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Self-Ligating Brackets
Not BANDS
Bonded
Smaller and more esthetic
COPYRIGHT Dr Biju Krishnan 2015. ALL RIGHTS RESERVED
No part of this publication may be reproduced, copied, photocopied, translated or converted to any electronic or machine-readable form without the prior written consent of Dr Biju Krishnan and Cfast UK Ltd.
You must not circulate this work in any form and you must impose this same condition on any acquirer.
Whilst great care has been taken to ensure the accuracy, Cfast Ltd makes no claims that this document is entirely error-free and reserves the right to alter or delete anything stated or implied in them.
DISCLAIMER
Advice given in this publication or that provided by members of the CFAST team, Agents, Officers or laboratory including, but not exclusive to, treatment planning, case suitability and case progressionis suggestive only and general in nature. Any diagnosis, prescription, treatment or advice should be the sole decision and responsibility of the treating dentist. Cfast and its employees do not assume or accept responsibility, express or implied, for specifictreatment decisions made by dentists providing treatment for their patients.
CFAST LTD AND ITS AGENTS DO NOT ASSUME ANY RESPONSIBILITY OR LIABILITY FOR ERRORS, OMISSIONS, OR DIFFERING INTERPRETATIONS OF THE INFORMATION CONTAINED IN THIS PUBLICATION. WE DO NOT MAKE ANY EXPRESS OR IMPLIED CLAIMS, GUARANTEES, WARRANTIES, OR REPRESENTATIONS AT ANY TIME THAT THE CONTENTS OF THIS PUBLICATION ARE APPROPRIATE FOR YOUR OR YOUR PATIENTS PARTICULAR NEEDS.
CFAST LTD AND ITS OFFICERS AND AGENTS HEREBY DISCLAIM ANY AND ALL RESPONSIBILTY, LIABILITY, LOSS OR RISK, PERSONAL OR OTHERWISE, THAT IS INCURRED, OR ALLEGED, AS A CONSEQUENCE, DIRECTLY OR INDIRECTLY, OF THE USE AND APPLICATIONS OF ANY OF THE CONTENTS OF THIS PUBLICATION.
CFAST LTD, ITS AGENTS AND OFFICERS WILL NOT BE LIABLE OR RESPONSIBLE FOR ANY DAMAGES WHATSOEVER (INCLUDING, WITHOUT LIMITATION, DAMAGES FOR LOSS OF PROFITS, BUSINESS INTERRUPTION, COMPENSATORY, SPECIAL, DIRECT, INCIDENTAL, INDIRECT, CONSEQUENTIAL, EXEMPLARY DAMAGES, OR ANY OTHER DAMAGES) ARISING OUT OF, RESULTING FROM, OR IN CONNECTION WITH THE USE OF, OR INABILITY TO USE, THIS PUBLICATION AND THE INFORMATION CONTAINED THEREIN, HOWEVER CAUSED.
Self-Ligating BracketsThe following slide sequence is intended to show how Cfast self ligating brackets operate and also some of the changes you will need to adopt when compared to o-ring ligation. For further information and clarification, please log onto the Cfast forum or contact one of the clinical mentors.
Dr Biju Krishnan
Not BANDS
Bonded
Smaller and more esthetic
Cfast Self-Ligating BracketsTie WingsArch Wire SlotOrientation DotBracket Door
Open brackets with special tool
Placing wire into brackets
Metal Quick Tie
You will still need to use quick ties to correct rotations.
----- Meeting Notes (24/06/2013 16:30) -----Quick tie video
Cleaning Self ligating Brackets
Not BANDS
Bonded
Smaller and more esthetic
Carefully use an ultrasonic scaler to gently remove debris from in and around the bracket
Not BANDS
Bonded
Smaller and more esthetic
The Treatment of Spaced CasesPowerchain
AKA diastemas
Place powerchain BEFORE placing the arch wire.Powerchain and Self-Ligating Brackets
Power chain in-situ from canine to canineTreatment of Spaced Cases
Bracket Debonds
Rather than using a new bracket each time, you should be able to rebond the existing bracket
You first need to roughen the fitting surface, ideally with a sand blaster or polishing diamond bur.
Use the indirect tray to reseat the bracket in the correct position.
Trim soft inner tray to isolate tooth to be rebonded
Use the indirect tray to reseat the bracket in the correct position.
Best choose new bracket and place in slot firmly
Use the indirect tray to reseat the bracket in the correct position.
The bracket is placed in the tray so the door always opens towards the incisal edge
Remove composite from enamel surface and get back down to enamel. Then etch and bond.
Use a resin cement such as 3M ESPE RelyX Unicem
Broken Brackets
A broken door usually means it was not closed fully. However no need to replace bracket use a quick tie to ligate archwire
A broken door usually means it was not closed fully. However no need to replace bracket use a quick tie to ligate archwire
A broken door usually means it was not closed fully. However no need to replace bracket use a quick tie to ligate archwire
Rotational Corrections with Self Ligating Brackets
Not BANDS
Bonded
Smaller and more esthetic
Rotational Composite Bump
You can still use the composite bump technique for rotational corrections.
HOWEVER you need to leave the door open and ligate with a quick-tie
Not BANDS
Bonded
Smaller and more esthetic
Make sure there is a bend in the wire or the tooth will not rotate.
Not BANDS
Bonded
Smaller and more esthetic
When no longer required, you can flick out the composite bump with a scaler or gently remove with a thin fissure bur
Not BANDS
Bonded
Smaller and more esthetic
33
Place button on mesial to rotate tooth mesiallyPlace button on distal to rotate tooth distallyRotational Composite Bump
Rotating Teeth - Rotational Wedges
Rotational WedgesChoose one rotational wedge from the strip using Mathieu pliers
Place around bracket as you would an o-ring or module
Rotational Wedges
Rotational WedgesPlace arch wire through groove in wedge and secure in bracket
Dr Biju Krishnan BDSbiju@cfastasia.com
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