Orthotown January/February 2023 - 22
EARNED PLACEMENT
Case 1: Class II End-On
Damon Ultima brackets
This patient came in with a Class II end-on malocclusion.
We began using the Ultima bracket in spring 2021 and started the
patient with maxillary anterior rotations. The rotation control with the
Ultima bracket system was impressive (Figs. 4 and 5). Rotation correction
is generally finalized after 10 weeks in the 0.014-by- 0.02175inch
nickel-titanium combination wire, as seen in the side-by-side
maxillary occlusal photos in Fig. 6.
The patient was reasonably compliant with Class II elastics, and
the case finished (Figs. 7 and 8) in 16 months and 10 office visits,
including the strap-up, reposition and debonding visits. Only one
detail bend (Fig. 9) was required between the maxillary centrals to
finish. Using Ultima has increased our office efficiency.
FIG. 4: Month 6.
FIG. 5: Month 8.
The result: A potentially pure
straight-wire (preadjusted) appliance
is born. If the finishing wire
is straight and if any teeth are not
aligned, the bracket position is off
and easily identified for reposition.
Additional torque expression (if
needed) can be delivered with
" overdrive wires " (0.019, 0.020 or
0.021 by 0.0275 inch).
The bottom line: I am now utilizing
a straight-wire appliance that
has full expression, delivers light
force and has three-dimensional
control designed to treat in less
time (according to data on file at
Ormco). It took a lot of years to get
here but, in my opinion, we finally
have a true straight-wire system.
FIG. 6: Left photo taken in September 2022; right photo taken
in December.
FIG. 7
References
1. Andrews, L. " The Six Keys to Normal
Occlusion. " AJO-DO, Sept. 1972,
pp. 296-309.
2. Frankel, R. " The Practical Meaning of
the Functional Matrix in Orthodontics. "
Transactions of the European Orthodontic
Society 45 (1969): pp. 207-219.
3. Moss, M. " The Functional Matrix "
(chapter), Vistas in Orthodontics.
Lea and Fibiger, 1962.
4. Barron, T., and Bogdan, F. " A Practical
Treatment Objective: Alveolar Bone
Modeling With a Fixed, ContinuousArch
Appliance. " Clinical Impressions,
20:1, Summer 2017.
FIG. 8
FIG. 9
Dr. Frank Bogdan is a paid consultant
for Ormco. After treating patients for
many years at his practice in New
Jersey, Bogdan focused on teaching
the next generation of orthodontists,
which allowed him to travel
and make friends across the world.
He has since retired from orthodontic
practice and moved to Florida,
where he lives with his wife, Diane.
JANUARY/FEBRUARY 2023 | 22 | ORTHOTOWN.COM
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Orthotown January/February 2023
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