The first step in most Orthodontic treatments is alignment. Even in a case of Class I bimax, the brackets need to be aligned before starting retraction. Alignment is a primary criteria of a perfect Smile.
The primary determinant of the choice of the first archwire in Orthodontic treatment is the severity of crowding. I would usually recommend starting a case with a round 0.014 Niti. However, a 0.012 Niti can be used in the following cases:
1. A case of very severe crowding can be started with a low force archwire as the degree of deflection of the archwire will be severe. The flip side is that there are increased risks of wire breakage due to the strain on them.
2. A very sensitive child or a very high profile patient, in which you want to slowly initiate the treatment without causing a lot of discomfort in the first few weeks would be another indication in my practice. This is an important practice management fundamental.
The primary determinant of the choice of the first archwire in Orthodontic treatment is the severity of crowding. I would usually recommend starting a case with a round 0.014 Niti. However, a 0.012 Niti can be used in the following cases:
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| Severe Crowding is an indication of starting with 0.012 Niti |
2. A very sensitive child or a very high profile patient, in which you want to slowly initiate the treatment without causing a lot of discomfort in the first few weeks would be another indication in my practice. This is an important practice management fundamental.
Discussion : As we move towards regimes of gentler, biologically adaptive force regimes, starting with 0.012 Niti will soon become a rule rather than an exception.
.012 is lovely to work with. one caution with the wires. the cheaper niti wires aren't as effective as the ones i usually use.
ReplyDeleteAll good things in life are expensive, illegal or fattening!!!
ReplyDeletePt. Compliance is v good wid .012 niti.
ReplyDeleteYes Naushad...that's correct. It is a good thing as the patient will be with us for next 10 to 20 months and we want to start on a good note.
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