STRAIGHT WIRE LOW FRICTION

SWLF is not just a technique involving a bracket or a bracket prescription; we have attempted to incorporate all the recent technological advances in orthodontics system of into an extremely The simple therapeutic protocol and biomechanics. changes technological affecting

modern orthodontics, which have lead to the creation of the Straight Wire Low Friction (SWLF) technique, are: thermoelastic generation of wires, the latest titanium-molybdenum

1 2 3 4

BRACKET DESIGN

FRICTION SELECT CONTROL SELECTION OF WIRES

CLINICAL CASES

1 2 3 4

BRACKET DESIGN

FRICTION SELECT CONTROL SELECTION OF WIRES

CLINICAL CASES

Every year new brackets designs are lunching to the ortodontic market. Each new design promises reduce the treatment time and increase the confort of the appliances The magic words are low friction , selfligating and less chair-time

Is it true ?

New brackets are more expensives that tradicional SW twin brackets

Is it worth ?

SS Braided SS Cr-Cb Ni Ti Superelastic Thermal NiTi Beta III Titanium Niobium GUM Metal Composite Wires

ORTHODONTI C CHEF

We don t like recipes

LITTLE ROOT CONTROL GOOD ROOT CONTROL

SINGLE BRACKET

TWIN BRACKET

I.B.S

The SWLF technique enjoys all the advantages of the traditional straight wire approach but eliminates one of its main failings: static and dynamic friction. occlusal Although stability friction and ensures three-

dimensional control over the root in the last stages of treatment, it is equally true that it is also the principal obstacle levelling, to dental alignment reducing and the thereby

effectiveness of super-elastic wires, decreasing the potential for dental

NEW CONCEPTS ABOUT ORTHODONTIC TOOTH MOVEMENT

PULSATIN G FORCES

RAP

FRICTIO N

100 gr

Bicycle Brake Effect

- 60% of the OTM

FRICTION DEPENDS ON

CRITICA L ANGLE

CLASSICAL FRICTION

CLASSICAL FRICTION

BINDING

different options to avoid the contact between the archwire and the elastic ligature.

1 2 3 4

BRACKET DESIGN

FRICTION SELECT CONTROL SELECTION OF WIRES

CLINICAL CASES

Do we have to start the treatment with ROUND wires ?

Why ?

Usually the crown position is worse than the position of the root

SYNERGY BRACKET

THERMAL SE W. BETA III TITANIUM W. MICROIMPLANTS

FUNCTIONAL FORCES

EVOLUTION OF SYNERGY BRACKET

Prof. Prof. David David Surez Surez 2012 2012

EVOLUTION OF SYNERGY BRACKET MEDELLN 2012

Prof. Prof. David David Surez Surez 2012 2012

EVOLUTION OF SYNERGY BRACKET MEDELLN 2012

Prof. Prof. David David Surez Surez 2012 2012

EVOLUTION OF SYNERGY BRACKET MEDELLN 2012

Prof. Prof. David David Surez Surez 2012 2012

EVOLUTION OF SYNERGY BRACKET

The

innovative and as

design selective well as to a

of

the

SYNERGY individual movement, employed based

BRACKET

provides control drastic

over friction, anchorage and tooth reduction in the number of wires compared on traditional design and Straight Wire brackets. The Synergy , intelligent is simple concepts,

comfortable to use. It has three wings, of which the central wing is raised to prevent contact between the

1.

Maximum

sliding

in

the

initial

stages of treatment with superelastic wires. The Synergy system has 3 pairs of tie-wings rather than 2. The sides of the central tie-wings are raised in such a manner that when the ligature is applied solely in the centre, the contact between the wire and the ligature is minimal or nonexistent, thus reducing friction almost to zero and optimizing the effect of the superelastic wires. Numerous studies have demonstrated that alignment with superelastic arch wires in a case with pronounced irregularity is much swifter and effective with low-friction brackets such as Synergy than with traditional single or twin

SYNERGY

Prof. Prof. David David Surez Surez 2012 2012

Prof. David Surez 2012

Early

use One

of of

rectangular the problems

archwires.

caused by use of traditional brackets, which have slots ending in 90 angles, is the biomechanical difficulty of inserting rectangular wires at the beginning of treatments and the need to employ laceback or tieback ligatures to achieve distal movement of the canines (in many techniques ligatures the use of laceback the design depends on

limitations of the classical SW brackets

STRESS AND FRICTION AREAS

TRADICIONA L SW T BRACKET SYNERGY BRACKET

MBT BRACKE

SYNERGY BRACKET

FEM

Prof. Prof. David David Surez Surez 2012 2012

DYNAMIC FRICTION

ANGLE

SYNERGY

Prof. Prof. David David Surez Surez 2012 2012

Individual "tooth by tooth" control of tooth movement and anchorage. The main advantage of the Synergy bracket over other low-friction brackets, whether standard or self-ligating, is the ability to control dental movement and anchorage tooth by tooth only changing the ligature. We can basically ligate in three ways: In the centre "C". To achieve maximum sliding and maximum tooth movement. We ligate in this way when we require maximum displacement:

Standard O. We ligate the corner thus achieving maximum

wings just like a conventional twin bracket, control of rotations and a medium amount of sliding. The friction created by contact between the ligature and wire will condition the degree of tooth movement. - In a Figure of 8. In this particular case, we produce close wire-ligatureslot contact, thus obtaining total expression of the wire on the bracket and maximum control of the root. Thus, we ligate the teeth when we want to

MAXIMUN SLIDING LOW FRICTION

MEDIUM SLIDING MEDIUM FRICTION

Prof. Prof. David David Surez Surez 2012 2012

LOW FRICTION ROTATION CONTROL

MAXIMUN FRICTION TORQUE / ROOT CONTROL

Prof. Prof. David David Surez Surez 2012 2012

OTM : ORTHODONTIC TOOTH MOVEMENT

The Synergy slot allow to us for quick insertion of the superelastic rectangular arch wires and making tieback ligatures obsolete in the process. Slots, which are rounded both on the floor and at the ends avoid the adverse effects of the early insertion of rectangular arch wires, i.e., the inadequate couples and the excessive initial movement of the roots allowing for earlier utilization of larger steel wires for the closing of spaces and torque. Synergy presents a simple, but very ingenious new design

Ang: 3 Tor: 17 Ang: 9 Tor: 8

We have used these simple and clear ideas as the basis for a SWLF PRESCRIPTION which aims to approximate itself to the average values in the most popular prescriptions while leaving the canines and incisors with standard values. We believe it is important to overcorrect the torque in the upper central incisors (17) due to their tendency to lose torque during retraction with thick rectangular arch wires. We have
Ang: 0 Tor: -7

Ang: 8 Tor: 0

reduced the overcorrection of the torque and rotation of molars and the inclination of the upper canine by up to 8 where the use of conventional brackets means that distal

Teeth Torsion

Angulation

13/23 8

17

7 Andrews

12 R Roth

22 RM Ricketts

TORQUE CONTROL TORQUE CONTROL

Alignment Phase. At the Alignment Stage we require super elastic wires with excellent shape memory which are highly elastic and capable, even in rectangular wires, of generating light, constant and prolonged forces. The wires must be optimal in order to produce the periodontal awakening which sets in motion the cellular reactions and histochemical mechanisms which will lead to orthodontic dental movement and the formation of alveolar bone. We must allow the new wires to slide smoothly and freely through the brackets and to express the best possible arch shape for each patient. For

ANB: PtoA-V: FH-NA: Witts: Ar-Go-Gn Lower F. H. 4) Inc Apg: Inc APg: 4) Inc PM: 4) NasLab A.: 110)

(2 / 1) (0 / 1) (90 / 3) (0 / 1) (119 / 6) (47 / (2 / 1) (22 / (91 / (90-

Ana Mara Lpez Gonzlez 11 YO / Late Mixed Dentition

Class I Maloclusion SEVERE DENTAL IRREGULARITY. MAND. D. E. DISCREPAN.: - 11 mm

BEFO RE

BEFO RE

AFTER

AFTER

BEFO RE

BEFO RE

AFTER

AFTER

Dinamic Friction Angle

One of the most fascinating aspects of orthodontics is that no two patients, or their mouths, are ever the same. Practitioners are aware that the values given by the distinct prescriptions are no more than approximations to the ideal and individual prescription for each of our patients, with the result that when we reach the stage of finishing and detailing the occlusion, we have to individualize our prescription with some 1st, 2nd and 3rd order bends in the arch wire. For this purpose we recommend the use

FINISHING with Beta III Titanium

RMO

D.O.D. = - 5.5 mm

INCISORS

CANINE PREMOLAR

ALIGNMENT

LEVELING

CLOSURE SPACES

TERMINATION
Prof. David Surez 2012

INCISORS

CANINE PREMOLAR

ALIGNMENT

LEVELING

CLOSURE SPACES

TERMINATION
Prof. David Surez 2012

Prof. Prof. David David Surez Surez 2012 2012

CRITICA L THINKI NG

EBT