Date: Thu, 18 Jan 2007 00:19:31 -0600
From: "ESCO automatic digest system" <LISTSERV@LISTSERV.UIC.EDU>
Subject: ESCO Digest - 16 Jan 2007 to 17 Jan 2007 (#2007-8)

There are 4 messages totalling 640 lines in this issue.

Topics of the day:
1. Nanace button and MEAW
2. Introral Nance fabrication
3. Re: MEAD
4. eigth key of occlusion?


Date: Wed, 17 Jan 2007 20:48:45 +1100
From: "Mark Cordato" <markc@IX.NET.AU>
Subject: Nanace button and MEAW

Dear Josh,

A goshgarian with the loop bent mesially and a button of Triad plastic works well for me. However, the Triad gives off a lot of heat while curing. Cure for a couple of seconds. Wait probably twenty seconds, do the same, and then wait again, maybe have the patient rinse and then fully cure. Hi Brett, Greg all, I remember having one of the guys who taught Tweed in the US come and give some lectures at Sydeny Uni 1989. It showed all the anchorage preparation and we had lots of slides with mandibular 7s banded that were buried subgingivally and out of occlusion. From a long past memory this was also shown in the Tweed text. (Let me say at this stage the objectives of MEAW is not the same as Anchorage preparation) Fast forward to Young Kim's articles on MEAW technique where similar uprighting, even 'tent peging' of the buccal segment is fudamental. At the end of treatment I love to see those 7s out of occlusion, 6s only lightly occluding and the anteriors occluding forcefully. Add to this wires that can be formed as finishing wires (Not NiTis in my hands) and with reverse curves and lots of flexibility. It takes setting up but get the buccal roots right, the alignment right and then run those anterior elastics. If the objective can be defined and is rational then until someone can show me one technique produces significantly differing results than another I continue to believe what is usually achieved by skilled practitioners in one can usually be achieved by someone using anther technique. In other words, if edgewise can do it so can Tip Edge and I would expect similar results, as an experienced Begg practioner, loops will be easier for you than those of us who didn't do Begg (much). I remember as a student bending all sorts of loops clinically. I find bending MEAW arches a challenge that is thankfully rare but rewarding. The results are often very good, sometimes not (even surgery is only 80% sucessful). I am sure lots of people would not even want to think about bending a MEAW wire therefore they must find reasons for believing they don't need to use MEAW. I suppose this raises a topic of rational basis of our decision making, but I won't go there. I suppose I will throw in a bit of caution and reality,be careful fo the roots popping out labially and buccally in rare cases, its not pretty and not fully recoverable (not every case is a winner and you should inform the patients thus), also, be careful on whom you offer this to, some people will not wear the anterior elastics enough. Brett, you asked about magic, I doubt there is any, what was seen in Tweed many decades ago is seen again in MEAW and if you drive TipEdge to move the teeth in the same way then I would be surprised if you did not achieve the same results. Regards, Mark Cordato


Date: Wed, 17 Jan 2007 17:09:05 +1000
From: "Dr P. Miles" <pmiles@BEAUTIFULSMILES.COM.AU>
Subject: Re: Introral Nance fabrication

Hi Josh,

I have used Triad material for years for exactly that purpose. It does get a little warm when light activated (I probably overdo it with 40 secs with an LED light) but never had a patient complain it was too hot. I cut ~1cm off the Triad stick and mould it around the TPA wire which is positioned more anteriorly for the Nance. I like this method as it always gives a good flush fit to the palate.

Peter Miles

Date: Wed, 17 Jan 2007 07:25:34 -0800
From: "javed parker" <docjparker@YAHOO.COM>
Subject: Re: MEAD

Dear Dr. Howard Tichler,

It's amazing to know you have been using MEAW  Technique since 26 years. This technique sounds very interesting and I would like to know more about the courses held and how could I get one of those DVD's you mentioned for the MEAW course.
You also mentioned that the MEAW Research and Technique Foundation meets biannually, could you send me details on that so I could try and attend one of these meets.  Many Thanks.

Dr. Javed Parker

Date: Wed, 17 Jan 2007 06:01:17 +0000
From: "rakesh rao annamaneni" <drrakeshrao@YAHOO.CO.IN>
Subject: eigth key of occlusion ?

Hi, As we know in addition to the "six keys of occlusion" by Andrews, the seventh key is "Tooth size". Is there any eigth key of occlusion, do let me know.

Best Regards,
Rakesh Rao