Hello Dr I apologize for bothering you with My questions I want to ask you why I bond second molar in second phase of treatment ? Can I bond it when I reach rectangular wire? And about bite turbo can I use it for all cases ?or only if I have open bite, deep bite and cross bite ? Thank you very much for your humility
Hi Dr. S. No bother at all. You could wait to bond second molars, but then you will have to drop back to lighter wires to engage them and then work your way back up to larger wires. I find it more efficient to bond the second molars in the beginning. I don't engage them until the 018 CN wire. Then I can progress through my wire sequences uninterrupted. It probably saves 2 appointments. As for the turbos, very many cases, even without deep bites, crossbites (or open bites where molar intrusion is desirable) require turbos because of impingement of the bite on the lower second molar brackets. There is also an argument that disarticulation, in general, facilitates tooth movement by eliminating intercuspation which can have an inhibitory effect on movement. Just be mindful of molar turbos in deep bite cases. If left in place for too long, they will work against your deep bite correction. I hope that explanation is helpful! Dr. B
@@barronorthodontics445 thank you very much Dr for valuable information that helped me alot in my research .About bite turbos if the case required classII elastic or class III elastic can I use it as anchorage unit to maintain the vertical dimension ?
Hi Dr. Sarah. The turbos will increase the vertical dimension and this is often desirable in deep bite cases. Then the inter- arch elastics can erupt posterior teeth to the new vertical dimension. It is not desirable in vertical/open bite cases to erupt the posterior teeth with inter-arch elastics. Dr. B@@dr.sarahalkhateeb8991
