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Hycon
tube
Hycon
Hycon Clip on
clipon
HYCON DEVICE
welcome
from the desk of DR. WINFRIED SCHTZ - ORTHODONTIST
The screw is one of the oldest elements of force used in removable
orthodontics. Its function accepted by and familiar to every
orthodontist, allowing the handler to apply an exact defined pressure
to the periodontium. The defining aspect of the Hycon Device is that its
capacity goes beyond that of a standard screw, forming an impeccable
functional unity with the help of a multiband apparatus, preferably the
straight-wire-technique. By working with the multiband appliance,
the new force element eases the job and can offer new ways of
treatment
hycon
hycon contents
Introducing the
hycon
hycon device
options
hycon tube
user manual
Activation profiles
hycon clipon
user manual
Activation profiles
2-5
6-7
8-10
11
12-14
15
catalog
contents
ycon
evice
for
space
closure
When I started working as an orthodontist, I was not sure of the force generated
by my closing loops. I was concerned about the periodontium tissue. The idea to
close the space by means of screw mechanics eased my mind. Since 1984 all my
space closing has been done by the Hycon - it has never failed me. Sometimes
my colleagues tell me, that they are able to treat cases with the Hycon device,
that before would have been beyond therapy. This is especially important for the
periodontal compromised adult patients.
The ADenta Companies: Germany - phone: +49-8105-73436-0 email: info@adenta.com website: www.adenta.com
page 2
Hycon Devices
HYCON TUBE
HYCON CLIPON
Archwire indicated
Holding pin of the Hycon Tube to be
inserted into auxiliary tube.
Self-ligating locking
clip open
!
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s
a
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d
a
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The ADenta Companies: USA - phone: 215-942-2070 Toll Free: 1-888-942-2070 email: info@adentausa.com website: www.adentausa.com
page 3
Hycon Devices
Physiologic Reference
The Hycon minimizes tissue turnover.
The force exerted by turning the screw is entirely sufficient to overcome friction, without requiring an activation greater than the periodontal space. This permits
adequate stimulation of tissue response, ensuring
permanent blood supply to the periodontium and the
surrounding structures. An ideal situation for optimal
metabolism, consequently osteoclast and osteoblast
activity is given.
As friction is of little concern, the HYCON facilitates utilization of arch dimensions that fully fit bracket
slots and provide torque control. Deflection can be
practically neglected because the activation is of such
a short distance. These are important bio-mechanical
aspects because they allow a close approach to ideal
bodily tooth movement. As a result, tissue turnover is
minimized providing a high efficiency of tooth movement while being stress free on the periodontium.
GRAPH 2: Increase of alkaline phosphatase level during tooth movement within 21 days.
250%
225%
200%
175%
150%
125%
100%
BASE LINE
7 DAYS
14 DAYS
21 DAYS
Sliding mechanic
Hycon Device
Alkaline phosphatase level of unmoved teeth (Base Line)
Data reported by Dr. A. Khala 2005.
His experiment consisted of measuring the concentration of alkaline phosphatase in the gingival crevicular fluid of the
shifted tooth. Here, the teeth - divided into two groups were moved by different mechanisms. Group 1 was drifted by
sliding mechanics, while with group 2 the Hycon was put into action.
After a 3 week treatment period, there was a significant difference in the amount of alkaline phosphatase. Based on the
phosphatase level of unmoved teeth, set at 100 percent, a considerable increase could be discovered in both groups.
While in group 1 there was an increase of 65 percent, in group 2 (the Hycon group) the measured level of increase was
found to be approximately 140 percent. This indicates that group 2 had the highest metabolic activity.
Consequently, the largest rate of bone turnover and hence quickest tooth movement took place here.
The ADenta Companies: Germany - phone: +49-8105-73436-0 email: info@adenta.com website: www.adenta.com
page 4
Hycon Devices
This 22.8 year old male presented with a Class I dental and
skeletal pattern. He showed a satisfactory profile and had
previously been treated orthodontally with extraction of his lower
second bicuspids. His upper lateral incisors were congenitally
missing, however, upper space closure had not been completed
during past orthodontic treatment. These spaces were closed
during treatment with the Hycon.
Characteristics - Concepts
Total control on activation.
With elastic forces the amount of stretching or deflection is proportional to the total force required. Therefore, in order to achieve the appropriate amount of
force, the activation length of an elastic mechanism
has to be far greater than the periodontal gap.
In contrast to this the threaded screw-type mechanism allows the separation of force and distance. The
movement of the tooth is determined solely by the
advancement rate of the thread, and the amount of
activation turns.
Being independent of elastic forces it is thus possible
to exert a very precise activation at a fairly high force
level, but at a very short distance.
After the adjustment of the HYCON screw the appliance is once again passive. There are no existing
elastic forces, what remains from the activation is a
slight increase in tissue pressure. This is the physiological stimulus for the desired alteration processes.
The ADenta Companies: USA - phone: 215-942-2070 Toll Free: 1-888-942-2070 email: info@adentausa.com website: www.adentausa.com
page 5
ycon
evice
for
space
closure
HYCON TUBE
Designed specfically with a support-wire which is inserted into the auxiliary-tube of the
molar band from the mesial side and bent back.
page 6
Hycon Devices
The HYCON CLIPON was introduced in 2007 to provide our growing HYCON users in the
United States. In general our European orthodontists use a double buccal tube in treating 90%
of patients, however this was not the case for our orthodontists in the United States. In an effort
to simplify installation the HYCON CLIPON was designed. If a double buccal tube is not available, the HYCON CLIPON simply clips onto the archwire.
HYCON CLIPON
Designed specfically with a self-ligating locking clip which is attached directly to the
arch wire.
page 7
ycon
evice
for
space
closure
01
TUBE
Fig. 2a
Fig. 2b
Fig. 2c
TUBE
TUBE
Straight arch technique, i.e. no bends that could prevent the arch from sliding into the molar tube.
Straight wire appliance with auxiliary tube on the
molar bands.
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page 8
Hycon tube
DEVICE
Second step: The patient then has to turn the screw for
a given amount, please refer to page 11 for details on
activation guidelines.
A practical hint for the patient.
When tighting the device with the safety screw driver, the
patient should simultaneously stabilize the tension wire
with a finger nail to prevent it from twisting.
07 Reactivation
If there is still a space left after working the complete
range of the screw, it is necessary to unscrew the device
and to re-tighten the tension wire accordingly.
08 Anchorage Control
Fig. 6: Ligature wire attached to power hook of posted arch
page 9
Hycon tube
Maximum Anchorage
In situations in which a maximum of anchorage is
required (mostly in the upper jaw), it is recommended
to distalize the canines first. In this case the incisors
should be laced with a figure 8 ligature wire (e.g.)
while the connecting wire of the HYCON is ligated
to the canine only.
The ADenta Companies: Germany - phone: +49-8105-73436-0 email: info@adenta.com website: www.adenta.com
page 10
The ADenta Companies: USA - phone: 215-942-2070 Toll Free: 1-888-942-2070 email: info@adentausa.com website: www.adentausa.com
Disclaimer: Please be advised this activation guideline can not take the place of the orthodontist expertise and visual inspection.
ADULT PATIENT
NO PERIODONTOSIS
ADOLESCENT PATIENT
Hycon activation
page 11
CLINICAL CRITERIA
ycon
evice
for
space
closure
01
CLIPON
archwire indicated
Fig. 2a
a)
b)
Fig. 2b
Fig. 2c
CLIPON
CLIPON
Straight arch technique, i.e. no bends that could prevent the arch from sliding into the molar tube.
Leveling and aligning must be completed with a heavy,
straight, rectangular steel wire installed. The teeth should
be grouped into blocks, normally two lateral and one
front, with the defined spaces each distally from the front
block. The teeth of the front block should be laced with a
figure 8 ligature wire. In addition, (elastic) ligatures should
be used to hold the archwire to the front block teeth.
Fig. 3a
Fig. 3b
Fig. 3c
The ADenta Companies: Germany - phone: +49-8105-73436-0 email: info@adenta.com website: www.adenta.com
page 12
Hycon Devices
HYCON CLIPON
Fig. 4a
Fig. 4b
Fig. 4c
1st Possiblity: Distally of the first molar, in the case that the
first and second molars are banded and are connected by a
strong steel arch.
with the color code (see point 1). The HYCON CLIPON
should not cause any interference in the occlusion. In
general: the thin wall of the clip slot always has to show
towards the occlusal side. In the case of minor occlusal
interference one can reduce the points of contact with a
sutitable bur on the occlusal side of the clip.
DEVICE
Connecting Option 2: Preferably in the case of individual tooth movement, e.g. in the event of distalisation of
the canine tooth, the tension wire can be ligated directly
onto the bracket or on the power hook. Fig. 9
Fig. 6: Attaching the HYCON CLIPON onto the arch, mesially to the first molar.
Correct position
Incorrect position
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page 13
Hycon clipon
09 Reactivation
If there is still a space left after working the complete
range of the screw, it is necessary to unscrew the device
and to re-tighten the tension wire accordingly.
10 Anchorage Control
The ADenta Companies: Germany - phone: +49-8105-73436-0 email: info@adenta.com website: www.adenta.com
page 14
Hycon activation
DEVICE
Maximum Anchorage
In situations in which a maximum of anchorage is
required (mostly in the upper jaw), it is recommended
to distalize the canines first. In this case the incisors
should be laced with a figure 8 ligature wire (e. g.)
while the connecting wire of the HYCON is ligated
to the canine only.
In a second step, the incisor block can be retracted as
explained above.
Stabilization after Space Closure
With space closure completed as desired, it is recommended to keep the result stable and passive for some
time, depending on the amount of completed tooth
movement and the related adaptation of soft tissue.
Activation by the patient
When tightening the device with the screwdriver, the
patient should simultaneously stabilize the connecting
wire with a fingernail to prevent it from twisting.
CLINICAL CRITERIA
ADOLESCENT PATIENT
OPTIMAL TISSUE RESPONSE
NO PERIODONTOSIS
ADULT PATIENT
REDUCED TISSUE RESPONSE
**
The ADenta Companies: USA - phone: 215-942-2070 Toll Free: 1-888-942-2070 email: info@adentausa.com website: www.adentausa.com
page 15
German Office
GutenbergstraBe 9, 82205 Gilching, Germany. phone: +49-8105-73436-0
email: info@adenta.com website: www.adentausa.com
USA Office
81 Clover Road, Ivyland, PA 18974 phone: 215-942-2070
email: info@adentausa.com website: www.adentausa.com