Ortho

1. REFINED BEGGS
STAGE-3UNDER THE ABLE GUIDENCE OF:
Dr. RAM AUTAR [PROF.AND HOD]
Dr. RAKESH KOUL [PROF.]
Dr. SHANTANU KHATTRI [PROF.]
Dr. MADHVI BHARDWAJ [PROF.]

2. ROTATIONAL CONTROL IN REFINED
BEGGS

6. OBJECTIVES OF STAGE 3
◦ MAINTAIN THE CORRECTION ACHIEVED DURING THE FIRST
TWO STAGES
◦ TO ACHIEVE THE DESIRED ROOT POSITION
◦ MONITOR SAGGITAL AND VERTICAL ANCHORAGE
◦ CORRECT THE INCLINATION OF POSTERIOR TEETH ESPECIALLY
MOLARS
◦ TO CORRECT THE POSITION OF SECOND MOLAR WHENEVER
REQUIRED
◦ TO MONITOR TREATMENT FOR UNDESIRABLE SQUEALS, LIKE
ROOT RESORPTION AND PARA FUNCTIONAL HABITS DUE TO
CUSPAL INTERFERENCE.

7. MECHANICS OF STAGE-3

8. PROBLEMS ENCOUNTERED DURING
STAGE-3
◦ UNDESIRED SAGGITAL MOVEMENTS-IN THE TREATMENT OF CLASS 2
MALOCCLUSION, THE INTER ARCH RELATIONSHIP REVERTS BACK
PARTIALLY OR FULLY FROM THE CORRECTED CLASS 1 TO CLASS 2,
WHENEVER THE UPPER ARCH MOVES MESIALLY
◦ REVERSAL OF BIMAX PROTRUSION WITH MESIAL MOVEMENT
◦ INDIVIDUAL CROWN MOVEMENT IN MESIAL DIRECTION
◦ OPENING OF EXTRACTION SPACE
◦ UNDESIRED VERTICAL MOVEMENT MAY CAUSE BITE OPENING OR
DEEPENING
◦ BUCCAL ROLLING OF MOLARS

9. HOW TO OVERCOME THE PROBLEMS?
◦ MINIMISING THE NEED FOR ROOT MOVEMENT -- BY
DIAGNOSING THE CASE PROPERLY, USING BRAKE SYSTEM,
CONTROLLED TIPPING
◦ STRONG BASE WIRES- CONTROLS BITE DEEPENING AND
MOLAR ROLLING
◦ USE OF SPRINGS AND AUXILLARIES MADE OF LIGHTER
WIRES- LOW LOAD DEFLECTION HENCE LESS ACNCHOR
LOSS IN ALL 3 PLANES
◦ USE OF LIGHT ELASTICS
◦ REINFORCEMENT OF ANCHORAGE

11. TORQUING AUXILLARIES AND
UPRIGHTING SPRING

12. SINGLE ROOT TORQUING AUXILLARY

14. REVERSE TORQUING
AUXILLARY FOR CANINE
AND PREMOLARS

16. BUCCAL ROOT
TORQUE ON
MOLARS