Short segments of PC can be used on niti AWs . You definitely would NOT want to place a full arch PC on niti AW. This could lead to issues with bowing.
@@Powerprox I am going to show my orthodontist this video. Does it work with traditional metal braces too or only Powerprox? He has been using the rabbit sized rubber band and it’s moving the tooth very slowly and it’s pulling the adjacent teeth upwards with the tooth.
You can bring the canine down as described in the video. After that you can certainly use a triangular elastic to fully seat it against the opposing occlusion.
Excellent explaining DR. thank you so much.. I have a patient who is nearly 9 years old and needs to expand her maxilla.. but one of her upper first molars is badly carious.. the D and E are still present.. how can I get enough anchorage for the device and which one is prefered.. the fixed expansion or the removable one.. and where can I put the retentive components? God bless you Dr.
If the Es are present and solid perhaps you could band the Es, run extension arms back to the molar and up to the canine. Can also place an occlusal rest on the D which you will then bond with composite. If you google "palatal expander mixed dentition" and look at the images you can get some ideas.
While every case is different I typically place a bonded 3x3 fixed retainer on the lower with a clear overlay made over the top. On the upper fewer fixed retainers are used as they debond more. Will place upper in cases with large diastemas, sever pre-op rotations and the like. Will place a clear overlay (Hawley also acceptable) over the top as well. The caveat to the above is if the patient has poor oral hygiene or constantly breaks things. In those situations it is removable retention only. Otherwise you can contribute to periodontal problems or will be constantly repairing fixed retainers.
Hi Dr. .. Please can l ask you a question?.. I have a patient with ske. ant. Open bite.. he occludes only on post. teeth.. he is afraid of any surgical interference even using mini screw to correct the problem.. Dr. ..can you tell me how can we intrude molar teeth in another way? thank you so much..
Those are the primary ways molars are intruded. If the patient is not willing to do them (which is their right of course) then to patient is severely limiting treatment options. This means correcting the AOB is difficult or impossible. The patient can often still get some tooth alignment within the arches, but again, without closure of the AOB as a treatment goal.
Sir when you have misaligned teeth do you start by aligning the teeth? then try to lower the canine because you can't place the 17 25 with a misalignment of the teeth??
You want to make space for the high canine first. As part of doing this the other teeth have time to align. You then bring the canine down low enough into the arch with the techniques shown in this video prior to using continuous archwire. My rule of thumb as to when it is 'safe' to go with continuous archwire ligation into the canine is when the incisal portion of the canine bracket is equal to or lower than the height of the gingival portion of the first premolar bracket.
I’m about to get my top braces on for my high canines to come down , will my doctor know not to do this ? He has been a doctor for a long time with experience I hope he knows this cause my canines are really high and he’s going to bring them down
They can but may need a clear attachment/elastic on the front side of the tooth to initially pull the canine down to a point where the canine can be grabbed from the lingual side.
Sir plz plz plzzz listen to me!!! I have exact same problem with my canines. So If I will take braces treatment, then does 6month r enough for treatment??
Sir, you are one of the best! Pl keep educating us.
Thank you very much for nice sharing and time and efforts . Very helpful . 👍
Very nicely explained .
Keep on posting such videos sir
Waiting for next
Thank you.
Ur adves is always welcome
Dr.A Rai
U sir is one of my favourite orthodontist
Incredible explanation
You are a master
Thank you very much
Amazing tutorial! Can power chain be used with niti wire considering that it is flexible or should it be used with rigid Ss wire only?
Short segments of PC can be used on niti AWs . You definitely would NOT want to place a full arch PC on niti AW. This could lead to issues with bowing.
Plz make video on maxillary canine to move from mesial to distal with a space of 2 mm
Thank u sir for the awesome tip
Will these methods work with the high canine coming in rotated?
The piggyback arch wire works wonderfully with high and rotated canine. It can both bring the tooth down and rotated it simultaneously.
@@Powerprox I am going to show my orthodontist this video. Does it work with traditional metal braces too or only Powerprox? He has been using the rabbit sized rubber band and it’s moving the tooth very slowly and it’s pulling the adjacent teeth upwards with the tooth.
Everything I show in my videos can work with any type of braces.
Excellent, arch wire use in intra oral elastic like triangle, diagonal elastic
You can bring the canine down as described in the video. After that you can certainly use a triangular elastic to fully seat it against the opposing occlusion.
Thanks
Excellent explaining DR. thank you so much..
I have a patient who is nearly 9 years old and needs to expand her maxilla.. but one of her upper first molars is badly carious.. the D and E are still present.. how can I get enough anchorage for the device and which one is prefered.. the fixed expansion or the removable one.. and where can I put the retentive components?
God bless you Dr.
If the Es are present and solid perhaps you could band the Es, run extension arms back to the molar and up to the canine. Can also place an occlusal rest on the D which you will then bond with composite. If you google "palatal expander mixed dentition" and look at the images you can get some ideas.
@@Powerprox
Thank you so much Dr.
I appreciate your kindness.. 🌺🌺
sir but does treating high canines require any tooth extraction??
No. If the case needs extraction for other reasons that is one thing but just having a high canine in and of itself does not require tooth extraction.
@@Powerprox Would this also work for a high canine with rotation?
please Dr. we want to talk about biomechanics in short frequent videos.. if you don't mind.
Dr. please can you tell me which cases that we should use a fixed retainer after finishing the treatment..
thank you so much Dr.
While every case is different I typically place a bonded 3x3 fixed retainer on the lower with a clear overlay made over the top. On the upper fewer fixed retainers are used as they debond more. Will place upper in cases with large diastemas, sever pre-op rotations and the like. Will place a clear overlay (Hawley also acceptable) over the top as well. The caveat to the above is if the patient has poor oral hygiene or constantly breaks things. In those situations it is removable retention only. Otherwise you can contribute to periodontal problems or will be constantly repairing fixed retainers.
@@Powerprox
SO grateful Dr.
God bless you..
what is the type and the size of the base wire used in the piggyback 6:36
Typically the main archwire is stainless steel (more oftehn than not an 018) and the piggyback in an 014 niti
Great job
Awesome 👍
Hi Dr. ..
Please can l ask you a question?..
I have a patient with ske. ant. Open bite.. he occludes only on post. teeth.. he is afraid of any surgical interference even using mini screw to correct the problem..
Dr. ..can you tell me how can we intrude molar teeth in another way?
thank you so much..
Those are the primary ways molars are intruded. If the patient is not willing to do them (which is their right of course) then to patient is severely limiting treatment options. This means correcting the AOB is difficult or impossible. The patient can often still get some tooth alignment within the arches, but again, without closure of the AOB as a treatment goal.
@@Powerprox
I agree with you sir.
thank you so much.
God bless you.
Amazing thanx dr
Sir when you have misaligned teeth do you start by aligning the teeth? then try to lower the canine because you can't place the 17 25 with a misalignment of the teeth??
You want to make space for the high canine first.
As part of doing this the other teeth have time to align.
You then bring the canine down low enough into the arch with the techniques shown in this video prior to using continuous archwire. My rule of thumb as to when it is 'safe' to go with continuous archwire ligation into the canine is when the incisal portion of the canine bracket is equal to or lower than the height of the gingival portion of the first premolar bracket.
@@Powerprox
Thank you so much Dr👍
I’m about to get my top braces on for my high canines to come down , will my doctor know not to do this ? He has been a doctor for a long time with experience I hope he knows this cause my canines are really high and he’s going to bring them down
Dr can i open space using open coil on 014 niti wire
Yes but you must be careful not to use too long a length of OCS. Approximately 1 bracket with of activation only.
Muy bueno gracias por compartir tus conocimientos
So if we have just one high canine teeth so is it guarenteed that it will come down in just 6 months ?
Six months is an average not a deadline. 4 to 9 months is a typical range of treatment time.
High canine can be treated with lingual braces too right?
They can but may need a clear attachment/elastic on the front side of the tooth to initially pull the canine down to a point where the canine can be grabbed from the lingual side.
Excelente!!
Sir plz plz plzzz listen to me!!! I have exact same problem with my canines. So If I will take braces treatment, then does 6month r enough for treatment??
It depends on what other issues may or may not be happening in your case. Suggest you see a dr for a consultation so you can know for sure.
Lord of ortho