FIXED

ORTHODONTIC
APPLIANCES
Definition
▶ Fixed Appliances are devices or
equipment that are attached to the
teeth, cannot be removed by the patient
and are capable of causing tooth
movement.
 Components of fixed appliances

Active components Passiv e components

Seperat Arch Accesso Molar

Elastics Spring Brackets Bands
ors wires ries tube
s

Ligature
metal elastic Lockpins wire modules
 BANDS FOR
ATTACHMENTS.

 BONDED
ATTACHMENTS.
Indications for
Banding
▶ Teeth that will receive heavy
intermittent forces
▶ Teeth that will require both
labial and lingual attachments.
▶ Teeth with short clinical crowns
▶ Teeth with extensive
restorations
▶ Teeth with enamel defects
▶ Teeth which have no suitable
surface for bonding or the
brackets are failing again
STEPS IN
BANDING
1.SEPERATION

2.FITTING
BANDS

3.
CEMENTATION
Dumbbell Shaped
Separator
 BONDED ATTACHMENTS
▶ Mechanical locking of an adhesive to irregularities
in the enamel surface of the tooth and to mechanical
locks formed in base of the orthodontic
attachment.
COMPONENTS OF
THE SYSTEM :
1.Tooth surface and its
preparation

2.The design of the

attachment base

3.Bonding material itself

Armamentarium
Direct Bonding

1. Cleaning

2.Acid etching

3.A small amount of bonding

agent is squeezed into the
mesh on the back of the bracket ,
and it is pressed to place on the
tooth surface.
4.Excess bonded material is
removed from around the bracket

5.For light cured materials, a

cordless light is used to activate
the adhesive bonding process

6.The bracket is bonded in place.

 Indirect
Bonding
1.Brackets are placed precisely
on a cast of the teeth and held
in place with a fitted resin

2.After the brackets are cured in

the ideal position, a transfer tray
is formed and placed on the
working cast.
3 The trays are removed from the
working cast after soaking in
warm water and trimmed.
4. The teeth are isolated , etched, and a chemically cured two
paste resin is painted on the etched enamel and brackets.
5. After the resin has completely set , the trays are
carefully removed , leaving the brackets bonded to
the teeth.
ACCURACY IN
PLACEMENT!
Bonding techniques

Direct Indirect
bonding bonding
▶ It is more accurate

▶ It is faster ▶ Two-stage
▶ Easier ▶ Working cast
▶ Bonding using candy wax
▶ Less expensive
▶ Silicone rubber transfer tray
▶ Bracket gauge
▶ Removal with hot water
▶ Transfer to teeth with base
and catalyst
Elastic
s
▶ Intra-arch
▶ Inter-arch

▶ Class I
▶ Class II
▶ Class III
Class I Elastics
Class II Elastics
Class III Elastics
Springs

Stainless Steel
Nickel
Titanium

Open Coil
Closed Coil
Open Coil
Spring (Push Coil
Spring)
Closed Coil Spring
Ligatures
(Ties, O–Rings, Elastic
Modules)
Powerchain
Laceback vs Co-ligation
COMPLICATIONS WITH
FIXED APPLIANCES
▶ Periodontal problems
▶ Demineralization -
Caries
▶ Traumatic injuries
▶ Iatrogenic injuries
▶ Tooth mobility
▶ Pain
▶ Root resorption
▶ Loss of tooth vitality
Questions
?