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Restoring Occlusal Tie Wings of Ceramic Brackets

The occlusal tie wings of ceramic brackets often have to be ground down if they inter­fere with opposing teeth. Unfor­tunately, the reduction makes it difficult to tie in stainless steel ligatures.

If this problem occurs, a groove can be carved for the lig­ature wire on the occlusal side of the ceramic bracket, between the tie wing and the tooth surface. Either the smallest possible rounded stainless steel bur (Fig. A) or an ultrathin carborundum disc should be used. The disc will make a straighter groove, but be careful not to carve too deep.

A ligature wire can then be engaged in the groove without slipping off the bracket (Fig. B).

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  • ROBERT
    DR. DANCZIGER

Dr. Dancziger is in Private Practice at Avenida Tabancura, 1515, Suite 101, Vitacura 6680747, Santiago, Chile.

Fig. 1 A. Miniscrew placed in palatal slope of 13-year-old male patient as anchorage for upper right lateral incisor pontic (projection gives false impression of direction, which was almost parallel to occlusal plane). B. After composite build-up of lateral incisor, position of teeth adjacent to future implant site maintained with bonded wire.
Fig. 2 A. 11-year-old female patient with missing lower premolars, treated two years earlier with miniscrew placed in alveolar crest of edentulous lower right second premolar site as anchorage for mesialization and distal rotation of lower right molar. B. Miniscrew left in place for retention. C. After two years of retention, molar contact has been lost, indicating lack of vertical development.

DR. ROBERTO CIARLANTINI DDS

DR. ROBERTO  CIARLANTINI DDS

DR. BIRTE MELSEN DDS, DO

DR. BIRTE  MELSEN DDS, DO

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