ARCHWIRE SEQUENCE RAFAEL GARCIA ESPEJO CORDOBA (SPAIN) EUROPEAN DAMON MASTER DAMON SYSTEM.

ARCHWIRESEQUENCE

RAFAEL GARCIA ESPEJOCORDOBA (SPAIN)

EUROPEANDAMON MASTER

DAMON SYSTEM

PHASE 1: INITIAL LIGHT ROUND WIRE

Never anything larger than an .014 or .013 CuNiTi.

Goal: to initiate alignment, leveling, bite opening, arch development, and to resolve 90% of the rotations. Duration: 10-20 weeksAppointment Intervals: 10 weeks



ARCHWIRE SEQUENCE

Phase 1: INITIAL LIGHT ROUND WIRE

.014 Damon CuNiTi (Upper/Lower) Main initial archwire – starts tooth movement, works on rotations, leveling, archform, prepares for next wire

.013 Damon CuNiTi (Upper/Lower) Use for severely crowded cases

.016 Damon CuNiTi (Upper/Lower) Use as a secondarchwire in severely crowded cases.



ARCHWIRE SEQUENCE

ALWAYS CHECK THE WIRES FOR PERMANENT DEFORMATIONS AT THE 10

WEEK APPOINTMENT!

ENGAGE ALL TEETH

NEVER START WITH AN ARCHWIRE LARGER

THAN .014 Cu NiTi



ARCHWIRE SEQUENCE

PHASE 2: HIGH-TECH EDGEWISE

Goal: Resolve remaining rotations, begin torque control and anterior space consolidation, and continue/finish arch developmentAverage time: 20-30 weeksAppointment interval: 8-10 weeks for first wire, 4-6 weeks for second



ARCHWIRE SEQUENCE

PHASE 2: HIGH-TECH EDGEWISE

.014 x .025 CuNiTi – Upper/LowerA great wire for initial rotation control and leveling

.018 x .025 CuNiTi – Upper/LowerA great transition wire for enhanced rotation control prior to stainless steel and sliding mechanics.

.016 x .025 CuNiTi – Upper/Lower



ARCHWIRE SEQUENCE

PHASE 2: HIGH-TECH EDGEWISE (case-specific alternatives)

.017 x .025 Reverse Curve Ni-Ti Normally used with 20°anterior torque for severe Class II Division II cases between .014 x .025 and .018 x .025 wires (If only intrusion

needed, use same size wire without 20° torque).

.019 x .025 Reverse Curve Ni-Ti Normally used with 20°anterior torque for severe Class II Division II cases between .014 x .025 and .018 x .025 wires (If only intrusion

needed, use same size wire without anterior torque).



ARCHWIRE SEQUENCE

PHASE 2: HIGH-TECH EDGEWISE (CLASS II/2)

.017 x .025 Reverse Curve Ni-Ti with 20°anterior (+) torque

.019 x .025 Reverse Curve Ni-Ti with 20°anterior (+) torque



ARCHWIRE SEQUENCE

ONLY IN U

PPER ARCH

ONLY IN U

PPER ARCH

PHASE 2: HIGH-TECH EDGEWISE (DEEP BITES)

.017 x .025 Reverse Curve Ni-Ti with 20°anterior (-) torque

.019 x .025 Reverse Curve Ni-Ti with 20°anterior (-) torque



ARCHWIRE SEQUENCE

ONLY IN LOWER A

RCH

ONLY IN LOWER A

RCH

G&H

PHASE 2: HIGH-TECH EDGEWISE (case-specific alternatives)

.017 x .025 NiTi

.019 x .025 NiTi

Used when torque desired in the anterior without the intrusive forces of the reverse curve or for uprighting lower incisors.

with 20° anterior torque



ARCHWIRE SEQUENCE

AVAILABLE

UPPER ARCH(+) TORQUE

LOWER ARCH(-) TORQUE



ARCHWIRE SEQUENCE

TAKE A PANOREX BEFORE TRANSITIONING BETWEEN LAST HIGH TECH EDGEWISE (CU NITI)

AND STAINLESS STEEL ARCHWIRE AND CHECK

BRACKET POSITIONING .

IMPORTANT!!!!

REBONDING APPOINTMENTREBONDING APPOINTMENT

ARCHWIRE SEQUENCE

PANOREX AND REBONDING APPOINTMENT



After workinglast rectangular Cu

NiTi

stainless steel

PHASE 3: MAJOR MECHANICS (working phase of treatment)

Goal: Finish torque control, posterior space closure, and make vertical, A.P. and bucco-lingual corrections. Elastics.Average time: 20 weeksAppointment interval: 6-8 weeks

PHASE 3: MAJOR MECHANICS (working phase of treatment)

Goal: Finish torque control, posterior space closure, and make vertical, A.P. and bucco-lingual corrections. Elastics.Average time: 20 weeksAppointment interval: 6-8 weeks



ARCHWIRE SEQUENCE

Phase 3: MAJOR MECHANICS

.019 x .025 SS – Upper & Lower (Pre-posted) Excellent archwire to maintain integrityof arch during AP correction and space closure. Great for vertical control.

.016 x .025 SS – Lower (Pre-posted)Used in lower arch where more play is desired. Nice finishing wire in lower archif all the torques are acceptable.



ARCHWIRE SEQUENCE

PHASE 4: FINISHING

Goal: Make any remaining detailed archwire bends to complete the case. Elastics.Average time: 10-20 weeksAppointment interval: 4-6 weeks



ARCHWIRE SEQUENCE

PHASE 4: FINISHING

.019 x .025 SS Upper (pre-posted)

.016 x .025 SS Lower (pre-posted)Most cases finished with the working archwires.

If more than minor bends and torque are required to finish, use edgewise TMA:

.019 x .025 TMA Upper

.017 x .025 TMA Lower

Regular TMA – 3X friction SSHoney Dew TMA – 11/2 X friction SSPurple TMA – Same friction as SS



ARCHWIRE SEQUENCE

.014 CuNiTi

.016 x .025 CuNiTi

.019 x .025 S.S.

¿.019 x .025 TMA ?

INITIAL ARCHWIRES SEQUENCE

2.001



.014 CuNiTi

.014 x .025 CuNiTi

.018 x .025 CuNiTi

.019 x .025 S.S.

.019 x .025 TMA ?

REGULAR ARCHWIRE SEQUENCE

.017 x .025 NiTi Spee

.019 x .025 NiTi Spee

.017 x .025 N. S. T 20º

.019 x .025 N. S. T 20º



.013 CuNiTi

.016 CuNiTi

.016 x .025 CuNiTi

.019 x .025 S.S.

.019 x .025 TMA ?

GREAT CROWDING WIRE SEQUENCE

.014 x .025 CuNiTi

.018 x .025 CuNiTi



SUMMARY

ARCHWIRE SEQUENCE RAFAEL GARCIA ESPEJO CORDOBA (SPAIN) EUROPEAN DAMON MASTER DAMON SYSTEM.

Documents

Transcript of ARCHWIRE SEQUENCE RAFAEL GARCIA ESPEJO CORDOBA (SPAIN) EUROPEAN DAMON MASTER DAMON SYSTEM.