Orthotown October 2015 - (Page 40)

case presentation // feature THE REAL VALUE of an Interactive Self-Ligating Bracket by Ron Roncone, DDS, MS It seems that nothing in orthodontics has an easy, clear-cut answer. Whether extraction or non-extraction, cephalometric analyses, traditional twin or self-ligating brackets, or passive, active, or interactive self-ligating brackets (SLB), the answers are rarely obvious. Perhaps there is no single answer in those areas because so many different approaches work! I certainly know many orthodontists who do superb orthodontics using very different types of brackets, wires and techniques. So, are there really any differences in brackets? The answer is yes and no. Brackets are much more than a simple device placed on a tooth. * It is part of a "prescription" * It is, or can be, more or less efficient * It is, or can be, esthetic * It can be better or worse in bonding effectiveness * It places teeth in great position only if it is placed correctly on the tooth * It can be very expensive to very inexpensive Fig. 1: Severe crowding (space lack) in maxilla, Class III tendency. Underwent Phase I physiologic orthopedics for 13 months. Maxilla was expanded and advanced. Also, significant space was regained. Fig. 2: This was 2.5 years post Phase I just before Phase II treatment. Lower left second premolar has enamel defect. Fig. 3: Initial bonding appointment. PDS .018 HANT upper and lower. Fig. 4: Eight months after initial bonding, upper canine brackets placed. PDS .018 HANT upper and PDS .020 x .020 lower. 40 OCTOBER 2015 // orthotown.com * It can be a major part of an orthodontist's "being" or even self-worth So, what type of bracket do I prefer, and why? I cannot imagine any set of circumstances that would place me in a position to ever use any bracket other than an SLB. The modern advent of self-ligation had the possibility of bringing significant efficiencies to an orthodontic practice. Some SLBs do and some do not. Over the years, I have tried almost every type of SLB, including passive, active, and interactive. These SLBs have included Edgelock, Speed, Activa, In-Ovation, Damon, SmartClip, Empower, and many others. In addition, lingual selfligating brackets are a huge advantage over non-SLB's. My choice has evolved to the Foresta dent BioQuick and QuicKlear. The remainder of this paper will be devoted to the use and advantages of the interactive SLB. Those areas with an asterisk pertain only to the Forestadent SLBs. Our practice has been dedicated to esthetic orthodontics for more than 30 years, so ceramic SLBs are the cornerstone of everything we do. Ideally, the perfect bracket (which has not yet been created) should be: * Very esthetic and stay that way * Very efficient * Reasonably priced * Very reliable in bond strength * Easily removable when desired* * Have a replaceable clip or door* * Have the ability to efficiently finish cases http://www.orthotown.com

Table of Contents for the Digital Edition of Orthotown October 2015

Orthotown.com Highlights
Embrace Progress: Changes Galore
Adhesive Message Boards
Offi ce Visit: It Takes Two
Virtual Treatment Planning: Reduce Frustration with the Right Sequence
High-Vaulted Palates
Poll
Air-Rotor Stripping Made Easy
The Real Value of an Interactive, Self-Ligating Bracket
Impacted Ur1
New Products
A Helping Hand
Class III Malocclusion Treated Non-Surgically with Invisalign, Mandibular Fixed Appliances and Mandibular TADs
Ad Index

Orthotown October 2015