The Importance of Wearing

Immediate Light Short Elastics

ILSE + Disarticulation
 Patient of Dr. Wassim Bouzid

Inital Photo
Dental Features
• Upper crowding
• Lower crowding
• Overbite
• Midline discrepancy

2 Elastics Usage // www.oc-orthodontics.com © Ortho Evolve 2018

ILSE TTB Short Class III
Reverse Rainbow

3/16" (5mm) Water 5/16" (8mm) Racing

WAKEBOARDING BMX RACING

Latex 60.63.843.00025 60.63.863.00025

Colored Latex 60.63.843.31025 60.63.863.31025
Non-Latex 60.63.943.00025 60.63.963.00025

Wire Elastics Direction oz / gm Duration

.014 TTB “Shorty” U5 Button -
2.5/70 24
.018 x .018 Ultra Soft Class III L3
.018 x .018 Thermal Activated Reverse
U2-L1’s-U2 2.5/70 PM
Nickel Titanium Rainbow

Disarticulation
• 1st biscupid with ramp

© Ortho Evolve 2018 www.oc-orthodontics.com // Elastics Usage 3

TTB Short Class III
Reverse Rainbow

3/16" (5mm) Water 5/16" (8mm) Racing

WAKEBOARDING BMX RACING

Latex 60.63.843.00025 60.63.863.00025

Colored Latex 60.63.843.31025 60.63.863.31025
Non-Latex 60.63.943.00025 60.63.963.00025

Wire Elastics Direction oz / gm Duration

.014 TTB “Shorty” U5 Button -

2.5/70 24
Class III L3
.018 x .018 Ultra Soft
.018 x .018 Thermal Activated
Reverse
Nickel Titanium U2-L1’s-U2 2.5/70 PM
Rainbow

4 Elastics Usage // www.oc-orthodontics.com © Ortho Evolve 2018

TTB Short Class III
Reverse Rainbow

3/16" (5mm) Water 5/16" (8mm) Racing

CANOEING BMX RACING

Latex 60.63.844.00035 Latex 60.63.863.00025

Colored Latex 60.63.844.31035 Colored Latex 60.63.863.31025
Non-Latex 60.63.944.00035 Non-Latex 60.63.963.00025

Wire Elastics Direction oz / gm Duration

TTB “Shorty” 2.5/70 or
U5 - L3 24
Class III 3.5/100
.020 x .020 Nickel Titanium
Reverse
U2-L1’s-U2 2.5/70 PM
Rainbow

Tom’s Tips:
• Try to never go over 3.5 oz on Class III elastics
• Shift the Class III elastics of the labial upper 5 to labial upper 3
• Bite turbos on lingual of U1’s
© Ortho Evolve 2018 www.oc-orthodontics.com // Elastics Usage 5
TTB Class III Elastics
Pitts Broad Archform
Disarticulation 3 Months

Tom’s Tips:
• Ramp bicuspid bite turbo
• Attachment to 32 and light tube open coil spring

6 Elastics Usage // www.oc-orthodontics.com © Ortho Evolve 2018

 6 Months

Tom’s Tips:
• Shorty class III full-time reverse rainbow PM
• Remove disarticulation PRN

© Ortho Evolve 2018 www.oc-orthodontics.com // Elastics Usage 7

Short Class III
Reverse Rainbow

3/16" (5mm) Water 5/16" (8mm) Racing

CANOEING BMX RACING

Latex 60.63.844.00035 Latex 60.63.863.00025

Colored Latex 60.63.844.31035 Colored Latex 60.63.863.31025
Non-Latex 60.63.944.00035 Non-Latex 60.63.963.00025

Wire Elastics Direction oz / gm Duration

“Shorty”
U5-LHK 3.5/100 24
Class III
.020 x .020 Nickel Titanium
.020 x .020 Beta Titanium
Reverse
U2-L1’s-U2 2.5/70 PM
Rainbow

Tom’s Tips:
• Hooks on AW
• Without compliance use CS 3000 springs 120 grams (get Light)

8 Elastics Usage // www.oc-orthodontics.com © Ortho Evolve 2018

 8 Months

Tom’s Tips:
• Remove posterior bite button
• Continue short class III / Reverse rainbow PRN

© Ortho Evolve 2018 www.oc-orthodontics.com // Elastics Usage 9

TTB Class III

Tom’s Tips:
• Go to .020 x .020 Beta Titanium after .020 x .020 Nickel Titanium with hooks on
wire between lateral and canine
• Torquing chains with IPR, maintain rainbow PM (I try not to never go above 2.5 oz
for rainbow elastic)
• Short class III to Hks on wire
10 Elastics Usage // www.oc-orthodontics.com © Ortho Evolve 2018
TTB Short Class III
Rainbow

3/16" (5mm) Water 5/16" (8mm) Racing

CANOEING BMX RACING

Latex 60.63.844.00035 Latex 60.63.863.00025

Colored Latex 60.63.844.31035 Colored Latex 60.63.863.31025
Non-Latex 60.63.944.00035 Non-Latex 60.63.963.00025

Wire Elastics Direction oz / gm Duration

TTB “Shorty” U5 Button -
3.5/100 24
Class III L3
.020 x .020 Nickel Titanium
.020 x .020 Beta Titanium
Rainbow L2-U1’s-L2 2.5/70 PM

Tom’s Tips:
• Adjust AW’s
• Not more than 2.5 oz on rainbow
• 3.5 oz 3/16 is usually as heavy as you go in class III
© Ortho Evolve 2018 www.oc-orthodontics.com // Elastics Usage 11
 11 Months

Coronoplasty

Tom’s Tips:
• Reposition for Smile Arc and VIP
• Adjust occlusion for lingual appearances
• Start finishing and PRN
• Continue light Cl III elastics as needed. Place mild lingual crown torque for lower
anteriors as needed
12 Elastics Usage // www.oc-orthodontics.com © Ortho Evolve 2018
Class I “Down & Under”
Rainbow

5/16" (8mm) Racing

BMX RACING

Latex 60.63.863.00025
Colored Latex 60.63.863.31025
Non-Latex 60.63.963.00025

Wire Elastics Direction oz / gm Duration

Down &
.020 x .020 Beta Titanium U6-L4,5-HK 2.5/70 24
Under
.019 x .019 Stainless Steel
(Extra Widening) Rainbow L2-U1’s-L2 2.5/70 PRN

Tom’s Tips:
• Adjust lingual cusps

© Ortho Evolve 2018 www.oc-orthodontics.com // Elastics Usage 13

 Final Results

Initial Bond Final Debond

14 Elastics Usage // www.oc-orthodontics.com © Ortho Evolve 2018

 Patient of Dr. Wassim Bouzid

Inital Photo Final Result

Tom’s Comments:
Beautifully treated case Wassim! Thanks for sharing it!

© Ortho Evolve 2018 www.oc-orthodontics.com // Elastics Usage 15

w w w . o c - o r t h o d o n t i c s . c o m Rev. A - 03/01/18