Topics of the day: 1. Re:
Filling the bracket slots & two unrelated questions
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Dear Group, Two unrelated questions and one answer. 1. I have a 14 year male who has lost one maxillary central incisor to trauma. Currently, the original crown is bonded to the adjacent incisor. He would like to have invisalign treatment. The existing central incisor needs movement. I understand that the aligners can be made with a pontic within the plastic but the question is does someone have a solution for removing trays during eating? Remember, this is an adolescent at high school 2. Has anyone tried Hewlett Packard's eight ink jet printers? I currently use Epson and feel I am cleaning the heads every other day. John Christensen
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The bracket can be bonded to the archwire ,slightly overlapping the bracket wings, to create a more stable tooth, we use this even with smaller archwires in initial alignment. Richard Crowder
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Hello all. 1) Tooth jiggling/filling slot..... 50% of my practice is adult due to the area I am in and I have found that rather that dealing with the slop of the arch wire /bracket interface with a pontic I actually will bond the tooth directly to the wire with transbond LR by fitting the pontic in the edentulous area and shaping the gingival aspect, cutting some retention into the facial aspect of the tooth for the lr to grag onto, placing the pontic directly on the wire in the mouth(getting it exactly in the proper inclination and flowing the transbond onto the pontic and around the archwire, then curing)That way there is no slop/jiggling around a square/ rectangular wire. If you need to use sliding mechanics you can coat the archwire with a thin layer of vaselins before you bond the pontic tooth to the wire..this will allow the tooth to slide on a very exact tube you formed around the wire Hope that helps
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To Timothy Mc Sweeney, a suggestion to avoid jiggling of a temporary prosthetic tooth : even if the brackett is not filled at all by the arch wire : bond a drop of clear triad gel on the brackett with the wire inplace . If you want to remove it the next appointment : break the Triad gel in pieces with a pointed cutter ...it's so easy enjoy Triad gel..
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Hi Tim, You could also put on your magicians cap by taking along a piece of Copper NiTi wire, tying a couple of SCOUT (tenderfoot) knots with it and then dunking it in hot water– that always goes down well. John Mamutil SYDNEY, AUSTRALIA
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Hello all Suggestions on ten year old office outing grab a few thermally active wires ,chill them, deform the wire and have the kids breath on the them or run them under hot water... the kids think it's cool to watch them magically restraighten. If they breath on them yu can kid them that there breath is really strong. another fun thing is to place a little light cured composite or triad on a their finger nail , show them that its moldable then light cure with the "magic light( careful with triad as it can get hot) the kids think that cool that it gets hard. Hope that helps Robert Rudman
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does anyone have an informed consent to use with mini screws? thanks
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Dear Doctors, we know the developmental process of palate(1premaxilla,2 lateral halfs totaly three parts).during maxillary expansion treatment how midline diastema develops,stricly viewing we always should use threedimentional expansion screws only.please somboby clarify my doubt. Dr.N.Kurinchi Kumaran
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In the 1984 AJO (it was the AJO then) Glassman published an article on Conservative surgical orthodontic adult rapid palatal expansion: sixteen cases. It was the first corticotomy article I read and I've done about 70 of those over the years and really like the results especially under the age of 30. Recently, a resident brought this up with an oral surgery faculty member and was told that corticotomy along without seperation of the nasal septum from the maxilla leaves too much chance of a deviated septum. I've never heard of that nor do I remember it as a problem for patients. Any thoughts? thanks charlie ruff
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