Date: Fri, 13 Oct 2006 00:19:30 -0500
From: "ESCO automatic digest system" <LISTSERV@LISTSERV.UIC.EDU>
Subject: ESCO Digest - 11 Oct 2006 to 12 Oct 2006 (#2006-34)

There are 3 messages totalling 124 lines in this issue.

Topics of the day:
1. Re: indirect bonding
2. Re: indirect bonding
3. Align Technology


Date: Thu, 12 Oct 2006 09:40:25 EDT
From: JMer1997@AOL.COM
Subject: Re: indirect bonding

Charlie et al in ESCO land I went to indirect bonding a couple of years ago and after some bumps, I am enjoying the benefits.  The way I deal with rotations in particular where I cannot get a bracket in the right place is to cut a bracket in half thus creating a single wing bracket that I can get into the proper (or almost proper position). That way I get immediate movement on the tooth and I don't wonder 6 months into treatment how I screwed up a bracket position so badly.  It is a reminder that the original tooth position was to compromised to allow proper placement.

John McDonald
Salem, OR


Date: Thu, 12 Oct 2006 09:37:02 +0200
From: "Adrian Becker" <adrianb@CC.HUJI.AC.IL>
Subject: Re: indirect bonding

To Charlie Ruff,

Elliott Moskowitz and the other apparently dwindling number of ESCO readers, The discussion regarding the severely rotated and under-erupted premolar (with the need to bond and rebond), is interesting. A sophisticated prescription bracket cannot "talk" in a language which the tooth "understands" unless it is in the mid-buccal position (overcorrected or otherwise) and at the appropriate height. Furthermore, ligating brackets in these positions with elastomerics or steel ligatures is a real pain - and how many times does the bracket pop off while you are doing it? Even when you succeed, some of these are the very devil to manipulate efficiently and may take several months to bring them to a position where the bracket may be more ideally placed. My approach to this is firstly, not to use a bracket, but to place an eyelet in its vertical axis on the tooth. This attachment is smaller and may be bonded and angulated within a greater range of positions, particularly if you use a pliable bonding base pad. A fine NiTi full archwire or sectional auxiliary wire may be threaded through it very easily and, if done carefully, it strains the adhesive much less than using a steel ligature.The eyelet effectively becomes a self-ligating attachment with as much rotation in it as you want. Most rotation and under-eruptions may be resolved in a single visit. Then bond your bracket.

Adrian Becker


Date: Wed, 11 Oct 2006 18:54:51 -0500
From: "SCOTT SMORON" <scottsmoron@COMCAST.NET>
Subject: Align Technology

Hello all,

I am surprised that no one has said anything about the OrthoClear/Align Tech deal. And personally, I don't want any repercusions against myself. But...let me float this...anyone got any comments? Anyone taking the lead on anything? Anyone got the inside scoop on what the "procedure" for submitting OC cases to Align will be? Who is converting patients to braces (I don't think I could convince a single aligner patient to do braces)? Who will never deal with corporate entities with no competitors again? I have heard interesting things. I personally will be thrilled to continue treatment on my patients. My patients will be thrilled to continue their treatment rather than sit parked in aligners. In the meantime I am limbo and would just love to hear anything more than I've heard. I am just a little orthodontist in my little office waiting to hear anything with substance and/or insight.

Scott Smoron
Mount Prospect, IL