10 Tips when Treating Extraction Cases
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- čas přidán 25. 07. 2024
- Tips for extraction cases:
1- Use en masse retraction in well aligned cases
2- Delay extraction just before putting the working wire and starting retraction
3- Extract lower second premolars rather than first premolars
4- Bond the upper first premolar gingivally
5- No need to bong the lower second premolar
6- Bond the second molars except in extraction cases
7- Use passive self ligating bracket on the upper second premolar
8- Invert the upper MBT canine bracket (torque +7)
9- Use MBT upper incisor brackets (higher torque than Roth brackets)
10- Invert the lower MBT incisor brackets (torque +6)
Bonus: Use figure 8 ligation in non-crowded areas to limit migration of the wire
Thank you Prof. It is always a pleasure learning from your videos
يادكتووووور لا تحرمنا من مقاااطعك المفيده يادكتورر .. لو بس كل مقطع حاله مميزه مرت عليك وكيف تصرفت معاها وشاكرين ومقدرين لك جهودك ❤😊😊
مشكور دكتورنا العزيز جعله الله في ميزان حسناتك ❤❤
الله يعطيك العافية أستاذ.. بستمتع لما بشاهد محاضراتك.. زادك الله من علمه
تحياتي
أكتر قناة بتابعها وباستفيد منها
شكراً دكتور 🙏🏻 ربنا يبارك في حضرتك ويزيدك من علمه
سعيد بكلامك
Welcome back Doctor and thanks for the great video
🤍🤍
i learned a lo doctor! waiting for your next upload. do tackle about arch wires next!
thank you for sharing your knowledge doctor!
عاشت ايدك دكتور معلومات من ذهب ❤❤
Thank you so very much sir... Looking forward to hearing more
Thank you Prof for this awesome lecture .
You are welcome
THANK YOU FOR ALL THE TIPS
جزاك الله خير دكتور ، معلومات مفيده👏🏻
🤍
في القمة
You make it easier
Great tips doc ... Waiting for the next video.
You're welcome
جزاك الله خيرا دكتور
Aw doc.. I like to learn some advice from the great like you.. keep post some videos for the better planet.. thank you..
Thankyou sir. You are a boon for budding orthodontists like us. Keep these types of videos coming…🙏🏻
You're welcome
@@edgeofprobability in most cases it is possible
great work mashallah
اغلب هاي المعلومات تعلمناها من حضرتك خلال فترة الدراسة .. عاشت ايدك استاذ
اهلا دكتور احمد
Valuable advices as usual...thanx alot prof.
You're welcome
Thank you very much, amazing and very useful content, can you please explain how to usr the reverse curve archwire for deep bite cases ?
So helpful. Thanks alot Prof
Many thanks ,very useful information
استفدنا من علمك دكتور في مختبر ( نحت الاسنان في سنة ال ١٩٩٤) ولا نزال نستفيد من علمك الآن في التقويم، تحياتي وبالتوفيق.
Great tips.. thanks a lot our brilliant professor
You are welcome
جزاك الله خيرا
Best orthodontics channel 🙏🌱
Thank you
thanks prof for this brief and awesome notes, my question is in some open bite cases we need to bond 7s when they are over erupted specialy in upper arch.and second question if i need more positive tourque for upper canine can i flip the bracket of lower premolars and bond it to the canine ?
Thanks alot prof
Very useful tips
Sir you are a gem to dentistry would like to contact you and love to see your cases .. clinical skills and thoughts hats off sir... your experience says it all...
اكتر قناة رائعة دكتور شكرا الك بتمنى لاقي محاضرات بلعربي لحضرتك
Useful tips, Thank you sir.
🤍
Thanx for video
اتمنى دكتور تستمر في نشر الفيديوات
So it is better to use Roth in exo cases or I missed this part
No MBT would be better because of the higher torque
Thank you for your nice video.
You are welcome
Thank you very much Dr.Akram for all of these useful information, we always looking forward for new videos ))
So nice of you
thank you for this lecture 👍
You're welcome
thank you doctor
Thanx alot for this valuabl info.
I have a case with bi max . I do 2 step retraction. after lower canin retraction lower anterior more proclined with gum recession . Can i now debond lower incisor braket and bond mbt system ?
Nice short informative lecture 👍
🤍
Thanks a lot dr
Thank u very much ,,, nice tips
⭐️⭐️
Amazing really amazing
Thank you so much Professor
You are welcome
Thank you dear dr
Thanks alot dear doctor
Doc -can you post a A to Z video on total procedure of piezo cuts on mid palate in Mse case. (Procedure, precaution to be taken and complications )
Very informative ❤️❤️
Glad you think so!
Thank you for sharing, if you could also share tips for finishing and detailing. Thanks in advance
In ghe future
I hope You can share how to do a RCS 19.25 SS to enmass retraction, thank You so much!
Excellent sir..
I have a question...
In a 4 extraction case hiw do I achieve bodily movement of 5? I generally get tipping.
It was usefull thank u sir
بارك الله فيك دكتور وجعلها في ميزان حسناتك
المعلومات تكون اوضح باللغة العربية نجد صعوبة باللغة الانكليزية
اهلا دكتور مصطفى، احاول اعيدها بالعربي
Very useful
Thanks doc
Thanks 🙏
Good tips
You're welcome
Thanks for precious tips . How over come rotation of canine during retracton distally. My best wishes
You're welcome
it it possible to move my 1st molar to the missing 1st premolar with braces and power chains
Dr. in case of a growing pat. ( nearly 11 years old) with bimax. but doesn't want to extract any tooth.. how can you solve this problem according to your experience?
thanks for such valuable clinical tips you providing to dental community around the world..sir can we retract anterior with a powerchain? what will be the sequence and duration of powerchain
Yes I usually use 19x25 SS wire with small RCS bend and crinpable hooks between 2 and 3. Put the powerchain between the molar and hook
Dr sometimes after putting the entire assembly correctly in place there's no retraction what could be the reason for it and how to overcome??
Thanks doctor for these valuable tips.. Q1:in case I do not inverting canine bracket can I make enmass traction by placing power chain on canine hook instead of crimpible hook..Q2 what can I do to counteract deep bite result from the traction?
If you use the canine hook, ligate the canine and incisors together
Thank you very much sir
You're welcome
Thank you doctor
🤍🤍
🤍🤍
Thanks
Hi sir why did you stopped uploading video's..please keep uploading sir
same question 😢😢
I will try soon
@@alhuwaizisir space closure in english please
this inverted lower anterior bracket also true in class iii cases if we used MBT in mild class iii
Sir can we do retraction on o18 wire of canine in deep bite.
thanks prof for the lecture
some remarks
1- in the mbt system , upper canine has 3 prescriptions -7 , 0, +7.
as far as i know , the 0 torque one [like in the picture] has the hook and inverting it is meaningless
but i agree with you that +7 is good in this situation
2- the wire shows some deflection between U6, U7 which can increase friction
Good point Rami, In the MBT system both 0 and 7 degree brackets are now manufactured with hooks. You are right that inverting the zero torque bracket makes no sense. There is still deflection between U6 and U7 because we have not finished levelling with the 19x25 NiTi wire
thanks for the reply. much appreciated
How did you recognise the Bracket being with 0 torque and not 7 torque? I think its not easily recognisable if its 0 torque or 7 torque ? please explain
I have a class 3 bite it’s not very severe but it’s definitely there, I had a lot of crowding on top which made both of canines be very high so I had to get both of my first top premolars extracted and now both canines are coming into place which is very good but now my question is can my bite be fixed with elastics and no bottom extractions? Have u seen a case like this where only two premolars are extracted and not 4?
Yes, many time we only extract in one arch
Thanks alot doctor for this worthy tips
Will you please give me your openion. about treatment plan rather than surgery..''if I have a case suffered from slight anterior open bite; associated with posterior crossbite ;due to skeletal large wide lower arch?
I will be so grateful ...
May be MARPE would help
Adult patient, DNA appliance perhaps?
عاشت ايدك دكتور اذا ممكن دكتور سؤال اذا تعرف متى ينفتح ماستر التقويم في جامعة بغداد
السنة القادمة
thank you dr
In most cases and during enmass retraction by TADs, friction will be increased with bonding of 7s, how can I overcome this friction? can I trim and round the wire posteriorly?
I think that the friction in the 7s is not great if they are levelled. However, grinding the wire works but makes it rough increasing friction and debris deposits in the molar tube slot
You can buy tandem wires doc
Doctor I’ve had braces for almost 3.5 years now and the doc still isn’t able to close my premolar extraction gaps 😭 the gaps are currently between my incisors and canines
Thank U
Welcone
Dr isn’t it difficult in the lower arch to move the teeth coz of the dense bone? Where in which we need more anchorage?
The dense bone is in the posterior part of the mandible, making the mokars more difficult to move
where is all of videos in the past .. did you delet it ؟
Good
good afternoon Prof.... thanks for this awesome presentation . pls do you do en masse retraction on the lower arch after you’ve extraction the lower 2nd premolar. Or your retract the lower 4 and later do en masse retraction. pls in that case do u still place the crimpable hooks between the lower 2 and 3?
I do en masse retraction of the lower arch of all the 8 teeth one time. I usually place the hook between 2 and 3 but sonetimes 3 and 4
@@alhuwaizi
with ske. anchorage Dr. ?
@@user-ft5nf9pn2v only if i need the anchorage
@@alhuwaizi
so appreciate 🙏🙏🌹🌹
Do I need to reinvert the canine bracket in the future during treatment process .?
No since there is a 10 degree of play
Hi Prof. Akram Alhuwaizi, thanks for tips. Just wondering, do you invert MBT -6 degree torque lower canine bracket in cases of extractions and retraction cases like Bimaxillary Proclination?
Yes that is preferable or use the zero torque bracket
@@alhuwaizi Many thanks for the reply.
Not on all cases of open bite bonding the seven increase it. Sometimes the 7 is in extrusion so bondin it help to decrease the poenbite.
Witch type of working arch do you use and witch type of compensation bends do you use?. Thanks for this video
19x25 SS with a mild reverse curve of spee
@@alhuwaizi thanks a lot
dr akram, why do not you do other apreciuse videos?
we are waiting for you
Hello doctor, can you please elaborate more on how you invert lower incisors, it's the bracket are you talking about inverting ? To prevent lingual inclination...
They are MBT brackets with -6 torque. Inveting them or rotating them 180 degrees gives you a +6 torque
Is post. cross bite or scissor bite in adults be treatable? if yes sir mechanics pls
Yes I have a video on MARPE
Why no laceback or bendbacks given in this case doc?
For another day
Which precaution should be taken during balanced extrations all 1st Molar teeth extracted?
I hate extracting first molars as balanced extractions. I only remove them if they are hopeless
Quack=tooth extractor
Wonderful presentation.....sir, do u recommend inverting the canine brackets if the root bulge is evident( touches on the cortical/cancellous bone) on both maxillary n mandibular arches in extraction cases tooo??
Yes I do
Add one video with anterior torquing during retraction
I will
دكتور اني سويت التقويم يمك و اليحد هسة خالة و موعدي بعد 20 يوم بس عندي سؤال هو تكدر تغيرلي لون اللاستيكات مال التقويم؟😄
شكد يكلف فلوس التقويم وين عيادته بالضبط وشلونه
اني اريد اسوي يمه تقويم
@@Ahmed-zm3iy
اني مسوية يمه عيادتة بالحارثيه والتقويم بمليونين ونص
👏🏻👏🏻
👌👌
Can composite filling can be removed from front teeth and put braces there ??? I want permanent solution now..😢
Yes, it is possible
@@alhuwaizi thanks u so much sir ...kya mere natural teeth pr koi problem to nhi hogi na??
@@alhuwaizi thanks sir , u r a so kind hearted...thanks so much for your reply sir
Thank you sir....... please reduce background music sound
I tried but youtube is not accepting
Hello sir my extraction gaps are fully closed and my teeth are straight but when is see myself i still find my mouth protrusive ,my orthodontist said it is due to the brackets and wires but iam not sure....is it ok 😭
Maybe you need more retraction. Your dentist can consider interproximal reduction, arch expansion, torquing the teeth and use of miniscrews.
@@alhuwaizi thank you ❤️
IPR isn't possible to lowers premolar sir.
It is possible
Canine bracket fixed reverse in 13
*the open bite.
But doesn't retraction ruin the pacient's facial aesthetics?
Not this patient because she already has prominant teeth
@@alhuwaizi what if you treat a moderate class II with a retrognathic mandible with maxillary first premolar extractions?
You are a smart doctor-yes it can! If not now later. Please be a good full face orthodontist. Informed patients will seek you out if you don't butcher your patients with retraction and God forbid extractions. There are thousands of adults who suffer with many medical problems due to retractive orthodontics.
if you can pay for your treatment