Beruflich Dokumente
Kultur Dokumente
Figures 3A-3C: 3A shows an extraction case at the beginning of the space closure. Notice the crimpable hook distal of lower canine and the Sentalloy coil attached from first
molar to the surgical hook. 3B shows the same case after the space has been closed. During space closure the Sentalloy coils were moved from the first molar to the second
molar to adjust the anchorage as required by the case. Figure 3C shows the case finished
Figure 4A-4C: 4A shows a case with a missing lower first molar. The treatment plan was to move the second and third molars forward to close the space. The Sentalloy coil was
attached from the second molar to the hook of the first premolar. Notice that all anterior teeth are tied with an elastomeric chain, so they can act as one unit in this minimum
anchorage case. 4B shows the space already closed with the molars in Class I. Now the coil is extended to the third molar to move it forward. 4C shows the case with all the
spaces closed and the case ready to be finished
Figures 7A-7B show the diagram of a minimum anchorage situation. Usually second premolars are extracted, the
wires increased in stiffness to an 0.0210.025-inch SS, and the coils are activated from the first molars
remaining extraction spaces. The use of both possible when using such large SS very important to remember that before
a 0.0210.025-inch SS wire facilitates wire as the 0.0210.025-inch SS wire. closing extraction spaces, all the objectives
this type of movement more efficiently. After the first molar is moved mesially/ of Stage 1 are accomplished. The CCO
This wire will not only help to maintain forward to its desired location, the second System has a simple but accurate and
the buccal crown torque of the maxillary molar can subsequently be activated and predictable protocol to manage the
incisors and the mesial tip of the maxillary moved mesially/forward. Most often, this is anchorage requirements as well as space
and mandibular canines, but even more not required since the second molars will closure in extraction cases. OP
important, this wire will prevent the travel mesially/forward with the first molars.
collapse of the occlusal plane because The residual space remaining between the
of its stiffness. This is typically seen in first and second molars is very small and
the lower arch; when the the molars are can be easily closed with an elastomeric References
moved mesially/forward, the Curve of chain. At this point, we ask the patient to 1. Secchi AG. CCO Manual on Treatment
Spee becomes deep, the incisors tip wear short, 3/16 4 oz Class II elastics at Mechanics. 2nd ed. Islandia, NY: Dentsply/GAC;
2012.
back, the molars tip mesially, and a lateral nighttime.
open bite develops. Round wires of any In summary, understanding 2. Secchi AG. Complete clinical orthodontics:
treatment mechanics: part 1. Orthodontic
kind and/or any flexible wire are not stiff anchorage requirements and management Practice US. 2013;4(1):28-35.
enough to overcome the collapse of the is of paramount importance, especially
3. Secchi AG. Complete clinical orthodontics:
occlusal plane when protracting molars. in extraction cases. Completing a VTO treatment mechanics: part 2. Orthodontic
The activation of the Sentalloy coils must helps to determine the specific anchorage Practice US. 2013;4(2):28-32.
be done from the elastic hook of the first requirements for a particular case. 4. Ricketts RM, Bench RW, Hilgers JJ, Schulhof
R. An overview of computerized cephalometrics.
molars in minimum anchorage situations Anchorage requirements can be divided Am J Orthod. 1972;61(1):1-28.
(Figures 7A-7B). As a reminder, molar in minimum, medium (the most common),
5. Garcia-Baeza J. Resistance to Sliding of
tubes are essentially passive attachments and maximum. Each one of these three Different Molar Bracket Tubes/Archwire Couples
with a very low resistance to sliding (even types of anchorage requires the use of at Different Angulations [masters thesis].
Philadelphia, PA: University of Pennsylvania,
lower than most passive brackets5) and specific archwires and auxiliaries such Department of Orthodontics; 2011.
therefore sliding and control of molars are Sentalloy coils and crimpable hooks. It is
Volume 4 Number 3 Orthodontic practice x