Braces Wire Tightening - Why & How Your Orthodontist Changes Your Braces Wires
TLDRIn this informative video, Dr. Greg discusses the importance of changing orthodontic wires during braces treatment. He explains the differences between nickel titanium and stainless steel wires, highlighting the shape memory property of nickel titanium that aids in aligning teeth. The video emphasizes the progression from smaller to larger wires to gradually correct dental issues, and the impact of broken brackets on treatment length. Dr. Greg reassures viewers that not receiving a new wire at every appointment doesn't indicate a lack of progress, and stresses the importance of careful eating to avoid bracket damage.
Takeaways
- 🎥 The video discusses the reasons behind changing orthodontic wires during braces treatment and the impact of broken brackets on the treatment process.
- 🌟 Orthodontists use different types of wires, primarily nickel titanium and stainless steel, each with specific roles in the treatment journey.
- 🔄 Nickel titanium wires have shape memory, allowing them to return to their original shape after being bent, which helps in aligning teeth and correcting arch form.
- 🔩 Stainless steel wires, once bent, hold their shape, making them suitable for detailed movements like specifically moving a tooth up, down, or rotating it.
- 📈 The progression in braces treatment involves starting with smaller nickel titanium wires and gradually moving up to larger ones as the teeth align and more force is needed.
- 🔄 The size of the wires is indicated by numbers like 014, 016, 16x22, with the numbers representing the diameter and dimensions of the wire.
- 📊圆形镍钛合金丝适合初步矫正牙齿旋转和上下移动，而矩形丝则用于更细致的调整，如牙齿的根管移动和角度调整。
- 🦷 Broken brackets can lead to an increase in treatment length as it may require going back to a smaller or thinner wire to reposition the shifted tooth before resuming treatment.
- 🍽️ Being careful with food choices is crucial to avoid breaking brackets, as it can affect the treatment timeline and potentially require a return to earlier stage wires.
- 📈 The video emphasizes that not receiving a new wire at every appointment does not indicate a lack of progress, as sometimes teeth need more time with the current wire for optimal alignment.
- 🙏 The importance of patient compliance with dietary restrictions and care for braces is highlighted to ensure efficient and timely orthodontic treatment.
Q & A
Why do orthodontists change wires during treatment?
-Orthodontists change wires to progressively apply more force to teeth as they move and align, ensuring the teeth continue to shift into the desired positions. Each wire is designed to provide a specific level of force and shape memory, which helps in correcting different dental issues effectively.
What is the advantage of using nickel titanium wires in orthodontics?
-Nickel titanium wires have shape memory, which means they can return to their original shape after being bent. This property is beneficial in orthodontics because it allows the wire to apply consistent pressure on the teeth, helping them move back into place and align properly.
How does stainless steel differ from nickel titanium in orthodontic treatment?
-Stainless steel wires do not have shape memory like nickel titanium. Once bent, they hold their shape, making them suitable for more detailed and specific tooth movements, such as individual tooth rotations or vertical adjustments, once the general alignment has been achieved with nickel titanium wires.
Why can't orthodontists start treatment with the largest nickel titanium wire?
-Starting with the largest nickel titanium wire would not be effective because it might not fit properly in all teeth, could pop off brackets, or deliver too much force for specific teeth. Treatment starts with smaller wires that gradually increase in size to ensure a controlled and comfortable movement of the teeth.
What are the different sizes of orthodontic wires and what do the measurements indicate?
-Orthodontic wires come in various sizes, which are measured in inches. For example, a 014 wire is 0.014 inches in diameter, while a 16x22 wire is 0.016 inches tall by 0.022 inches wide. The numbers indicate the dimensions of the wire, with larger numbers representing thicker or larger wires.
Why do orthodontists start with round wires instead of rectangular ones?
-Round wires are preferred at the beginning of treatment because they are thinner and can more easily correct rotations and minor alignments. Rectangular wires, which have more metal, are used later in treatment for more specific and detailed movements, such as torqueing or uprighting the roots of teeth.
What happens if a bracket breaks during orthodontic treatment?
-If a bracket breaks, the tooth may shift from its aligned position. When the bracket is replaced, the orthodontist might need to use a smaller or thinner wire to reposition the tooth, which can extend the treatment length. It's essential to avoid breaking brackets to keep the treatment on schedule.
Does not receiving a new wire at every appointment indicate a lack of progress?
-No, not receiving a new wire at every appointment does not mean that progress isn't being made. Sometimes, teeth need more time on a particular wire to fully respond to the applied force. Progress is assessed based on the movement and alignment of teeth, not solely on the frequency of wire changes.
How often should orthodontic patients expect to have their wires changed?
-The frequency of wire changes varies for each patient and is determined by the individual's treatment plan and the response of their teeth to the current wire. Some patients may receive a new wire at every appointment, while others may need more time on the same wire before progressing to the next.
What is the significance of the shape memory of nickel titanium wires in orthodontic treatment?
-The shape memory of nickel titanium wires allows them to apply a consistent force to the teeth, helping them move into the desired position. This shape memory ensures that even if the wire is bent or compressed by the teeth, it will return to its original shape, maintaining the necessary pressure for effective tooth movement.
Why is it crucial for patients to be careful with their diet during orthodontic treatment?
-Certain foods can cause brackets to break or bands to come loose, which can disrupt the treatment process. If a bracket breaks, it can lead to the need for a smaller or thinner wire to reposition the tooth, potentially extending the treatment length. Therefore, being cautious with the diet helps to prevent such setbacks and keeps the treatment on track.
Outlines
🦷 Introduction to Orthodontic Wires
The video begins with an introduction to the topic of orthodontic wires, explaining why orthodontists change them during treatment. It emphasizes the importance of maintaining brackets to avoid delays in treatment and introduces the differences between nickel titanium and stainless steel wires. The speaker, Dr. Greg, apologizes for being absent and promises to catch up with his audience in future videos. He also explains the concept of shape memory in nickel titanium wires and how they help in aligning teeth and correcting rotations.
🔄 Progression and Types of Orthodontic Wires
This paragraph discusses the progression of orthodontic treatment using different types and sizes of wires. It explains the transition from small round nickel titanium wires to larger ones and eventually to rectangular stainless steel wires. The video uses a patient case to illustrate the process of upgrading from a 0.014 inch to an 0.018 inch nickel titanium wire to apply more force for better alignment. The speaker also addresses the misconception that a lack of wire change indicates a lack of progress, clarifying that sometimes more time is needed on the same wire for optimal results. The importance of careful eating habits to prevent bracket breakage and treatment length increase is also highlighted.
Mindmap
Keywords
💡Orthodontist
💡Braces
💡Wires
💡Nickel Titanium
💡Stainless Steel
💡Brackets
💡Shape Memory
💡Treatment Length
💡Arch Form
💡Torque
Highlights
Orthodontists change wires to progress teeth alignment in braces treatment.
Nickel titanium wires have shape memory, allowing them to return to their original shape after bending, which helps in aligning teeth.
Stainless steel wires hold their shape once bent, used for detailed movements like specifically moving one tooth up, down, or rotating it.
The transition from nickel titanium to stainless steel wires marks the progression from early to later stages of orthodontic treatment.
Orthodontic wires come in different sizes and shapes, with round wires typically used at the beginning of treatment for their flexibility.
Rectangular wires are introduced later in treatment to apply more targeted forces for movements like torqueing the tooth root.
NASA invented the nickel titanium wire, which is highly effective in orthodontics due to its unique properties.
Patients are started on smaller wires which are gradually increased in size as the treatment progresses.
Broken brackets can lead to increased treatment length as it may require going back to a smaller wire before resuming treatment.
Proper food choices and avoiding actions that could break brackets are crucial for maintaining treatment progress and avoiding extended treatment times.
Not receiving a new wire at every appointment does not indicate a lack of progress; sometimes, more time is needed for the current wire to fully express its force.
The video provides a patient case example of upgrading from a small round nickel titanium wire to a larger one for more effective tooth alignment.
Careful sizing and insertion of wires are necessary to avoid discomfort and ensure the wire's effectiveness.
Tying in the wire correctly and using a distal end cutter to trim excess wire ensures patient comfort and effective treatment.
The video emphasizes the importance of patient compliance with dietary restrictions and care instructions to prevent bracket breakage and treatment setbacks.
Dr. Greg apologizes for his absence and expresses his intention to return to a regular upload schedule, promising more transparency with his audience.
Transcripts
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