ARCHWIRE SEQUENCE DAMON SYSTEM EUROPEAN DAMON MASTER

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Presentation transcript:

ARCHWIRE SEQUENCE DAMON SYSTEM EUROPEAN DAMON MASTER RAFAEL GARCIA ESPEJO CORDOBA (SPAIN)

ARCHWIRE SEQUENCE PHASE 1: INITIAL LIGHT ROUND WIRE Never anything larger than an .014 or .013 CuNiTi. Goal: to initiate alignment, leveling, bite opening, arch development, and to resolve 90% of the rotations. Duration: 10-20 weeks Appointment Intervals: 10 weeks EUROPEAN DAMON MASTER RAFAEL GARCIA ESPEJO CORDOBA (SPAIN)

ARCHWIRE SEQUENCE Phase 1: INITIAL LIGHT ROUND WIRE .014 Damon CuNiTi (Upper/Lower) Main initial archwire – starts tooth movement, works on rotations, leveling, archform, prepares for next wire .013 Damon CuNiTi (Upper/Lower) Use for severely crowded cases .016 Damon CuNiTi (Upper/Lower) Use as a secondarchwire in severely crowded cases. EUROPEAN DAMON MASTER RAFAEL GARCIA ESPEJO CORDOBA (SPAIN)

ALWAYS CHECK THE WIRES FOR PERMANENT DEFORMATIONS AT THE 10 WEEK APPOINTMENT! LORENZO CANO INMACULADA

NEVER START WITH AN ARCHWIRE LARGER THAN .014 Cu NiTi ARCHWIRE SEQUENCE NEVER START WITH AN ARCHWIRE LARGER THAN .014 Cu NiTi ENGAGE ALL TEETH EUROPEAN DAMON MASTER RAFAEL GARCIA ESPEJO CORDOBA (SPAIN)

ARCHWIRE SEQUENCE PHASE 2: HIGH-TECH EDGEWISE Goal: Resolve remaining rotations, begin torque control and anterior space consolidation, and continue/finish arch development Average time: 20-30 weeks Appointment interval: 8-10 weeks for first wire, 4-6 weeks for second EUROPEAN DAMON MASTER RAFAEL GARCIA ESPEJO CORDOBA (SPAIN)

ARCHWIRE SEQUENCE PHASE 2: HIGH-TECH EDGEWISE .014 x .025 CuNiTi – Upper/Lower A great wire for initial rotation control and leveling .018 x .025 CuNiTi – Upper/Lower A great transition wire for enhanced rotation control prior to stainless steel and sliding mechanics. .016 x .025 CuNiTi – Upper/Lower EUROPEAN DAMON MASTER RAFAEL GARCIA ESPEJO CORDOBA (SPAIN)

ARCHWIRE SEQUENCE PHASE 2: HIGH-TECH EDGEWISE (case-specific alternatives) .017 x .025 Reverse Curve Ni-Ti Normally used with 20°anterior torque for severe Class II Division II cases between .014 x .025 and .018 x .025 wires (If only intrusion needed, use same size wire without 20° torque). .019 x .025 Reverse Curve Ni-Ti Normally used with 20°anterior torque for severe Class II Division II cases between .014 x .025 and .018 x .025 wires (If only intrusion needed, use same size wire without anterior torque). EUROPEAN DAMON MASTER RAFAEL GARCIA ESPEJO CORDOBA (SPAIN)

ONLY IN UPPER ARCH ARCHWIRE SEQUENCE PHASE 2: HIGH-TECH EDGEWISE (CLASS II/2) .017 x .025 Reverse Curve Ni-Ti with 20°anterior (+) torque .019 x .025 Reverse Curve Ni-Ti with 20°anterior (+) torque ONLY IN UPPER ARCH EUROPEAN DAMON MASTER RAFAEL GARCIA ESPEJO CORDOBA (SPAIN)

G&H ONLY IN LOWER ARCH ARCHWIRE SEQUENCE PHASE 2: HIGH-TECH EDGEWISE (DEEP BITES) .017 x .025 Reverse Curve Ni-Ti with 20°anterior (-) torque .019 x .025 Reverse Curve Ni-Ti with 20°anterior (-) torque ONLY IN LOWER ARCH EUROPEAN DAMON MASTER RAFAEL GARCIA ESPEJO CORDOBA (SPAIN)

PHASE 2: HIGH-TECH EDGEWISE (case-specific alternatives) ARCHWIRE SEQUENCE PHASE 2: HIGH-TECH EDGEWISE (case-specific alternatives) with 20° anterior torque .017 x .025 NiTi .019 x .025 NiTi Used when torque desired in the anterior without the intrusive forces of the reverse curve or for uprighting lower incisors. EUROPEAN DAMON MASTER RAFAEL GARCIA ESPEJO CORDOBA (SPAIN)

ARCHWIRE SEQUENCE AVAILABLE UPPER ARCH (+) TORQUE LOWER ARCH EUROPEAN DAMON MASTER RAFAEL GARCIA ESPEJO CORDOBA (SPAIN)

REBONDING APPOINTMENT IMPORTANT!!!! REBONDING APPOINTMENT TAKE A PANOREX BEFORE TRANSITIONING BETWEEN LAST HIGH TECH EDGEWISE (CU NITI) AND STAINLESS STEEL ARCHWIRE AND CHECK BRACKET POSITIONING .

last rectangular Cu NiTi PANOREX AND REBONDING APPOINTMENT ARCHWIRE SEQUENCE After working last rectangular Cu NiTi PANOREX AND REBONDING APPOINTMENT stainless steel EUROPEAN DAMON MASTER RAFAEL GARCIA ESPEJO CORDOBA (SPAIN)

ARCHWIRE SEQUENCE PHASE 3: MAJOR MECHANICS (working phase of treatment) Goal: Finish torque control, posterior space closure, and make vertical, A.P. and bucco-lingual corrections. Elastics. Average time: 20 weeks Appointment interval: 6-8 weeks EUROPEAN DAMON MASTER RAFAEL GARCIA ESPEJO CORDOBA (SPAIN)

ARCHWIRE SEQUENCE Phase 3: MAJOR MECHANICS .019 x .025 SS – Upper & Lower (Pre-posted) Excellent archwire to maintain integrity of arch during AP correction and space closure. Great for vertical control. .016 x .025 SS – Lower (Pre-posted) Used in lower arch where more play is desired. Nice finishing wire in lower arch if all the torques are acceptable. EUROPEAN DAMON MASTER RAFAEL GARCIA ESPEJO CORDOBA (SPAIN)

ARCHWIRE SEQUENCE PHASE 4: FINISHING Goal: Make any remaining detailed archwire bends to complete the case. Elastics. Average time: 10-20 weeks Appointment interval: 4-6 weeks EUROPEAN DAMON MASTER RAFAEL GARCIA ESPEJO CORDOBA (SPAIN)

ARCHWIRE SEQUENCE PHASE 4: FINISHING .019 x .025 SS Upper (pre-posted) .016 x .025 SS Lower (pre-posted) Most cases finished with the working archwires. If more than minor bends and torque are required to finish, use edgewise TMA: .019 x .025 TMA Upper .017 x .025 TMA Lower Regular TMA – 3X friction SS Honey Dew TMA – 11/2 X friction SS Purple TMA – Same friction as SS EUROPEAN DAMON MASTER RAFAEL GARCIA ESPEJO CORDOBA (SPAIN)

INITIAL ARCHWIRES SEQUENCE 2.001 .014 CuNiTi .016 x .025 CuNiTi .019 x .025 S.S. ¿.019 x .025 TMA ? EUROPEAN DAMON MASTER RAFAEL GARCIA ESPEJO CORDOBA (SPAIN)

REGULAR ARCHWIRE SEQUENCE .014 CuNiTi .014 x .025 CuNiTi .017 x .025 NiTi Spee .019 x .025 NiTi Spee .018 x .025 CuNiTi .017 x .025 N. S. T 20º .019 x .025 N. S. T 20º .019 x .025 S.S. .019 x .025 TMA ? EUROPEAN DAMON MASTER RAFAEL GARCIA ESPEJO CORDOBA (SPAIN)

GREAT CROWDING WIRE SEQUENCE .013 CuNiTi .016 CuNiTi .014 x .025 CuNiTi .016 x .025 CuNiTi .018 x .025 CuNiTi .019 x .025 S.S. .019 x .025 TMA ? EUROPEAN DAMON MASTER RAFAEL GARCIA ESPEJO CORDOBA (SPAIN)

SUMMARY