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The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and offering a wide range of dental certified courses in different formats.
Indian dental academy provides dental crown & Bridge,rotary endodontics,fixed orthodontics,
Dental implants courses. For details pls visit www.indiandentalacademy.com ,or call
0091-9248678078
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Mechanical Sequence for Class 2 Div 1 Cases / orthodontic courses by Indian dental academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and offering a wide range of dental certified courses in different formats.
Indian dental academy provides dental crown & Bridge,rotary endodontics,fixed orthodontics,
Dental implants courses. For details pls visit www.indiandentalacademy.com ,or call
0091-9248678078
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and offering a wide range of dental certified courses in different formats.
Indian dental academy provides dental crown & Bridge,rotary endodontics,fixed orthodontics,
Dental implants courses. For details pls visit www.indiandentalacademy.com ,or call
0091-9248678078
Leader in continuing dental education www.indiandentalacademy.com
www.indiandentalacademy.com Introduction- The bioprogressive therapy has long been thought of as sectionalized approach. When a full compliment of teeth is maintained,the possiblity of segmental approach to mechanics is greatly enhanced. It is important that basic principals of bioprogressive therap be adhered to both www.indiandentalacademy.com in treatment planning and in chairside decision making process.The universal concept of control must be altered slightly in mind of clinician to take into account the individual movements of teeth in different planes of space. www.indiandentalacademy.com Thinking in terms of sectionalized approach. Not only are teeth within each arch considered to separate segments,requiring individual movements in their own plane of space,but the individual arches,themselves are to be considered as separate sections.It will be noted that for pure simlicity and efficiency of mechanics,each individual arch may be in completely different phase of treatment. www.indiandentalacademy.com www.indiandentalacademy.com Sequence of mechanics (non- ex,classII div I Deep bite cases.
1)Upper- -selection of head gear lower- .016 x.OI6 blue elgiloy utility arch,designed to align,intrude lower incisors.
www.indiandentalacademy.com www.indiandentalacademy.com 2) UPPER band or bond canine and premolars.sections placed to level and consolidate the upper buccal segments. www.indiandentalacademy.com Lower .O16x.O16 blue elgiloy is reactivated or replaced. When cuspid needs intrusion elastic thread is tied from cuspids to a small vertical loop of utility arch. www.indiandentalacademy.com 3)UPPER Upper levelling and consolidation sections are replaced with traction sections. A small closed helix or gable bend Is incorporated to maintain distal root tip. www.indiandentalacademy.com LOWER After incisors and molars have aligned, .016x.022 blue elgiloy stablizing utility arch is placed. www.indiandentalacademy.com 4)UPPER Band or bond incisors Place light round or twistoflex anterior section to align incisors. .O16x.O22 utility arch is placed. www.indiandentalacademy.com LOWER Lower ideal arch wire .O16x.O16 elgiloy. www.indiandentalacademy.com 5)UPPER Anterior spaces are closed with overlay arch-.O16x.O16 blue elgiloy is placed. www.indiandentalacademy.com LOWER Class II elastics to the upper traction continued during upper space closure. www.indiandentalacademy.com 6)UPPER Upper ideal arch form is placed to achieve final arch form and torque characteristics in upper arch. www.indiandentalacademy.com LOWER Class II elastics limited to avoid extruding upper incisors. www.indiandentalacademy.com Mechanics sequence for class II div 2 Cases. The principles of bioprogressive therapy continue to be of extreme importance in treatment of class II div 2 malocclusions.the management process we use in order to individualize our mechanics and establish the sequence necessary for special case. www.indiandentalacademy.com Division 2 malocclussion are frequently present in brachyfacial patterns with resulting strong musculature. They generally have moderate to minimum convexity, but occasionally do have higher convexity resulting orthopedic problems. www.indiandentalacademy.com There are six functions necessary in treating in class2 div2 mallocclusions which are general considerations for evaluating the mechanics sequence: 1. Advancement ,torque control ,and intrusion of upper incissors. 2. Intrusion of lower incissors and cuspids. 3. Allignment of buccal segments and class2 corrections. 4. Consolidation of upper incissors. 5. Idealizing the arches. 6. Finishing.
www.indiandentalacademy.com TREATMENT SEQUENCE OF MECHANICS. NON EXTRACTION CLASSII DIV 2, DEEPBITE. 1. UPPER: Band or bond the upper incisors. The upper incisors are advanced , torqued and intruded with .016 x .016 blue elgiloy utility arch. The anterior section should be deflected forward 5mm or more. AV in the anterior arch for will help keep this contour. www.indiandentalacademy.com 2. UPPER Continue use of utility arch. Band or bond maxillary cuspids and bicuspids. Level the buccal sections with Tsections or piggyback, a round wire. If leveling is not necessary place traction section and initiate class2 elastics. www.indiandentalacademy.com LOWER Place lower .016 x .016 blue elgiloy utility arch with 65-75 gms of force. The bicuspids and cuspids are banded or bonded. www.indiandentalacademy.com 3 UPPER Intra oral utility arch activation to continue incisor intrusion. If class2 elastics has not been initiated,start at this time. www.indiandentalacademy.com LOWER Elastic thread is ligated from lower cuspid. Place .016 x.022 stabilizing utility arch to enhance torque control. Stabilizing section should be used during cuspid intrusion. www.indiandentalacademy.com 4 UPPER After buccal segments are corrected torqing utility arch is used for torque control, intrusion, contraction and leveling of incisors. www.indiandentalacademy.com LOWER Place a stabilizing utility arch to idealize and maintain torque control. Place piggyback or overlay arches for continued effect of rotation,space closure and leveling of buccal sections. www.indiandentalacademy.com 5 UPPER Ideal upper arch wire .016x.016 or .016x .022 blue elgiloy . In standered bioprogressive lateral gablebends, bicuspid offsets and molar bayonets are placed. www.indiandentalacademy.com LOWER Ideal lower arch wire .016x.016, .016x.022 or .018x .022 blue elgiloy . Buccal root torque is bent into ideal arch distal to first bicuspids. www.indiandentalacademy.com 6 UPPER Finishing and band space closure arch is placed. Closing L arch wire .018x.022 blue elgiloy. If bonding techniques are used space closure arches would not be necessary. www.indiandentalacademy.com LOWER Finishing and band space closure arch is placed. Closing horizontal Larch wire .016x.022 blue elgiloy. Activation of 1- 2 mm. 5/16 Heavy class2 elastics 20 hrs per day. Two week intervals appointments. www.indiandentalacademy.com FINISHING PROCEDURES AND RETENTION. The finishing and retention procedure of the bioprogressive therapy are considered,from the beginning stages of treatment,as a part of the total scheme of treatment. One of greatest values of VTO is the establishing of specific end results from the beginning. www.indiandentalacademy.com Basic boprogressive appliances Standard bioprogressive appliance has had torque in upper central and lateral incisors as well as all four cuspids. Full torque bioprogressive adds additional torque,by placing torque in lower 2 nd
bicuspids and lower ist and 2 nd molars.this added torque is used in accomplishing the same objectives as the original standard appliance. www.indiandentalacademy.com Triple control bioprogressive appliance now combines offset first order bends with second order tip and the third order torque, to present the complete triple control needed to place teeth in all three planes of space to accomplish the necessary movements to reach the objective of the over treated orthodontic occlusion. www.indiandentalacademy.com Occlusal check list in finishing 1. Intermolar width at lower 2 nd
molar,together with uprightness and rotation of that tooth. 2. Using 2 nd molar as guide, is lower 1 st
premolar. It would appear slightly depressed. 4. The lower 1 st pm is very critical.it should appear to be buccal to canine. www.indiandentalacademy.com 5. Torque consideration from 2 nd pm backward there is progressive lingual crown torque. 6. Pm offset is given to bring in contact with distal lingual incline of upper canine.
www.indiandentalacademy.com 7. Mesial of cuspid is tucked slightly behind the lateral incisor,distal of cuspid buccal of 1 st
pm. 8. The incisors and canines are oriented to occlusal plane at about 14-16 deg. www.indiandentalacademy.com UPPER ARCH FINISHING CHECK LIST. 1. 1 st molar and 2 nd molar width. 2. Upper molar rotation. 3. This is considerd key of finishing because lower 1 st molar and the upper 1 st molar must be correct before its proper position can be attained.
www.indiandentalacademy.com 4. It should be parallel to occlusal plane buccolingually .it may also appear to be slightly distally inclined because mesial marginal ridge is broken and lower than distal marginal ridge. www.indiandentalacademy.com 5. In the upper arch is to consider the contour and over treatment of buccal occlusion. 6. Canine should be over treated in finishing stages of class 1 and class 11 malocclusion corrections. www.indiandentalacademy.com 7. A gingival step of1/2 to 2mm would be required to clear the longer cuspid in excursions of mandible. 8. Upper centrals contact are considred and midlines of the denture www.indiandentalacademy.com
www.indiandentalacademy.com For more details please visit www.indiandentalacademy.com