weeks till space closure occurs. The power chain can be stretched
a few times before placement to reduce the forces further. No bendback is placed at this time since
the teeth are being retracted.
B. In palatally placed lateral incisors when open coil is used to distalize the canine and bring
the lateral into alignment. လုပ့်မယ့်ဆှိုရင့်
Remove laceback. Size the wire leaving 3 mm distal to the distal of buccal tube. If crossbite is
present, then posterior bite-block has to be placed on lower 2nd
premolar and molars and tripoded
and balanced to raise the bite. Bond the lateral incisor bracket upside-down (this is continued
till the end of treatment). Use an open coil NiTi spring (medium force 0.010) with archwire passed
through it, the spring length is 3 mm more than the interbracket span. Ligate the adjacent
brackets with Ligature wire for rotation control. Place Bendback. Tie the lateral incisor with
ligature wire / Echain to bring it out simultaneously. Once the lateral incisor comes out, remove
the posterior bite blocks and go on to the next wire.
3. 0.019 x 0.025 NiTi one month အဆင့်မှာ – With laceback and bendback (burn NiTi)
Phase II
Remove laceback
19 x 25 ss – individualized arch form (IAF) for all SS wires from this stage onwards
Overbite correction
If overbite correction has not taken place – Place 0.019 x 0.025 SS for 6 weeks and watch
If overbite correction still not taken place – Place Sweeps on 0.019 x 0.025 SS
19 x 25 SS for space closure
Generalized spacing – Power chain from molar to molar – Start with long power chain for 3 weeks,
then short power chain for 3 weeks and the continuous power chain for 3 weeks (continued) till
space closure obtained
Extraction space closure
Anterior Fig of 8
Posterior Fig of 8
If using a canine bracket with torque (no hook), use a crimpable hook / Gurin screw or use posted
arch-wire (hook soldered to arch-wire – no need to place anterior Fig of 8)
Space closure will involve intra- and inter-arch mechanics. Use Dontrix gauge for determining
force levels.
Intra-arch – Class I Force – From buccal tube hook to canine hook / crimpable hook / hook on
arch-wire.
Inter-arch – Class II Force – From lower buccal tube hook to upper canine hook / crimpable hook
/ hook on arch-wire
Inter-arch – Class III Force – From upper buccal tube hook to lower canine hook / crimpable
hook / hook on arch-wire
4. Inter-arch Elastics
Class II case – Class II – yellow elastics (2.5 / 3 oz)
Class III case – Class III – yellow elastics (2.5 / 3 oz)
In Class II or Class III open bite cases – Short Class II or Class III Elastics – From premolar hook
to the canine hook / crimpable hook / hook on arch-wire
Intra-arch elastics – First one month you can place yellow intra-arch (Class I) elastics for the wire
to settle before starting serious space closure (Passive Tieback can also be done for the same
purpose).
Class I Elastics – Green (3.5), Blue (4), Red (4.5), Grey (5). Maximum 200 grams of force for
retraction with sliding mechanics.
(Force levels and color change with manufacturers – look at their brochure).
Elastics changed by the patient – Once daily / Twice daily according to force constancy needed.
Ask the patient if there is force on the teeth – you can even place double elastics.
Start with green and go up the force level as needed. Recall every 6 weeks and cut the wire distal
to the buccal tube.
Close Coil Spring (0.10 NiTi Medium force)
Take the smallest one (6mm) tie it to the buccal tube hook and canine hook / crimpable hook /
hook on archwire using a 0.10 Ligature wire. Extend one and a half time its original size (9mm)
or according to manufacturer specification. Recall patient every 6 weeks for check up – Reactivate
as and when needed. Provide the patient with relief wax.
Midline correction during space closure
More force on opposite side to the shift side
Laceback on shift side and force on opposite side
Aysmmetric elastics – Class II on one side and Class III on the opposite side
Anterior cross elastics
5. Finishing
Individualized arch form (IAF) with 0.14 SS with tight bendback and vertical elastics /Anterior
box elastics with 0.016 NiTi OR section rectangular wire distal to canine