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Class I Deep Bite

Suggested Treatment Protocol

Duration Interval Early Light Elastics Guideposts


Phase Archwires Objectives Notes
in Weeks in Weeks Begun at Initial Bonding1 for Next Phase

I. Damon Optimal-Force • Begin leveling and 10 10 As bite opens, cases Quail 3/16", 2 oz – Shorty CL II When 90% of rotations
Initial Copper Ni-Ti® alignment become CL II dentally, L6 to U4 – Full time are resolved.
Light-Wire • Initiate arch development explaining use of CL II
.014 U/L without RPEs or W-arches elastics configurations. Do not rush this Phase. It
• Resolve 90% of rotations
must be possible to insert
PRN, .013 U/L if crowding Always place stops the first edgewise wires
• Extrude buccal segments
is severe or periodontal anterior to crowding. with minimal active
support is compromised • Begin A/P and vertical engagement. If not, let the
correction Use Bite Turbos (preferably current wire work longer.
behind U1s) to allow Avoid the use of any wire
.018 U/L 6–8 6–8 buccal segments to “icing” product that
extrude. Disarticulation is would apply too high a
also TMJ favorable. force when the wire
warms.
Reverse curve Ni-Ti is not
recommended on upper
arch.2

II. Damon Optimal-Force • Complete leveling and 10 10 Typically use power chain Kangaroo 3/16", 4.5 oz – Shorty When all brackets and
High-Tech Copper Ni-Ti alignment under wire to consolidate CL II – L6 to U4 – Full time teeth are aligned.
Edgewise • Continue arch minor spaces U/L 3 to 3. If
.014 x .025 U/L development consolidating minor It should be possible to
10 weeks into this stage: spaces U/L 6 to 6, run wire insert the working wires
• Resolve remaining
Take Panorex & reposition 7 to 7. If 7s are not with minimal active
rotations
brackets. Follow with .018 erupted, consolidate 5 to engagement. If not, the
• Begin torque control
Cu Ni-Ti if brackets are 5. Run wire 6 to 6.4 case is not ready for Phase
drastically repositioned. • Consolidate minor spacing III. Avoid “icing” products.

.018 x .025 U/L 6–8 6–8


or
PRN, .018 x .025 L 8 – 10 8 – 10 Pretorqued wires counter
.017 x .025 Ni Ti® with effects of CL II elastics to
20° anterior torque U.3 keep upper incisors from
See Notes. Follow retroclining.
pretorqued wire with
same wire in .019 x .025
for 6 to 8 weeks if more
torque required.

1In patients with very thin attached tissue, severe crowding or periodontal issues, waiting to start elastics until the second appointment may help prevent labial gingival recession. 2Preserving a satisfactory smile arc in a deep-
bite case usually precludes using a reverse curve archwire on the upper arch that would flatten it – even in cases with excessive gingival display. 90% of the correction should come from extruding the buccal segments and
bringing the molars up and forward. It may also be advisable to intrude lower incisors and extrude upper incisors to enhance the smile arc. 3Allowing staff to engage pretorqued wires is not recommended; wire orientation
is critical and it is easy to reverse it inadvertently. 4 If consolidating space behind canines, keep power chain one tooth forward of end of wire to help prevent rotation.
Class I Deep Bite (continued)
Suggested Treatment Protocol

Duration Interval Early Light Elastics Guideposts


Phase Archwires Objectives Notes
in Weeks in Weeks Begun at Initial Bonding for Next Phase

III. Posted Stainless Steel • Take wax bite; coordinate 20 – 30 8 When engaging elastics, Kangaroo 3/16", 4.5 oz – Full CL II When the case is CL I
Major .016 x .025 U/L patient-specific arch form To preclude use the wire posts to L6 to U Post – Full time until and has been in an over-
Mechanics • Consolidate any too much distribute forces over the overcorrected (edge to edge) corrected position for
The diligent use of early remaining minor spacing over- archwire. 8 weeks.
PRN, after 3 weeks, have patient
light elastics may shorten • Express majority of
correction,
advance to Impala 3/16", 6 oz – Full
or even eliminate this remaining torque
do not Once all spaces close,
CL II – L6 to U Post – Full time until
phase, but if additional allow transition from power
• Overcorrect A/P overcorrected (edge to edge)
posterior transverse width intervals to chain to .008 or .010 wire
is required, undertake this and vertical extend to lace anteriors together; Once overcorrected, have patient
phase with elastics and beyond 8 tie back to 6s to avoid switch back to: Quail or Kangaroo
expand wires slightly in weeks. reopening space. – Shorty CL II -- L5 to U Post – Wear
the posterior. often enough to keep edge to edge
and hold for about 8 weeks

To prevent relapse, it is advisable


not to stop CL II elastics too soon.
Just shorten and lighten them.

IV. TMA® • Make final A/P, 15 – 20 4–6 To engage elastics, crimp Quail 3/16", 2 oz or Kangaroo 3/16,
Finishing .019 x .025 U buccolingual, torque and until surgical posts onto TMA 4.5 oz – Shorty CL II
.017 x .025 L occlusal adjustments. sectioning wires to distribute forces L5 to U Post – Full time for 8 weeks
wire, then 2 over the archwire. to hold idealized anterior bite,
preventing relapse into centric slide

Overlay Zebra 5/16", 4.5 oz


Posterior V – U6 to L5 to U Post –
Full time until socked in, then 12
hours daily (after school & nights)

PRN to perfect occlusion, PRN when sectioning wire, maintain


cut upper wire mesial to Shorty CL II but switch from Posterior
the teeth that still require V to Ostrich 3/4", 2 oz – Spaghetti
better articulation. U to L 7 to 3 – Twisted in between.
In the anteriors, end on U Post
Adjust posterior mesial to 3s – Full time
interferences with a
high-speed handpiece
and diamond bur, then
polish, PRN.

These wire/elastics sequence recommendations have been shown to be effective when treating with Damon System mechanics. They are not a replacement for professional expertise.
Class I Open Bite
Suggested Treatment Protocol

Duration Interval Early Light Elastics Guideposts


Phase Archwires Objectives Notes
in Weeks in Weeks Begun at Initial Bonding1 for Next Phase

I. Damon Optimal-Force • Begin leveling and 10 10 Always place stops Quail 3/16", 2 oz – Triangle – U3 to When 90% of rotations
Initial Copper Ni-Ti® alignment anterior to crowding. L3 to L4 – Full time are resolved.
Light-Wire • Initiate arch development
.014 U/L without RPEs or W-arches Use composite buildups Do not rush this Phase. It
• Resolve 90% of rotations
on buccal cusps of L6s & must be possible to insert
PRN, .013 U/L if crowding L7s to intrude buccal the first edgewise wires
• Intrude buccal segments
is severe or periodontal segments. with minimal active
support is compromised • Begin A/P and vertical engagement. If not, let the
correction current wire work longer.
Avoid the use of any wire
.018 U/L 6–8 6–8 “icing” product that
would apply too high a
force when the wire
warms.

II. Damon Optimal-Force • Complete leveling (of 10 10 Typically use power chain Quail 3/16", 2 oz – Triangle – U3 to When all brackets and
High-Tech Copper Ni-Ti upper arch) while closing under wire to consolidate L3 to L4 – Full time teeth are aligned.
Edgewise bite with elastics3 minor spaces U/L 3 to 3. If
.014 x .025 U/L • Complete alignment consolidating minor Overlay Parrot 5/16", 2 oz – It should be possible to
10 weeks into this stage: • Continue arch spaces U/L 6 to 6, run wire Reverse Anterior V – L3 over 1s to insert the working wires
Take Panorex & reposition development 7 to 7. If 7s are not L3 – Full time with minimal active
brackets. Follow with .018 erupted, consolidate 5 to engagement. If not, the
• Resolve remaining
Cu Ni-Ti if brackets are 5. Run wire 6 to 6.4 case is not ready for Phase
rotations
drastically repositioned. III. Avoid “icing” products.
• Begin torque control
.018 x .025 U/L • Consolidate minor spacing 6–8 6–8
or
PRN, .018 x .025 L 8 – 10 8 – 10 Pretorqued wires are
.017 x .025 Ni Ti® with useful if anterior teeth are
20° anterior torque U.2 excessively pro- or
See Notes. Follow retroclined.
pretorqued wire with
same wire in .019 x .025
for 6 to 8 weeks if more
torque desired.

1 In patients with very thin attached tissue, severe crowding or periodontal issues, waiting to start elastics until the second appointment may help prevent labial gingival recession. 2 Allowing staff to engage pretorqued

wires is not recommended; wire orientation is critical and it is easy to reverse it inadvertently. 3 Because of the prescribed bracket placement protocol, leveling of the lower arch will always demonstrate a slight curve of
Spee. 4 If consolidating space behind canines, keep power chain one tooth forward of end of wire to help prevent rotation.
Class I Open Bite (continued)
Suggested Treatment Protocol

Duration Interval Early Light Elastics Guideposts


Phase Archwires Objectives Notes
in Weeks in Weeks Begun at Initial Bonding for Next Phase

III. Posted Stainless Steel • Take wax bite; coordinate 20 – 30 8 When engaging elastics, Kangaroo 3/16", 4.5 oz – Triangle – When case is CL I with no
Major .016 x .025 U/L patient-specific arch form To use the wire posts to V Post to L Post to L4 – Full time centric slide.
Mechanics • Consolidate any preclude distribute forces over the
The diligent use of early remaining minor spacing too much archwire. PRN, if bite still open, overlay Zebra
light elastics may shorten • Express majority of
over- 5/16", 4.5 oz or PRN, Moose 5/16",
or even eliminate this remaining torque
correction, Once all spaces close, 6 oz – Reverse Anterior V – L Post
phase, but if additional do not transition from power over U1s to L Post until overcorrected
• Overcorrect vertical
posterior transverse width allow chain to .008 or .010 wire with no centric slide
is required, undertake this intervals to to lace anteriors together;
phase with elastics and extend tie back to 6s to avoid
expand wires slightly in beyond 8 reopening space.
the posterior. weeks.

IV. TMA® • Make final buccolingual, 15 – 20 4–6 To engage elastics, crimp Zebra 5/16", 4.5 oz – Posterior V –
Finishing .019 x .025 U torque and occlusal until surgical posts onto TMA U6 to L5 to U Post if still CL II; U6
.017 x .025 L adjustments. sectioning wires to distribute forces under L4/5 to U Post if CL I – Full
wire, then 2 over the archwire. time for 8 weeks to prevent relapse

Overlay Zebra 5/16", 4.5 oz Reverse


Anterior V – L Post over U1s to L Post
– Full time until socked in, then 12
hours daily (after school and nights)

PRN to perfect occlusion, PRN, when sectioning wire, maintain


cut upper wire mesial to Reverse Anterior V at least at night,
the teeth that still require but switch from Posterior V to
better articulation. Ostrich 3/4", 2 oz – Spaghetti – U to
L 7 to 3 – Twisted in between. In the
Adjust posterior anteriors, end on U Post mesial to 3s
interferences with a – Full time
high-speed handpiece
and diamond bur, then
polish, PRN.

These wire/elastics sequence recommendations have been shown to be effective when treating with Damon System mechanics. They are not a replacement for professional expertise.
Mild Class II, Div 2 End-On or Mild Class II Deep Bite
Suggested Treatment Protocol
For full Class II cases, employ functional appliance therapy, which varies greatly, and full Damon System treatment.

Duration Interval Early Light Elastics Guideposts


Phase Archwires Objectives Notes
in Weeks in Weeks Begun at Initial Bonding1 for Next Phase

I. Damon Optimal-Force • Begin leveling and 10 10 Always place stops Quail 3/16", 2 oz – Shorty CL II When 90% of rotations
Initial Copper Ni-Ti® alignment anterior to crowding. L6 to U4 – Full time are resolved.
Light-Wire • Initiate arch development
.014 U/L without RPEs or W-arches Use Bite Turbos (preferably Do not rush this Phase. It
• Resolve 90% of rotations behind U1s) to allow must be possible to insert
PRN, .013 U/L if crowding buccal segments to the first edgewise wires
• Extrude buccal segments
is severe or periodontal extrude. with minimal active
support is compromised • Begin A/P and vertical engagement. If not, let the
correction Disarticulation is also current wire work longer.
TMJ favorable. Avoid the use of any wire
.018 U/L 6–8 6–8 “icing” product that
Reverse curve Ni-Ti is would apply too high a
not recommended on force when the wire
upper arch.2 warms.

II. Damon Optimal-Force • Complete leveling and 10 10 Typically use power chain Kangaroo 3/16", 4.5 oz – Shorty When all brackets and
High-Tech Copper Ni-Ti alignment under wire to consolidate CL II – L6 to U4 – Full time teeth are aligned.
Edgewise • Continue arch minor spaces U/L 3 to 3. If
.014 x .025 U/L development consolidating minor It should be possible to
spaces 6 to 6, run wire 7 insert the working wires
• Resolve remaining
10 weeks into this stage: to 7. If 7s are not erupted, with minimal active
rotations
Take Panorex & reposition consolidate 5 to 5. Run engagement. If not, the
brackets. Follow with .018 • Begin torque control wire 6 to 6.4 case is not ready for Phase
Cu Ni-Ti if brackets are • Consolidate minor III. Avoid “icing” products.
drastically repositioned. spacing

.018 x .025 U/L 6–8 6–8


or
PRN, .017 x .025 Ni Ti® 8 - 10 8 - 10 Pretorqued wires counter
with 20° anterior effects of CL II elastics to
torque U/L.3 See Notes. keep upper incisors from
Follow with same wire retroclining; lowers from
in .019 x .025 for 6 to 8 proclining.
weeks if more torque
required.

1 In patients with very thin attached tissue, severe crowding or periodontal issues, waiting to start elastics until the second appointment may help prevent labial gingival recession. 2 Preserving a satisfactory smile arc in a

deep-bite case usually precludes using a reverse curve archwire on the upper arch that would flatten it – even in cases with excessive gingival display. 90% of the correction should come from extruding the buccal
segments and bringing the molars up and forward. It may also be advisable to intrude lower incisors and extrude upper incisors to enhance the smile arc. 3Allowing staff to engage pretorqued wires is not recommended;
wire orientation is critical and it is easy to reverse it inadvertently. 4 If consolidating space behind canines, keep power chain one tooth forward of end of wire to help prevent rotation.
Mild Class II, Div 2 End-On or Mild Class II Deep Bite (continued)
Suggested Treatment Protocol

Duration Interval Early Light Elastics Guideposts


Phase Archwires Objectives Notes
in Weeks in Weeks Begun at Initial Bonding for Next Phase

III. Posted Stainless Steel • Take wax bite; coordinate 20 – 30 8 Once all spaces close, Kangaroo 3/16", 4.5 oz – Full CL II When the case is CL I
Major .019 x .025 U patient-specific arch form To preclude transition from power chain L6 to U Post – Full time and has been in an
Mechanics .016 x .025 L • Consolidate any too much to .008 or .010 wire to lace overcorrected position
(PRN, .019 x .025 L) remaining minor spacing over- anteriors together; tie back After 3 weeks, have patient for 8 weeks.
• Express majority of correction, to 6s to avoid reopening advance to Impala 3/16", 6 oz Full
The diligent use of early remaining torque do not space. CL II – L6 to U Post – Full time until
light elastics may shorten allow overcorrected (edge to edge)
• Overcorrect A/P
this phase. Once CL II is intervals to When engaging elastics,
corrected or if no major extend use the wire posts to Once overcorrected, have patient
mechanics are required, beyond 8 distribute forces over the switch back to: Quail or Kangaroo
proceed to Phase IV. If weeks. archwire. – Shorty CL II L5 to U Hook – Wear
additional posterior often enough to keep edge to edge
transverse width is and hold for 8 weeks
desired, undertake this
phase with elastics and Never stop CL II elastics. Just
expand wires slightly in shorten them or cut to half time.
the posterior.

IV. TMA® • Make final buccolingual, 15 – 20 4–6 To engage elastics, crimp Quail 3/16", 2 oz – or Kangaroo
Finishing .019 x .025 U torque, A/P and occlusal until surgical posts on TMA wire 3/16", 4.5 oz – Shorty CL II
.017 x .025 L adjustments sectioning to distribute forces over the L5 to U Post – Full time for 8 weeks
wire, archwire. to prevent relapse
then 2
Overlay Zebra 5/16", 4.5 oz
Posterior V – U6 to L5 to U Post –
Full time until socked in, then 12
hours daily (after school & nights)

PRN to perfect occlusion, PRN when sectioning wire, maintain


cut upper wire mesial to the Shorty CL II but switch from
teeth that still require better Posterior V to: Ostrich 3/4", 2 oz –
articulation. Spaghetti U to L 7 to 3 – Twisted in
between. In the anteriors, end on U
Adjust posterior Post mesial to 3s – Full time
interferences with a high-
speed handpiece and
diamond bur, then polish,
PRN.

These wire/elastics sequence recommendations have been shown to be effective when treating with Damon System mechanics. They are not a replacement for professional expertise.
Class II Open Bite
Suggested Treatment Protocol

Duration Interval Early Light Elastics Guideposts


Phase Archwires Objectives Notes
in Weeks in Weeks Begun at Initial Bonding1 for Next Phase

I. Damon Optimal-Force • Begin leveling and 10 10 Always place stops Quail 3/16", 2 oz – Shorty CL II When 90% of rotations
Initial Copper Ni-Ti® alignment anterior to crowding. L5 to U3 or L4 to U2 – Full time are resolved.
Light-Wire • Initiate arch development
.014 U/L without RPEs or W-arches Use composite buildups Do not rush this Phase. It
on buccal cusps of L6s & must be possible to insert
• Resolve 90% of rotations
PRN, .013 U/L if crowding L7s to intrude buccal the first edgewise wires
is severe or periodontal • Intrude buccal segments segments. with minimal active
support is compromised • Begin A/P and vertical engagement. If not, let the
correction current wire work longer.
Avoid the use of any wire
.018 U/L 6–8 6–8 “icing” product that
would apply too high a
force when the wire
warms.

II. Damon Optimal-Force • Complete leveling and 10 10 Typically use power chain Quail 3/16", 2 oz – Shorty CL II When all brackets and
High-Tech Copper Ni-Ti alignment under wire to consolidate L5 to U3 or L4 to U2 – Full time teeth are aligned.
Edgewise • Continue arch minor spaces U/L 3 to 3. If
.014 x .025 U/L development consolidating minor Overlay Parrot 5/16", 2 oz Reverse It should be possible to
spaces 6 to 6, run wire 7 Anterior V – L3 over 1s to L3 – Full insert the working wires
• Resolve remaining
10 weeks into this stage: to 7. If 7s are not erupted, time with minimal active
Take Panorex & reposition rotations consolidate 5 to 5. Run engagement. If not, the
brackets. Follow with .018 • Begin torque control wire 6 to 6. 3 case is not ready for Phase
Cu Ni-Ti if brackets are • Consolidate minor III. Avoid “icing” products.
drastically repositioned. spacing

.018 x .025 U/L 6–8 6–8


or
PRN, .017 x .025 Ni Ti® 8 - 10 8 - 10 Pretorqued wires counter
with 20° anterior torque effects of CL II elastics to
U/L.2 See Notes. Follow keep upper incisors from
with same wire in .019 x retroclining; lowers from
.025 for 6 to 8 weeks if proclining.
more torque required.

1 In patients with very thin attached tissue, severe crowding or periodontal issues, waiting to start elastics until the second appointment may help prevent labial gingival recession. 2 Allowing staff to engage pretorqued wires

is not recommended; wire orientation is critical and it is easy to reverse inadvertently. 3 If consolidating space behind canines, keep power chain one tooth forward of end of wire to prevent rotation.
Class II Open Bite (continued)
Suggested Treatment Protocol

Duration Interval Early Light Elastics Guideposts


Phase Archwires Objectives Notes
in Weeks in Weeks Begun at Initial Bonding for Next Phase

III. Posted Stainless Steel • Take wax bite; coordinate 20 – 30 8 Once all spaces close, Kangaroo 3/16", 4.5 oz – CL II When the case is CL I and
Major .019 x .025 U patient-specific arch form To transition from power chain L6 to U Post – Full time has been in an
Mechanics .016 x .025 L • Consolidate any preclude to .008 or .010 wire to lace overcorrected position for
(PRN, .019 x .025 L) remaining minor spacing too much anteriors together; tie back Overlay Zebra 5/16", 4.5 oz or 8 weeks.
over- to 6s to avoid reopening Moose 5/16", 6 oz – Reverse
• Express majority of
The diligent use of early correction, space. Anterior V – Post over U1s to Post
remaining torque
light elastics may shorten do not until overcorrected with no centric
this phase. Once CL II is • Overcorrect vertical allow When engaging elastics, slide
corrected or if no major intervals to use the wire posts to
mechanics are required, extend distribute forces over the Never stop CL II elastics. Just
proceed to Phase IV. If beyond 8 archwire. shorten them or cut to half time.
additional posterior weeks.
transverse width is
desired, undertake this
phase with elastics and
expand wires slightly in
the posterior

IV. TMA® • Make final buccolingual, 15 – 20 4–6 To engage elastics, crimp Kangaroo 3/16", 4.5 oz
Finishing .019 x .025 U torque, A/P and occlusal until surgical posts on TMA wire Shorty CL II – L5 to U Post –
.017 x .025 L adjustments sectioning to distribute forces over the Full time for 8 weeks to
wire, archwire. prevent relapse
then 2
Overlay Zebra 5/16", 4.5 oz Reverse
Anterior V – L Post over U1s to L
Post – Full time until socked in, then
12 hours daily (after school and
nights)

PRN to perfect occlusion, PRN, when sectioning wire,


cut upper wire mesial to the maintain Shorty CL II Overlay but
teeth that still require betterswitch from Reverse Anterior V to:
articulation. Ostrich 3/4", 2 oz – Spaghetti
U to L 7 to 3 – Twisted in between.
Adjust posterior interferences In the anteriors, end on U Post
with a high-speed handpiece mesial to 3s – Full time
and diamond bur, then
polish, PRN.

These wire/elastics sequence recommendations have been shown to be effective when treating with Damon System mechanics. They are not a replacement for professional expertise.
Class III Deep Bite
Suggested Treatment Protocol

Duration Interval Early Light Elastics Guideposts


Phase Archwires Objectives Notes
in Weeks in Weeks Begun at Initial Bonding1 for Next Phase

I. Damon Optimal-Force • Begin leveling and 10 10 Always place stops Quail 3/16", 2 oz – Shorty CL III When 90% of rotations
Initial Copper Ni-Ti® alignment anterior to crowding. U5 to L3 or U6 to L4 – Full time are resolved.
Light-Wire •Initiate arch development
.014 U/L without RPEs or W-arches Use bite turbos (preferably Do not rush this Phase. It
behind L1s) to allow must be possible to insert
• Resolve 90% of rotations
PRN, .013 U/L if crowding buccal segments to the first edgewise wires
is severe or periodontal • Extrude buccal segments extrude. Disarticulation is with minimal active
support is compromised • Begin A/P correction and also TMJ favorable. engagement. If not, let the
vertical correction current wire work longer.
.018 U/L 6–8 6–8 Reverse curve Ni-Ti is Avoid the use of any wire
not recommended on “icing” product that
upper arch.2 would apply too high a
force when the wire
warms.

II. Damon Optimal-Force •Complete leveling and 10 10 Typically use power chain Parrot 5/16", 2 oz – Sling When all brackets and
High-Tech Copper Ni-Ti alignment under wire to consolidate U6 to L4 to U4 – Full time teeth are aligned.
Edgewise minor spaces U/L 3 to 3. If
•Continue arch
.014 x .025 U/L consolidating minor PRN, Dolphin 5/16", 3 oz – Sling It should be possible to
development
spaces 6 to 6, run wire 7 U6 to L4 to U4 – Full time insert the working wires
10 weeks into this stage: • Resolve remaining to 7. If 7s are not erupted, with minimal active
Take Panorex & reposition rotations consolidate 5 to 5. Run As soon as anterior bite has engagement. If not, the
brackets. Follow with .018 • Begin torque control wire 6 to 6.4 jumped, remove Bite Turbos. case is not ready for Phase
Cu Ni-Ti if brackets are •Consolidate minor III. Avoid “icing” products.
drastically repositioned. spacing
.018 x .025 U/L 6–8 6–8
or
PRN, Reverse a 8 - 10 8 - 10 Pretorqued wires counter
017 x .025 Ni Ti® with 20° effects of CL III elastics to
anterior torque U/L.3 See keep upper incisors from
Notes. Follow with same proclining; lowers from
wire in .019 x .025 for 6 retroclining.
to 8 weeks if more torque
required.

1 In patients with very thin attached tissue, severe crowding or periodontal issues, waiting to start elastics until the second appointment may help prevent labial gingival recession. 2 Preserving a satisfactory smile arc in a

deep-bite case usually precludes using a reverse curve archwire on the upper arch that would flatten it – even in cases with excessive gingival display. 90% of the correction should come from extruding the buccal
segments and bringing the molars up and forward. It may also be advisable to intrude lower incisors and extrude upper incisors to enhance the smile arc. 3Allowing staff to engage pretorqued wires is not recommended;
wire orientation is critical and it is easy to reverse it inadvertently. 4 If consolidating space behind canines, keep power chain one tooth forward of end of wire to help prevent rotation.
Class III Deep Bite (continued)
Suggested Treatment Protocol

Duration Interval Early Light Elastics Guideposts


Phase Archwires Objectives Notes
in Weeks in Weeks Begun at Initial Bonding for Next Phase

III. Posted Stainless Steel •Take wax bite; coordinate 20 – 30 8 Once all spaces close, Zebra 5/16", 4.5 oz – Sling When the case is CL I
Major .019 x .025 U patient-specific arch form To transition fro power chain U6 to L4 to U4 – Full time and has been in an
Mechanics .016 x .025 L • Consolidate any preclude to .008 or .010 wire to overcorrected position
remaining minor spacing too much lace anteriors together; tie Alternative: for 8 weeks.
The diligent use of early over- back to 6s to avoid Kangaroo 3/16", 4.5 oz or Impala
• Express majority of
light elastics may correction, reopening space. 3/16", 6 oz – CL III U6 to L Post –
shorten this phase. Once remaining torque do not Full time
CL III is corrected or if • Overcorrect A/P allow When engaging elastics,
no major mechanics are intervals use the wire posts to Watch upper anterior roots in
required, proceed to to extend distribute forces over the relation to the labial alveolar plate
Phase IV. If additional beyond 8 archwire. as upper anteriors are detorquing
posterior transverse weeks.
width is desired,
undertake this phase
with elastics and expand
wires slightly in the
posterior.

IV. TMA® •Make final buccolingual, 15 – 20 4–6 To engage elastics, crimp Quail 3/16", 2 oz – Shorty CL III
Finishing .019 x .025 U torque, A/P and occlusal until surgical posts on TMA U5 to L Post – Full time
.017 x .025 L adjustments sectioning wire to distribute forces
wire, over the archwire. Overlay Zebra 5/16", 4.5 oz
then 2 Posterior V – U6 to L4 to U Post Full
time until socked in, then 12 hours
daily (after school and nights)

PRN to perfect occlusion, PRN when sectioning wire, maintain


cut lower wire mesial to Shorty CL III but switch from
the teeth that still require Posterior V to Ostrich 3/4", 2 oz –
better articulation. Spaghetti U to L 7 to 3 – Twisted in
between. In the anteriors, end on
Adjust posterior lower Post – Full time
interferences with a
high-speed handpiece
and diamond bur, then
polish, PRN.

These wire/elastics sequence recommendations have been shown to be effective when treating with Damon System mechanics. They are not a replacement for professional expertise.
Disarticulation & Elastics
REFERENCE GUIDE
SHORT ELASTICS

ELASTIC TYPE ELASTIC SIZE ELASTIC WEIGHT

Quail 3/16” 2 oz.

FULL ELASTICS

ELASTIC TYPE ELASTIC SIZE ELASTIC WEIGHT

Parrot 5/16” 2 oz.


INTRAORAL ELASTICS
MEDIUM
SIZE LIGHT LIGHT PLUS MEDIUM HEAVY
PLUS

Strength 2 oz./60 g 3 oz./85 g 3.5 oz./100 g 4.5 oz./130 g 6 oz./170 g

3/16"
Quail Otter Rabbit Kangaroo Impala
4.76 mm
630-0011 630-0020 630-0031 630-0040 630-0050

1/4"
Owl Seal Fox Bear Ram
6.35 mm
630-0012 630-0021 630-0032 630-0041 630-0051

5/16"
Parrot Dolphin Penguin Zebra Moose
7.94 mm
630-0013 630-0022 630-0033 630-0042 630-0052

Note: Be conscious not to change into heavier elastics too fast!


Elastics available in various colors.
CLASS I
CLASS I CASE
CLASS l DEEP BITE
WIRE ELASTIC SIZE DIRECTION DURATION BITE TURBO

.014 Quail Shorty Class ll


Full-time Anterior
Copper Ni-Ti® 3/16” 2 oz. L6-U4

.018 Quail Shorty Class II


Full-time Anterior
Copper Ni-Ti 3/16” 2 oz. L6-U4
Quail Shorty Class II
.014 X .025 3/16” 2 oz. L6-U4
Full-time Add to
Copper Ni-Ti bite turbos
Parrot Class II Reverse V
(moderate class ll) Full-time PRN
5/16” 2 oz. L6-U3-L4

.018 X .025 Parrot Class II Reverse V Overcorrect


Copper Ni-Ti 5/16” 2 oz. L6-U3-L4 PRN-nights to maintain
Kangaroo Full-time if still
3/16” 4.5 oz. Full Class II
.019 X .25 SS Impala moderately class ll
3/16” 6 oz. L6-U hook on wire
PRN-nights to maintain
CLASS l OPEN BITE
WIRE ELASTIC SIZE DIRECTION DURATION BITE TURBO

.014 Parrot Rainbow


Full-time Posterior
Copper Ni-Ti 5/16” 2 oz. LR2-U1’s-LL2

.018 Quail Rainbow


Full-time Posterior
Copper Ni-Ti 3/16” 2 oz. LR2-U1’s-LL2

.014 X .025 Parrot Rainbow Until bite is idealized for


Copper Ni-Ti 5/16” 2 oz. LR2-U1’s-LL2 3 months then go to PM only
Dolphin Full-time if still
.018 X .025 5/16” 3 oz. Rainbow moderately open
Copper Ni-Ti Parrot LR3-U1’s-LL3 Until bite is idealized for
5/16” 2 oz. 3 months then go to PM only

Dolphin
.019 X .025 SS 5/16” 3 oz. Rainbow Full-time PRN
.017 X .025 TMA L hook-U
Parrot 1’s-L hook Until bite is idealized for
when corrected 5/16” 2 oz. 3 months then go to PM only
CLASS II
CLASS II CASE
CLASS II OPEN/END ON
WIRE ELASTIC SIZE DIRECTION DURATION BITE TURBO

.014 Quail Shorty Class ll


Full-time Posterior
Copper Ni-Ti 3/16” 2 oz. L5-U3

.018 Quail Shorty Class ll


Full-time Posterior
Copper Ni-Ti 3/16” 2 oz. L5-U3

Full-time – Overcorrect Add to


.014 X .025 Parrot Class ll Reverse V bite
Copper Ni-Ti 5/16” 2 oz. L6-U3-L4 turbos
PRN-nights to maintain PRN

Class II Reverse V
Full-time
.018 X .025 Parrot L6-U3-L4
Copper Ni-Ti 5/16” 2 oz. +
Rainbow L3-U1’s-L3 PRN-nights to maintain

.019 X .025 SS Kangaroo Full-time if still moderately class II


Class II V
3/16” 4.5 oz.
U6-L5-U hook
.017 X .025 TMA + Rainbow L3-U1’s-L3
when corrected Parrot 5/16” 2 oz. PRN-nights to maintain
CLASS II DEEP BITE
WIRE ELASTIC SIZE DIRECTION DURATION BITE TURBO

.014 Quail Shorty Class ll


Full-time Anterior
Copper Ni-Ti 3/16” 2 oz. L6-U4

.018 Quail Shorty Class ll


Full-time Anterior
Copper Ni-Ti 3/16” 2 oz. L6-U4
Quail Shorty Class ll
.014 X .025 3/16” 2 oz. L6-U4
Full-time Add to bite turbos PRN
Copper Ni-Ti
Parrot Class ll Reverse V Correct edge to edge for
(moderate class ll)
5/16” 2 oz. L6-U3-L4 3 months then PM only

.018 X .025 Parrot Class ll Reverse V Correct edge to edge for


Copper Ni-Ti 5/16” 2 oz. L6-U3-L4 3 months then PM only

Kangaroo
3/16” 4.5 oz. Full Class ll Full-time if still
.019 X .025 SS Impala moderately Class Il
3/16” 6 oz.
L6-U hook on wire
CLASS III CASE

CLASS III
CLASS III DEEP BITE
WIRE ELASTIC SIZE DIRECTION DURATION BITE TURBO

.014 Quail Shorty lll


Full-time Anterior Lower
Copper Ni-Ti 3/16” 2 oz. U5-L3

.018 Quail Shorty lll


Full-time Anterior Lower
Copper Ni-Ti 3/16” 2 oz. U5-L3

.014 X .025 Parrot Full Class lll


Full-time Anterior Lower
Copper Ni-Ti 5/16” 2 oz. U6-L3

.018 X .025 Parrot Class lll V


Full-time
Copper Ni-Ti 5/16” 2 oz. U6-L3-U4
Kangaroo Full Class U6- Full-time if still
3/16” 4.5 oz. lower hook on wire moderately class III
.019 X .025 SS
If patient is
CS 2000 Springs Mesial U6-D L3
not compliant
CLASS III OPEN BITE
WIRE ELASTIC SIZE DIRECTION DURATION BITE TURBO

Quail 3/16” 2 oz. Class III Shorty U5-L3


.014
Copper Ni-Ti
+ Full-time Posterior
Reverse Rainbows
Parrot 5/16” 2 oz.
UR2-L1’S-UL2

Quail 3/16 2 oz Class III Shorty U5-L3


.018
Copper Ni-Ti
+ Reverse Rainbows
Full-time Posterior
Parrot 5/16” 2 oz. UR2-L1’S-UL2

Quail 3/16” 2 oz. Class III Shorty U5-L3


.014 X .025 Posterior
Copper Ni-Ti
+ Reverse Rainbow Until bite is idealized for 3 months
Parrot 5/16” 2 oz. UR2-L1’S-UL2 then go to PM only

.018 X .025 Parrot Reverse Rainbow Until bite is idealized for 3 months
Copper Ni-Ti 5/16” 2 oz. UR2-L1’S-UL2 then go to PM only

.019 X .025 SS Kangaroo


3/16” 4.5 oz.
Full Class lll U6-L hook Full-time if still
.017 X .025 TMA moderately
Reverse Rainbow
when corrected Zebra 5/16” 4.5 oz.
UR3-L1’S-UL3
class III
CROSS BITE

CROSS BITE
CROSS BITE
BITE TURBO
WIRE ELASTIC SIZE DIRECTION DURATION
BUTTONS
Post Cross Bite Posterior
.014 Parrot
U6,U5-L6‘s or L5’s Full-time U6’s and 5’s
Copper Ni-Ti 5/16” 2 oz. (Class II or III PRN) Lingual

Post Cross Bite Posterior


.018 Dolphin
U6,U5-L6‘s or L5’s Full-time U6’s and 5’s
Copper Ni-Ti 5/16” 3 oz. (Class II or III PRN) Lingual
Post Cross Bite Posterior
.014 X .025 Dolphin Full-time
Copper Ni-Ti 5/16” 3 oz. U6,U5-L6‘s or L5’s overcorrect U6’s and 5’s
(Class II or III PRN) Lingual
Post Cross Bite Posterior
.018 X .025 Zebra Full-time
Copper Ni-Ti 5/16” 6 oz. U6,U5-L6‘s or L5’s overcorrect U6’s and 5’s
(Class II or III PRN) Lingual
Post Cross Bite Posterior
Zebra Full-time
.019 X .025 SS U6,U5-L6‘s or L5’s U6’s and 5’s
5/16” 6 oz. (Class II or III PRN)
overcorrect
Lingual
Ormco Corporation
1717 West Collins Ave.
Orange, CA 92867
800.854.1741 | 714.516.7400

© 2013 Ormco Corporation 070-5532 Rev. A


Inter-Arch Elastic Guide
Written and edited by Dr. Tom Barron
Inter-Arch Elastic Guide
A–P Vertical Transverse Finish

ANTERIOR BUCCAL POSTERIOR POSTERIOR POSTERIOR


WIRES CLASS II CLASS III MIDLINE TENT FINISH
TRAPEZOID BOX BOX VERTICAL CROSSBITE

.013 – .018 Short Quail Short Quail Parrot Dolphin


Copper Ni-Ti® 3/16” 2 oz. 3/16” 2 oz. 5/16” 2 oz. 5/16” 3 oz.

.014 X .025 Short Rabbit Short Rabbit Parrot Rabbit Rabbit Dolphin
Copper Ni-Ti 3/16” 3.5 oz. 3/16” 3.5 oz. 5/16” 2 oz. 3/16” 3.5 oz. 3/16” 3.5 oz. 5/16” 3 oz.

.018 X .025 Zebra Zebra Zebra Moose Impala Impala Moose Moose Impala
Copper Ni-Ti 5/16” 4.5 oz. 5/16” 4.5 oz. 5/16” 4.5 oz. 5/16” 6 oz. 3/16” 6 oz. 3/16” 6 oz. 5/16” 6 oz. 5/16” 6 oz. 3/16” 6 oz.

.017 X .025 Zebra Zebra Zebra Impala


Ni-Ti® RC/SET 5/16” 4.5 oz. 5/16” 4.5 oz. 5/16” 4.5 oz. 3/16” 6 oz.

.019 X .025 Zebra Zebra Zebra Impala


Ni-Ti RC/SET 5/16” 4.5 oz. 5/16” 4.5 oz. 5/16” 4.5 oz. 3/16” 6 oz.

.019 X .025 Zebra Zebra Zebra Moose Impala Impala Moose Moose Impala
TMA 5/16” 4.5 oz. 5/16” 4.5 oz. 5/16” 4.5 oz. 5/16” 6 oz. 3/16” 6 oz. 3/16” 6 oz. 5/16” 6 oz. 5/16” 6 oz. 3/16” 6 oz.

.016 X .025 Zebra Zebra Zebra Moose Impala Impala Moose Moose Impala
SS 5/16” 4.5 oz. 5/16” 4.5 oz. 5/16” 4.5 oz. 5/16” 6 oz. 3/16” 6 oz. 3/16” 6 oz. 5/16” 6 oz. 5/16” 6 oz. 3/16” 6 oz.

.019 X .025 Moose Moose Moose Moose Impala Impala Moose Moose Impala
SS 5/16” 6 oz. 5/16” 6 oz. 5/16” 6 oz. 5/16” 6 oz. 3/16” 6 oz. 3/16” 6 oz. 5/16” 6 oz. 5/16” 6 oz. 3/16” 6 oz.

Ostrich
Sectioned
3/4” 2 oz.

INTRAORAL ELASTICS

MEDIUM/ EXTRA
SIZE LIGHT MEDIUM HEAVY
HEAVY HEAVY

Strength 2 oz./60 g 3 oz./85 g 3.5 oz./100 g 4.5 oz./130 g 6 oz./170 g

3/16"
Quail Rabbit Impala
4.76 mm
630-0011 630-0031 630-0050
Ormco Corporation
1717 West Collins Ave.
5/16"
Parrot Dolphin Zebra Moose Orange, CA 92867
7.94 mm
630-0013 630-0022 630-0042 630-0052 800.854.1741 | 714.516.7400

3/4”
Ostrich
19.1 mm
630-0017
© 2013 Ormco Corporation
Four Bicuspid Extraction – Deep Bite
Suggested Treatment Protocol

Duration Interval Early Light Elastics Guideposts


Phase Archwires Objectives Notes
in Weeks in Weeks Begun at Initial Bonding1 for Next Phase

I. Damon Optimal-Force • Begin leveling and 10 10 Always place stops anterior Quail 3/16", 2 oz – Shorty CL II When 90% of rotations
Initial Copper Ni-Ti® alignment to crowding. L6 to U5 or PRN, L5 to U3 – Full are resolved.
Light-Wire • Initiate arch development time
Use Bite Turbos (preferably
.014 U/L without RPEs or W-arches Do not rush this Phase. It
behind U1s) to allow
must be possible to insert
• Resolve 90% of rotations buccal segments to
PRN, .013 U/L if crowding the first edgewise wires
• Extrude buccal segments extrude. Disarticulation is
is severe or periodontal with minimal active
• Begin vertical correction
also TMJ favorable.
support is compromised engagement. If not, let
and PRN, A/P correction. the current wire work
Elastics assist in eruption of
longer. Avoid the use of
teeth: lower posterior teeth
any wire “icing” product
(L6 to U5) if slightly CL II;
that would apply too
lower anterior teeth (L5 to
.018 U/L 6–8 6–8 high a force when the
U3) if more CL II.
wire warms.
Reverse curve Ni-Ti is
not recommended on
upper arch.2

II. Damon Optimal Force • Complete leveling 10 10 Typically use power chain Quail 3/16", 2 oz – Shorty CL II – L5 When all brackets and
High-Tech Copper Ni-Ti and alignment under wire to consolidate to U3 – Full time teeth are aligned.
Edgewise • Continue arch space 3 to 3. Once all
.014 x .025 U/L development spaces close, transition PRN, transition to Kangaroo 3/16”, It should be possible to
• Resolve remaining
from power chain to .008 4.5 oz – Shorty CL II – L5 to U3 – insert the working wires
10 weeks into this stage: or .010 wire to lace Full time with minimal active
rotations
Take Panorex & reposition anteriors together. engagement. If not, the
• Begin torque control
brackets. Follow with .018 case is not ready for
Cu Ni-Ti if brackets are • Consolidate minor spacing Phase III. Avoid “icing”
drastically repositioned. 3 to 3 products.

.018 x .025 U/L 6–8 6–8


or
PRN, .018 x .025 L 8 – 10 8 – 10 Pretorqued wires counter
.017 x .025 Ni Ti® with effects of CL II elastics to
20° anterior torque U.3 keep upper incisors from
See Notes. Follow retroclining.
pretorqued wire with
same wire in .019 x .025
for 6 to 8 weeks if more
torque desired.

1In patients with very thin attached tissue, severe crowding or periodontal issues, waiting to start elastics until the second appointment may help prevent labial gingival recession. 2Preserving a satisfactory smile arc in a deep-
bite case usually precludes using a reverse curve archwire on the upper arch that would flatten it – even in cases with excessive gingival display. 90% of the correction should come from extruding the buccal segments and
bringing the molars up and forward. It may also be advisable to intrude lower incisors and extrude upper incisors to enhance the smile arc. 3Allowing staff to engage pretorqued wires is not recommended; wire orientation
is critical and it is easy to reverse it inadvertently.
Four Bicuspid Extraction – Deep Bite (continued)
Suggested Treatment Protocol
Duration Interval Early Light Elastics Guideposts
Phase Archwires Objectives Notes
in Weeks in Weeks Begun at Initial Bonding for Next Phase

III. Posted Stainless Steel • Take wax bite; coordinate 20 – 30 8 To close spaces, end U/L PRN, Quail 3/16", 2 oz or Kangaroo When case is CL I and has
Major .019 x .025 U/L patient-specific arch form To wires distal to the 6s, 3/16", 4.5 oz – Full CL II L6 to U Post been in an overcorrected
Mechanics • Close extraction spaces preclude leaving 2 mm of wire on – Full time position for 8 weeks.
PRN, For efficient tooth • Express majority of too much which to engage Ni-Ti coil
movement, put lingual remaining torque over- springs. Bend distal loop of PRN, after 3 weeks, have patient
root torque in U/L wires correction, springs 90˚. Engage .010 advance to Impala 3/16", 6 oz – Full
• Overcorrect A/P vertical
3 to 6.4 do not ligature wire through mesial CL II – L6 to U Post or Shorty CL II L 5
allow loop of spring and pigtail-tie to U Post – Full time until
For additional posterior intervals to over Post, activating about overcorrected (edge to edge)
transverse width, expand extend 10 mm.5
wires slightly in the beyond 8 Once overcorrected, have patient
posterior. weeks. switch back to Quail or Kangaroo –
Shorty CL II – L5 to U Post – Wear
often enough to keep edge to edge
and hold for 8 weeks
After Space Closure
Damon Optimal 8 8 Once all spaces close, lace To prevent rebounding, do not
Force Cu Ni-Ti together (.008 or .010 wire) stop CL II elastics too soon. Just
.018 x .025 U/L – Extend U/L 3 to 5, then tie back to shorten and lighten them.
wires to 7s.to align them. 6s to avoid reopening space.

IV. TMA® • Make final A/P, 15 – 20 4–6 To engage elastics. PRN, Quail 3/16", 2 oz – or
Finishing .019 x .025 U buccolingual, torque and until crimp surgical posts on Kangaroo 3/16, 4.5 oz – Shorty CL
.017 x .025 L occlusal adjustments. sectioning TMA wires. II – L 5 to U Post – Often enough to
wire, then 2 prevent relapse

Overlay Zebra 5/16", 4.5 oz


Posterior V – U6 to L5 to U Post Full
time until socked in, then 12 hours
daily (after school & nights)

PRN to perfect occlusion, PRN when sectioning wire, maintain


cut upper wire mesial to the Shorty CL II, PRN, but switch from
teeth that still require betterPosterior V to Ostrich 3/4", 2 oz –
articulation. Spaghetti U to L 7 to 3 – Twisted in
between. In the anteriors, end on U
Adjust posterior interferences Post mesial to 3s – Full time
with a high-speed handpiece
and diamond bur, then
polish, PRN.

4Lingual root torque fosters more efficient space closure by keeping roots away from the buccal plate. 5Most clinicians find little need for additional posterior anchorage because of
the posterior transverse arch adaptation that the Damon System fosters through the first two Phases of treatment.

These wire/elastics sequence recommendations have been shown to be effective when treating with Damon System mechanics. They are not a replacement for
professional expertise.
Four Bicuspid Extraction – Open Bite
Suggested Treatment Protocol

Duration Interval Early Light Elastics Guideposts


Phase Archwires Objectives Notes
in Weeks in Weeks Begun at Initial Bonding1 for Next Phase

I. Damon Optimal-Force • Begin leveling and 10 10 Always place stops ante- Quail 3/16", 2 oz – Triangle – U3 to When 90% of rotations
Initial Copper Ni-Ti® alignment rior to crowding. L3 to L4 – Full time are resolved.
Light-Wire • Initiate arch development
.014 U/L without RPEs or W-arches Use composite buildups Do not rush this Phase. It
• Resolve 90% of rotations
on buccal cusps of L6s & must be possible to insert
PRN, .013 U/L if crowding L7s to intrude buccal seg- the first edgewise wires
• Extrude buccal segments
is severe or periodontal ments. with minimal active en-
support is compromised • Begin vertical and PRN, gagement. If not, let the
A/P correction. current wire work longer.
Avoid the use of any wire
“icing” product that
.018 U/L 6–8 6–8 would apply too high a
force when the wire
warms.

II. Damon Optimal Force • Complete leveling (of 10 10 Typically use power chain Quail 3/16", 2 oz –Triangle – U3 to When all brackets and
High-Tech Copper Ni-Ti upper arch) while closing under wire to consolidate L3 to L4 – Full time teeth are aligned.
Edgewise bite with elastics 2 space U/L 3 to 3. Once all
.014 x .025 U/L • Complete alignment spaces close, transition Overlay Parrot 5/16", 2 oz – Re- It should be possible to in-
• Continue arch from power chain to .008 verse Anterior V – L3 over 1s to L3 – sert the working wires
10 weeks into this stage: development or .010 wire to lace anteri- Full time with minimal active en-
Take Panorex & reposition ors together. gagement. If not, the case
• Resolve remaining
brackets. Follow with .018 is not ready for
rotations
Cu Ni-Ti if brackets are Phase III. Avoid “icing”
drastically repositioned. • Begin torque control products.
• Consolidate minor spacing
3 to 3
.018 x .025 U/L 6–8 6–8
or
PRN, .018 x .025 L 8 – 10 8 – 10 Pretorqued wires are
.017 x .025 Ni Ti® with useful if anterior teeth are
20° anterior torque U.3 excessively pro- or
See Notes. Follow retroclined.
pretorqued wire with
same wire in .019 x .025
for 6 to 8 weeks if more
torque desired.

1 In patients with very thin attached tissue, severe crowding or periodontal issues, waiting to start elastics until the second appointment may help prevent labial gingival recession. 2 Allowing staff to engage pretorqued wires

is not recommended; wire orientation is critical and it is easy to reverse it inadvertently. 3 Because of the prescribed bracket placement protocol, leveling of the lower arch will always demonstrate a slight curve of Spee.
Four Bicuspid Extraction – Open Bite (continued)
Suggested Treatment Protocol

Duration Interval Early Light Elastics Guideposts


Phase Archwires Objectives Notes
in Weeks in Weeks Begun at Initial Bonding for Next Phase

III. Posted Stainless Steel • Take wax bite; coordinate 20 – 30 8 To close spaces, end U/L Kangaroo 3/16", 4.5 oz – Triangle – When case is overcor-
Major .019 x .025 U/L patient-specific arch form To preclude wires distal to the 6s, leav- U Post 4 to L3 to L Post – Full time rected with
Mechanics • Close extraction spaces too much ing 2 mm of wire on which no centric slide.
For additional posterior • Finalize A/P correction over- to engage Ni-Ti coil springs. PRN, if bite still open, overlay Zebra
transverse width, expand correction, Bend distal loop of springs 5/16", 4.5 oz or PRN, Moose 5/16",
• Express majority of
stainless steel wires slightly do not 90˚. Engage .010 ligature 6 oz – Reverse Anterior V – L Post
in the posterior. remaining torque allow wire through mesial loop of over U1s to L Post until overcorrected
• Overcorrect vertical intervals to spring and pigtail-tie over with no centric slide
extend Post, activating about 10
beyond 8 mm.3
weeks.

After Space Closure


Damon Optimal 8 8 Once all spaces close, lace
Force Cu Ni-Ti together (.008 or .010 wire)
.018 x .025 U/L – Extend U/L 3 to 5, then tie back to
wires to 7s to align them. 6s to avoid reopening
space.

IV. TMA® • Make final A/P, 15 – 20 4–6 To engage elastics, crimp Zebra 5/16", 4.5 oz – Posterior V –
Finishing .019 x .025 U buccolingual, torque and until surgical posts on TMA wires U6 to L5 to U Post if still CL II; U6
.017 x .025 L occlusal adjustments. sectioning to distribute forces over the under L4/5 to U Post if CL I – Full
wire, archwire. time for 8 weeks to prevent relapse
then 2
Overlay Zebra 5/16", 4.5 oz Reverse
Anterior V – L Post over U 1s to L
Post – Full time until socked in, then
12 hours daily (after school and
nights)

PRN to perfect occlusion, cut PRN, when sectioning wire, maintain


upper wire mesial to the Reverse Anterior V at least at night,
teeth that still require betterbut switch from Posterior V to Os-
articulation. trich 3/4", 2 oz – Spaghetti –U
Adjust posterior interferences to L 7 to 3 – Twisted in between. In
with a high-speed handpiece the anteriors, end on U Post mesial
and diamond bur, then to 3s – Full time
polish, PRN.

3 Most clinicians find little need for additional posterior anchorage because of the posterior transverse arch adaptation that the Damon System fosters through the first two

Phases of treatment. 4 When engaging elastics in Phase III, use the wire posts to distribute forces over the archwire.

These wire/elastics sequence recommendations have been shown to be effective when treating with Damon System mechanics. They are not a replacement
for professional expertise.
GrenglooSplashCrd _revB 4/18/07 1:56 PM Page 1

Tooth Preparation

Etch approximately 30 seconds per tooth


(one arch at a time).

Rinse thoroughly for a minimum of 5 seconds


per tooth with a forceful air/water spray and
For Metal Brackets suction using a high-speed evacuator.

Dry etched enamel with clean, dry air.


Inspect to ensure a uniform, dull, frosty
Technique Guide appearance.

(Side 1)

Step 1 Step 2

_
Apply very thin coat of Ortho Solo™ to the prepared tooth. Extrude small amount of grengloo adhesive paste onto the bracket
pad. Wear gloves when handling this product.
GrenglooSplashCrd _revB 4/18/07 1:56 PM Page 2

Technique Guide Step 3 Step 4


(Side 2)
Step 3
(A) Place bracket
(B) Position bracket
(C) Press gently
(D) Remove excess adhesive A B
Note: Finalize position and begin light
curing within 2 minutes. Green color will
disappear when adhesive approaches body
C D
temperature.

Step 4 – Light Cure


Conventional LED light:
10 seconds for clear brackets,
20 seconds for metal brackets and
30 seconds for molar tubes.
CoolBeam™ LED or Halogen light:
5 seconds for all bracket types,
Cleanup Feature
10 seconds for molar tubes.
Cleanup Feature _
(A) To see remaining gr engloo
adhesive after debonding, cool the
adhesive with short blasts of air or
water to revert it back to its original A B
green color.
_
(B) Remove remaining gr engloo
adhesive with high- or low-speed
carbide burrs followed by sand-
paper discs and a polishing cup
or paste.
1332 South Lone Hill Avenue,Glendora, CA 91740 070-5502 rev. B
Posterior Cross Bite
Suggested Treatment Protocol
For use in conjunction with the appropriate wire and elastics sequence guidelines by case type.

Duration Interval Early Light Elastics


Phase Archwires Objectives Notes Disarticulation
in Weeks in Weeks Begun at Initial Bonding1

I. Damon Optimal-Force • Begin leveling and 10 10 Disarticulate and use Parrot 5/16", 2 oz – Posterior Cross Bond bite turbos or
Initial Copper Ni-Ti® alignment continuous light forces to Bite U5/6 Lingual – L5/6 composite buildups in
Light-Wire • Initiate arch development prevent opening bite. Be Buccal – Full time appropriate position for
.014 U/L without RPEs or W-arches patient. deep or open bite. Use
• Resolve 90% of rotations lingual buttons on 5s & 6s.
PRN, .013 U/L if crowding
• Begin A/P and vertical
is severe or periodontal
correction
support is compromised

.018 U/L 6–8 6–8 Dolphin 5/16", 3 oz – Posterior


Cross Bite U5/6 Lingual – L5/6
Buccal – Full time

II. Damon Optimal Force • Complete leveling and 10 10 Dolphin 5/16", 3 oz – Posterior
High-Tech Copper Ni-Ti alignment Cross Bite U5/6 Lingual – L5/6
Edgewise • Continue arch Buccal – Full time until ½ cusp
.014 x .025 U/L development overcorrected, then nights.
• Resolve remaining
10 weeks into this stage: rotations
Take Panorex & reposition • Begin torque control
brackets. Follow with .018
• Consolidate minor
Cu Ni-Ti if brackets are
drastically repositioned. spacing

.018 x .025 U/L 6–8 6–8 If using .017 x .025 Ni-Ti Zebra 5/16", 4.5 oz – Posterior
with 20˚ anterior torque, Cross Bite U5/6 Lingual – L5/6
maintain Zebra Cross Bite Buccal – Now overcorrected, have
configuration. patient wear often enough to
maintain overcorrection.

1 In patients with very thin attached tissue, severe crowding or periodontal issues, waiting to start elastics until the second appointment may help prevent labial gingival recession.
Posterior Cross Bite (continued)
Suggested Treatment Protocol

Duration Interval Early Light Elastics


Phase Archwires Objectives Notes Disarticulation
in Weeks in Weeks Begun at Initial Bonding

III. Posted Stainless Steel • Take wax bite; coordinate 20 – 30 8 Using the same arch Zebra 5/16", 4.5 oz – Posterior
Major .016 x .025 U/L patient-specific arch form shape as lower, expand Cross Bite U5/6 Lingual – L5/6
Mechanics • Consolidate any U .016 x .025 1/2"or more Buccal – Now overcorrected, have
.019 x .025 U remaining minor spacing so that when pressing it at patient wear often enough to
.016 x .025 L • Express majority of the 7s, it narrows to the maintain overcorrection.
(PRN, .019 x .025 L) remaining torque same shape as the lower
(proportional widening).
• Overcorrect A/P
The diligent use of cross Overcorrect upper arch
bite elastics may shorten by approximately 2 mm,
this phase. then transition to
U .019 x .025 slightly
expanded at the 6s and 7s.

IV. TMA® • Make final buccolingual, 15 – 20 4–6 For Phase IV, employ the elastics
Finishing .019 x .025 U torque, A/P and occlusal until protocol specific to the case type
.017 x .025 L adjustments sectioning outlined in the other wire/elastics
wire, sequence recommendations.
then 2

These wire/elastics sequence recommendations have been shown to be effective when treating with Damon System mechanics. They are not a replacement for professional expertise.
Tooth Preparation

Etch approximately 30 seconds per tooth
(one arch at a time).

Rinse thoroughly for a minimum of 5 seconds


per tooth with a forceful air/water spray and
For Aesthetic Brackets suction using a high-speed evacuator.

Dry etched enamel with clean, dry air.


Inspect to ensure a uniform, dull, frosty
Technique Guide appearance.

(Side 1)

Step 1 Step 2

Apply very thin coat of Ortho Solo™ to the prepared tooth. Extrude small amount of blūgloo adhesive paste onto the bracket pad.
Wear gloves when handling this product.
Technique Guide Step 3 Step 4
(Side 2)

Step 3
(A) Immediately place bracket,
(B) position,
(C) press firmly, A B
(D) remove excess adhesive.
Note: Finalize position and begin light
curing within 1 minute.
C D
Blue color will disappear when adhesive
approaches body temperature.

Step 4
Light Cure:
10-15 seconds for clear brackets
20 seconds for metal brackets
30 seconds for molars due to
increased pad size.
Cleanup Feature
Cleanup Feature:
(A) To easily see and remove
any remaining blūgloo adhesive
after debonding, cool the
adhesive with short blasts of air
or water to revert it back to its
original blue color. A B
(B) Remove remaining blūgloo
adhesive with high or low-
speed carbide burs followed by
sandpaper discs and a polishing
cup or paste.

1332 South Lone Hill Avenue,Glendora, CA 91740 070-5111 Rev. B


78136 Rev. 2
TM
Indirect Bonding Protocol Lab Procedure

1 Apply double coat of separator medium


to dry stone models. Allow release coating to
2 Apply BluglooTM to bracket base. Do not
apply any other sealants, conditioners, or
3 Position brackets with Blugloo on
prepared model and remove any excess
dry between applications. primers to bracket base. resin flash. Note: If not curing immediately,
model must be stored in light-proof
container.

4 After final bracket positioning, expose


each bracket to curing light for 10-20 seconds.
5 Significant undercuts can be blocked out
with silicone impression material.
6 Fabricate indirect transfer trays (i.e.
Bioplast®/Biocryl dual vacuum formed
Place model in a light curing unit for 5-10 trays). Then, soak models in water for 45
minutes. minutes to facilitate tray removal.

7 Remove transfer trays with brackets. (Note: Additional curing light exposure to custom Blugloo base is recommended for
metal brackets prior to rinsing, drying, and sandblasting.) Rinse trays/brackets with water to remove any model or separator
contamination and dry. Very lightly sandblast (micro-etch) custom base. Again, rinse trays/brackets with water and dry.

TM
Indirect Bonding Protocol Chairside
Procedure

1 Apply thin coat of Ortho Solo


to custom Blugloo bases in transfer
2 Etch, rinse, and dry teeth. Apply
Ortho Solo to prepared, dry enamel.
3 Apply low viscosity light cure
adhesive (Enlight® LV recommended)
trays. to coated custom bases and seat
trays.

4 While firmly seating trays, expose


brackets to curing light. Additional light
5 Remove transfer trays. Additional
light exposure time is recommended
exposure time is recommended to with metal brackets following tray
account for opacity and thickness of removal.
transfer trays.

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