::Tech Tips (click on image to view Tech Tips)

Distalizer

• Appliance is preloaded to begin distalizing molars slightly upon insertion.  If molar contacts are tight, separators may be placed prior to appliance delivery to facilitate positioning of the Distalizer spring interproximally for quicker distalization.

• Next visit when slight space is available adjust spring down between bicuspid and molar near center of rotation of tooth for more translation and less tipping.

• Spring should be activated to the distal buccal cusp of the molar to be distalized.  Appliance can be activated every 3 weeks.

• Patient normally removes appliance for meals but patient can eat with the Distalizer at school, if needed, to prevent loss of the appliance.

• If appliance is lost make an immediate Essix to preserve space gained until the Distalizer can be replaced.

• Hold molar position after distalization with a Hayes-Nance or similar type of holding arch.

• Light cured buccal buttons may have been added to the appliance for added retention.  Appliance is usually tight upon insertion. If Distalizer loosens with time, use as many or as few light cured buttons as necessary to retain the appliance.

Upper/Lower Anterior Aligner

• Appliance is pre-loaded and will begin working upon insertion.  Strip anterior teeth if necessary after the first appointment.

• Activate lingual spring as necessary at subsequent visits.

• Appliance is designed to work quickly.  Recall patient every one to three weeks for activation.

• Light cured buccal buttons may have been added to the appliance for added retention.  Appliance is usually tight upon insertion.  If Aligner loosens with time, use as many or as few light cured buttons as necessary to retain the appliance.

• If appliance is equipped with a clear labial guide the guide may be expanded by running a hot number 7 wax spatula gently on the lingual surface of the labial guide.

• After teeth are aligned, retain as you see fit.

• Appliance is preloaded and ready to move teeth. Check spring action while seating appliance, then adjust on subsequent visits. If more bite opening is needed to free up occlusion to “jump the bite” put composite on the cusps of opposing molars in the opposite arch until crossbite is corrected.

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