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    Placing Piggy Back An Easy Way Out

    Uploaded by

    Mawar Putri Julica
    This document describes an innovative technique for securing a piggy back nickel-titanium archwire with a stainless steel base archwire during orthodontic treatment. The key steps are: 1. Placing elastomeric separators between teeth where the piggy back wire will be placed, with the separators extending above the teeth. 2. Passing the piggy back wire through the separators so it rests against the bracket slots. 3. Ligating an front tooth to stabilize the wire. 4. Placing the stainless steel base archwire on top for additional stability. 5. Removing the separators after engaging the base archwire. This technique simplifies placement of the piggy back wire.

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    © All Rights Reserved
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    Placing Piggy Back An Easy Way Out

    Uploaded by

    Mawar Putri Julica
    276 views2 pages
    This document describes an innovative technique for securing a piggy back nickel-titanium archwire with a stainless steel base archwire during orthodontic treatment. The key steps are: 1. Placing elastomeric separators between teeth where the piggy back wire will be placed, with the separators extending above the teeth. 2. Passing the piggy back wire through the separators so it rests against the bracket slots. 3. Ligating an front tooth to stabilize the wire. 4. Placing the stainless steel base archwire on top for additional stability. 5. Removing the separators after engaging the base archwire. This technique simplifies placement of the piggy back wire.

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    Placing Piggy Back an Easy Way Out

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    Placing Piggy Back an Easy Way Out

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    This document describes an innovative technique for securing a piggy back nickel-titanium archwire with a stainless steel base archwire during orthodontic treatment. The key steps are: 1. Placing elastomeric separators between teeth where the piggy back wire will be placed, with the separators extending above the teeth. 2. Passing the piggy back wire through the separators so it rests against the bracket slots. 3. Ligating an front tooth to stabilize the wire. 4. Placing the stainless steel base archwire on top for additional stability. 5. Removing the separators after engaging the base archwire. This technique simplifies placement of the piggy back wire.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    276 views2 pages

    Placing Piggy Back An Easy Way Out

    Uploaded by

    Mawar Putri Julica
    This document describes an innovative technique for securing a piggy back nickel-titanium archwire with a stainless steel base archwire during orthodontic treatment. The key steps are: 1. Placing elastomeric separators between teeth where the piggy back wire will be placed, with the separators extending above the teeth. 2. Passing the piggy back wire through the separators so it rests against the bracket slots. 3. Ligating an front tooth to stabilize the wire. 4. Placing the stainless steel base archwire on top for additional stability. 5. Removing the separators after engaging the base archwire. This technique simplifies placement of the piggy back wire.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 2

    [Downloaded free from http://www.apospublications.com on Wednesday, September 28, 2016, IP: 213.93.7.

    242]

    Clinical Innovation

    Placing piggy back: An easy way out

    Abhay Kumar Jain, Abstract


    Raj Kumar Jaiswal,
    Sudhir Kapoor1 Use of piggy back nickel-titanium (NiTi) archwire with stainless steel base archwire is
    often a part of an orthodontic treatment mechanics. Here is an innovative method for
    Department of Orthodontics & securing the piggy back.
    Dentofacial Orthopedics,
    1
    Sardar Patel Postgraduate Institute
    of Dental and Medical Sciences, Key words: Piggy back, archwire, orthodontics
    Lucknow, Uttar Pradesh, India

    INTRODUCTION PROCEDURE
    Correction of certain malocclusions such as a single tooth 1. Place elastomeric orthodontic separators between
    cross bite and palatally or lingually placed tooth [Figure 1] the canine and premolar/first and second premolars,
    often requires the use of piggy back NiTi archwire attached with a portion of each separator extending above the
    with a stainless steel base archwire. The placement of the occlusal surfaces [Figure 2].
    piggy back NiTi is a cumbersome procedure. The following 2. Pass the ends of the NiTi wire through the separators
    procedure provides a simplified method for securing the so that the anterior segment of the wire is in passive
    piggy back NiTi wire with stainless steel base archwire. contact with the bracket slot of the anterior teeth
    [Figure 3].
    3. Ligate the instanding tooth (Central incisor) with
    ligature wire [Figure 4].
    4. Place stainless steel base archwire above NiTi wire for
    stability [Figure 5].
    5. After ligating stainless steel base archwire cut and take
    out the separators [Figure 6].

    Figure 1: Malocclusion showing anterior single tooth crossbite

    Access this article online


    Quick Response Code:
    Website:
    www.apospublications.com

    DOI:
    10.4103/2321-1407.125747
    Figure 2: Elastomeric orthodontic separators between the canine
    and premolar

    Address for correspondence:


    Dr. Abhay Kumar Jain, Department of Orthodontics & Dentofacial Orthopedics, Sardar Patel Postgraduate Institute of Dental & Medical Sciences,
    Lucknow, Uttar Pradesh, India. E-mail: [email protected]

    26 APOS Trends in Orthodontics | January 2014 | Vol 4 | Issue 1


    [Downloaded free from http://www.apospublications.com on Wednesday, September 28, 2016, IP: 213.93.7.242]

    Jain, et al.: Easy way for piggy back archwire

    Figure 4: Instanding tooth (central incisor) ligated with ligature wire


    Figure 3: Placing nickel-titanium wire through the separators
    maintaining passive contact with the bracket slot of the anterior teeth

    Figure 6: Separators removed

    Figure 5: Stainless steel base archwire placed above nickel-titanium


    wire for stability
    and removed after the engagement of the stainless steel
    base archwire.
    CONCLUSION
    How to cite this article: Jain AK, Jaiswal RK, Kapoor S. Placing piggy
    back: An easy way out. APOS Trends Orthod 2014;4:26-7.
    In this procedure handling of the piggy back wire becomes
    easier as it is engaged into the separators, which can be cut Source of Support: Nil. Conflict of Interest: None declared.

    APOS Trends in Orthodontics | January 2014 | Vol 4 | Issue 1 27

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