Orthotown June 2024 - 25
Fenrisúlfr
Post: 8 of 23
How did you retain the space? Pontic or a bonded wire? n
10/23/2018
fesdds
Post: 9 of 23
10/23/2018
One is getting braces off in two weeks and the other two are getting their braces off in five to six weeks. I have
generally moved back to using Hawleys. So, these girls are all getting Hawleys. The space U4-5 will have toothcolored
pontic and the U5-6 will just have acrylic to hold. I am encouraging them to get flippers from DDS for daytime
wear; otherwise, they can wear Hawleys.
I will make a clear if they request it. Total side discussion, but I used to do U Clears for almost everyone and the
number of people who would miss a week and never do anything about the retainer not fitting was frustrating.
With a Hawley, it is much more forgiving. They forget to take it to camp; when they come home, it will still go in,
even if tight. Many times, the clear just won't. Now for these patients, they need to wear enough to maintain space
and hope they will get a flipper from DDS. I keep thinking of doing my own flippers, but ultimately like giving that
over to the long-term DDS instead of having to deal with that breakage. n
tgrege
Post: 11 of 23
I like Diane's canine substitution with a palatal TAD.
1. Bond/band upper.
2. Center upper midline with properly torqued UL and R1.
3. Place the palatal " T " bar and protract upper posteriors any way you
want: chain, closing loops, coil to soldered hooks, etc.
I like to use standard no-torque, tip or in/out brackets on canine
substitutions. n
10/23/2018
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Orthotown June 2024
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