Attachments & Auxiliaries in Begg's Technique
Attachments & Auxiliaries in Begg's Technique
Attachments & Auxiliaries in Begg's Technique
Auxiliaries In Begg’s
Technique –
Description &
Application
THE BEGG TECHNIQUE
.020”
.015”
.045”
.125”
Height of slot -0.045”
.122”
Base
dim. -.122”x.125”
Pin slot dim. – 0.020”
Classification of brackets
According to constitution
Metallic (stainless steel)
bondable
weld able
Non Metallic (Aesthetic)
plastic
ceramic
According to placement
Labial
Lingual
According to anatomical bases
Flat
Curved
Plastic brackets
Made of polycarbonates
Available in tooth color or crystal clear plastic
Flat for centrals
Curved for cuspids & bicuspids
Ceramic brackets
Esthetic bracket
debonding.
Slots are formed during molding not milled
so resist to stress cracks.
Combination brackets
elastics to teeth.
vertical wall
Types of lock pins
One point safety lock pin
Used during first stage with 0.016” wire
shoulder on labial surface of head
Beveled under surface tipping(35% more)
Lab-lin width of pin in slot area is 0.024” so
rotational control with 0.016” wire
Available plain or with brake- off notch
Second stage Safety lock pins
Shoulder on labial surface of head ensure
free mesiodistal tipping
Lab-lin width of pin(0.020”) reduced 0.004”
as compare to stage 1 pins to permit use
with 0.018”or 0.020” inch wire
Available with brake- off notch
Hook pins
Used on all teeth that do not req. m-d tipping
Absence of Shoulder and hook shape permits
positive locking of arch wire and auxiliaries
in 3rd stage.
Hold to use wire against bracket in ant. tooth
with rotating spring.
High hat pins
Pin with an extension on head to readily
accept vertical or cross elastics
Can be used in any stage
stability
modified pins
Spring pin
A combination of safety lock pin and uprighting
spring
Eliminates the need for ligating the arch wire
to the bracket
Bands
Although bonding has replaced the banding there
are number of indication
Teeth that will receive heavy intermittent forces
against attach. e.g.. Molar
Teeth req. both labial & lingual attach.
Teeth with short clinical crown
Tooth surface incompatible to bonding
Although there are exceptions, the rule
in cotemporary orthodontics
Anteriors bonded
Bands
can be custom made or preformed (with or
without attach.)
Molar tubes
Designed to permit free m-d sliding of arch wire
free distolingual tipping of anterior teeth
End tab
Combination tube
Consist of gingival round tube 0.036”diametre x
6.2mm long & rectangular (ribbon) occlusal
tube 0.025”x 0.018” dia x 5.5 mm long
is undesirable.
Problems
Should not be used more than 6 weeks (2 point
contact) restrict free mesiodistal tipping
Exerts more lateral force on arch wire move the
molar more readily than less powerful elastic thread
ties
Mollenhauer’s Aligning Auxiliary (MAA)
Auxiliary
should resist deformation (resilient
supreme grade pulse straighten wire)
Angulated T pin
Root tipping auxiliaries
the paralleling auxiliaries commonly
termed as, uprighting springs
Principal
Employs the principal of potential energy of the
resilient arch wire.
Indications
1. Bimaxillary proclination or class II div. 1
Udder type
Brandt type
Fabricated from 0.014 “ resilient wire.
Easy to fabricate .
Good activation control.
Easy to maintain hygiene.
Easily fitted incisally distal to each bracket.
Activation should be moderate.
Buccal arm either end distal to canine but passes
through molar teeth
Udder type
0.014 “ or 0.016 “.
There is no bracket engagement
except for canine.
Difficult to activate for individual
teeth.
Difficult to maintain oral hygiene.
Pre–wound torquing auxiliary (mouse trap
type)
Designed by Begg in 1955.
Disadvantages
- difficult to fabricate
- Single root torquing or reverse root torquing is
impossible
- Unilateral torquing is impossible
Kitchton Torquing Auxiliary (KITCHTON, 1967, JCO)
Produce strong action should only
be used in conjunction with a heavy
archwire (.020 to .025 ) .
Types
the two-tooth auxiliary(0.016”)
the four-tooth auxiliary.
Individual Torquing Auxiliary (A. J. O'MEARA JCO 1986)
lingual root torque for individual
teeth. It is activated by extending
terminal hooks over the arch wire.
Activation can be increased by
shortening the hooks, or by
displacing the outer arms
lingually relative to the body
of the spring.
Uprighting Torquing Auxiliary (A. J. O'MEARA JCO 1986)
similar to a pin uprighting spring.
provides root torque as well as
uprighting.
spring is engaged in the bracket
above the main archwire.
it is activated by extending the hook
over the archwire.
also helps lock the archwire in the
bracket.
Single root torquing Auxiliary (kesling)
Useful for any tooth except molar
Made from 0.012” premium plus wire
buccal palatal
Universal Torquing Auxiliary (JACK PERLOW JCO 1973)
can be used
on extraction and non-extraction cases;
on upper and lower teeth;
on centrals or laterals;
for labial or lingual torque.
on .020 round wire in a Begg technique
on edgewise wire
on a Hawley retainer. ( .012 wire), since a heavier
auxiliary will dislodge the retainer.
Reverse torquing aux. for controlling the roots of
canines and premolars (Tan, JCO, 1987)
Made from.014" wire in conjunction with an .018"
or .020" main archwire,
effective to perform an extensive labial canine
root movement to produce a canine eminence.
For palatally impacted canines which require labial
root torque.
Buccal root torque on molars
during third stage if molar crown rolled buccally
roots need torque
0.014’ wire,
boot design,
twisted lingually & toe in
Torque Bars