Professional Documents
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ON
DEPT. OF ORTHODONTICS
In 1968, R . H ROTH was introduced to Dr. L.F. ANDREWS of
San Diego
By the mid 1973,he switched his entire practice over to the SWA
and rebonded all the patients who still had edgewise brackets.
He did extensive work in Andrews SWA and published two
articles namely
Ronald H. Roth
The major difference between the Andrews philosophy and the
Roth approach to the use of the straight wire appliance has to do
with the manner in which the teeth are moved and not necessarily the
desired end result or the result attained.
Thorough diagnosis
•Jarabak analysis
.
The five position superimposition is utilised to quantify
•The amount of growth needed to correct the jaw relationship.
•The amount of orthopedic changes or jaw relationship changes
necessary to correct the dental arch relationship and
•The extent of tooth movement allowable or desirable both
anteroposteriorly and vertically of the anterior and posterior teeth
in each arch.
Jarabak analysis
For qualitative assessment of the facial type and its probable
response to the various kinds of treatment mechanics and growth.
•The anterior teeth protect the posterior teeth from lateral stress
during protrusive movement and
The posterior teeth protect the anterior teeth from lateral stress
during closure into centric relation occlusion
During closure the teeth will direct and maintain centricity of the
condyles in the fossae
III -Tooth-to-two-teeth or cusp-embrasure occlusion
MB
Both the right and left bands should be checked to ensure that
Premolars(upper/lower)
From the buccal From the occlusal
0.005”
2.5 mm 2.5 mm
•The four incisors teeth should have the roots divergent and
roots appears to be in the same plane of space when viewed from
the superior aspect.
•Lower cuspid crowns should have 5 degrees angulation with the
incisal tip 1mm higher than the incisal edge of, the lateral incisors
And it should have should have a slightly exaggerated mesial
rotation on extraction cases.
•There should be overcorrection of root parallelism in the
extraction site, if extractions were done.
•Bicuspids and molars should be upright and should have slight
distal rotation.
•There should be no spaces, and the arch form should be
symmetrical.
•The widest point of the mandibular arch should be the
mesiobuccal cusps of the maxillary Imolars and the I bicuspid.
•The curve of Spee should be leveled.(because it return to a 1-
1.5mm curve, at its deepest point, after appliance removal and
settling of the occlusion
MAXILLARY ARCH
In the upper arch, the first tooth to be placed properly in relation
to the lower arch should be the maxillary six-year molar.
The upper six-year molars should have sufficient distal rotation,
mesioaxial inclination, and buccal root torque, so as to fit with the
lower six-year molars, as described by Andrews
•Cusp tip of the canine should be app 1-1.5mm incisally than the
of the occlusal plane.
ROTH’S CONCLUDING STATEMENT