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PEARLS

Wraparound Retainer

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The wraparound retainer has no wires going across the occlusal surfaces of the teeth. It has a circumferential labial wire (.030") that has adjustment loops in the canine area and lingual clasps in the bicuspid-molar area for added retention .

To fabricate the lingual clasps, saw a groove on the model interproximally between the first molar and bicuspid to the level of the gingiva. Place the wire (.018" Australian wire) into the depth of the groove, with a loop for retention in the acrylic on the palatal side and extending at least to the buccal surface of the teeth. Sticky wax the wires in position, and process the acrylic.

Once processed, make a small loop facing downward, bending the wire with a birdbeak plier. This loop will snap perfectly under the contact of the molar and bicuspid. This clasp is easily adjusted, extremely retentive, and inexpensive, and does not violate the occlusal surface.

Note that the patient's name and telephone number can be imprinted on the retainer by typing the information on the paper that separates the cephalometric tracing acetate sheets, and embedding the slip of paper under the acrylic.

If you have a Pearl to share with your colleagues, send it to Dr. Jerry Clark, 409 Parkway, Greensboro, NC 27401.

Fig. 76 Comprehensive patient data sheet.
Fig. 77 Diagnostic summary sheet.
Fig. 78 Slavicek comprehensive analysis.
Fig. 79 Examples of submenus.
Fig. 80 Diagnostic checklist.
Fig. 81 First lateral graphic.
Fig. 82 Second graphic.
Fig. 83 Printout of Ideal Vertical Position.
Fig. 84 Growth forecast: lateral head view.
Fig. 85 Growth forecast of dental arches, inferior and superior views. A. With teeth superimposed. B. Without teeth superimposed. C. Arches superimposed on each other, with teeth. D. Without teeth.
Fig. 86 Growth forecast of dental arches. A. Lateral view. B. Frontal view. C. Superimposed lateral view. D. Superimposed frontal view.
Fig. 87 Lateral view of maxillary and mandibular teeth, with arch curves in growth stages.
Fig. 88 Best arch fit.
Fig. 89 Slavicek comprehensive analysis, calculated from headfilm at age 8 and extrapolated to age 11.2.
Fig. 90 Plotting and comprehensive analysis in CO without interactive VTO changes.
Fig. 91 Plotting and comprehensive analysis after interactive VTO.
Fig. 92 Ricketts 11-factor summary analysis.
Fig. 93 Ricketts comprehensive analysis.

DR. JERRY R. CLARK DDS, Editor

DR. JERRY R.  CLARK DDS, Editor
409 Parkway, Greensboro, NC 27401

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