PowerPoint Presentation

Self-Ligating Brackets

Not BANDS

Bonded

Smaller and more esthetic

COPYRIGHT Dr Biju Krishnan 2015. ALL RIGHTS RESERVED

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DISCLAIMER

Advice given in this publication or that provided by members of the CFAST team, Agents, Officers or laboratory including, but not exclusive to, treatment planning, case suitability and case progressionis suggestive only and general in nature. Any diagnosis, prescription, treatment or advice should be the sole decision and responsibility of the treating dentist. Cfast and its employees do not assume or accept responsibility, express or implied, for specifictreatment decisions made by dentists providing treatment for their patients.

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Self-Ligating BracketsThe following slide sequence is intended to show how Cfast self ligating brackets operate and also some of the changes you will need to adopt when compared to o-ring ligation. For further information and clarification, please log onto the Cfast forum or contact one of the clinical mentors.

Dr Biju Krishnan

Not BANDS

Bonded

Smaller and more esthetic

Cfast Self-Ligating BracketsTie WingsArch Wire SlotOrientation DotBracket Door

Open brackets with special tool

Placing wire into brackets

Metal Quick Tie

You will still need to use quick ties to correct rotations.

----- Meeting Notes (24/06/2013 16:30) -----Quick tie video

Cleaning Self ligating Brackets

Not BANDS

Bonded

Smaller and more esthetic

Carefully use an ultrasonic scaler to gently remove debris from in and around the bracket

Not BANDS

Bonded

Smaller and more esthetic

The Treatment of Spaced CasesPowerchain

AKA diastemas

Place powerchain BEFORE placing the arch wire.Powerchain and Self-Ligating Brackets

Power chain in-situ from canine to canineTreatment of Spaced Cases

Bracket Debonds

Rather than using a new bracket each time, you should be able to rebond the existing bracket

You first need to roughen the fitting surface, ideally with a sand blaster or polishing diamond bur.

Use the indirect tray to reseat the bracket in the correct position.

Trim soft inner tray to isolate tooth to be rebonded

Use the indirect tray to reseat the bracket in the correct position.

Best choose new bracket and place in slot firmly

Use the indirect tray to reseat the bracket in the correct position.

The bracket is placed in the tray so the door always opens towards the incisal edge

Remove composite from enamel surface and get back down to enamel. Then etch and bond.

Use a resin cement such as 3M ESPE RelyX Unicem

Broken Brackets

A broken door usually means it was not closed fully. However no need to replace bracket use a quick tie to ligate archwire

A broken door usually means it was not closed fully. However no need to replace bracket use a quick tie to ligate archwire

A broken door usually means it was not closed fully. However no need to replace bracket use a quick tie to ligate archwire

Rotational Corrections with Self Ligating Brackets

Not BANDS

Bonded

Smaller and more esthetic

Rotational Composite Bump

You can still use the composite bump technique for rotational corrections.

HOWEVER you need to leave the door open and ligate with a quick-tie

Not BANDS

Bonded

Smaller and more esthetic

Make sure there is a bend in the wire or the tooth will not rotate.

Not BANDS

Bonded

Smaller and more esthetic

When no longer required, you can flick out the composite bump with a scaler or gently remove with a thin fissure bur

Not BANDS

Bonded

Smaller and more esthetic

33

Place button on mesial to rotate tooth mesiallyPlace button on distal to rotate tooth distallyRotational Composite Bump

Rotating Teeth - Rotational Wedges

Rotational WedgesChoose one rotational wedge from the strip using Mathieu pliers

Place around bracket as you would an o-ring or module

Rotational Wedges

Rotational WedgesPlace arch wire through groove in wedge and secure in bracket

Dr Biju Krishnan BDSbiju@cfastasia.com