Date: Thu, 24 Aug 2006 00:12:04 -0500
From: "ESCO automatic digest system" <LISTSERV@LISTSERV.UIC.EDU>
Subject: ESCO Digest - 17 Aug 2006 to 23 Aug 2006 (#2006-23)

There are 2 messages totalling 234 lines in this issue.

Topics of the day:
1. Graves Disease
2. My experience with Tip-Edge


Date: Mon, 21 Aug 2006 11:59:04 -0400
From: "charles ruff" <orthodmd@MAC.COM>
Subject: Graves Disease

I submitted this last Thursday but it was not included in the most recent ESCO material so I am submitting it again.
charlie ruff

Date: Fri, 18 Aug 2006 23:15:35 -0400
From: "Bradley Nirenblatt, D.M.D." <drnirenblatt@MAC.COM>
Subject: My experience with Tip-Edge

I also was trained at Columbia University like Dr. Bruno (Hi Bob!) in Edgewise, Begg and Tip-Edge by Dr. Meistrell and Graduated in 1991. Like most graduates, I went into practice using edgewise mechanics such as Jasper Jumpers, Herbst Appliances, Pendulums etc. I was most happiest with the Herbst in Class II corrections but did not enjoy all the hardware in my patient's mouths and the chair time cutting off the steel crowns. My cases also never quite had enough upper incisor torque and lower incisors were flared. Retention mandated fixed lower retainers.  I knew there was an easier way and remembered how nicely my Class 2 Tip-Edge cases went in my residency. About 6 years ago , I switched back to Tip-Edge and have never regretted it. Thanks Dr. Meistrell and Columbia!
I start my patients on the day of their banding with .016 wires and 2oz. Class II's attacking their overbite and overjet from Day 1 when they are motivated. I have never received a call that they are in pain. My cases typically use 4 sets of wires: .016,.022,.0215x.028 and 19x25 Braided. In Stage three we see patients every 8 to 12 weeks. My finished cases are superior to my edgewise by having nice upper incisor torque and lower incisor labial root torque and distal root tip. My staff enjoys the technique as well as wire changes are easier with the interbracket space and not having to cement in bulky devices. I also like the savings in lab costs.
In regards to the new plus ceramic bracket, I try to avoid them, but have not had bases delaminate. This is one of  the smallest ceramics on the market which makes it nice.
In regards to other comments about extractions, I have extracted upper 6's in Class II nongrowers with a good lower arch (no deep curve of spee or crowding). I have also extracted all 7's which works great because the slots allow everything to tip distally. I have also extracted lower 6's in Class III cases with great results. I also agree about removing the 5's in class II cases.
I really enjoy the technique and the esthetics of the small brackets and like others in this discussion do not understand why more orthodontists are not trying Tip-Edge. 
Bradley Nirenblatt, D.M.D. Charleston, SC