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    Multiband Technics.: Dr. Kaán Miklós

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    MariaBoicu
    This document discusses the history and evolution of multiband techniques in orthodontics. It describes early appliances developed by Edward Angle in the early 20th century using wires and bands to move teeth. It also discusses techniques developed by Tweed, Begg, Ricketts, and Andrews that used lighter wires and improved brackets to facilitate tooth movement. The straight-wire technique developed by Andrews in the 1970s aimed to achieve precise control over tooth angulation, torque, and positioning using pre-shaped archwires and slots in brackets. Overall, the document traces how multiband techniques transitioned from heavy forces using gold wires to more refined approaches using materials like stainless steel and nickel-titanium to precisely control tooth movement.

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    © All Rights Reserved

    Multiband Technics.: Dr. Kaán Miklós

    Uploaded by

    MariaBoicu
    161 views64 pages
    This document discusses the history and evolution of multiband techniques in orthodontics. It describes early appliances developed by Edward Angle in the early 20th century using wires and bands to move teeth. It also discusses techniques developed by Tweed, Begg, Ricketts, and Andrews that used lighter wires and improved brackets to facilitate tooth movement. The straight-wire technique developed by Andrews in the 1970s aimed to achieve precise control over tooth angulation, torque, and positioning using pre-shaped archwires and slots in brackets. Overall, the document traces how multiband techniques transitioned from heavy forces using gold wires to more refined approaches using materials like stainless steel and nickel-titanium to precisely control tooth movement.

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    Multiband-technics

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    This document discusses the history and evolution of multiband techniques in orthodontics. It describes early appliances developed by Edward Angle in the early 20th century using wires and bands to move teeth. It also discusses techniques developed by Tweed, Begg, Ricketts, and Andrews that used lighter wires and improved brackets to facilitate tooth movement. The straight-wire technique developed by Andrews in the 1970s aimed to achieve precise control over tooth angulation, torque, and positioning using pre-shaped archwires and slots in brackets. Overall, the document traces how multiband techniques transitioned from heavy forces using gold wires to more refined approaches using materials like stainless steel and nickel-titanium to precisely control tooth movement.

    Copyright:

    © All Rights Reserved
    161 views64 pages

    Multiband Technics.: Dr. Kaán Miklós

    Uploaded by

    MariaBoicu
    This document discusses the history and evolution of multiband techniques in orthodontics. It describes early appliances developed by Edward Angle in the early 20th century using wires and bands to move teeth. It also discusses techniques developed by Tweed, Begg, Ricketts, and Andrews that used lighter wires and improved brackets to facilitate tooth movement. The straight-wire technique developed by Andrews in the 1970s aimed to achieve precise control over tooth angulation, torque, and positioning using pre-shaped archwires and slots in brackets. Overall, the document traces how multiband techniques transitioned from heavy forces using gold wires to more refined approaches using materials like stainless steel and nickel-titanium to precisely control tooth movement.

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    © All Rights Reserved
    of 64

    Multiband technics.

    Dr. Kaán Miklós

    SEMMELWEIS EGYETEM
    Gyermekfogászati és
    Fogszabályozási Klinika
    Multiband technikák
    • Multiban-multibond appliance is usually
    the 2. part of the orthodontic treatment
    • Multibond is used in permanent denture
    12-13
    • Multibond is the only appliance which is
    able for the perfect alignment and bodily
    movement (torque, angulation)
    Early orthodontic treatment
    (interceptív orthodontics, orthodontic
    prevention)
    • 1. phase of the orthodontic treatment:

    - in mixed dentition
    traetment of serious sceletal problems (in intensive growing,
    developmental period)
    - we can avoid the irreversible deformation of the denture
    - a nem kívánatos kompenzáló mechanizmusok kiiktatása
    - We solve a lot of local anomaly (crossbites, diasthema medianu
    space
    maintening)
    - less extraction and less surgery after early orthodontic treatme
    - less relapse after early orthodontic treatment
    4
    - good psichological effect
    Multiband technics in the XX.
    century
    • -1902. Angle: E- arch
    • -1911. Angle: Pin and tube appl.
    • -1916. Angle: Ribbon arch appl.
    • -1928. Angle: Standard edgewise
    • Edgewise technic Angle , Tweed
    • Light wire technic Begg
    • Bioprogressive technic Rickett
    Straight-wire technic Andrews
    Angle Expansion arch (E arch) 1907

    E arch with hooks


    Teeth were connected to the arch
    with metal ligatures (injury of the
    Rigid gold wire
    marginal gingiva !!)

    Heavy forces
    Pin and tube appliance 1913 (Angle)

    Metal bands, vertical tubes , good labiolingual movement


    The pin was connected to the gold wire

    Rigid gold wire

    Heavy foerces
    Ribbon arch 1915 (Angle)

    New bracket with vertical slot


    and „ribbon arch” (gold).

    Ribbon arch type bracket


    Edgewise appliance 1928 (Angle)
    •Horizontal slot instead of vertical slot
    •Edgewise wire =rectangular wire
    Előnyei:
    •Good movement controll
    •Bodily movement !!
    Hátrányai:
    •Lot of bending (in-out, torque,
    angulation)
    •Expensive - gold
    Edgewise bracket (Angle)

    1. 0.022”x0.028”
    horizontal slot

    2. Standard edgewise system


    Development of the appliances
    Angle
    készülékek

    Tweed
    Standard Edgewise
    Ricketts
    Bioprogresszív technika
    Begg
    Light wire technika
    Andrews
    Straight-wire technika
    TWEED EDGEWISE
    APPLIANCE

    Charles H. Tweed
    1895- 1970
    He was not satisfied with Angle’ conception
    (nonextraction treatment, face esthetic)

    1941- „basal bon” conception


    Strategy of Tweed
    1In this slide I summarized the 7 main ideas and the results
    of his new concept. Actually, he was the first one who
    realised the importance of the facial aesthetics. He also
    modernised the orthodontic diagnoses. He was the first
    one who used the cephalometrics in the clinical practice.
    He introduced new treatment concepts: for example the
    serial extraction.
    .
    Anchorage control first the canine distalisation and the
    front togeder
    Three different kind of bending

    In-out Angulatio Torque


    Begg light wire, multiloop technic

    Vertical loop

    Begg’s bracket
    Begg technic
    (multiloop technic)
    Three main type of tooth movement in Begg mechanics:
    Ausztralian wire (Begg), Round cross section 0,016

    1. Intrusion, extrusion
    2. Tilting, rotation
    3. „Multiloop” appliance

    Difficult, copmlicated technic with lot of loops


    RICKETTS BIOPROGRESSiV
    THERAPY (1965)

    • Utility wire

    • Loops Robert Murray Ricketts

    • Szectional wires (not for the whole arch)

    • Quad-helix

    • Ricketts examined patient’s actual


    development and it influences the treatment
    plan and the
    0.018” slot (Ricketts )

    Stainless steel wire instead of gold


    Elgiloy wire (Ricketts )

    • Material:
    Cobalt(40%)
    Crom(20%)
    Fe(15,81%)
    Ni(0,15%),
    Mo (7%),
    Mn(2%),
    Beryllium(0,04%)
    C (15%),
    • A special kind of
    stainless steel (softer)
    Utility wire (Ricketts )

    • . We use the arch for both vertical


    and sagittal corrections.
    Sectional wire (Ricketts )
    The utility arch with the sectional one. In this situation
    the sectional arch is for the distalisation of the canine.
    The utility arch treats the incisors.

    Intermaxillary anchorage
    The same way as Begg also Ricketts
    used loops for space closure

    • Upper retraktor loop

    • Lower retractor loop

    • Delta loop
    „T” loopok

    • To rotate the premolars


    • Leveling of Spee curve
    Ricketts quad-helix
    • Expansion in
    mixed and
    permanent
    denture
    I. case

    • Angle III. class


    • Narrow upper arch
    (quad-helix)
    • Anterior crossbite
    • (utility arch)
    Sectional wire to distalise the canine
    and
    utility arch for the correction of the
    anterior crossbite
    Direkt ragasztott bracket
    End of the treatment
    New material: Nickel-titánium
    ANDREWS - STRAIGHT-WIRE
    Appliance

    • Andrews’ „six keys”


    • Triple-Control bracket Lawrence F.
    Andrews
    • Nickel–titanium wires
    • 5 stages in the treatment
    Andrews „six keys”

    1. Szabályos moláris és szemfog viszony


    2. Mesio-distal korona inklináció (angulatio) a bracketekben
    3. Labio-lingual korona inklináció (torque) a bracketekben
    4. Rotáció mentes fogazat
    5. Feszes kontaktpontok
    6. Lapos Spee görbe
    Triple control brackets (Andrews)

    • Angulatio
    • Torque
    • In-Out (Distal offset)
    Standard edgewise system - Straight-wire system

    Torque – third order bend


    Angulation – second order bend
    In-out – first order bend

    An ideal wire has to be bended to reach the optimal position


    of each tooth
    Different arch forms

    Ovális Oval and Long and Long and


    Normal
    long narrow wide
    Stages of the treatment(Andrews)

    • Leveling

    • Leading phase

    • Contraction phase

    • Final, correction phase

    • Retention
    1. Leveling phase - alignment
    Alignment – leveling phase
    Torque
    Angulation
    1. Leveling phase - alignment

    • Leveling of the
    vertical
    discrepansies of
    the dental arches
    is also necessary
    Pl: Spee-Curve
    Rectangular niti wires are also used at the
    end of the leveling phase
    anti Spee wire
    The leveling phase is succesfull is there is enough
    space in the arch
    The treatment of the sceletal (transversal, sagittal etc.) anomalies should
    be treated in the late mixed dentition
    ( durin intensive develeopment)

    Possibilities for space gaining:

    1. Expansion:: hyrax (sceletal effect), quad-helix,


    transzpalatal bar
    2. Distalisation of the first molar: headger, pendulum,
    distal-jet
    3. Extraction: most frequently premolars
    4. Stripping
    1. Leveling phase – alignment
    archwires: round wires:
    • (0,012 inch NiTi or TMA), 0,014 inch NiTi or TMA
    • 0,016 inch NiTi or TMA, (0,016 Stainless steel
    wire)
    rectangular wires
    • 0,016 x 0,016 NiTi or 0,016 x 0,016 braided wire
    (SS)
    • 0,016 x0,022 NiTi 0,016x 0,022 braided wire
    (SS)
    1. Leveling phase – alignment
    Archwires:
    Twist-felx or coaxial wire (stainless steel) -weak round wires

    Braided wire- stainless steel


    Utility arch

    (for correction phase)

    stainless steele wire

    0,016x0,022 SS
    4. Correction phase
    to solve the problems (gaps, rotation, axis correction)

    5. Retention
    2. Leading phase – the move the canines
    premolars, molars to the finel position
    and to proper occlusion
    BODILY MOVEMENT !!
    The crown and the root are moving
    together
    Wires: stainless steel : 0,016x0,016
    0,016x0,022
    The only function of the rigid wire : leading,
    Splinting the teeth
    2. Leading phase –
    movement of the lateral teeth
    Bodily movement: the crown and
    the root move together

    Wire: rectangular stainless steel


    Leading phase

    • Distalisation of the canines


    (fe: after extractions)

    • To reach the correct occlusal


    units between the canines,
    premolars, molars

    • 0,16x0,16 vagy 0,16x0,22


    stainless steel
    II. class, four premolar extraction
    Leading phase
    2. Leading phase: movement of the canines, premolars,
    molars

    The function of teh archwires: leading of the teeth (as a rigid splint)
    Forces for the tooth movement
    Elastic chain

    Tight metal ligature

    Nikkel-titánium spring (for space closure)

    Intermaxillary elastics
    Intermaxilláry elastics:
    Intramaxillary tooth movement
    Intermaxillary elastics for the correction of II. III. class anomalies

    Treatment of the II. class anomaly

    Distalisation of the canine


    The wires prohibit the tilting and the rotation

    Loop for space closure (less frictio

    Tight metal ligatures


    ANCHORAGE !!
    Transzpalatal bar

    Orthodontic implants

    Nance appliance

    Headger
    3. Contraction phase
    adjustment of the incisors
    3Contraction phase

    The incisors are moved together, in one block


    All the dimension are determined (vertical, sagittal)
    3. Contraction phase
    adjustment of the incisors
    Loops between the canine Intermaxilláry elastics
    and the lateral incisor

    Intermaxilláry elastics
    Elastic chain
    Wit working arch
    4. Final, correction phase
    To solve the rest problems: small
    gaps, small rotations

    We want to reach the perfect occlusal


    units

    At the end of the treatment


    0,17x0,22; 0,17x0,25 stainless steel
    wire is necessary to utilise the the
    torque, angulation, in-out values
    4. Correction phase
    To harmonise the occlusion
    Proper tooth axis
    Correction of assimetry
    Retention phase

    To keep the result


    5. Retention
    MIT HASZNÁLUNK MANAPSÁG?

    • Angle diagnosztikai rendszerét


    • Cephalometriai analízist – Hasund, Ricketts, Steiner, Mcnamara
    • Nickel titánium íveket
    • Rozsdamentes acélíveket
    • Loopokat, ívhajlításokat
    • Intermaxilláris gumihúzásokat
    • Utility ívet – Ricketts
    • Triple kontrol bracketeket - Andrews
    • Straight wire technikát – Andrews
    Köszönöm a megtisztelő
    figyelmet

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