BASICORTHODONTICS

Andwhywebelievein
THETIPEDGETECHNIQUE
(DifferentialStraightArch)

MOVINGTEETH
Lightforce+Time=ToothMovement
Anytechniqueofmovingteethinvolveslight
forceandtime.
Ifyoutookyourfingerandlightlypushedona
toothoveralongperiodoftime,thetooth
wouldmove.

TOOLSOFTOOTHMOVEMENT
ANCHORAGE
Extraoral headgear
Intraoral
Bands primarilyformolars
Brackets
MiniImplants

FORCE
ImplementsofForce:
Wires
Springs:rotating,opencoil,sidewinders
Elastics rubberbands,elastomericties(oringsor
doughnuts),elinks,powerchains,zstring(nottobeconfused
withgstring).

EARLYORTHODONTICS
Placeabracketonthetooth.Bracketswerenonspecific.
EdgewiseandBeggbrackets

Bendwireswhereyouwantteethtomove
Moveteethonalongthewire
Useelasticsandspringstopullteethtowireormoveteeth
backorforwardonwire.

HOWWEMOVETEETHTODAY
ModernOrthodonticsevolvedwiththe
developmentoftheSTRAIGHTWIREBRACKET:
Placetoothspecificbracketoneachtooth
Usearchwiresformedtoaperfectarchshape.
Startwithsmallflexibleroundwire
(roundwireallowstoothtomovemore
freely)
Switchtolargerroundwireasteethstraighten.
Userectangular wireifneededtotorqueteethbuccally
orlingually
Useelasticsandauxiliariestoenhancemovement

BRACKETPLACEMENT

WIREPLACEMENT

ELASTICS

Twoyearslater:

SOMETERMINOLOGY
TIP Movingthecrown ofatoothmesiallyordistally
TORQUE Movingtheroot ofatoothfaciallyor
lingually
UPRIGHTINGATOOTH Tippingtheroot mesiallyor
distally
BODILYMOVEMENT Movingtheentiretoothinany
direction

TIPPING(A)

TORQUE(B)

UPRIGHTING
ROOTSTIP
MESIALLYOR
DISTALLYINTO
CORRECT
ALIGNMENT

BodilyToothMovement

TECHNIQUESOFORTHODONTICS
Begg
Straightwire
Tipedge

BEGG
Bracketdesignedtolet
toothtipfreelywhich
promotesfasttooth
movement
Wirefitsinslotintopof
bracketandpinholdswire
inplace.
Auxiliaryspringsandwires
usedtotipandtorque
teeth.
Problemisthattooth
movessofreely,hardto
controlmovement

BeggTechnique

STRAIGHTWIREBRACKET
Wireliesinstraight
slotinbracketfor
morecontroloftooth
movement
Teethhaveabodily
movement

StraightWireTechnique
Toothtriestomovebodily
resultinginarchwiredeflection
andincreasedfriction.
Requiresincreasedforceand
anchoragetopullthetooth
alongthewire
OftenneedtobandSecond
Molarforanchorage
Muststartwithverysmallwire
andincrementallymoveto
largerwiresasteethmove.

TIPEDGE

Dr.PeterKesling(theinventorof
tipedge),combinedthetipping
abilityoftheBeggtechniquewith
thecontrolofStraightwire.
Beganwithastraightedgebracket
andremovedtwowedgesinthe
slot,whichallowsthetoothtotip
upto25degrees.
Thebracketretainsastraight
componentsothetipiscontrolled.
Keslingalsoaddedaverticaland
laterahorizontaltunnelinthe
bracketsothatauxiliariescould
easilybeusedwiththebracket.

TipedgePlusBracket

TIPEDGEVS.STRAIGHTWIRE
TIPEDGE

STRAIGHTWIRE

Notchinbracketwhich
allowscrownoftoothto
tipupto25degrees
(dependingonwhich
tooth)
Tomovethebodyofthe
tooth,wefirstmovethe
crownofthetooth,then
uprighttheroot.

Slotinbracketisstraight,
sothewholebodyofthe
toothmovesatonce.

TOOTHMOVEMENTWITH
TIPEDGE

ADVANTAGESOFTIPEDGEOVERSTRAIGHT
WIRE
Easierandfastertomoveatoothbytippingfirst,then
uprightingtheroot,ratherthanmovingthetoothbodily.
Lessforceisneededtomoveteeth
About2ounceswithtipedge
About8ounceswithstraightwire

Lessproblemwithanchorage,sovirtuallyeliminatestheneed
forexternalanchoragesuchasheadgear(althoughcanbe
usedwithheadgear).
Normallydonothavetobandorbracketsecondmolar
Easiertocorrectoverbites
Lesswirebending
Fewerwires
FEWERAPPOINTMENTS,Thereforemoreprofitable.

DISADVANTAGESOFTIPEDGEVS.
STRAIGHTWIRE
Oncecrownoftoothiswhereyouwantit,thetoothmustbe
uprighted.(NotasdifficultwiththenewPlusbracket.)
Notascommonasstraightwire,somoredifficulttofindatip
edgedentisttotransferto.(Iveonlytransferredabout2cases
inthelast10years.
Sincetipedgehasonlybeenaroundsince1986,lessarticles
andresearchaboutit.
Only2companiesmaketipedgebracket.Severalcompanies
makestraightwirebrackets.

WIREPLACEMENT
(Tipedgevs.Straightwire)
Becauseofstraight
slotinstraightwire
bracket,harderto
placewire.
Triangularslotsintip
edgebracketallows
easierbracket
placementwithless
unwantedforces.

RelativeSlotSizes

Ready,Set,Straighten!