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Case presentation: submitted by Dr. Rafi Romano |
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Self-ligating brackets with surgery
D.B, 24 years old, presented Class III malocclusion with constricted arch, asymmetry, tongue thrust and failure of previous orthodontic treatment. 
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Self-ligating bracket treatment
Class I malocclusion case with multiple spaces. Patient had in addition to the spaces, small lower midline deviation, low upper lip line and distally tilted upper maxillary incisors. 
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Why did we design a flexing non-locking self-ligating clip?
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We know that physics dictates the more force the more acceleration, and every action has an equal and opposite reaction. All orthodontic brackets can be analyzed to simply define the mechanical force systems it produces, if the bracket produces incorrect force systems, the laws of physics will not change...
Incorrect orthodontic forces produce incorrect orthodontic results. The question should be why are others still manufacturing a locking self-ligating clip when they produce so many bad side effects? Unacceptable forces are produced when you are pushing an archwire to the bottom of the slot just to simply lock the door, producing unhealthy damaging pressure. This locking ligation procedure is painful for your patient and these excessive forces can easily break the door or even de-bond the bracket. This rigid locked door increases the deflection of the wire and increases the probability of binding and notching, and creates angles and forces inappropriate for that stage of treatment. |
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4 TOP REASONS WHY YOU SHOULD USE A NON-LOCKING SELF-LIGATING CLIP
no. 1
Sturdy reliable clip - easy to open - easy to close. |
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no. 2
You are in control, do you need friction on or friction off?
To produce the optimal sliding mechanics to move teeth we need as little friction as possible, however during some stages of orthodontic treatment the presence of friction is beneficial, especially in the middle and end of treatment when it is necessary to transfer adequate torque. Here we are referring to forces we are controlling to make the movement we require.
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Passive with smaller wires,
producing nearly frictionless
movement resulting in an
efficiency increase in the leveling stage
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Active with wires starting from .016x.016” (1-2-3) anterior zone and 016x.022” (4-5) bicuspid and molar zone
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no. 3Flexing self-ligating clip produces ideal forces for safe and efficient tooth movementThis flexing wall produces ideal forces for safe and efficient tooth movement by providing approx. 650 grams "power range". This power ranges is ideal for the controlled pathology of Osteoclast and Osteoblast to be achieved.
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no. 4
As the self-ligating clip is capable of flexing, wire deflection is reduced which in turn minimizes binding and notching.
The importance of reducing binding and notching.
Binding and notching are well known for their resistance to sliding in orthodontics. This was a key component during my design phase of the FLAIR SLT™. The self-ligating clip needed to flex to accommodate situations when the bracket to wire angle was at its most critical degree. This is seen predominately in highly rotated teeth. The challenge was to design a clip that was strong enough to hold the ideal ligation without the need to lock the archwire into place. The FLAIR SLT™flexes with the actual position of teeth, and is strong enough to hold the archwire even with a highly rotated situation, without the need to lock the archwire into the slot. A highly rotated tooth can now be included earlier into treatment. 
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Locked clip produces excessive wire deflection, producing uncontrollable and excessive force
Non-locking clip flexes, wire deflection is significantly reduced as binding is eliminated
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ON SALE
1 set of Flair - RM690 per set
10 sets of Flair - RM460 per set with 2 packs of Thermadent Heat Activated Round Wires 012/014/016/018 U&L FREE.
10 sets of Flair - RM460 per set with 2 packs of Thermadent Heat Activated Round Wires 012/014/016/018 U&L FREE.
Promo expires 31 March 2018.
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Offical Distributor of Adenta GmbH in Malaysia
