5 Must Have Clinical Techinques to Improve Experience with ......To Improve Your Experience with...
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3/26/14 1 5 MUST-HAVE TECHNIQUES To Improve Your Experience with Lingual Braces Neal D Kravitz, DMD, MS Choosing the appropriate adult patient Maximizing use of digital technology Incorporating hybrid-mechanics Finishing techniques Rebonding and retention protocol OVERVIEW CHOOSING APPROPRIATE PATIENTS DiSC THEORY OF BEHAVIOR Dr. William Martson’s Emotions of Normal People “I’m not quite ready to have my braces removed. My midlines are still a little off.” C-BEHAVIORAL TYPE C-BEHAVIORAL TYPES SHOULD ONLY BE TREATED WITH INVISALIGN
Transcript of 5 Must Have Clinical Techinques to Improve Experience with ......To Improve Your Experience with...
3/26/14
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5 MUST-HAVE TECHNIQUES ��� To Improve Your Experience with Lingual Braces
Neal D Kravitz, DMD, MS
! Choosing the appropriate adult patient
! Maximizing use of digital technology
! Incorporating hybrid-mechanics
! Finishing techniques
! Rebonding and retention protocol
OVERVIEW
CHOOSING APPROPRIATE PATIENTS
DiSC THEORY OF BEHAVIOR Dr. William Martson’s Emotions of Normal People
“I’m not quite ready to have my
braces removed. My midlines are still a
little off.”
C-BEHAVIORAL TYPE C-BEHAVIORAL TYPES SHOULD ONLY BE TREATED WITH INVISALIGN
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MAXIMIZE DIGITAL TECHNOLOGY
BANDS / HALF-OCCLUSAL PADS
BRACKET
BAND
PAD
BANDS / HALF-OCCLUSAL PADS
Bands/pads on 6+7s
TRADITIONAL SETUP CHALLENGING EXTRACTION SETUP
Pads on 7s
SPECIAL BRACKET INSTRUCTIONS
Extend posts on U3s for aid Class 2 elastic wear TMP
RUNNING CLASS 2 DIRECTIONAL ELASTICS
MISSING MAXILLARY CANINES
16/22 NiTi
PONTICS WITH CUSTOM BRACKETS DAY WE PLACED PONTICS
PONTIC FABRICATION
HYBRID MECHANICS
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HYBRID = BOTH LINGUAL & LABIAL TO AID CHALLENGING TOOTH MOVEMENT
HYBRID = BOTH LINGUAL & LABIAL
HYBRID = BOTH LINGUAL & LABIAL TO CONNECT APPLIANCES
EXTEND BAND TO GINGIVAL MARGIN AND USE L-PIN
FINISHING TECHNIQUES
RECOMMENDED WIRE SEQUENCE
(014 CuNiTi 16/22 CuNiTi 18/25 CuNiTi 16/22 SS 175/175 TMA)
FINISHING WIRE SEQUENCE
INTRAORAL DETAILING
SETTLING / REALIGNMENT
175/175 TMA
16/22 Cu-NiTi
16 SS
175/175 TMA with mesial root and overtie
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LAB FABRICATED FINISHING WIRE
CU-NiTi WIRES ARE BENT FROM HEATED ALUMINUM PLATES
THE ROBOT IS ONLY BENDING SS and TMA WIRES
FINISHING WIRE ORDERED IN A 175/175 TMA
LAB FABRICATED FINISHING WIRE
REBONDING / RETENTION
REBONDING WITH RELYX UNICEM 2
MULTILINK
RELYX UNICEM 2
Masticatory forces
ORTHO-FLEXTECH TRANSBOND LR
33% FAILURE
ANGLED DEBOND PLIER ACUTE TRAUMA ESSIX RETAINER
+50% FAILURE
Embrasures Mongoloid incisors
All cases treated by Dr. Kravitz
THOROUGHLY CLEAN
BONDED RETAINER PROTOCOL REDUCE YOUR STRESS
NO C-TYPES
FINISH IN LIGHT WIRES
BOND LABIAL BRACKETS
MOVE BEYOND ESSIX
MAXIMIZE TECHNOLOGY
