Orthotown July/August 2020 - 15
Dan, may I ask how you repo for torque? Is it just inverting brackets, or will you select a
different bracket specified for another tooth? I have done that a few times using a lower 5 bracket
when a lot of torque is necessary, but it has a different thickness of bracket slot, which then ends
up needing a step-out or -in afterwards. Even with that, I can't seem to get the torque just right
with my selection of brackets available, even when inverting.
Adding more composite/adhesive on the occlusal or gingival of the pad to affect the torque
seems like an inexact science and would also generate more step-in or -out. ■
below
Member Since: 08/07/09
Post: 7 of 10
5/29/2020
Any bends early in treatment are an issue. They will need to be matched in each AW. Bond
failures will occur, and you are stuck. Any bends should be detailing bends and delayed until
finishing. Also, any bends prevent free movement of the teeth. Closing spaces with PC becomes
problematic.
["My thought is that if I were to finish in a straight wire there is no way that I could get all of the
details of an ABO case."] Mostly, but it can be done with very little or no bending sometimes.
["After seeing patients back from this extended coronavirus break, I have had a few teeth come back
with excessive torque because of the rectangular wire sitting in the bracket too long." ]
That should never happen. You need to match your wire to your prescription. I highly
recommend taking one of Rick McLaughlin's courses to truly understand the SW appliance and
how to achieve excellent results with minimum hassle.
davidharnick
Member Since: 08/28/02
Post: 8 of 10
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