By J. Sandy
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Extra info for A Clinical Guide to Orthodontics
The choice depends on the space requirements and the buccal occlusion. As the degree of crowding and overjet increase, then the space requirements will also increase and it is more likely that extractions as opposed to distal movement will be indicated. Determine whether the teeth are favourably positioned for spontaneous alignment. If appliances are needed can removable or fixed appliances accomplish the tooth movements? Plan the buccal occlusion Consider whether this needs to be corrected and if so how.
The clinical significance of nickel release is as yet unclear, but should be considered in nickel sensitive patients. There are a few cases with severe latex allergies who may be affected by elastomerics or operators gloves. Trauma Laceration to the gingivae, and mucosa seen as areas of ulceration or hyperplasia, often occur during treatment or between treatment sessions from the archwire (Fig. 9) and bonds, especially where long unsupported stretches of wire rest against the lips. The use of dental wax over the bracket may help to reduce trauma and discomfort, (Fig.
Adam cribs have been placed on the first permanent molars and a Southend clasp on the upper central incisors Fig. 9d,e The first premolars have been extracted and the upper canines are erupting into a good position 14 BRITISH DENTAL JOURNAL VOLUME 196 NO. qxd 04/12/2003 14:37 Page 15 PRACTICE completion of fixed appliance treatment. Removable retainers are usually held in position with Adams Cribs on the first permanent molars with a labial bow and possible acrylic coverage of the anterior teeth (Fig.