Orthotown December 2015 - (Page 12)

clinical orthodontics // message board Finishing Tips, Tricks and Voodoo Docs share finishing tips. Orthotown.com > Message Boards > Clinical Topic > Clinical Orthodontics > Finishing Tips, Tricks and Voodoo Wired Member Since: 07/07/07 Post: 1 of 12 I don't have many tricks but I am sure seeking some. What does everyone do with the cases where you know that six weeks into treatment, wraparound retainers will make them look so much better...but you don't want to risk debanding the case? I have heard of people sectioning wires, removing wires, debanding one arch at a time, etc. Anyone here care to share your secret? I often look into the mouth and think, "This is going to settle nicely but if I quit today my final photos and models are going to be pretty poor." I know in the past lots of folks used positioners, but asking a kid to wear a positioner in my area would be a joke. Any help is greatly appreciated! ■ JAN 13 2014 Dr-T Member Since: 05/19/09 Post: 2 of 12 Since we no longer use bands, I will finish with either a 19x25 Beta Titanium (.22 slot) or 19x25 braided SS wire. I find that is much more consistent than risking compliance with a positioner or wraparound retainer. ■ JAN 13 2014 zxzxzx Member Since: 02/28/03 Post: 3 of 12 Dr-T Member Since: 05/19/09 Post: 4 of 12 Related Message Boards How to Finish this Case Finish Case Finishing Course Finishing Course Can you tell me more about that? ■ JAN 13 2014 Sorry, I didn't expound because I didn't think it added much to the conversation. The problem I always had with debanding patients with molar bands was the band spaces would not close with Essix-type retainers (which most patients desired). So after struggling with compliance issues with positioners, wraparound and Hawley retainers, I started taking molar bands off 4-6 weeks prior to bracket removal. I just wouldn't get consistent settling. Instead, I now prefer to bond the 6's and 7's and finish in softer wires that allow settling without losing torque. Cases finish quicker, with much more consistent results. The only problem is with the few noncompliant patients who consistently break posterior brackets with hard food. For them I will replace the broken brackets with bands and remove the bands 4-6 weeks prior to debonding. So we still keep a supply of first and second molar bands for them. I'm curious to hear how others finish cases. I remember one instructor saying he would cut the wire short at the 3's and have the patient wear box elastics for two weeks on the bicuspids. Way too risky for me! ■ JAN 13 2014 Fenrisúlfr Member Since: 02/25/09 Post: 5 of 12 We typically finish in 19 or 21x25 SS with step bends and heavy-seating elastics to obtain interdigitation. Every once in a while, in stubborn cases, the wire is sectioned 2-2 or 3-3 and the patient is seen at weekly or biweekly intervals. ■ JAN 13 2014 pnwortho Member Since: 01/15/07 Post: 6 of 12 12 I finish in 19x25 SS wires upper and lower. Section upper wire distal to 3's and steel lace the upper arch to prevent space from opening. I run vertical elastics (3/3-4, 4/4-5, 5/5-6) for DECEMBER 2015 // orthotown.com http://www.Orthotown.com http://www.orthotown.com/MessageBoard/thread.aspx?a=11&s=6&f=693&t=226921&g=1 http://www.orthotown.com/MessageBoard/thread.aspx?a=11&s=6&f=693&t=236854&g=1 http://www.orthotown.com

Table of Contents for the Digital Edition of Orthotown December 2015

Orthotown.com Highlights
Embrace Progress: It’s Always Time for a System
Industry News
Finishing Tips, Tricks and Voodoo
Preserving Anterior Anchorage in Cases of Congenital Missing Laterals
Smooth Running: A Guide to Practice Transitions
Office Visit: Upstate New York Orthodontist Hits a Home Run with Winning Smiles
10 Things Every Orthodontist Needs to Know About HR Management
The Benefi ts of Early Treatment
Accelerated Orthodontic Tooth Movement with Clear-Aligner Therapy
Path to Purchase Research: A Survey Analysis
Poll
The Case for Soft-Tissue Orthodontics
Ad Index

Orthotown December 2015