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Stages in Orthodontic Treatment

Orthodontic treatment involves 3 main stages - an initial alignment and levelling stage to straighten teeth, a second stage to correct bites and close extraction spaces, and a final finishing stage to refine the results before retaining the new smile. Various techniques are used at each stage like brackets, bands, wires, and aligners to gradually guide teeth into their desired positions.

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David Fernandez
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335 views32 pages

Stages in Orthodontic Treatment

Orthodontic treatment involves 3 main stages - an initial alignment and levelling stage to straighten teeth, a second stage to correct bites and close extraction spaces, and a final finishing stage to refine the results before retaining the new smile. Various techniques are used at each stage like brackets, bands, wires, and aligners to gradually guide teeth into their desired positions.

Uploaded by

David Fernandez
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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STAGES IN ORTHODONTIC

TREATMENT
DIAGNOSIS & TREATMENT PLANNING

Cephalometric Xray Panoramic Xray

2R Picture Cast Model


ORTHODONTIC CHART
special thanks to
Dr. Maridin Lacson
IBO CEPHALOMETRICS
.022 SLOT
.022 x .028
.018 SLOT
.018 x .022
follow long axis
of the tooth
bracket slot .022

Bracket slot
To
Incisal edge
For central incisor
= 4.5mm
vertical scribe line
must follow
long axis of the tooth
Ball Hook Vertical Scribe
Line

BRACKET ID

Slot gingival
curved
BRACKET
MESH

incisal
flat
tie
wings
DRI-ANGLES
Alphadent
Dental domain
Reflector side
towards buccal
surfaces of teeth Cotton side
towards buccal
mucosa
Bracket with
positioning jigs
ADHESIVE

Call Ahescor
09162703280
MR. RAYMOND
FOR 1ST MOLARS:
convertible
FOR 2ND MOLARS:
Or
second
1st molar bracket
molar
tubes
tube opening
must be in line
with MBCusp

MBCusp
To
Tube opening
For 1st molar = 4mm
For 2nd molar = 3.5mm

hooks
directed gingivally
pointing distally
PROCEDURE:
1. Space should be
created
between teeth
to be banded by
placing spacers
(1 week before)
2. Determine band
size
3. Trial fit the
band
•DIRECT BONDING BUCCAL TUBES

•ADULT PATIENTS
•WHEN BANDS CANNOT BE USED LIKE FOR
PARTIALLY ERUPTED , SHORT CLINICAL CROWN
•ALLOWS PROXIMAL REDUCTION FOR MOLARS
•VERY COOPERATIVE PATIENT WHO WILL PREVENT
DEBONDING
•STRONG ANCHORAGE NOT NEEDED
PERSONALIZING
BRACKET HEIGHT
÷2
=X

Get the height from


gingival margin & buccal cusp of 1st PREMOLAR
X-.5 X X X X+.5 X-.5
X
X-.5 X X X X+.5 X X X X
STAGES IN ORTHODONTIC TREATMENT
STAGE I = ALIGNMENT STAGE
LEVELLING STAGE

STAGE II = BITE CORRECTION – make canines &


molars class 1 position
- correct overjet
= CLOSING OF EXTRACTION SPACES

STAGE III = FINISHING STAGE


= RETENTION STAGE

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