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.

Example A: Molar Distalization (Tipping)

OPTION 1:
STEP 1:

Note - Passive Self-Ligating brackets shown

Bracket Head Screw

Compressed Spring

Wire & Crimpable Stop

STEP 2:

Bracket Head Screw

Crimpable Stop

Compressed spring

Wire & Crimpable Stop

STEP 3:

Screw repositioned to distalize bicuspid

Compressed 2nd Spring Crimpable Stop

Wire & Crimpable Stop

Example A: Molar Distalization (Tipping)

OPTION 2:
STEP 1:

Note - Passive Self-Ligating brackets shown

Bracket Head Screw

Wire Bonded to Anchor Teeth

Compressed Spring

STEP 2:

Bracket Head Screw

Wire Bonded to Bicuspid

Crimpable Stop

Compressed Spring

STEP 3:

Screw repositioned to distalize bicuspid

2nd Crimpable Stop

Compressed Spring

Wire & 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 End Bracket Head Screw

Pear End

Note: Arrow indicates direction of movement

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

Example E: Molar Intrusion

Bracket Head Screw shown

Bracket Head Screw shown

Figure 8 Ligature Tie

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

Example I: Molar Mesialisation and Uprighting with Cantilever Passive

Cross Tube

Cantilever Wire

Spring with double pear ends

Bracket Head Screw

Activated

Cross Tube

Cantilever Wire

Spring with double pear ends

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 Spring Burstone Bracket

Figure 8 Ligature Tie

Example M: Class II Div II - Incisor Alignment

Bracket Head Screw

Note: Drawing shows corrected tooth positions

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