Long Metal Ligatures in Orthodontics 

Thank you :)

Good luck!!

Yes definitely Amirali. We'll try to make the video for "continuous tie" soon. Till then enjoy the rest of the videos.

Thank you! Cheers!

Hi, you can use elastic ligatures, but ideally metal ligature is much better. As the torquing spring is going to use the wire as anchorage, wire can have a bit of play and the spring might not be able to express the force completely. Hence, full ligation of the the wire with metal ligature is better. I hope you find this helpful.

@@cephtacticsdental I really appreciate your kindness Dr. , so grateful, thank you so much. 🌹🌹🌹🌹🙏🙏

It all depends on the case and what you dentist is doing, this can be used in the early and late stages of treatment.

Hi @sampadapattnaik5305 , We hope your treatment is going well. Yes this is a very common technique used by orthodontists, but shouldn't cause any pain.

Hi there @user-ft5nf9pn2v , thank you for your question if you need support on cases please visit the following link where you can get specailist support on pre treatment and in treatment cases. www.cephtactics-dental.com/cocad

Hi there Mariana, Thanks for the comment. Yes this is called a tucker or ligature director. Depending on your location we purchase ours from DB Orthodontics: dbortho.com/products/double-ended-tucker?_pos=1&_sid=25d0c7cd9&_ss=r We hope this helps and please do let us know if there are further questions :)

You can made it by old composite spatula then use diamond bur and split the tip

@@mohamedgebril4889 true, i would advise to buy one, as we use it for finishing bends as well... i would love to show you how this is done!

Long ligatures are mostly used to maintain space closure, preventing any space from opening and increasing anchorage. Therefore, you can keep them in place for as long as necessary, ensuring that oral hygiene is well maintained.

@@cephtacticsdental thanks

Apologies we are not clear on the question, please could you reword it, thank you :)

An overtie is when a long ligature tie is placed over the archwire while an undertie is when the ligature tie is placed under the archwire to prevent a tooth from moving or create space. Overties are commonly preferred for compromised oral hygiene, but cannot be tightened as well as underties and needs to be removed every time the archwire is changed. Underties can keep spaces closed securely and are preferred when changing wires, as they don't need to be replaced each time, but oral hygiene should be monitored. You just need to check if the undertied wire is loose, and if so, tighten it. The choice of technique depends on the specific treatment goals and the individual needs of each patient. We hope this helps.

Thank you for the support :)

Hi Rashid! If you are a patient, it's important to inform your orthodontist so they can provide appropriate advice. If you are a practitioner, it is necessary to either tighten or replace the metal ligature to prevent potential gaps from forming, especially if there is any active mechanism like elastics or powerchain connected to it. I hope this helps.