Orthotown October 2024 - 23
Figs. 5a-5e: Images of a patient treated with Damon Ultima and ODB. Fig. 5a: bonding day; Fig. 5b: twomonth
images; Fig. 5c: five-month images; Fig. 5d: seven-month images; Fig. 5e: Final (11-month) images.
my patients. The Approver
Software will detect movement
changes in tooth position between
T1 and T2 and automatically
select the torque that
encourages these movements.
If I want to change torques
midtreatment, the center-slot
lineup of the bracket allows me
to use the same single-tooth
anterior jig with a diff erent
bracket, so I don't need to step
down the wire.
* Create an accurate plan for
IPR. Because the 0.014-by0.0275-inch
CuNiTi Ultima wire
is slot-fi lling in the horizontal dimension
with the Damon Ultima
System, IPR and anterior space
closure 3-3 can be undertaken
at this step in treatment and
maintain horizontal control. We
reach this stage in treatment
by four to six months after
bonding and pull up the ODB
case Spark Approver Software
chairside when the patient is
ready for this important step.
* Visualize black triangles.
The advantage of planning IPR
on the Approver Software is
the real-time visualization of
the eff ects on the dentition.
IPR can positively aff ect the
alignment with a straight wire,
especially in instances of occlusal
wear. Black triangles are
often hard to detect chairside
in patients with plaque-induced
gingival hypertrophy. Now, I
can plan and discuss these
stages of treatment ahead
of time with my team and the
patient (Fig. 5).
In conclusion, I couldn't imagine
undertaking the quest of creating
beautiful smiles without the best
tools and technology available, as
long as the quest doesn't involve
any sword-wielding assassins
or snakes.
Disclaimers
1. The regulations regarding delegation
of tasks vary by jurisdiction. Follow
your local regulations when delegating
tasks.
2. The opinions expressed are those of
Dr. C. Colby Gage, who is a paid consultant
to Ormco. Ormco is a medical
device manufacturer and does not
dispense medical advice. Clinicians
should use their own professional
judgment in treating their patients.
Individual patient results may vary.
OCTOBER 2024 | 23 | ORTHOTOWN.COM
Dr. C. Colby Gage is a board-certifi ed
orthodontist who received his dental
degree from Western University of
Health Sciences and his orthodontic
certifi cate from A.T. Still University.
Gage serves as orthodontic faculty at
his dental school alma mater, sits on
several clinical advisory boards, lectures
on digital orthodontic systems
and practice management topics, and
is a former Spear Study Club Leader.
He is also an Ormco Insider and a
paid consultant for Ormco.
http://www.ORTHOTOWN.COM
Orthotown October 2024
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