Effective Biomechanics for Mini-Implants

Clinical Applications

REV6/11
The following depictions represent some of the most common uses
for skeletal anchorage in clinical treatment at the present time. They
are by no means the sum total of all the possible uses for TADs.

Likewise, the Biomechanics shown in the case examples should

not be considered as the only method of choice possible. It is left to
the clinician to determine how to best treat each specific case and
the proper Biomechanics to use based on his/her training and case
analysis and treatment plan.

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Example A:
Molar Distalization (Tipping)
Note - Passive Self-Ligating brackets shown

OPTION 1:
Bracket Head
STEP 1: Screw

Compressed Wire &

Spring Crimpable Stop

Bracket Head
STEP 2: Screw

Crimpable Compressed
Stop spring Wire &
Crimpable Stop

STEP 3: Screw repositioned to

distalize bicuspid

Compressed
2nd Spring Wire &
Crimpable Stop Crimpable Stop

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Example A:
Molar Distalization (Tipping)
Note - Passive Self-Ligating brackets shown
OPTION 2:

Bracket Head
STEP 1: Screw

Wire
Bonded
to Anchor
Teeth

Compressed
Spring

STEP 2: Bracket Head

Screw

Wire
Bonded
to Bicuspid

Crimpable Compressed
Stop Spring

Screw repositioned to
distalize bicuspid
STEP 3:

2nd Compressed Wire &

Crimpable Stop Spring Crimpable Stop

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Example B:
Maximum Anchorage - Friction Free
En Masse Anterior Retraction
Button Head
Screw

Spring
with
double
pear ends

Ligature Tie Crimpable

Hook

TPA: Banded or Bonded to maintain posterior segments

Example C:
Maxillary Incisor - Friction Free
Intrusion and Retraction
Spring with
Bottle Cap Bracket Head
End Screw

Pear End

Note: Arrow indicates direction of movement

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Example D:
Maxillary Incisor
Retraction and Intrusion - Friction Free

Inactive Bracket-Head
Screw

Note: Arrow indicates direction of movement Intrustion/Retraction

Cantilever

Activated Bracket-Head
Screw

Steel ligature tie Intrustion/Retraction

Cantilever

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Example E:
Molar Intrusion

Bracket Head
Screw shown

Bracket Head
Screw shown

Figure 8
Ligature Tie

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Example F:
Mandibular Incisor Intrusion
Friction Free

Intrusion Arm Bracket-Head

Screw

Inactive

Activated

Note: Arrow indicates direction of movement

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Example G:
Molar Protraction
Buccal Segment Laced
Together with Steel Ligature Cross Tube

Spring with
Double Pear
ends

Bracket Head
Screw

Example H:
Molar Uprighting and Protration - Friction Free

Ligature Tie Cross Tube

Bottle Cap
End

Spring with
Pear End

Bracket Head
Screw

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Example I:
Molar Mesialisation and
Uprighting with Cantilever

Passive
Cross Tube

Spring with double

pear ends
Cantilever
Wire

Bracket Head
Screw

Activated

Cross Tube

Spring with double

Cantilever pear ends
Wire

Bracket Head
Screw

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Example J:
Leveling the Curve of Spee
Cross Tube

Bracket Head
Screw
Note: Arrows indicate direction of movement

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Example K:
2nd Molar Uprighting with Cantilevers

Passive
Cross Tube

Cantilever
Wire

Bracket Head
Screw

Activated

Cross Tube

Cantilever
Wire

Bracket Head
Screw

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Example L:
Maxillary Molar Protraction

Double Pear End Figure 8

Spring Ligature Tie

Burstone Bracket

Example M:
Class II Div II - Incisor Alignment

Bracket Head
Screw

Note: Drawing shows corrected tooth positions

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