Phases of Tx & Wire Sequence

Рет қаралды 252,338

Күн бұрын

Describes the parts of a bracket, NiTi vs. SS vs. TMA wires, the three phases of orthodontic treatment, and our typical archwire sequence to align the teeth and correct the occlusion (bite).
Worksheet: drive.google.com/file/d/1nfXP...

Пікірлер: 206

@mowaterfowl1479 2 жыл бұрын

Great video. I'm 44 years old and I began Orthodontic treatment 6 months ago. This helped me more than any of the answers I received from my Orthodontist.

@likeabossproductions1254 2 жыл бұрын

I'm glad this helped! Ortho is part science and part art so your orthodontist might not do it exactly like this but the idea will be the same. Good luck with your great, new smile!

@kevincartalla2393 2 жыл бұрын

Usually they don't explain it in depth to patients because they don't want to over complicate it. But I love your enthusiasm in learning these things

@daniella8400 2 жыл бұрын

I’m 33, in braces for the second time. I’m on my my 6th month now. One more year left!

@MrRodrigo630 2 жыл бұрын

Do you need to get surgery for overbite?

@daniella8400 2 жыл бұрын

@@MrRodrigo630 it’s hard to say, everyone is difficult. Best to get a consult

@sobersaber494 Жыл бұрын

I'm definitely at the thickest wire, because the pressure I felt right after and the next day is nothing I've ever experienced. Great video!

@johnnyerazo2360 Жыл бұрын

Don’t underestimate the pain

@Yaasssme 3 ай бұрын

That actually very scary 🫣 my pain in the beginning was excruciating so I’m scared of the last step

@bobbytran7153 2 жыл бұрын

One of the best videos on youtube for basics for arch wire sequencing

@nikaaaa221 2 жыл бұрын

I remember I heard my ortho asked his assistant to bring him a "0.018 lower" and I searched it in the internet like crazy and found your vid! Well informative! This is the 1st wire replacement I got which means this is the 2nd wire.

@LBJdachosen1 2 жыл бұрын

i got 4 teeth missing and i was told to use elastics with a round wire while i have still some unresolved alignment and spacing issues. i dont remember we've ever used rectangular ones before. my whole body crunched in stress, so many problems showed up, needed a root canal for one teeth and we gave up on elastics. i've experienced narrow skewed arch, too much closed space for the missing incisor with tmj problems and with all that at least 7 seemingly unrelated physical problems from postural, neurological to dermatological ones and of course its psychological traumatic effects. i needed to learn dental stuff instead of my profession, gave a break to my job 2 years ago, and still no clear sight ahead. this treatment is not a joke but somehow some orthodontists are not aware of the consequences of what they are doing. i wish every ortho would be a clear communicator like you. thanks for the videos, these explanations has given me clear understanding of its technicality. if you have any suggestions, i'd also be appreciated.

@makeupandmusicgirl Жыл бұрын

This is so informative, thank you! I was able to distinguish exactly where I am in my braces journey based on this video. Also explains why there are two months between my last and next appointments, which I was curious about!

@claudiahuacasi6795 Жыл бұрын

Best video about orthodontics for patients! Really, really informative, with simple language that everyone can understand, and precise explanations! Thank you so much!

@marwalmt3127 2 жыл бұрын

You are the best, i have seen a lot of orthodontic trt vdos but you have the most simple affective and understandable way of learning and explaining Ps i liked the sound effects keep using them 💙💙💙

@lalitagadling6106 2 жыл бұрын

Good help and information for General dentists.Very clear presentation of the basics

@email16v 2 жыл бұрын

In braces. Great lesson. Enjoy the sound effects too! Update: I had my 24-month visit today. Still in phase II. I got thicker arch wires and am still wearing bands to close space. Can't wait to phase III and out of these braces. Although wearing a retainer doesn't sound like much fun either.

@goodthyme 2 жыл бұрын

Helps alot for a general dentist learning ortho. Thank you!

@duanechinen4568 2 жыл бұрын

I've been searching for this explanation. Thank you!

@rockvarney3680 11 ай бұрын

Such a great video! It answered the questions I always have about brace and provide the info that no one mentioned before. Thanks!

@axbeta0079 Жыл бұрын

Thank you!!! And those sound effects are actually epic and I really like them 😊

@drdidar7541 Жыл бұрын

with crying i say, how you are a goodness men, i love you sir so much for this explaining.

@H982FKL-TG 2 жыл бұрын

Looking forward for more videos. Great vid!

@thanhvantran6530 2 жыл бұрын

Thank you so much your video that helped me to understand about torquing and i passed the state exam. Thanks again.

@3mkm_tango 2 жыл бұрын

its one of the wonderful videos i ever seen .. plz dont stop and keep going

@Yaasssme 21 күн бұрын

What a freaking awesome video!!! The rectangular wires are super neat!! With their work they do on teeth. I can’t wait to see the difference in my treatment once I get my 3rd set of wires!!!

@mery1317 8 ай бұрын

Your content is very useful thank you for your hard work I really hope you continue sharing your knowledge with the world.

@samuelighofoimoni434 Жыл бұрын

Orthodontics simplifies. Great video bro

@jonathanlee4469 2 жыл бұрын

Thanks for your effort A very nice lecture and really enjoy it

@omaromar11234 2 жыл бұрын

That's epic.. Please keep these videos going

@DarkPrince702 2 ай бұрын

This was the explanation I've been searching for. Thank you Dr.

@likeabossproductions1254 2 ай бұрын

My pleasure! I’m glad you found it useful! 😎👍

@hendrickkone679 2 жыл бұрын

Great video, detailed in its simplicity. Use of diagram super helpful .

@pauljunior157 Жыл бұрын

best explanation video hands down

@iwastubed96 Жыл бұрын

Thank you so much for this informative video!

@cosmicseeker1069 Жыл бұрын

Information was so much helpful sir! Thanks!!

@nutellaluis683 10 ай бұрын

Based on the preceprorship I attended,.016x.22 is a contraction wire while.017x.025 is the final wire but it all depend on your school of thought..Great video indeed❤

@rblady3804 2 жыл бұрын

Voice so very soothing I had to watch twice because I fell asleep

@mrfelix2510 Жыл бұрын

I'm about a month into my braces and this video I found to be very informative and very helpful. Thanks

@dhrumilprajapati5479 Жыл бұрын

Abhi sirf wire hi hoga na tumhare upper braces me ?

@arghawanbahar6441 11 ай бұрын

Great job and good explanation thank you so much

@your3auka 9 ай бұрын

Best video out there! Thanks!

@dalinus9572 Жыл бұрын

I found this video extremely useful. Pls do more videos, for example " bracket positioning" Thank you

@f18a 4 ай бұрын

Great expainer for brace wires and their progression.

@teissi Жыл бұрын

This is super helpful, thank you! My orthodontist couldn't really explain anything he did, and i couldn't live not knowing how it all works. Im already on retainers, i didn't have to wear elastics and it took about a year and a half, thankfully. Also before braces i wore something that looked like a plastic retainer but it moved my teeth away from each other and created gaps between them to uncrowd. I never heard of that thing before.

@Drorinshaim Жыл бұрын

This helped me a lot.. Thank yiu sooo much 🖤🖤🖤

@geeoink 2 жыл бұрын

Thank u doc...u r great🔥

@shadyabdelrahman6488 2 жыл бұрын

Great and helpful , thank you

@Sandarpan 6 ай бұрын

Awesome job explaining everything 👍

@likeabossproductions1254 6 ай бұрын

You’re welcome! I’m glad you found it useful! 👍

@AdrianaXoXoo Жыл бұрын

Very helpful video. I am a 1st year ortho resident and I struggle to find materials for begginers

@saizaorozcomatiasalberto7347 Жыл бұрын

Epic video man.

@user-zj7jy4nc8k 2 жыл бұрын

Thank you alloooooot ,that's what i was looking for Thank you

@prateekkeer8487 2 жыл бұрын

Superb video✨✨ informative

@MaggieMorrissey1916 11 ай бұрын

Thank you. That was very helpful

@Jeniwoo21 Жыл бұрын

“Badoing”~ is my favorite part 😅 thanks for the great video!

@laviniadovan850 Жыл бұрын

amazing, thank you so much!

@larryk.watson2778 4 ай бұрын

Got braces two weeks ago… this is great content…

@likeabossproductions1254 4 ай бұрын

Glad you find it useful! Don’t be afraid to hit that Like button. 😁👍

@johnpacis4908 7 ай бұрын

Very good info...thank you❤

@febbejeanmapatac9885 2 жыл бұрын

very informative ❤️

@muhammadali9787 2 жыл бұрын

Greatfull, helped alot.

@MiSsV117 2 жыл бұрын

Great video!

@likeabossproductions1254 2 жыл бұрын

Thanks!

@jasmeen2005 2 ай бұрын

Thanks, this was a great summary. Better than my Professors lectures

@likeabossproductions1254 2 ай бұрын

You’re welcome! I’m glad you found it helpful! 😁👍

@r.r.421 2 жыл бұрын

Clear explanation! Thanks

@Lily-lw8mq 2 жыл бұрын

I wish there were a ❤️ button for vids like this

@hugofriberg3445 9 сағат бұрын

2 months in and I got my 17x25 NiTi today!

@Dr.Capuleno 4 ай бұрын

Great video

@rae_tsholo9719 Жыл бұрын

Most informative

@hammoudayousra8044 Жыл бұрын

🥺 keep teaching us please ❤

@konrannakreaseykoun9726 2 жыл бұрын

Good video.

@minhhop3208 Жыл бұрын

Thanks so much !

@riteshr.k.fatnfine3004 2 жыл бұрын

Thank you.

@aamin6933 2 жыл бұрын

Lovely video. Have you any info on premolar extraction patterns in crowded cases using preadjusted edgewise system?

@Alishbaaliza40 Жыл бұрын

Informative video

@samufathima7446 Жыл бұрын

True knowledge sharing

@MyraAnneFox. Жыл бұрын

Pre molar Thry also have hooks for the brackets

@vikissvi28 9 ай бұрын

Thank you soo mutch

@jgl8552 2 жыл бұрын

Interesting. I was always wondering how braces work. I have an interesting case. I have 9 front teeth and 10 bottom front teeth. I have bad crowding and a cross bite. I had braces put on two weeks ago,. The ortho said they can straighten these monsters out and ready me for some nicely fitting partial or if i can afford it some implants/bridges. 18 months to go to see if it'll work.

@rimskies5650 Жыл бұрын

Can patients be given elastics as soon as they start a rectangular wire? Or does the rectangular wire first have to work on its own for a few months until you're put on wearing elastics?

@PuneetKansaldr 2 жыл бұрын

Nice

@Kuramuku4016 5 ай бұрын

Great video. Bedoink!

@likeabossproductions1254 4 ай бұрын

Thank you! I’m glad you enjoyed it! Feel free to check out my other videos if you like Ortho stuff. 😁👍

@jihadsaleh9004 Жыл бұрын

What type of wire is used with class 2 elastics ? Can it be rounded niti? Or it has to be stiff SS or rectangular niti??

@reardelt 2 жыл бұрын

My dentist is using the 18x 25 Stainless steel wire instead of 16x 22 SS(as suggested by you) for the detailing. Is that OK?

@likeabossproductions1254 2 жыл бұрын

That's totally fine. 😎👍

@ancarwillis9060 Жыл бұрын

When I started I asked my ortho how long he believed I needed braces for and he was just like “Yes”. It will take more than two years. Like what? That said I guess the phases can take a different amount of time depending on your condition. I had impacted Canines. I spent 8 months wearing an appliance just to make space for the tooth to come in. Then it has been little over a year getting the tooth down into the arch and It just now got to a point where they can put a bracket on. Lol thought I was getting close and now I find out I’m not even done with phase one and that’s not even the longest part lol fml.

@valentin5288 Жыл бұрын

Hi thank you for your video. I have a question: what is the slot size you're using? 018' or 022' ?

@aztecprincessno1 Жыл бұрын

He mentions they use 018 at their office. 😉

@reardelt 2 жыл бұрын

ALongside the 'regular' flat archwires, there are also the "reverse curve of Spee" wires too right?

@likeabossproductions1254 2 жыл бұрын

Correct. Those help to level the lower arch of a straight wire isn't getting the job done. Some orthodontists use them a lot, some a little, and some not at all.

@Kin_shukh 8 ай бұрын

Great video 👍, hats off 👏

@biinyomingold Жыл бұрын

Hello- I am making ortho videos to help my ortho assistants--I have included some excerpts from your videos in my course and have given you credit---great job--Is that okay? Would love to see more content. Thank you!

@lovejovelove9610 2 жыл бұрын

Is it okay to use .19x25 SS wires by .022 slots for closing gaps? Or Should I use the NiTi ones?

@likeabossproductions1254 2 жыл бұрын

For .022 slot brackets, a .019 x .025 SS wire would be ideal. That is what I used to close space on when I used .022 slot brackets at a previous office. Closing spaces with large rectangular SS wires is the norm. I.e., it's unusual that we close space on NiTi wires but we've found that it works well for us. I hope that helps! 👍

@lovejovelove9610 2 жыл бұрын

Thankyou for that 😊

@lemuelhernandez7732 Жыл бұрын

Hello. My incisors on my lower jaw are protruded. Is it really ok to use Stainless steel wire? Ive beem wearing my braces using SS in my lower teeth, but I haven't notice any changes. Incisors are still protruded.

@likeabossproductions1254 Жыл бұрын

As crowded teeth align they have to go somewhere and where they go is forward onto a larger arc so that they can be lined up. The only way to tip them back is to either pull them back using extra-oral anchorage (like with a headgear that pulls from the back of the head or neck) or, more commonly, by extracting certain teeth and closing that space. As the space closes, the protruded teeth can move backward into those extraction spaces. A small amount of backward movement/tipping can also be achieved by inter proximal reduction (IPR), which is selective removal of tooth enamel between the teeth with an abrasive disc then closing those small spaces to bring the teeth back. You get less tip back than with extractions but it’s better than nothing. If you’re concerned about the position of your teeth you should definitely bring this up to your orthodontist so he/she can review the options available to you to fix it. 👍

@zenASDF Жыл бұрын

Nice video! Would the wire sequence be the same for self-litigating braces?

@likeabossproductions1254 Жыл бұрын

Yes.

@monicark2030 Жыл бұрын

Mechanics and physics applied in our teeth

@Sht97 Жыл бұрын

Hello, doctor I have a question about the wire is the top wire the same as the bottom wire in shape? For instance, the top and bottom wires are nickel titanium so would the shape be the same or not? Thanks in advance.

@likeabossproductions1254 Жыл бұрын

Arch wires come in many shapes and you can order the arch shape that you prefer. In addition, each arch shape has a maxillary arch wire and a mandibular arch wire. The difference is that the maxillary arch wire is the same shape but just slightly broader or larger than the mandibular arch wire such that if you set the mandibular arch wire on the table inside the maxillary arch wire, there would be a uniform gap of 1-2 mm between the two arch wires all the way around. Most orthodontists use maxillary and mandibular arch wires in their respective arches to keep the arches and the occlusion coordinated.

@Sht97 Жыл бұрын

@@likeabossproductions1254 Thank you so much, that was very clear and informative. I really appreciate it.

@user-ft5nf9pn2v 2 жыл бұрын

Hi Dr. you meant we can use a power chain to close spaces on rectangular 17*25 NiTi? If so , Is this going to cause a roller coaster effect on the teeth?

@ryanwood6752 2 жыл бұрын

I was always taught that it would but my partner and I have been closing spaces with power chain and sentiloy springs on 17x25 Niti wires for the last 4 years with little to no roller coaster effect. Closing spaces on stainless steel wires is the more traditional way to do it, though, and does have less risk of getting roller coaster effect (assuming you're using the same size wire in SS vs NiTi).

@user-ft5nf9pn2v 2 жыл бұрын

@@ryanwood6752 thank you so much 🌺🌺

@najmanaz705 10 ай бұрын

can first premolar extraction is needed in case of deep bite with no crowding in teeth?

@dr.parthkapadia5010 2 жыл бұрын

Any other particular role of rectangle niti? Like my senior says it expands the arch??

@likeabossproductions1254 Жыл бұрын

If the patient's arch is narrower than the arch form of the wire, rectangular NiTi and/or rectangular SS wires can expand the arch to match the size and shape of the arch form of the wire. It seems like most of that "expansion" though is dental tipping rather than skeletal expansion like you'd get from an expander.

@lauraformaneck5808 Жыл бұрын

And what do you do if your patient has a nickel allergy? I have a bad nickel allergy and a few orthodontists at consults have wanted to try a metal containing it anyway. I'm also type 1 diabetic, only one cared enough to ask if my a1c was good or not.

@likeabossproductions1254 Жыл бұрын

If you think you might be allergic to the braces your orthodontist could bond one to a tooth and check you later that day or the next day. If you're allergic you'd know within that time because the part of the cheek/lip touching the brace would have a noticeable allergic reaction. That said, in 13 years of doing orthodontics I've only ever seen one person who was allergic to the braces and they knew within 1 hour and there was no mistaking it. The inside of their cheeks were very red and swollen. Lots of people have nickel allergies but it's extremely rare to have an allergic reaction to the metal in braces.

@tunguyenthithanh7628 2 жыл бұрын

Thank you for sharing.Why you use Ni Ti for closing spaces not SS? If you make loops to close space.

@likeabossproductions1254 2 жыл бұрын

Great question! When closing spaces you need a wire that is rigid enough to stay straight while the spaces are closing. Traditionally this is done on a SS wire when closing space with sliding mechanics (elastic chain or closing springs to make the braces slide along the wire) because SS is naturally more rigid than NiTi. However, if your NiTi wire is thick enough (.017" x .025", for example) it should be rigid enough to stay straight while closing spaces with sliding mechanics as long as you keep your closing forces relatively light. We use NiTi closing coil springs for light, continuous force and we haven't had any trouble using NiTi wires with that system. However, when closing space with closing loops you would need a wire material that allows you to bend closing loops into the wire (SS or TMA).

@tunguyenthithanh7628 2 жыл бұрын

Thank you for answering! I got it.

@dianizahra9763 11 ай бұрын

How if my doctor using the same wires with all of the ortho treatment? Like he using the same wire to do the alignment, space closing & elastics, and also for the detailing..

@afshaari8249 2 жыл бұрын

At..6:54 is that you said the round niti wire will make the tooth to go to front?..im not quite understand

@likeabossproductions1254 2 жыл бұрын

I was explaining that the round NiTi wire will correct the rotation and height of the tooth but cannot correct the torque (what I show with my hands at 7:00). A rectangular wire that's large enough to fill the bracket slot is needed to correct the torque.

@osmana.soorma1214 8 ай бұрын

Very nicely explained. Please advise the 0.17 x 0.25 Niti wires are round or rectangular and the detailing wire 0.16 x 0.22 SS is round or rectangular. Please advise the duration of wear for space closing and detailing wire

@likeabossproductions1254 8 ай бұрын

Both of those wires are rectangular, thus the two numbers to describe the wire’s dimensions. Those wires are used for as long as you need to get all the spaces closed and all the detailing done. Usually that’s about 6 months each but it can vary depending on the needs of the patient.

@zahirullahzheer865 Ай бұрын

❤❤

@queen.nneoma Жыл бұрын

Please is 19 by 25 niti used for space closing or alignment. Also what’s the difference between 19 by 25 niti and 19 by 25 ss

@nedvel1461 2 ай бұрын

I was so excited to get my braces and still wearing it I love it i dont even care about pain i just want them straight lol

@cathy__wilson4930 2 ай бұрын

How old ru u. Am i too old to do brace?? 50

@darkblack7735 2 жыл бұрын

I can use this sequence with all brackets type ? For example , can i use it with bracket 022 ?

@stoinks224 2 жыл бұрын

No are u denstist/ortho

@likeabossproductions1254 2 жыл бұрын

Great question! For .022" slot brackets I would use the following wire sequence: .014" NiTi .018" NiTi .019"x.025" NiTi .019"x.025" TMA

@HadilOogurl 2 жыл бұрын

Elison & Wood Ortho Training 👏🏼

@avadheshbhatt1137 2 жыл бұрын

At which phase I can expect widening the arches, I am 9 months in and my ortho said once the gap is closed they will start widening my arch(no expander)

@likeabossproductions1254 2 жыл бұрын

Treatment methods that try to widen the arch with arch wires instead of using an expander (usually Damon) will usually do this with the larger, rectangular archwires, though some claim that the arch widening starts with the initial round wires. Doctors who use that treatment method will usually use archwires whose arch firm is significantly wider than that of a standard archwire. For specifics I would ask your orthodontist, as orthodontics is part science and part art and each doctor has their way that they like to do things. I hope that helps!

@avadheshbhatt1137 2 жыл бұрын

What's your opinion on Damon braces (self ligation) vs traditional ones, are Damons worth it?

@aldrinjude 2 жыл бұрын

Why not use mm as measurement? It makes much more sense than inches

@s.r.2078 2 жыл бұрын

How to manage a lateral which is rounded at the bottom?

@likeabossproductions1254 2 жыл бұрын

The Ortho could either remove some tooth structure to flatten the edge or the dentist could add some composite to flatten the edge. The dentist could also do a porcelain veneer to change the size and shape of the tooth. You could also leave the rounded edge of its appearance doesn't bother you.

@reardelt 2 жыл бұрын

I was always confused what my dentist said when he was putting 0.014 x 0.025 wire. What does that mean?

@reardelt 2 жыл бұрын

Got this now after I saw your video. Your video is awesome.

@shaniac22 2 жыл бұрын

what if your orthodontist closes spaces first? using powerchains? is that bad?

@lorreanscarlett5583 2 жыл бұрын

I'm currently in powerchains to close some gaps. I did 4 extractions. I'm 3 months in braces.

@likeabossproductions1254 2 жыл бұрын

Orthodontics is part science and part art so each doctor has their way that they like to do it. As long as they achieve a great result, that's what counts. 👍

@saitamasamaxxx8377 Жыл бұрын

hello doc, what wire do you use in intruding a tooth

@likeabossproductions1254 Жыл бұрын

Depending on the position of the tooth and the amount of intrusion I needed I'd probably start with a .016"x.022 NiTi wire then move to a .017"x.025" NiTi if I needed to adjust the tooth's torque after intrusion. Keep in mind, though, that the wire will be extruding the teeth adjacent to the tooth you want to intrude at the same time and teeth extrude much easier than they intrude. The result is usually that the adjacent teeth get extruded more than the problem tooth gets intruded unless you prevent that extrusion somehow, like steel tying those adjacent teeth to TAD's or something.

@saitamasamaxxx8377 Жыл бұрын

@@likeabossproductions1254 thank you!