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ARCHWIRE SEQUENCE

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Title: ARCHWIRE SEQUENCE


1
DAMON SYSTEM
ARCHWIRESEQUENCE
RAFAEL GARCIA ESPEJO CORDOBA (SPAIN)
EUROPEAN DAMON MASTER
2
PHASE 1 INITIAL LIGHT ROUND WIRENever anything
larger than an .014 or .013 CuNiTi. Goal to
initiate alignment, leveling, bite opening, arch
development, and to resolve 90 of the rotations.
Duration 10-20 weeksAppointment Intervals 10
weeks
ARCHWIRE SEQUENCE
RAFAEL GARCIA ESPEJO CORDOBA (SPAIN)
EUROPEAN DAMON MASTER
3
Phase 1 INITIAL LIGHT ROUND WIRE.014 Damon
CuNiTi (Upper/Lower) Main initial archwire
starts tooth movement, works on rotations,
leveling, archform, prepares for next wire.013
Damon CuNiTi (Upper/Lower) Use for severely
crowded cases.016 Damon CuNiTi (Upper/Lower)
Use as a secondarchwire in severely crowded
cases.
ARCHWIRE SEQUENCE
RAFAEL GARCIA ESPEJO CORDOBA (SPAIN)
EUROPEAN DAMON MASTER
4
ALWAYS CHECK THE WIRES FOR PERMANENT DEFORMATIONS
AT THE 10 WEEK APPOINTMENT!
5
ENGAGE ALL TEETH
ARCHWIRE SEQUENCE
NEVER START WITH AN ARCHWIRE LARGER THAN .014 Cu
NiTi
RAFAEL GARCIA ESPEJO CORDOBA (SPAIN)
EUROPEAN DAMON MASTER
6
PHASE 2 HIGH-TECH EDGEWISEGoal
Resolve remaining rotations, begin torque control
and anterior space consolidation, and
continue/finish arch developmentAverage time
20-30 weeksAppointment interval 8-10 weeks for
first wire, 4-6 weeks for second
ARCHWIRE SEQUENCE
RAFAEL GARCIA ESPEJO CORDOBA (SPAIN)
EUROPEAN DAMON MASTER
7
PHASE 2 HIGH-TECH EDGEWISE .014 x .025
CuNiTi Upper/LowerA great wire for initial
rotation control and leveling .018 x .025
CuNiTi Upper/LowerA great transition wire for
enhanced rotation
control prior to stainless steel and sliding
mechanics. .016 x .025 CuNiTi Upper/Lower
ARCHWIRE SEQUENCE
RAFAEL GARCIA ESPEJO CORDOBA (SPAIN)
EUROPEAN DAMON MASTER
8
PHASE 2 HIGH-TECH EDGEWISE
(case-specific alternatives) .017 x .025
Reverse Curve Ni-Ti Normally used with
20anterior torque for severe Class II Division
II cases between .014 x .025 and .018 x .025
wires (If only intrusion needed, use same size
wire without 20 torque)..019 x .025 Reverse
Curve Ni-Ti Normally used with 20anterior
torque for severe Class II Division II cases
between .014 x .025 and .018 x .025 wires (If
only intrusion needed, use same size wire without
anterior torque).
ARCHWIRE SEQUENCE
RAFAEL GARCIA ESPEJO CORDOBA (SPAIN)
EUROPEAN DAMON MASTER
9
PHASE 2 HIGH-TECH EDGEWISE (CLASS
II/2) .017 x .025 Reverse Curve Ni-Ti
with 20anterior () torque .019 x .025
Reverse Curve Ni-Ti with 20anterior () torque
ARCHWIRE SEQUENCE
ONLY IN UPPER ARCH
RAFAEL GARCIA ESPEJO CORDOBA (SPAIN)
EUROPEAN DAMON MASTER
10
PHASE 2 HIGH-TECH EDGEWISE (DEEP
BITES) .017 x .025 Reverse Curve Ni-Ti
with 20anterior (-) torque .019 x .025
Reverse Curve Ni-Ti with 20anterior (-) torque
ARCHWIRE SEQUENCE
GH
ONLY IN LOWER ARCH
RAFAEL GARCIA ESPEJO CORDOBA (SPAIN)
EUROPEAN DAMON MASTER
11
PHASE 2 HIGH-TECH EDGEWISE
(case-specific alternatives)
ARCHWIRE SEQUENCE
with 20 anterior torque
.017 x .025 NiTi .019 x .025 NiTi Used when
torque desired in the anterior without the
intrusive forces of the reverse curve or for
uprighting lower incisors.
RAFAEL GARCIA ESPEJO CORDOBA (SPAIN)
EUROPEAN DAMON MASTER
12
ARCHWIRE SEQUENCE
AVAILABLE
UPPER ARCH () TORQUE
LOWER ARCH (-) TORQUE
RAFAEL GARCIA ESPEJO CORDOBA (SPAIN)
EUROPEAN DAMON MASTER
13
TAKE A PANOREX BEFORE TRANSITIONING BETWEEN LAST
HIGH TECH EDGEWISE (CU NITI) AND STAINLESS STEEL
ARCHWIRE AND CHECK BRACKET POSITIONING .
IMPORTANT!!!!
REBONDING APPOINTMENT
14
ARCHWIRE SEQUENCE
After working last rectangular Cu NiTi
PANOREX AND REBONDING APPOINTMENT
stainless steel
RAFAEL GARCIA ESPEJO CORDOBA (SPAIN)
EUROPEAN DAMON MASTER
15
PHASE 3 MAJOR MECHANICS
(working phase of treatment)Goal Finish
torque control, posterior space closure, and make
vertical, A.P. and bucco-lingual corrections.
Elastics.Average time 20 weeksAppointment
interval 6-8 weeks
ARCHWIRE SEQUENCE
RAFAEL GARCIA ESPEJO CORDOBA (SPAIN)
EUROPEAN DAMON MASTER
16
Phase 3 MAJOR MECHANICS.019 x .025 SS
Upper Lower (Pre-posted)
Excellent archwire to maintain integrityof arch
during AP correction and space closure. Great
for vertical control..016 x .025 SS Lower
(Pre-posted)Used in lower arch where more play
is desired. Nice finishing wire in lower archif
all the torques are acceptable.
ARCHWIRE SEQUENCE
RAFAEL GARCIA ESPEJO CORDOBA (SPAIN)
EUROPEAN DAMON MASTER
17
PHASE 4 FINISHINGGoal Make any
remaining detailed archwire bends to complete
the case. Elastics.Average time 10-20
weeksAppointment interval 4-6 weeks
ARCHWIRE SEQUENCE
RAFAEL GARCIA ESPEJO CORDOBA (SPAIN)
EUROPEAN DAMON MASTER
18
PHASE 4 FINISHING.019 x .025
SS Upper (pre-posted).016 x .025 SS Lower
(pre-posted)Most cases finished with the working
archwires. If more
than minor bends and torque are required to
finish, use edgewise TMA.019 x .025 TMA Upper
.017 x .025 TMA LowerRegular TMA 3X friction
SSHoney Dew TMA 11/2 X friction SSPurple TMA
Same friction as SS
ARCHWIRE SEQUENCE
RAFAEL GARCIA ESPEJO CORDOBA (SPAIN)
EUROPEAN DAMON MASTER
19
INITIAL ARCHWIRES SEQUENCE
2.001
.014 CuNiTi
.016 x .025 CuNiTi
.019 x .025 S.S.
.019 x .025 TMA ?
RAFAEL GARCIA ESPEJO CORDOBA (SPAIN)
EUROPEAN DAMON MASTER
20
REGULAR ARCHWIRE SEQUENCE
.014 CuNiTi
.014 x .025 CuNiTi
.017 x .025 NiTi Spee .019 x .025 NiTi Spee
.017 x .025 N. S. T 20º .019 x .025 N. S. T 20º
.018 x .025 CuNiTi
.019 x .025 S.S.
.019 x .025 TMA ?
RAFAEL GARCIA ESPEJO CORDOBA (SPAIN)
EUROPEAN DAMON MASTER
21
GREAT CROWDING WIRE SEQUENCE
.013 CuNiTi
.016 CuNiTi
.014 x .025 CuNiTi
.016 x .025 CuNiTi
.018 x .025 CuNiTi
.019 x .025 S.S.
.019 x .025 TMA ?
RAFAEL GARCIA ESPEJO CORDOBA (SPAIN)
EUROPEAN DAMON MASTER
22
SUMMARY
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