SlideShare una empresa de Scribd logo
1 de 191
BIOMECHANICAL
CONSIDERATIONS
IN BEGG STAGE I
AND STAGE II
www.indiandentalacademy.com
CONTENTS
www.indiandentalacademy.com

Introduction
 What is Biomechanics
 Center of gravity
 Center of resistance
 Center of rotation
 Various Terminologies and laws
FORCE
MOMENT
COUPLE
MOMENT TO FORCE RATIO
STATEOF EQUILIBRIUM
www.indiandentalacademy.com
 Begg Mechanotherapy
 INTRODUCTION
 Objectives of Stage-I
o Biomechanics of incisor intrusion
Degree of anchor bend
Role of Class II elastics
o Biomechanics of Incisor Tipping
 Objectives of Stage-II
o Biomechanics of space closure
 Conclusion
 Bibliography
www.indiandentalacademy.com
INTRODUCTION
www.indiandentalacademy.com
The physical concepts that form the
foundation of orthodontic mechanics
are the key in understanding how
orthodontic appliances work .
The principles are not unique to
orthodontics but are basic to the
science of static mechanics.
www.indiandentalacademy.com
With the objective of achieving
predictable results based on
predetermined treatment goals, the
basic mechanics underlying
orthodontic appliance activation must
be thoroughly understood.
www.indiandentalacademy.com
BIOMECHANICS
www.indiandentalacademy.com
Biomechanics is the study of
mechanics as it affects the biologic
systems. It is the application of
mechanics to the biology of tooth
movement.
Biology + Mechanics = Biomechanics
www.indiandentalacademy.com
Physical properties such as distance,
weight, temperature and force are
treated mathematically as either
SCALARS or VECTORS.
www.indiandentalacademy.com
SCALARS include temperature and
weight, they have a definite
magnitude but do not have a direction.
They are completely described by
their magnitude.www.indiandentalacademy.com
VECTORS include force, these have
both magnitude and direction. In case
of force, along with magnitude and
direction, point of application of force
must be taken into account.
www.indiandentalacademy.com
Various terminologies and laws:
FORCE
MOMENT
COUPLE
MOMENT TO FORCE RATIO
www.indiandentalacademy.com
FORCE:
It is defined as an act upon a body that
changes or tends to change the state of
rest or motion of the body.
Force is a vector it has both magnitude
and direction.
www.indiandentalacademy.com
The forces are indicated by straight
arrows
www.indiandentalacademy.com
In case of understanding the magnitude
and direction of tooth movement, point
of application of force is important
www.indiandentalacademy.com
CENTER OF MASS
Each body has a point in its mass,
which behaves as if the whole mass is
concentrated at that single point, which
we call the CENTER OF MASS in a
gravity free environment.
www.indiandentalacademy.com
Center of Gravity:
The same is called center of Gravity in
an environment where gravity is
present.
www.indiandentalacademy.com
The center of gravity of the tooth is
located more towards the crown of the
tooth as the mass of the tooth is
concentrated more coronally
www.indiandentalacademy.com
Since the tooth is partially restrained
as its root is embedded in bone its
center of gravity moves apically and
this is known as CENTER OF
RESISTANCE (Cres)
www.indiandentalacademy.com
Center of Resistance
Center of Gravity
Center of Resistance
www.indiandentalacademy.com
 In case of single rooted tooth center of
resistance is on the long axis of tooth
between one third and one half of the
root length apical to alveolar crest.
www.indiandentalacademy.com
 For a multirooted root, the center of
resistance is probably between the
roots 1-2 mm apical to furcation.
www.indiandentalacademy.com
 Center of Resistance Varies (Cres):
Length of root: Maxillary canine has a
longer root than maxillary lateral incisor,
thus center of resistance of canine will
be more apically placed as compared
with center of resistance of lateral
incisor.www.indiandentalacademy.com
Periodontal status: The center of
resistance shifts apically in
periodontally compromised patients.
Alveolar bone height: Center of
resistance shifts apically as with the
alveolar bone loss.
www.indiandentalacademy.com
The center of resistance for a single
rooted tooth estimated by different
authors is;
 At 50% of root length – Proffit, Nikoli
 Between 50% to 30% of root length –
Smith and Burstone.
 At 33% of root length – Burstone
 Between 25% to 33% root length –
Nanda
www.indiandentalacademy.com
Moment
Is defined as a tendency to rotate
www.indiandentalacademy.com
Moments can be symbolized by
curved arrows.
www.indiandentalacademy.com
MOMENT is the product of the force times
the perpendicular distance from the point of
force application to the center of resistance.
M = F x d
It is measured in grams – millimeters.
F
d
www.indiandentalacademy.com
MOMENT OF FORCE:
Moment is a measure of the turning
tendency produced by a force.
When a force is applied at any point
other than through the center of
resistance in addition of moving the
center of resistance in direction of the
force, a moment is created.
www.indiandentalacademy.com
In case of tooth, since it is embedded in
the alveolar bone, we cannot apply
force directly on Cres, but can apply
force on the exposed part of the tooth,
which is at a distance from Cres.
Therefore with a single force we
invariably create a moment called as
moment of force.
www.indiandentalacademy.com
A MOMENT may be referred as
Rotation
Tipping
Torquing.
www.indiandentalacademy.com
Rotation
Tipping
Torquing
Flash Player Movie Flash Player MovieFlash Player Movie
www.indiandentalacademy.com
If a line of action does not pass
through the center of resistance the
force will produce some rotation. The
potential for rotation is called as
moment.
www.indiandentalacademy.com
The direction of a moment can be
determined by continuing the line of
action of the force around the center
of resistance.
F x d(X) = M(X)www.indiandentalacademy.com
CENTER OF ROTATION:
It may be defined as a point about
which a body appears to have rotated
as determined from its initial to final
position.
www.indiandentalacademy.com
A simple method of determining a
Center of rotation - Draw the long axis
of the tooth in its initial and final
positions; we will see that both these
lines intersect at a point.
This is the point around which the
tooth rotates and is called Center of
rotation.
www.indiandentalacademy.com
Center of Rotation
www.indiandentalacademy.com
Center of rotation could be at the center
of resistance, apical or Incisal to Cres
or at infinity. Its position will
determine the type of tooth
movement.
The moment to force ratio controls the
center of rotation for the intended
tooth movement.
www.indiandentalacademy.com
TYPES OF TOOTH
MOVEMENT
POSITION OF THE
CENTER OF ROTATION
A. Translation
B. Uncontrolled tipping
C. Controlled tipping
D. Root movement or Torquing
Lies at infinity
Slightly apical to center of
resistance
Apex of root
Incisal or occlusal edge
www.indiandentalacademy.com
 Uncontrolled tipping: In this situation,
when force is applied the crown
moves in one direction and root
moves in the opposite direction. Here
Center of rotation lies near to center
of resistance. This is referred as
uncontrolled tipping.
www.indiandentalacademy.com
Uncontrolled tippingUncontrolled tipping
www.indiandentalacademy.com
 Controlled Tipping: In this situation,
crown moves in the direction of force
but the root position remains the same
or get minimally displaced. Here
Center of rotation lies at apex of the
root.
www.indiandentalacademy.com
Controlled tippingControlled tipping
www.indiandentalacademy.com
 Translation : In this situation tooth
moves bodily i.e. both crown and root
portion of tooth moves bodily in the
direction of force. Here Center of
rotation lies at infinity. All the points in
the tooth move by same distance in
the same direction in translation.
www.indiandentalacademy.com
Bodily MovementBodily Movement
Center of
Rotation
at infinity
www.indiandentalacademy.com
 Root movement: In this situation,
root moves in the direction of force but
the crown position remains the same
or get minimally displaced. Here
Center of rotation lies at incisal edge
of the crown.
www.indiandentalacademy.com
RootRoot
MovementMovement
www.indiandentalacademy.com
COUPLE:
Two equal and opposite, non -
collinear forces are called a couple.
Couple consists of two forces of equal
magnitude, which are parallel to each
other but not coincident and they face
in opposite direction.
www.indiandentalacademy.com
The moment of this couple is equal to
the magnitude of one of the forces
multiplied by the perpendicular
distance between the two lines of
action of force.
www.indiandentalacademy.com
If the two forces of the couple act on
opposite sides of the center of
resistance, their effect is additive.
However, if they are on the same side
of the center of resistance, their effect
is subtractive
www.indiandentalacademy.com
AdditiveAdditive
+
F1
F2
F1XDM1= M2=F2XD
D
M=F X D
www.indiandentalacademy.com
SubtractiveSubtractive
-
F1
F2
M1=F1XD1 M2=F2XD2
D1
D2
M= F X (D1-D2)
www.indiandentalacademy.com
MOMENT TO FORCE
RATIO:
www.indiandentalacademy.com
In terms of direction, the counter-
balancing moment is always going to
be in the direction opposite the
moment of force.
www.indiandentalacademy.com
It seems that type of movement
exhibited by a tooth is determined by
the ratio of the counter-balancing
moment produced to the net force that
is applied to a tooth .
This is called as the moment to
force ratio .
www.indiandentalacademy.com
Moment of force
Force
Counter-balancing moment
www.indiandentalacademy.com
The ratio of the counter-balancing
moment to the force applied
determines the type of tooth
displacement, brought about by the
combined application of a force and
counter-balancing moment.
As the counter-balancing moment
increases, the center of rotation
moves apically.
www.indiandentalacademy.com
At one specific level of M/F, the
moment which arises from the force
and the applied counter-balancing
moment cancel out each other i.e.
there is no rotational component, and
hence only a translation takes place
under the effect of force .
www.indiandentalacademy.com
 M/F Ratio values normally quoted of various
types of displacements are
M/F ratio less than 5:1 causes uncontrolled
tipping in which the crown and the root apex
move in opposite directions.
M/F ratio between 5:1 and 8:1 causes
controlled tipping in which the root apex
remains stationary and only the crown
moves.
www.indiandentalacademy.com
M/F ratio of 10:1 causes translation.
The crown and the root apex move to
same extent in the same direction of
force.
M/F ratio of 12:1 causes root
movement. The crown remains
stationary while only the root moves.
www.indiandentalacademy.com
It is important to note that the
differences between the M/F Ratio for
controlled tipping, translation and root
movement are small.
www.indiandentalacademy.com
In other words, even small alterations
in the magnitude of the applied force
or the counter-balancing moment will
alter the type of tooth movement
brought about.
www.indiandentalacademy.com
STATE OF
EQUILIBRIUM
www.indiandentalacademy.com
When an appliance is fitted in the
mouth, it assumes a state of equilibrium.
The active elements in the appliance
generate certain forces or moments.
Other forces or moments arise
automatically in the system to balance
these forces or moments. Some of them
may be beneficial while others may be
undesirable.
www.indiandentalacademy.com
Whenever state of equilibrium is
established in the system the sum of all
forces and moments (together) present
must be zero in all three planes.
www.indiandentalacademy.com
For example, tip back bend (like the
bite opening bend in Begg appliance)
generates a moment which tends to
tip the molar tooth crown distally. This
is balanced by an automatic creation
of another moment in the overall
system in opposite direction
comprising of two forces an intrusive
force at the anterior end and on
extrusive force on the molar.
www.indiandentalacademy.com
www.indiandentalacademy.com
BEGG
MECHANOTHERAPY
www.indiandentalacademy.com
Begg mechanotherapy is very efficient
in opening the deep anterior
overbites. It is generally agreed that
Begg mechanics bring about bite
opening by a combination of molar
extrusion (especially of lower molars)
and some intrusion of lower anteriors.
www.indiandentalacademy.com
Upper anteriors may not change in
their position in vertical direction (i.e.
they are prevented from erupting) or
may intrude slightly or may even
extrude slightly.
www.indiandentalacademy.com
There are three basic movements in
the Begg mechanotherapy
 Incisor intrusion
 Tipping of teeth
 Root uprighting.
www.indiandentalacademy.com
The mechanism of intrusion is
understood by considering the net
intrusive force magnitude and direction
in relation to Centre of resistance of
tooth.
While tipping of teeth and root
uprighting is explained on the basis of
M/F ratio.
www.indiandentalacademy.com
OBJECTIVES OF
STAGE I:
www.indiandentalacademy.com
 Open the anterior bite :
Proper amount of bite opening bends
or curves in the arch wire.
Continuous wearing of Class II
(intermaxillary) elastics as required.
www.indiandentalacademy.com
 Eliminate anterior crowding :
Vertical loops between crowded
anterior teeth, with bracket areas
modified for desired overcorrection.
Loop arch wire
NiTi wire
www.indiandentalacademy.com
 Close anterior spaces :
Plain arch wire with latex elastic or
elastomeric chain from cuspid to
cuspid.
Closure of Anterior spaces by cuspid tie
www.indiandentalacademy.com
 Over correct rotated cuspids and
bicuspids :
Rotating springs
Elastomeric traction into the arch
wire
www.indiandentalacademy.com
Rotating spring
Rotating spring on Premolar
Elastomeric traction
www.indiandentalacademy.com
ANTI ROTATIONAL ADJUSTMENT
Incisor
Premolar
www.indiandentalacademy.com
 Over correct the mesiodistal
relationship of the buccal segments
Continuous wearing of class II
elastics.
Proper bite opening bends in both
upper and lower arch wires.
www.indiandentalacademy.com
BIOMECHANICS OF STAGE I
www.indiandentalacademy.com
As we understand today the Begg
appliance is a good example of single
couple system.
Stage I arch wire
www.indiandentalacademy.com
The orthodontic environment created
during stage I is conducive to rapid
movement of anterior teeth under the
light forces generated by the arch
wires and intermaxillary elastics
www.indiandentalacademy.com
MECHANISM OF INTRUSION:
www.indiandentalacademy.com
Lack of true intrusion of the maxillary
incisors was one of the major
weaknesses of traditional Begg.
Bite opening occurred mainly on
account of molar extrusion and some
intrusion of the lower incisors.
www.indiandentalacademy.com
Whether the upper incisors are
intruded is a debated issue.
The round archwire derives bite
opening force from the anchor bends.
www.indiandentalacademy.com
A clockwise moment generated by the
anchor bend in the molar tube (upper)
is automatically balanced by the
generation of anticlockwise moment in
the anterior segment along with
intrusive force on the anterior and
extrusive force on the molars in order
to establish state of equilibrium.
www.indiandentalacademy.com
This anticlockwise moment generated
in the anterior segment bring about
labial flaring of the upper anteriors.
www.indiandentalacademy.com
This flaring tendency of upper incisors
can be resisted by using Class II
elastics during stage I.
But class II force along with horizontal
component have vertical component
of force which reduces the magnitude
of the intrusive force of the arch wire
on the upper anteriors.
www.indiandentalacademy.com
Thus the interplay between the
intrusive force from the archwire and
the retractive force from the elastics
determines both the magnitude and
direction of the net resultant force
acting on anterior teeth.
www.indiandentalacademy.com
THE INTERPLAY BETWEEN THE
ANCHOR BEND AND CLASS II
ELASTICS
CLASS II ELASTIC
FORCE
INTRUSIONFORC
www.indiandentalacademy.com
VARIOUS TYPES OF BITE
OPENING BENDS:
 The Anchor bend the conventional
bite opening bend causes more
intrusion of canines while the lateral
and central incisors progressively lag
behind.
www.indiandentalacademy.com
 A Gable bend causes a progressively
more intrusion of central and lateral
incisor, as compared to canine
 Mollenhouer’s bite opening curve –
Mollenhouers especially recommends
it with use of 0.018 wire.
www.indiandentalacademy.com
www.indiandentalacademy.com
 Swain modification: Mild gingival curve
is incorporated in the anterior section,
from mesial of cuspid to mesial of other
side cuspid.
www.indiandentalacademy.com
CONSIDERATION OF
THE MAGNITUDE
OF INTRUSIVE
FORCE.
www.indiandentalacademy.com
OPTIMAL INTRUSIVE FORCE VALUE
Many authors have suggested
optimum intrusive force values
ranging from 15-30 grams per upper
incisor and slightly higher values for
upper canines.
www.indiandentalacademy.com
For active intrusion the upper
anteriors should receive
approximately 60 grams net force in
the midline, after negating the
extrusive component of Class II
elastics.
www.indiandentalacademy.com
ROLE OF LIGHT
CLASS II ELASTICS:
www.indiandentalacademy.com
Hocevar stated that 120 grams of
intrusive force generated by arch wire
in conjunction with 60 grams of Class
II elastics pull on either side is
“efficient for intrusion”
www.indiandentalacademy.com
According to Dr.Jayade net intrusive
force of 60 grams can be obtained by
a combination of 75 grams of intrusive
force generated by arch wire and
some modification in wearing of
elastics that is by using light elastic
forces for longer periods from 2-5
days. Very light Class II force is
delivered as the elastic force
diminishes rapidly in oral environment.
www.indiandentalacademy.com
Sims states the use of 3/8” ultra light
elastics instead of routinely used
5/16” light elastics. He said continue
the same elastic for 4-5 days till they
break.
www.indiandentalacademy.com
Role of Class I Elastic
Forces
www.indiandentalacademy.com
Modifying the force system to achieve
simultaneous intrusion and retraction
using Class I elastic instead of Class
II elastics was first illustrated by Shin
Yang Liu (1981).
www.indiandentalacademy.com
 He summarized that the direction of
resultant force should pass through
the center of resistance of anterior
teeth (or close to it).
 Therefore, substituting Class II elastic
forces by Class I elastic forces would
orient the resultant force more
vertically passing nearer to the center
of resistance of anterior teeth.
www.indiandentalacademy.com
 In traditional begg technique the
direction of the intrusive vector of the
maxillary arch wire and the extrusive
vector of the class II elastics are
opposite. This accounts for the
difficulty in obtaining anterior maxillary
teeth intrusion.
www.indiandentalacademy.com
 In this technique modification, of
using Class I elastics, it solve the
problem of lack of intrusion of the
maxillary anteriors.
www.indiandentalacademy.com
 In this arrangement the vectors are in
the same direction as the elastic pull
and the archwire force are
unidirectional and hence synergistic.
www.indiandentalacademy.com
Dr. Jyothindra Kumar introduced
concept of power arms as a point of
attachment high up in the vestibule for
the engagement of Class I elastics.
CLASS I ELASTIC FORCE
www.indiandentalacademy.com
Dr. Jayade has been using Class I
elastics, which were worn from
transpalatal arch (TPA) to the canine
hooks/loops.
CLASS I ELASTIC FORCE
www.indiandentalacademy.com
It is impossible to precisely calculate
the required intrusive force every time,
for every patient, since it is dependent
on various variables.
 Different root sizes and tooth
inclination.
 Different arch sizes, which affect the
length of the wire spans and stretch of
the elastics.
www.indiandentalacademy.com
 Individual biomechanical response
 Difference in the archwire sizes.
Normally .018” wire will produce more
intrusive force as compared to 0.016”
wire when some degree of anchor
bend is given.
www.indiandentalacademy.com
THE CONCLUSION IS, “TO USE
HIGHER INTRUSIVE FORCES IN
COMBINATION WITH VERY
LIGHT CLASS II ELASTIC
FORCES FOR ACTIVE UPPER
INCISOR INTRUSION”
www.indiandentalacademy.com
CONSIDERATION OF
THE DIRECTION OF THE
RESULTANT FORCE:
www.indiandentalacademy.com
Teeth respond only to the resultant
of the forces which are applied and
not to the individual components of
the force system.
www.indiandentalacademy.com
During Stage I, the upper anteriors are
subjected to two forces i.e. the
retractive force of class II elastics and
the intrusive force generated by the
anchor bend in the arch wire. The
resultant of these two will determine
how the upper anterior teeth respond
to the intrusion.
www.indiandentalacademy.com
THE INTERPLAY BETWEEN THE
ANCHOR BEND AND CLASS II
ELASTICS
CLASS II ELASTIC
FORCE
INTRUSIONFORC
www.indiandentalacademy.com
The direction and magnitude of
resultant force both depend upon the
interplay between.
 Magnitude of Intrusive Force: Whose
direction remains constant i.e.
tangential to the arc that the anterior
segment of the archwire would
subscribe, if released from the
brackets.
 Magnitude and the direction of the
elastic force.
www.indiandentalacademy.com
Different inclinations of the anterior
teeth would require different
combinations of the intrusive and
elastic forces.
Hocevar states, that the teeth are not
affected by the magnitudes of
various components of force
systems, they experience only the
total resultant force
www.indiandentalacademy.com
For example, in case of severely
proclined upper anteriors a low
magnitude of intrusive force along
with high class II force would give a
desired resultant force, passing
palatal to Cres, this will help
correcting the proclination of incisors .
Once the inclination of upper incisors
is corrected then the class II elastics
force is reduced helping in keeping
the resultant force close to Cres .
www.indiandentalacademy.com
45gms
60gms
60 gms
30gms
www.indiandentalacademy.com
In Class II Division 2 cases , where the
upper centrals are retroclined , only
intrusive force should be used
(Avoiding the Class II elastics) The
intrusive force acts labial to Cres and
corrects the retroclination. Once the
inclination is corrected then we can use
Class II elastics .
www.indiandentalacademy.com
60gms
45gms
20gms
www.indiandentalacademy.com
MECHANISM OF
ROTATION
www.indiandentalacademy.com
Rotating spring works on the principal
of couple.
Since in rotating spring the couple
generated is acting on one side of
Cres of tooth so it is less effective as
compared to couple acting on either
side of Cres
www.indiandentalacademy.com
www.indiandentalacademy.com
OCCLUSAL VIEWwww.indiandentalacademy.com
MECHANISM OF
TIPPING:
www.indiandentalacademy.com
CLASS II ELASTIC
FORCE
The concept of tipping back the
teeth in the first stage & further in
stage II …
INTRUSIONFORC
www.indiandentalacademy.com
Generally, uncontrolled tipping is
undesirable because it leads to root
resorption as stated by Reitan. There
is more resorption when uncontrolled
tipping is in labio-lingual direction.
www.indiandentalacademy.com
Intrusion and tipping are intimately
related not only because they are
carried out simultaneously but also,
when both are balanced judiciously it
help in overcoming uncontrolled
tipping of incisors.
www.indiandentalacademy.com
This is achieved by manipulating the
intrusive force generated by wire and
retractive component of force from the
Class II elastics.
www.indiandentalacademy.com
BOTH THE ANCHOR BEND IN THE
WIRE AND CLASS II ELASTICS
PRODUCE MOMENTS IN THE
SAME LABIO-LINGUAL PLANE
BUT ACT IN OPPOSITE
DIRECTIONS.
www.indiandentalacademy.com
The intrusive force produces crown
labial-root lingual moment i.e.
anticlockwise moment on the upper
anteriors. While the retractive force
produced the Class II elastics
generates clockwise moment i.e.
crown lingual-root labial moment
www.indiandentalacademy.com
The moment from the intrusive force
can act as the counter balance
moment against the moment
produced by the elastic force.
The ratio of the former to the
retraction component of the elastic
force is the M/F ratio which governs
the type of tipping while retracting the
anterior teeth.
www.indiandentalacademy.com
The most important consideration is to
keep light Class II elastic and use
adequate amount of intrusive force
so that correct M/F ratio (8:1) is
obtained to have a controlled
tipping.
www.indiandentalacademy.com
PREVENTING
UNCONTROLLED
TIPPING OF
UPPER INCISORS
www.indiandentalacademy.com
In the refined Begg mechanics, use of
MAA (Mollenhauer’s Aligning
Auxillary) which provides a moment in
the labio-lingual plane by creating a
couple. This couple moment is an
anti-clockwise moment.
www.indiandentalacademy.com
CLASS II ELASTIC
FORCE
INTRUSIONFORC
www.indiandentalacademy.com
CLASS II ELASTIC
FORCE
INTRUSIONFORC
www.indiandentalacademy.com
The moment produced by the anchor bend is
in the anticlockwise direction in the Y – Axis.
In case of MAA, the moment of couple
generated again is in anticlockwise direction
but in X – Axis.
Both the moments generated by the anchor
bend and the MAA are in the anticlockwise
direction thus gets summed up.
www.indiandentalacademy.com
Once the bite is opened in the first
stage, the intrusive force level is
reduced which inturn reduces M/F
ratio. This leads to greater likelihood
of uncontrolled tipping of upper
anterior teeth during later part of the
first stage and whole of second stage.
www.indiandentalacademy.com
Thus the anticlockwise moment
produced by anchor bend on anterior
is supplemented by the moment of
couple produced by MAA
www.indiandentalacademy.com
Flaring occurs as lower incisors are
subjected to crown labial root-lingual
moment from the intrusive force
generated in arch wire, while there is
no restraining force on these teeth as
similar to Class II elastic force on
Upper incisors.
www.indiandentalacademy.com
PREVENTING
UNCONTROLLED
TIPPING OF LOWER
INCISORS:
www.indiandentalacademy.com
The flaring can be avoided by two
means;
 Minimizing the clockwise force
moment by reducing the intrusive
force.
 Secondly, cinching tightly the distal
ends of the arch wire.
www.indiandentalacademy.com
 Lastly by producing counter moment
using a MAA for labial root torque or a
reverse torquing auxiliary (Udder
arch)
www.indiandentalacademy.com
www.indiandentalacademy.com
In case of severely lingually tipped
lower anteriors, Cres will be lying
buccal to the point of application of
the intrusive force generated by the
anchor bend so there is more chances
to tip the lower anteriors more
lingually.
www.indiandentalacademy.com
So in that case we give a By pass
arch wire in order to upright the lower
incisors .
www.indiandentalacademy.com
www.indiandentalacademy.com
www.indiandentalacademy.com
BEGG STAGE II
www.indiandentalacademy.com
Among the traditionally described
stages of Begg technique, the second
stage of treatment involves closure of
extraction spaces. This is thought to
be the easiest phase of treatment.
www.indiandentalacademy.com
During Stage II all the corrections
achieved during Stage I should be
maintained.
www.indiandentalacademy.com
 Maintain Edge to Edge relationship
of anterior teeth
 Maintain anterior space closure
 To maintain overcorrected or normal
mesiodistal molar relationship
www.indiandentalacademy.com
 In addition to the above, the stage II of
the refined Begg aims are
Controlled tipping of the incisors,
when space closure is to be mainly
achieved by the anterior retraction.
www.indiandentalacademy.com
OBJECTIVES OF
STAGE II:
www.indiandentalacademy.com
When all the objectives of Stage I are
met stage II mechanics can be
instituted.
The sole or main purpose of II stage is
closure of extraction spaces.
www.indiandentalacademy.com
The extraction space can be closed by
either retraction of the anteriors or
protraction of the posteriors or
combination of both.
www.indiandentalacademy.com
BIOMECHANICS OF
STAGE II
www.indiandentalacademy.com
The anchor bend should be sufficient
enough as to produce a counter
clockwise moment slightly less than
the clockwise moment produced by
the Class I elastics in anterior section
of upper arch.
www.indiandentalacademy.com
The M/F ratio should be sufficient
around 8/1 so as to have a controlled
tipping movement.
www.indiandentalacademy.com
CLASS I ELASTIC FORCE
INTRUSIONFORC
At the end of Stage II
www.indiandentalacademy.com
Same way in lower arch the clockwise
moment should be slightly lesser than
anticlockwise moment produced by
Class I elastics, so as to have
controlled tipping movement.
www.indiandentalacademy.com
Normally 0.016 upper and lower arch
wires with reduced bite opening bends
are used. Some authors say use of
heavy arch wire 0.020 as it will
function as retainers to maintain arch
form and bite opening achieved during
stage I.
www.indiandentalacademy.com
Dr. Swain advocated the use of lingual
attachments on molars and cuspids to
allow the use of lingual space closing
elastics to aid the traditionally used
buccal vector of intra maxillary elastic
force during stage II known as half
strength elastics.
www.indiandentalacademy.com
Two distinct advantages in using intra
maxillary (Half strength) space closing
elastics
 It gives a better positional control over
the anchor molar thus obviating the
need for a mandatory compensate toe
in bend when using elastic force only
from buccal side.
 Closure of extraction spaces becomes
easier.
www.indiandentalacademy.com
www.indiandentalacademy.com
USE OF BRAKING
MECHANICS
www.indiandentalacademy.com
When further retraction of anterior
teeth into the remaining extraction
space is deemed undesirable
clinically, then the posterior teeth are
brought forward, that is posterior
teeth are mesialized.
www.indiandentalacademy.com
To achieve mesialization of posterior
teeth heavy elastic forces are
required with concurrent use of brakes
in the anterior region.
www.indiandentalacademy.com
Various brakes are:
 Using uprighting springs (passive
springs)
 Reverse torque to incisor roots (Udder
arch and MAA)
 Using T pins
www.indiandentalacademy.com
Passive Uprighting Springs T PINS
MAAUDDER ARCH
www.indiandentalacademy.com
CLASS I ELASTIC FORCE
INTRUSIONFORC
At the end of Stage II
www.indiandentalacademy.com
The brakes reverse the anchorage
site from the posterior to anterior
segment by allowing bodily movement
rather than the tipping of anterior
teeth, this bodily movement provides
more resistance hence acting as a
anchorage.
www.indiandentalacademy.com
CONCLUSION
www.indiandentalacademy.com
The importance of biomechanics is
well understood in clinical
orthodontics. Application of
biomechanical principles improve
the efficacy of our appliance
system as well as orthodontic
technique.
www.indiandentalacademy.com
A common misconception is that the
application of biomechanical
properties would make the technique
too cumbersome. On the contrary,
biomechanically designed appliance
gives a predictable tooth movement,
optimal biologic tissue response and
minimal side effects.
www.indiandentalacademy.com
In the lighthearted note - One can say
that on the average, an orthodontist
spends half the treatment time on
problems presented by the patient
and other half on problems resulting
from treatment side effects .
www.indiandentalacademy.com
ORTHODONTICS COULD BE IN
OUR HAND IF WE USE
EFFICIENT BIOMECHANICS
www.indiandentalacademy.com
THANK YOU
www.indiandentalacademy.com
BIBLIOGRAPHY
www.indiandentalacademy.com
 Nanda Ravindra. Biomechanics in
clinical orthodontics.Philadelphia: W.B
Saunders Company ;1997
 Begg, P. R.: Begg orthodontic theory
and technique, Philadelphia, 1965, W.
B. Saunders Company.
 Swain, B. F., and Ackerman, J. L.: An
evaluation of the Begg technique, AM.
J. ORTHOD. 55: 668-687, 1969.
www.indiandentalacademy.com
 Hocevar RA: Orthodontic force systems:
Technical refinements for increased
efficiency. AM J ORTHOD 81: 1-11, 1982.
 Hocevar RA: Understanding, planning, and
managing tooth movement: Orthodontic
force system theory. AM J ORTHOD 80:
457-477, 1981.
 Reitan K: Tissue behavior during
orthodontic tooth movement. AM J
ORTHOD 46: 881-900, 1960.
www.indiandentalacademy.com
 Hocevar RA: Orthodontic force systems:
Technical refinements for increased
efficiency. AM J ORTHOD 81: 1-11, 1982.
 Hocevar RA: Understanding, planning, and
managing tooth movement: Orthodontic
force system theory. AM J ORTHOD 80:
457-477, 1981.
 Reitan K: Tissue behavior during
orthodontic tooth movement. AM J
ORTHOD 46: 881-900, 1960.
www.indiandentalacademy.com
 Cadman, G. R.: Nonextraction treatment of
Class II, Division 1 malocclusion with the
Begg technique, AM. J. ORTHOD. 68: 481-
498, 1975.
 Sims, M. R.: Anchorage variation with the
light wire technique, AM. J. ORTHOD. 59:
456-469, 1971.
 Marcotte MR: Prediction of orthodontic tooth
movement. AM J ORTHOD 69: 511-523,
1976.
www.indiandentalacademy.com
 Thompson, W. J.: Current application of
Begg mechanics, AM. J. ORTHOD. 62:
245-271, 1972.
 Begg, P. R., and Kesling, P. C.: The
differential force method of orthodontic
treatment,AM.J. ORTHOD. 71: 1-39,
1977.
www.indiandentalacademy.com
 Shin-Yang Liu and C.W Herschleb:
Controlled movement of maxillary
incisors in the Begg technique AM.J.
ORTHOD.79 : 300-315, 1981.
 Smith and Burstone: Mechanics of
tooth movement AM.J. ORTHOD.105:
294-307, 1984.
www.indiandentalacademy.com
www.indiandentalacademy.com

Más contenido relacionado

La actualidad más candente

Finishing & detaling in orthodontics
Finishing & detaling in orthodonticsFinishing & detaling in orthodontics
Finishing & detaling in orthodonticsIndian dental academy
 
Peer Assessment Rating (PAR) - Orthodontic Index
Peer Assessment Rating (PAR) - Orthodontic IndexPeer Assessment Rating (PAR) - Orthodontic Index
Peer Assessment Rating (PAR) - Orthodontic IndexDr.Nasir Al-Hamlan
 
Diagnosis And Treatment In Transverse Dimension
Diagnosis And Treatment In Transverse DimensionDiagnosis And Treatment In Transverse Dimension
Diagnosis And Treatment In Transverse DimensionDr. Arun Bosco Jerald
 
Torque /certified fixed orthodontic courses by Indian dental academy
Torque  /certified fixed orthodontic courses by Indian   dental academy Torque  /certified fixed orthodontic courses by Indian   dental academy
Torque /certified fixed orthodontic courses by Indian dental academy Indian dental academy
 
finishing and detailing in orthodontics
finishing and detailing in orthodonticsfinishing and detailing in orthodontics
finishing and detailing in orthodonticsJasmine Arneja
 
Damon system by Dr Analhaq Shaikh
Damon system by Dr Analhaq ShaikhDamon system by Dr Analhaq Shaikh
Damon system by Dr Analhaq ShaikhAnalhaq Shaikh
 
Ortho force systems /certified fixed orthodontic courses by Indian dental aca...
Ortho force systems /certified fixed orthodontic courses by Indian dental aca...Ortho force systems /certified fixed orthodontic courses by Indian dental aca...
Ortho force systems /certified fixed orthodontic courses by Indian dental aca...Indian dental academy
 
Recycling of orthodontic brackets
Recycling of orthodontic bracketsRecycling of orthodontic brackets
Recycling of orthodontic bracketsJerun Jose
 
molar distalization/prosthodontic courses
molar distalization/prosthodontic coursesmolar distalization/prosthodontic courses
molar distalization/prosthodontic coursesIndian dental academy
 
orthodontic bracket prescription 1
orthodontic bracket prescription 1 orthodontic bracket prescription 1
orthodontic bracket prescription 1 Maher Fouda
 
Molar distalization /certified fixed orthodontic courses by Indian dental aca...
Molar distalization /certified fixed orthodontic courses by Indian dental aca...Molar distalization /certified fixed orthodontic courses by Indian dental aca...
Molar distalization /certified fixed orthodontic courses by Indian dental aca...Indian dental academy
 
Videoimaging /certified fixed orthodontic courses by Indian dental academy
Videoimaging /certified fixed orthodontic courses by Indian dental academy  Videoimaging /certified fixed orthodontic courses by Indian dental academy
Videoimaging /certified fixed orthodontic courses by Indian dental academy Indian dental academy
 
Elastics in orthodontics /certified fixed orthodontic courses by Indian denta...
Elastics in orthodontics /certified fixed orthodontic courses by Indian denta...Elastics in orthodontics /certified fixed orthodontic courses by Indian denta...
Elastics in orthodontics /certified fixed orthodontic courses by Indian denta...Indian dental academy
 

La actualidad más candente (20)

Frictionless mechanics
Frictionless mechanicsFrictionless mechanics
Frictionless mechanics
 
Facemask jc
Facemask jcFacemask jc
Facemask jc
 
Orthodontic splints..
Orthodontic splints..Orthodontic splints..
Orthodontic splints..
 
Finishing & detaling in orthodontics
Finishing & detaling in orthodonticsFinishing & detaling in orthodontics
Finishing & detaling in orthodontics
 
Peer Assessment Rating (PAR) - Orthodontic Index
Peer Assessment Rating (PAR) - Orthodontic IndexPeer Assessment Rating (PAR) - Orthodontic Index
Peer Assessment Rating (PAR) - Orthodontic Index
 
Traditional begg philosophy
Traditional begg philosophy Traditional begg philosophy
Traditional begg philosophy
 
Forsus
ForsusForsus
Forsus
 
Diagnosis And Treatment In Transverse Dimension
Diagnosis And Treatment In Transverse DimensionDiagnosis And Treatment In Transverse Dimension
Diagnosis And Treatment In Transverse Dimension
 
Headgear
HeadgearHeadgear
Headgear
 
Torque /certified fixed orthodontic courses by Indian dental academy
Torque  /certified fixed orthodontic courses by Indian   dental academy Torque  /certified fixed orthodontic courses by Indian   dental academy
Torque /certified fixed orthodontic courses by Indian dental academy
 
finishing and detailing in orthodontics
finishing and detailing in orthodonticsfinishing and detailing in orthodontics
finishing and detailing in orthodontics
 
Damon system by Dr Analhaq Shaikh
Damon system by Dr Analhaq ShaikhDamon system by Dr Analhaq Shaikh
Damon system by Dr Analhaq Shaikh
 
Ortho force systems /certified fixed orthodontic courses by Indian dental aca...
Ortho force systems /certified fixed orthodontic courses by Indian dental aca...Ortho force systems /certified fixed orthodontic courses by Indian dental aca...
Ortho force systems /certified fixed orthodontic courses by Indian dental aca...
 
Elastics in Orthodontics-II
Elastics in Orthodontics-IIElastics in Orthodontics-II
Elastics in Orthodontics-II
 
Recycling of orthodontic brackets
Recycling of orthodontic bracketsRecycling of orthodontic brackets
Recycling of orthodontic brackets
 
molar distalization/prosthodontic courses
molar distalization/prosthodontic coursesmolar distalization/prosthodontic courses
molar distalization/prosthodontic courses
 
orthodontic bracket prescription 1
orthodontic bracket prescription 1 orthodontic bracket prescription 1
orthodontic bracket prescription 1
 
Molar distalization /certified fixed orthodontic courses by Indian dental aca...
Molar distalization /certified fixed orthodontic courses by Indian dental aca...Molar distalization /certified fixed orthodontic courses by Indian dental aca...
Molar distalization /certified fixed orthodontic courses by Indian dental aca...
 
Videoimaging /certified fixed orthodontic courses by Indian dental academy
Videoimaging /certified fixed orthodontic courses by Indian dental academy  Videoimaging /certified fixed orthodontic courses by Indian dental academy
Videoimaging /certified fixed orthodontic courses by Indian dental academy
 
Elastics in orthodontics /certified fixed orthodontic courses by Indian denta...
Elastics in orthodontics /certified fixed orthodontic courses by Indian denta...Elastics in orthodontics /certified fixed orthodontic courses by Indian denta...
Elastics in orthodontics /certified fixed orthodontic courses by Indian denta...
 

Destacado

Stages in beggs technique /certified fixed orthodontic courses by Indian dent...
Stages in beggs technique /certified fixed orthodontic courses by Indian dent...Stages in beggs technique /certified fixed orthodontic courses by Indian dent...
Stages in beggs technique /certified fixed orthodontic courses by Indian dent...Indian dental academy
 
Biomechanics in begg's stage1 & stage2 /certified fixed orthodontic courses b...
Biomechanics in begg's stage1 & stage2 /certified fixed orthodontic courses b...Biomechanics in begg's stage1 & stage2 /certified fixed orthodontic courses b...
Biomechanics in begg's stage1 & stage2 /certified fixed orthodontic courses b...Indian dental academy
 
Begg’s philosophy and technique
Begg’s philosophy and techniqueBegg’s philosophy and technique
Begg’s philosophy and techniqueDr Susna Paul
 
Begg seminar /certified fixed orthodontic courses by Indian dental academy
Begg seminar /certified fixed orthodontic courses by Indian dental academy Begg seminar /certified fixed orthodontic courses by Indian dental academy
Begg seminar /certified fixed orthodontic courses by Indian dental academy Indian dental academy
 
S begg’s /certified fixed orthodontic courses by Indian dental academy
S begg’s  /certified fixed orthodontic courses by Indian dental academy S begg’s  /certified fixed orthodontic courses by Indian dental academy
S begg’s /certified fixed orthodontic courses by Indian dental academy Indian dental academy
 
Elastics in orthodontics /certified fixed orthodontic courses by Indian denta...
Elastics in orthodontics /certified fixed orthodontic courses by Indian denta...Elastics in orthodontics /certified fixed orthodontic courses by Indian denta...
Elastics in orthodontics /certified fixed orthodontic courses by Indian denta...Indian dental academy
 
Refined begg – modifications and their rationale /certified fixed orthodontic...
Refined begg – modifications and their rationale /certified fixed orthodontic...Refined begg – modifications and their rationale /certified fixed orthodontic...
Refined begg – modifications and their rationale /certified fixed orthodontic...Indian dental academy
 
beggs mechanotherapy /certified fixed orthodontic courses by Indian dental ac...
beggs mechanotherapy /certified fixed orthodontic courses by Indian dental ac...beggs mechanotherapy /certified fixed orthodontic courses by Indian dental ac...
beggs mechanotherapy /certified fixed orthodontic courses by Indian dental ac...Indian dental academy
 
Refined begg /certified fixed orthodontic courses by Indian dental academy
Refined begg /certified fixed orthodontic courses by Indian dental academy Refined begg /certified fixed orthodontic courses by Indian dental academy
Refined begg /certified fixed orthodontic courses by Indian dental academy Indian dental academy
 
Trditional begg /certified fixed orthodontic courses by Indian dental ac...
Trditional begg    /certified fixed orthodontic courses by Indian   dental ac...Trditional begg    /certified fixed orthodontic courses by Indian   dental ac...
Trditional begg /certified fixed orthodontic courses by Indian dental ac...Indian dental academy
 
Modified beggs /certified fixed orthodontic courses by Indian dental academy
Modified beggs /certified fixed orthodontic courses by Indian dental academy Modified beggs /certified fixed orthodontic courses by Indian dental academy
Modified beggs /certified fixed orthodontic courses by Indian dental academy Indian dental academy
 
Album Art P1 (Front Cover)
Album Art P1 (Front Cover)Album Art P1 (Front Cover)
Album Art P1 (Front Cover)Katie Hughes
 
1 chronicles 11 commentary
1 chronicles 11 commentary1 chronicles 11 commentary
1 chronicles 11 commentaryGLENN PEASE
 

Destacado (20)

Stages in beggs technique /certified fixed orthodontic courses by Indian dent...
Stages in beggs technique /certified fixed orthodontic courses by Indian dent...Stages in beggs technique /certified fixed orthodontic courses by Indian dent...
Stages in beggs technique /certified fixed orthodontic courses by Indian dent...
 
Biomechanics in begg's stage1 & stage2 /certified fixed orthodontic courses b...
Biomechanics in begg's stage1 & stage2 /certified fixed orthodontic courses b...Biomechanics in begg's stage1 & stage2 /certified fixed orthodontic courses b...
Biomechanics in begg's stage1 & stage2 /certified fixed orthodontic courses b...
 
Begg’s philosophy and technique
Begg’s philosophy and techniqueBegg’s philosophy and technique
Begg’s philosophy and technique
 
Tongue
TongueTongue
Tongue
 
Begg seminar /certified fixed orthodontic courses by Indian dental academy
Begg seminar /certified fixed orthodontic courses by Indian dental academy Begg seminar /certified fixed orthodontic courses by Indian dental academy
Begg seminar /certified fixed orthodontic courses by Indian dental academy
 
Refined begg technique
Refined begg techniqueRefined begg technique
Refined begg technique
 
S begg’s /certified fixed orthodontic courses by Indian dental academy
S begg’s  /certified fixed orthodontic courses by Indian dental academy S begg’s  /certified fixed orthodontic courses by Indian dental academy
S begg’s /certified fixed orthodontic courses by Indian dental academy
 
Elastics in orthodontics /certified fixed orthodontic courses by Indian denta...
Elastics in orthodontics /certified fixed orthodontic courses by Indian denta...Elastics in orthodontics /certified fixed orthodontic courses by Indian denta...
Elastics in orthodontics /certified fixed orthodontic courses by Indian denta...
 
Begg mechanics
Begg mechanics Begg mechanics
Begg mechanics
 
Refined begg – modifications and their rationale /certified fixed orthodontic...
Refined begg – modifications and their rationale /certified fixed orthodontic...Refined begg – modifications and their rationale /certified fixed orthodontic...
Refined begg – modifications and their rationale /certified fixed orthodontic...
 
beggs mechanotherapy /certified fixed orthodontic courses by Indian dental ac...
beggs mechanotherapy /certified fixed orthodontic courses by Indian dental ac...beggs mechanotherapy /certified fixed orthodontic courses by Indian dental ac...
beggs mechanotherapy /certified fixed orthodontic courses by Indian dental ac...
 
Refined begg /certified fixed orthodontic courses by Indian dental academy
Refined begg /certified fixed orthodontic courses by Indian dental academy Refined begg /certified fixed orthodontic courses by Indian dental academy
Refined begg /certified fixed orthodontic courses by Indian dental academy
 
Trditional begg /certified fixed orthodontic courses by Indian dental ac...
Trditional begg    /certified fixed orthodontic courses by Indian   dental ac...Trditional begg    /certified fixed orthodontic courses by Indian   dental ac...
Trditional begg /certified fixed orthodontic courses by Indian dental ac...
 
Beggs satge 1&2
Beggs satge 1&2Beggs satge 1&2
Beggs satge 1&2
 
Modified beggs /certified fixed orthodontic courses by Indian dental academy
Modified beggs /certified fixed orthodontic courses by Indian dental academy Modified beggs /certified fixed orthodontic courses by Indian dental academy
Modified beggs /certified fixed orthodontic courses by Indian dental academy
 
Refined beggs technique
Refined beggs techniqueRefined beggs technique
Refined beggs technique
 
Album Art P1 (Front Cover)
Album Art P1 (Front Cover)Album Art P1 (Front Cover)
Album Art P1 (Front Cover)
 
Slider t
Slider tSlider t
Slider t
 
Uso de internet en educacion
Uso de internet en educacionUso de internet en educacion
Uso de internet en educacion
 
1 chronicles 11 commentary
1 chronicles 11 commentary1 chronicles 11 commentary
1 chronicles 11 commentary
 

Similar a Stage 1& stage 2 in begg technique

Copy of biomechanics /certified fixed orthodontic courses by Indian dental ac...
Copy of biomechanics /certified fixed orthodontic courses by Indian dental ac...Copy of biomechanics /certified fixed orthodontic courses by Indian dental ac...
Copy of biomechanics /certified fixed orthodontic courses by Indian dental ac...Indian dental academy
 
Biomechanics of tooth movement /certified fixed orthodontic courses by Indian...
Biomechanics of tooth movement /certified fixed orthodontic courses by Indian...Biomechanics of tooth movement /certified fixed orthodontic courses by Indian...
Biomechanics of tooth movement /certified fixed orthodontic courses by Indian...Indian dental academy
 
Principles of biomechanics in orthodontics / dental implant courses by India...
Principles of biomechanics in orthodontics  / dental implant courses by India...Principles of biomechanics in orthodontics  / dental implant courses by India...
Principles of biomechanics in orthodontics / dental implant courses by India...Indian dental academy
 
biomechanical principles in orthodontics / prosthodontic courses
biomechanical principles in orthodontics / prosthodontic coursesbiomechanical principles in orthodontics / prosthodontic courses
biomechanical principles in orthodontics / prosthodontic coursesIndian dental academy
 
BIOMECHANICS IN ORTHODONTICS / fixed orthodontics courses
BIOMECHANICS IN ORTHODONTICS / fixed orthodontics coursesBIOMECHANICS IN ORTHODONTICS / fixed orthodontics courses
BIOMECHANICS IN ORTHODONTICS / fixed orthodontics coursesIndian dental academy
 
Biomechanics in orthodontics /certified fixed orthodontic courses by Indian d...
Biomechanics in orthodontics /certified fixed orthodontic courses by Indian d...Biomechanics in orthodontics /certified fixed orthodontic courses by Indian d...
Biomechanics in orthodontics /certified fixed orthodontic courses by Indian d...Indian dental academy
 
Torque control / oral surgery courses
Torque control / oral surgery courses Torque control / oral surgery courses
Torque control / oral surgery courses Indian dental academy
 
Biomechanics in Orthodontics
Biomechanics in OrthodonticsBiomechanics in Orthodontics
Biomechanics in OrthodonticsSaibel Farishta
 
Orthodontic biomechanics / orthodontic courses in india / /certified fixed or...
Orthodontic biomechanics / orthodontic courses in india / /certified fixed or...Orthodontic biomechanics / orthodontic courses in india / /certified fixed or...
Orthodontic biomechanics / orthodontic courses in india / /certified fixed or...Indian dental academy
 
Biomechanics in orthodontics / /certified fixed orthodontic courses by Indian...
Biomechanics in orthodontics / /certified fixed orthodontic courses by Indian...Biomechanics in orthodontics / /certified fixed orthodontic courses by Indian...
Biomechanics in orthodontics / /certified fixed orthodontic courses by Indian...Indian dental academy
 
Copy of biomech 01 /certified fixed orthodontic courses by Indian dental acad...
Copy of biomech 01 /certified fixed orthodontic courses by Indian dental acad...Copy of biomech 01 /certified fixed orthodontic courses by Indian dental acad...
Copy of biomech 01 /certified fixed orthodontic courses by Indian dental acad...Indian dental academy
 
Biomechanics of loop mechanics in enmasse space closure
Biomechanics of loop mechanics in enmasse space closureBiomechanics of loop mechanics in enmasse space closure
Biomechanics of loop mechanics in enmasse space closureIndian dental academy
 
Biomechanics of loop mechanics in enmasse space closure
Biomechanics of loop mechanics in enmasse space closureBiomechanics of loop mechanics in enmasse space closure
Biomechanics of loop mechanics in enmasse space closureIndian dental academy
 

Similar a Stage 1& stage 2 in begg technique (20)

Biomechanics
BiomechanicsBiomechanics
Biomechanics
 
Biomechanics (2)
Biomechanics (2)Biomechanics (2)
Biomechanics (2)
 
Copy of biomechanics /certified fixed orthodontic courses by Indian dental ac...
Copy of biomechanics /certified fixed orthodontic courses by Indian dental ac...Copy of biomechanics /certified fixed orthodontic courses by Indian dental ac...
Copy of biomechanics /certified fixed orthodontic courses by Indian dental ac...
 
Biomechanics of tooth movement /certified fixed orthodontic courses by Indian...
Biomechanics of tooth movement /certified fixed orthodontic courses by Indian...Biomechanics of tooth movement /certified fixed orthodontic courses by Indian...
Biomechanics of tooth movement /certified fixed orthodontic courses by Indian...
 
Principles of biomechanics in orthodontics / dental implant courses by India...
Principles of biomechanics in orthodontics  / dental implant courses by India...Principles of biomechanics in orthodontics  / dental implant courses by India...
Principles of biomechanics in orthodontics / dental implant courses by India...
 
Segmental arch technique
Segmental arch techniqueSegmental arch technique
Segmental arch technique
 
biomechanical principles in orthodontics / prosthodontic courses
biomechanical principles in orthodontics / prosthodontic coursesbiomechanical principles in orthodontics / prosthodontic courses
biomechanical principles in orthodontics / prosthodontic courses
 
Biomechanics of tooth movement
Biomechanics of tooth movementBiomechanics of tooth movement
Biomechanics of tooth movement
 
BIOMECHANICS IN ORTHODONTICS / fixed orthodontics courses
BIOMECHANICS IN ORTHODONTICS / fixed orthodontics coursesBIOMECHANICS IN ORTHODONTICS / fixed orthodontics courses
BIOMECHANICS IN ORTHODONTICS / fixed orthodontics courses
 
Biomechanics in orthodontics /certified fixed orthodontic courses by Indian d...
Biomechanics in orthodontics /certified fixed orthodontic courses by Indian d...Biomechanics in orthodontics /certified fixed orthodontic courses by Indian d...
Biomechanics in orthodontics /certified fixed orthodontic courses by Indian d...
 
Torque control / oral surgery courses
Torque control / oral surgery courses Torque control / oral surgery courses
Torque control / oral surgery courses
 
Biomechanics in Orthodontics
Biomechanics in OrthodonticsBiomechanics in Orthodontics
Biomechanics in Orthodontics
 
Orthodontic biomechanics / orthodontic courses in india / /certified fixed or...
Orthodontic biomechanics / orthodontic courses in india / /certified fixed or...Orthodontic biomechanics / orthodontic courses in india / /certified fixed or...
Orthodontic biomechanics / orthodontic courses in india / /certified fixed or...
 
Biomechanics in orthodontics / /certified fixed orthodontic courses by Indian...
Biomechanics in orthodontics / /certified fixed orthodontic courses by Indian...Biomechanics in orthodontics / /certified fixed orthodontic courses by Indian...
Biomechanics in orthodontics / /certified fixed orthodontic courses by Indian...
 
Biomechanicss
BiomechanicssBiomechanicss
Biomechanicss
 
Copy of biomech 01 /certified fixed orthodontic courses by Indian dental acad...
Copy of biomech 01 /certified fixed orthodontic courses by Indian dental acad...Copy of biomech 01 /certified fixed orthodontic courses by Indian dental acad...
Copy of biomech 01 /certified fixed orthodontic courses by Indian dental acad...
 
Mech
MechMech
Mech
 
Design Factors in Orthodontic Appliance
Design Factors in Orthodontic Appliance Design Factors in Orthodontic Appliance
Design Factors in Orthodontic Appliance
 
Biomechanics of loop mechanics in enmasse space closure
Biomechanics of loop mechanics in enmasse space closureBiomechanics of loop mechanics in enmasse space closure
Biomechanics of loop mechanics in enmasse space closure
 
Biomechanics of loop mechanics in enmasse space closure
Biomechanics of loop mechanics in enmasse space closureBiomechanics of loop mechanics in enmasse space closure
Biomechanics of loop mechanics in enmasse space closure
 

Más de Indian dental academy

Indian Dentist - relocate to united kingdom
Indian Dentist - relocate to united kingdomIndian Dentist - relocate to united kingdom
Indian Dentist - relocate to united kingdomIndian dental academy
 
1ST, 2ND AND 3RD ORDER BENDS IN STANDARD EDGEWISE APPLIANCE SYSTEM /Fixed ort...
1ST, 2ND AND 3RD ORDER BENDS IN STANDARD EDGEWISE APPLIANCE SYSTEM /Fixed ort...1ST, 2ND AND 3RD ORDER BENDS IN STANDARD EDGEWISE APPLIANCE SYSTEM /Fixed ort...
1ST, 2ND AND 3RD ORDER BENDS IN STANDARD EDGEWISE APPLIANCE SYSTEM /Fixed ort...Indian dental academy
 
Invisalign -invisible aligners course in india
Invisalign -invisible aligners course in india Invisalign -invisible aligners course in india
Invisalign -invisible aligners course in india Indian dental academy
 
Invisible aligners for your orthodontics pratice
Invisible aligners for your orthodontics praticeInvisible aligners for your orthodontics pratice
Invisible aligners for your orthodontics praticeIndian dental academy
 
Development of muscles of mastication / dental implant courses
Development of muscles of mastication / dental implant coursesDevelopment of muscles of mastication / dental implant courses
Development of muscles of mastication / dental implant coursesIndian dental academy
 
Corticosteriods uses in dentistry/ oral surgery courses  
Corticosteriods uses in dentistry/ oral surgery courses  Corticosteriods uses in dentistry/ oral surgery courses  
Corticosteriods uses in dentistry/ oral surgery courses  Indian dental academy
 
Cytotoxicity of silicone materials used in maxillofacial prosthesis / dental ...
Cytotoxicity of silicone materials used in maxillofacial prosthesis / dental ...Cytotoxicity of silicone materials used in maxillofacial prosthesis / dental ...
Cytotoxicity of silicone materials used in maxillofacial prosthesis / dental ...Indian dental academy
 
Diagnosis and treatment planning in completely endntulous arches/dental courses
Diagnosis and treatment planning in completely endntulous arches/dental coursesDiagnosis and treatment planning in completely endntulous arches/dental courses
Diagnosis and treatment planning in completely endntulous arches/dental coursesIndian dental academy
 
Properties of Denture base materials /rotary endodontic courses
Properties of Denture base materials /rotary endodontic coursesProperties of Denture base materials /rotary endodontic courses
Properties of Denture base materials /rotary endodontic coursesIndian dental academy
 
Use of modified tooth forms in complete denture occlusion / dental implant...
Use of modified  tooth forms  in  complete denture occlusion / dental implant...Use of modified  tooth forms  in  complete denture occlusion / dental implant...
Use of modified tooth forms in complete denture occlusion / dental implant...Indian dental academy
 
Dental luting cements / oral surgery courses  
Dental   luting cements / oral surgery courses  Dental   luting cements / oral surgery courses  
Dental luting cements / oral surgery courses  Indian dental academy
 
Dental casting alloys/ oral surgery courses  
Dental casting alloys/ oral surgery courses  Dental casting alloys/ oral surgery courses  
Dental casting alloys/ oral surgery courses  Indian dental academy
 
Dental casting investment materials/endodontic courses
Dental casting investment materials/endodontic coursesDental casting investment materials/endodontic courses
Dental casting investment materials/endodontic coursesIndian dental academy
 
Dental casting waxes/ oral surgery courses  
Dental casting waxes/ oral surgery courses  Dental casting waxes/ oral surgery courses  
Dental casting waxes/ oral surgery courses  Indian dental academy
 
Dental ceramics/prosthodontic courses
Dental ceramics/prosthodontic coursesDental ceramics/prosthodontic courses
Dental ceramics/prosthodontic coursesIndian dental academy
 
Dental implant/ oral surgery courses  
Dental implant/ oral surgery courses  Dental implant/ oral surgery courses  
Dental implant/ oral surgery courses  Indian dental academy
 
Dental perspective/cosmetic dentistry courses
Dental perspective/cosmetic dentistry coursesDental perspective/cosmetic dentistry courses
Dental perspective/cosmetic dentistry coursesIndian dental academy
 
Dental tissues and their replacements/ oral surgery courses  
Dental tissues and their replacements/ oral surgery courses  Dental tissues and their replacements/ oral surgery courses  
Dental tissues and their replacements/ oral surgery courses  Indian dental academy
 

Más de Indian dental academy (20)

Indian Dentist - relocate to united kingdom
Indian Dentist - relocate to united kingdomIndian Dentist - relocate to united kingdom
Indian Dentist - relocate to united kingdom
 
1ST, 2ND AND 3RD ORDER BENDS IN STANDARD EDGEWISE APPLIANCE SYSTEM /Fixed ort...
1ST, 2ND AND 3RD ORDER BENDS IN STANDARD EDGEWISE APPLIANCE SYSTEM /Fixed ort...1ST, 2ND AND 3RD ORDER BENDS IN STANDARD EDGEWISE APPLIANCE SYSTEM /Fixed ort...
1ST, 2ND AND 3RD ORDER BENDS IN STANDARD EDGEWISE APPLIANCE SYSTEM /Fixed ort...
 
Invisalign -invisible aligners course in india
Invisalign -invisible aligners course in india Invisalign -invisible aligners course in india
Invisalign -invisible aligners course in india
 
Invisible aligners for your orthodontics pratice
Invisible aligners for your orthodontics praticeInvisible aligners for your orthodontics pratice
Invisible aligners for your orthodontics pratice
 
online fixed orthodontics course
online fixed orthodontics courseonline fixed orthodontics course
online fixed orthodontics course
 
online orthodontics course
online orthodontics courseonline orthodontics course
online orthodontics course
 
Development of muscles of mastication / dental implant courses
Development of muscles of mastication / dental implant coursesDevelopment of muscles of mastication / dental implant courses
Development of muscles of mastication / dental implant courses
 
Corticosteriods uses in dentistry/ oral surgery courses  
Corticosteriods uses in dentistry/ oral surgery courses  Corticosteriods uses in dentistry/ oral surgery courses  
Corticosteriods uses in dentistry/ oral surgery courses  
 
Cytotoxicity of silicone materials used in maxillofacial prosthesis / dental ...
Cytotoxicity of silicone materials used in maxillofacial prosthesis / dental ...Cytotoxicity of silicone materials used in maxillofacial prosthesis / dental ...
Cytotoxicity of silicone materials used in maxillofacial prosthesis / dental ...
 
Diagnosis and treatment planning in completely endntulous arches/dental courses
Diagnosis and treatment planning in completely endntulous arches/dental coursesDiagnosis and treatment planning in completely endntulous arches/dental courses
Diagnosis and treatment planning in completely endntulous arches/dental courses
 
Properties of Denture base materials /rotary endodontic courses
Properties of Denture base materials /rotary endodontic coursesProperties of Denture base materials /rotary endodontic courses
Properties of Denture base materials /rotary endodontic courses
 
Use of modified tooth forms in complete denture occlusion / dental implant...
Use of modified  tooth forms  in  complete denture occlusion / dental implant...Use of modified  tooth forms  in  complete denture occlusion / dental implant...
Use of modified tooth forms in complete denture occlusion / dental implant...
 
Dental luting cements / oral surgery courses  
Dental   luting cements / oral surgery courses  Dental   luting cements / oral surgery courses  
Dental luting cements / oral surgery courses  
 
Dental casting alloys/ oral surgery courses  
Dental casting alloys/ oral surgery courses  Dental casting alloys/ oral surgery courses  
Dental casting alloys/ oral surgery courses  
 
Dental casting investment materials/endodontic courses
Dental casting investment materials/endodontic coursesDental casting investment materials/endodontic courses
Dental casting investment materials/endodontic courses
 
Dental casting waxes/ oral surgery courses  
Dental casting waxes/ oral surgery courses  Dental casting waxes/ oral surgery courses  
Dental casting waxes/ oral surgery courses  
 
Dental ceramics/prosthodontic courses
Dental ceramics/prosthodontic coursesDental ceramics/prosthodontic courses
Dental ceramics/prosthodontic courses
 
Dental implant/ oral surgery courses  
Dental implant/ oral surgery courses  Dental implant/ oral surgery courses  
Dental implant/ oral surgery courses  
 
Dental perspective/cosmetic dentistry courses
Dental perspective/cosmetic dentistry coursesDental perspective/cosmetic dentistry courses
Dental perspective/cosmetic dentistry courses
 
Dental tissues and their replacements/ oral surgery courses  
Dental tissues and their replacements/ oral surgery courses  Dental tissues and their replacements/ oral surgery courses  
Dental tissues and their replacements/ oral surgery courses  
 

Último

4.16.24 Poverty and Precarity--Desmond.pptx
4.16.24 Poverty and Precarity--Desmond.pptx4.16.24 Poverty and Precarity--Desmond.pptx
4.16.24 Poverty and Precarity--Desmond.pptxmary850239
 
Mythology Quiz-4th April 2024, Quiz Club NITW
Mythology Quiz-4th April 2024, Quiz Club NITWMythology Quiz-4th April 2024, Quiz Club NITW
Mythology Quiz-4th April 2024, Quiz Club NITWQuiz Club NITW
 
Grade 9 Quarter 4 Dll Grade 9 Quarter 4 DLL.pdf
Grade 9 Quarter 4 Dll Grade 9 Quarter 4 DLL.pdfGrade 9 Quarter 4 Dll Grade 9 Quarter 4 DLL.pdf
Grade 9 Quarter 4 Dll Grade 9 Quarter 4 DLL.pdfJemuel Francisco
 
CLASSIFICATION OF ANTI - CANCER DRUGS.pptx
CLASSIFICATION OF ANTI - CANCER DRUGS.pptxCLASSIFICATION OF ANTI - CANCER DRUGS.pptx
CLASSIFICATION OF ANTI - CANCER DRUGS.pptxAnupam32727
 
Expanded definition: technical and operational
Expanded definition: technical and operationalExpanded definition: technical and operational
Expanded definition: technical and operationalssuser3e220a
 
Active Learning Strategies (in short ALS).pdf
Active Learning Strategies (in short ALS).pdfActive Learning Strategies (in short ALS).pdf
Active Learning Strategies (in short ALS).pdfPatidar M
 
CHEST Proprioceptive neuromuscular facilitation.pptx
CHEST Proprioceptive neuromuscular facilitation.pptxCHEST Proprioceptive neuromuscular facilitation.pptx
CHEST Proprioceptive neuromuscular facilitation.pptxAneriPatwari
 
4.11.24 Mass Incarceration and the New Jim Crow.pptx
4.11.24 Mass Incarceration and the New Jim Crow.pptx4.11.24 Mass Incarceration and the New Jim Crow.pptx
4.11.24 Mass Incarceration and the New Jim Crow.pptxmary850239
 
Oppenheimer Film Discussion for Philosophy and Film
Oppenheimer Film Discussion for Philosophy and FilmOppenheimer Film Discussion for Philosophy and Film
Oppenheimer Film Discussion for Philosophy and FilmStan Meyer
 
MS4 level being good citizen -imperative- (1) (1).pdf
MS4 level   being good citizen -imperative- (1) (1).pdfMS4 level   being good citizen -imperative- (1) (1).pdf
MS4 level being good citizen -imperative- (1) (1).pdfMr Bounab Samir
 
Blowin' in the Wind of Caste_ Bob Dylan's Song as a Catalyst for Social Justi...
Blowin' in the Wind of Caste_ Bob Dylan's Song as a Catalyst for Social Justi...Blowin' in the Wind of Caste_ Bob Dylan's Song as a Catalyst for Social Justi...
Blowin' in the Wind of Caste_ Bob Dylan's Song as a Catalyst for Social Justi...DhatriParmar
 
Unraveling Hypertext_ Analyzing Postmodern Elements in Literature.pptx
Unraveling Hypertext_ Analyzing  Postmodern Elements in  Literature.pptxUnraveling Hypertext_ Analyzing  Postmodern Elements in  Literature.pptx
Unraveling Hypertext_ Analyzing Postmodern Elements in Literature.pptxDhatriParmar
 
How to Make a Duplicate of Your Odoo 17 Database
How to Make a Duplicate of Your Odoo 17 DatabaseHow to Make a Duplicate of Your Odoo 17 Database
How to Make a Duplicate of Your Odoo 17 DatabaseCeline George
 
Q4-PPT-Music9_Lesson-1-Romantic-Opera.pptx
Q4-PPT-Music9_Lesson-1-Romantic-Opera.pptxQ4-PPT-Music9_Lesson-1-Romantic-Opera.pptx
Q4-PPT-Music9_Lesson-1-Romantic-Opera.pptxlancelewisportillo
 
31 ĐỀ THI THỬ VÀO LỚP 10 - TIẾNG ANH - FORM MỚI 2025 - 40 CÂU HỎI - BÙI VĂN V...
31 ĐỀ THI THỬ VÀO LỚP 10 - TIẾNG ANH - FORM MỚI 2025 - 40 CÂU HỎI - BÙI VĂN V...31 ĐỀ THI THỬ VÀO LỚP 10 - TIẾNG ANH - FORM MỚI 2025 - 40 CÂU HỎI - BÙI VĂN V...
31 ĐỀ THI THỬ VÀO LỚP 10 - TIẾNG ANH - FORM MỚI 2025 - 40 CÂU HỎI - BÙI VĂN V...Nguyen Thanh Tu Collection
 
ICS 2208 Lecture Slide Notes for Topic 6
ICS 2208 Lecture Slide Notes for Topic 6ICS 2208 Lecture Slide Notes for Topic 6
ICS 2208 Lecture Slide Notes for Topic 6Vanessa Camilleri
 
Tree View Decoration Attribute in the Odoo 17
Tree View Decoration Attribute in the Odoo 17Tree View Decoration Attribute in the Odoo 17
Tree View Decoration Attribute in the Odoo 17Celine George
 
Congestive Cardiac Failure..presentation
Congestive Cardiac Failure..presentationCongestive Cardiac Failure..presentation
Congestive Cardiac Failure..presentationdeepaannamalai16
 
Indexing Structures in Database Management system.pdf
Indexing Structures in Database Management system.pdfIndexing Structures in Database Management system.pdf
Indexing Structures in Database Management system.pdfChristalin Nelson
 

Último (20)

4.16.24 Poverty and Precarity--Desmond.pptx
4.16.24 Poverty and Precarity--Desmond.pptx4.16.24 Poverty and Precarity--Desmond.pptx
4.16.24 Poverty and Precarity--Desmond.pptx
 
Mythology Quiz-4th April 2024, Quiz Club NITW
Mythology Quiz-4th April 2024, Quiz Club NITWMythology Quiz-4th April 2024, Quiz Club NITW
Mythology Quiz-4th April 2024, Quiz Club NITW
 
Grade 9 Quarter 4 Dll Grade 9 Quarter 4 DLL.pdf
Grade 9 Quarter 4 Dll Grade 9 Quarter 4 DLL.pdfGrade 9 Quarter 4 Dll Grade 9 Quarter 4 DLL.pdf
Grade 9 Quarter 4 Dll Grade 9 Quarter 4 DLL.pdf
 
CLASSIFICATION OF ANTI - CANCER DRUGS.pptx
CLASSIFICATION OF ANTI - CANCER DRUGS.pptxCLASSIFICATION OF ANTI - CANCER DRUGS.pptx
CLASSIFICATION OF ANTI - CANCER DRUGS.pptx
 
Expanded definition: technical and operational
Expanded definition: technical and operationalExpanded definition: technical and operational
Expanded definition: technical and operational
 
Active Learning Strategies (in short ALS).pdf
Active Learning Strategies (in short ALS).pdfActive Learning Strategies (in short ALS).pdf
Active Learning Strategies (in short ALS).pdf
 
CHEST Proprioceptive neuromuscular facilitation.pptx
CHEST Proprioceptive neuromuscular facilitation.pptxCHEST Proprioceptive neuromuscular facilitation.pptx
CHEST Proprioceptive neuromuscular facilitation.pptx
 
4.11.24 Mass Incarceration and the New Jim Crow.pptx
4.11.24 Mass Incarceration and the New Jim Crow.pptx4.11.24 Mass Incarceration and the New Jim Crow.pptx
4.11.24 Mass Incarceration and the New Jim Crow.pptx
 
Oppenheimer Film Discussion for Philosophy and Film
Oppenheimer Film Discussion for Philosophy and FilmOppenheimer Film Discussion for Philosophy and Film
Oppenheimer Film Discussion for Philosophy and Film
 
MS4 level being good citizen -imperative- (1) (1).pdf
MS4 level   being good citizen -imperative- (1) (1).pdfMS4 level   being good citizen -imperative- (1) (1).pdf
MS4 level being good citizen -imperative- (1) (1).pdf
 
Blowin' in the Wind of Caste_ Bob Dylan's Song as a Catalyst for Social Justi...
Blowin' in the Wind of Caste_ Bob Dylan's Song as a Catalyst for Social Justi...Blowin' in the Wind of Caste_ Bob Dylan's Song as a Catalyst for Social Justi...
Blowin' in the Wind of Caste_ Bob Dylan's Song as a Catalyst for Social Justi...
 
Unraveling Hypertext_ Analyzing Postmodern Elements in Literature.pptx
Unraveling Hypertext_ Analyzing  Postmodern Elements in  Literature.pptxUnraveling Hypertext_ Analyzing  Postmodern Elements in  Literature.pptx
Unraveling Hypertext_ Analyzing Postmodern Elements in Literature.pptx
 
How to Make a Duplicate of Your Odoo 17 Database
How to Make a Duplicate of Your Odoo 17 DatabaseHow to Make a Duplicate of Your Odoo 17 Database
How to Make a Duplicate of Your Odoo 17 Database
 
Faculty Profile prashantha K EEE dept Sri Sairam college of Engineering
Faculty Profile prashantha K EEE dept Sri Sairam college of EngineeringFaculty Profile prashantha K EEE dept Sri Sairam college of Engineering
Faculty Profile prashantha K EEE dept Sri Sairam college of Engineering
 
Q4-PPT-Music9_Lesson-1-Romantic-Opera.pptx
Q4-PPT-Music9_Lesson-1-Romantic-Opera.pptxQ4-PPT-Music9_Lesson-1-Romantic-Opera.pptx
Q4-PPT-Music9_Lesson-1-Romantic-Opera.pptx
 
31 ĐỀ THI THỬ VÀO LỚP 10 - TIẾNG ANH - FORM MỚI 2025 - 40 CÂU HỎI - BÙI VĂN V...
31 ĐỀ THI THỬ VÀO LỚP 10 - TIẾNG ANH - FORM MỚI 2025 - 40 CÂU HỎI - BÙI VĂN V...31 ĐỀ THI THỬ VÀO LỚP 10 - TIẾNG ANH - FORM MỚI 2025 - 40 CÂU HỎI - BÙI VĂN V...
31 ĐỀ THI THỬ VÀO LỚP 10 - TIẾNG ANH - FORM MỚI 2025 - 40 CÂU HỎI - BÙI VĂN V...
 
ICS 2208 Lecture Slide Notes for Topic 6
ICS 2208 Lecture Slide Notes for Topic 6ICS 2208 Lecture Slide Notes for Topic 6
ICS 2208 Lecture Slide Notes for Topic 6
 
Tree View Decoration Attribute in the Odoo 17
Tree View Decoration Attribute in the Odoo 17Tree View Decoration Attribute in the Odoo 17
Tree View Decoration Attribute in the Odoo 17
 
Congestive Cardiac Failure..presentation
Congestive Cardiac Failure..presentationCongestive Cardiac Failure..presentation
Congestive Cardiac Failure..presentation
 
Indexing Structures in Database Management system.pdf
Indexing Structures in Database Management system.pdfIndexing Structures in Database Management system.pdf
Indexing Structures in Database Management system.pdf
 

Stage 1& stage 2 in begg technique

  • 1. BIOMECHANICAL CONSIDERATIONS IN BEGG STAGE I AND STAGE II www.indiandentalacademy.com
  • 3.  Introduction  What is Biomechanics  Center of gravity  Center of resistance  Center of rotation  Various Terminologies and laws FORCE MOMENT COUPLE MOMENT TO FORCE RATIO STATEOF EQUILIBRIUM www.indiandentalacademy.com
  • 4.  Begg Mechanotherapy  INTRODUCTION  Objectives of Stage-I o Biomechanics of incisor intrusion Degree of anchor bend Role of Class II elastics o Biomechanics of Incisor Tipping  Objectives of Stage-II o Biomechanics of space closure  Conclusion  Bibliography www.indiandentalacademy.com
  • 6. The physical concepts that form the foundation of orthodontic mechanics are the key in understanding how orthodontic appliances work . The principles are not unique to orthodontics but are basic to the science of static mechanics. www.indiandentalacademy.com
  • 7. With the objective of achieving predictable results based on predetermined treatment goals, the basic mechanics underlying orthodontic appliance activation must be thoroughly understood. www.indiandentalacademy.com
  • 9. Biomechanics is the study of mechanics as it affects the biologic systems. It is the application of mechanics to the biology of tooth movement. Biology + Mechanics = Biomechanics www.indiandentalacademy.com
  • 10. Physical properties such as distance, weight, temperature and force are treated mathematically as either SCALARS or VECTORS. www.indiandentalacademy.com
  • 11. SCALARS include temperature and weight, they have a definite magnitude but do not have a direction. They are completely described by their magnitude.www.indiandentalacademy.com
  • 12. VECTORS include force, these have both magnitude and direction. In case of force, along with magnitude and direction, point of application of force must be taken into account. www.indiandentalacademy.com
  • 13. Various terminologies and laws: FORCE MOMENT COUPLE MOMENT TO FORCE RATIO www.indiandentalacademy.com
  • 14. FORCE: It is defined as an act upon a body that changes or tends to change the state of rest or motion of the body. Force is a vector it has both magnitude and direction. www.indiandentalacademy.com
  • 15. The forces are indicated by straight arrows www.indiandentalacademy.com
  • 16. In case of understanding the magnitude and direction of tooth movement, point of application of force is important www.indiandentalacademy.com
  • 17. CENTER OF MASS Each body has a point in its mass, which behaves as if the whole mass is concentrated at that single point, which we call the CENTER OF MASS in a gravity free environment. www.indiandentalacademy.com
  • 18. Center of Gravity: The same is called center of Gravity in an environment where gravity is present. www.indiandentalacademy.com
  • 19. The center of gravity of the tooth is located more towards the crown of the tooth as the mass of the tooth is concentrated more coronally www.indiandentalacademy.com
  • 20. Since the tooth is partially restrained as its root is embedded in bone its center of gravity moves apically and this is known as CENTER OF RESISTANCE (Cres) www.indiandentalacademy.com
  • 21. Center of Resistance Center of Gravity Center of Resistance www.indiandentalacademy.com
  • 22.  In case of single rooted tooth center of resistance is on the long axis of tooth between one third and one half of the root length apical to alveolar crest. www.indiandentalacademy.com
  • 23.  For a multirooted root, the center of resistance is probably between the roots 1-2 mm apical to furcation. www.indiandentalacademy.com
  • 24.  Center of Resistance Varies (Cres): Length of root: Maxillary canine has a longer root than maxillary lateral incisor, thus center of resistance of canine will be more apically placed as compared with center of resistance of lateral incisor.www.indiandentalacademy.com
  • 25. Periodontal status: The center of resistance shifts apically in periodontally compromised patients. Alveolar bone height: Center of resistance shifts apically as with the alveolar bone loss. www.indiandentalacademy.com
  • 26. The center of resistance for a single rooted tooth estimated by different authors is;  At 50% of root length – Proffit, Nikoli  Between 50% to 30% of root length – Smith and Burstone.  At 33% of root length – Burstone  Between 25% to 33% root length – Nanda www.indiandentalacademy.com
  • 27. Moment Is defined as a tendency to rotate www.indiandentalacademy.com
  • 28. Moments can be symbolized by curved arrows. www.indiandentalacademy.com
  • 29. MOMENT is the product of the force times the perpendicular distance from the point of force application to the center of resistance. M = F x d It is measured in grams – millimeters. F d www.indiandentalacademy.com
  • 30. MOMENT OF FORCE: Moment is a measure of the turning tendency produced by a force. When a force is applied at any point other than through the center of resistance in addition of moving the center of resistance in direction of the force, a moment is created. www.indiandentalacademy.com
  • 31. In case of tooth, since it is embedded in the alveolar bone, we cannot apply force directly on Cres, but can apply force on the exposed part of the tooth, which is at a distance from Cres. Therefore with a single force we invariably create a moment called as moment of force. www.indiandentalacademy.com
  • 32. A MOMENT may be referred as Rotation Tipping Torquing. www.indiandentalacademy.com
  • 33. Rotation Tipping Torquing Flash Player Movie Flash Player MovieFlash Player Movie www.indiandentalacademy.com
  • 34. If a line of action does not pass through the center of resistance the force will produce some rotation. The potential for rotation is called as moment. www.indiandentalacademy.com
  • 35. The direction of a moment can be determined by continuing the line of action of the force around the center of resistance. F x d(X) = M(X)www.indiandentalacademy.com
  • 36. CENTER OF ROTATION: It may be defined as a point about which a body appears to have rotated as determined from its initial to final position. www.indiandentalacademy.com
  • 37. A simple method of determining a Center of rotation - Draw the long axis of the tooth in its initial and final positions; we will see that both these lines intersect at a point. This is the point around which the tooth rotates and is called Center of rotation. www.indiandentalacademy.com
  • 39. Center of rotation could be at the center of resistance, apical or Incisal to Cres or at infinity. Its position will determine the type of tooth movement. The moment to force ratio controls the center of rotation for the intended tooth movement. www.indiandentalacademy.com
  • 40. TYPES OF TOOTH MOVEMENT POSITION OF THE CENTER OF ROTATION A. Translation B. Uncontrolled tipping C. Controlled tipping D. Root movement or Torquing Lies at infinity Slightly apical to center of resistance Apex of root Incisal or occlusal edge www.indiandentalacademy.com
  • 41.  Uncontrolled tipping: In this situation, when force is applied the crown moves in one direction and root moves in the opposite direction. Here Center of rotation lies near to center of resistance. This is referred as uncontrolled tipping. www.indiandentalacademy.com
  • 43.  Controlled Tipping: In this situation, crown moves in the direction of force but the root position remains the same or get minimally displaced. Here Center of rotation lies at apex of the root. www.indiandentalacademy.com
  • 45.  Translation : In this situation tooth moves bodily i.e. both crown and root portion of tooth moves bodily in the direction of force. Here Center of rotation lies at infinity. All the points in the tooth move by same distance in the same direction in translation. www.indiandentalacademy.com
  • 46. Bodily MovementBodily Movement Center of Rotation at infinity www.indiandentalacademy.com
  • 47.  Root movement: In this situation, root moves in the direction of force but the crown position remains the same or get minimally displaced. Here Center of rotation lies at incisal edge of the crown. www.indiandentalacademy.com
  • 49. COUPLE: Two equal and opposite, non - collinear forces are called a couple. Couple consists of two forces of equal magnitude, which are parallel to each other but not coincident and they face in opposite direction. www.indiandentalacademy.com
  • 50. The moment of this couple is equal to the magnitude of one of the forces multiplied by the perpendicular distance between the two lines of action of force. www.indiandentalacademy.com
  • 51. If the two forces of the couple act on opposite sides of the center of resistance, their effect is additive. However, if they are on the same side of the center of resistance, their effect is subtractive www.indiandentalacademy.com
  • 52. AdditiveAdditive + F1 F2 F1XDM1= M2=F2XD D M=F X D www.indiandentalacademy.com
  • 53. SubtractiveSubtractive - F1 F2 M1=F1XD1 M2=F2XD2 D1 D2 M= F X (D1-D2) www.indiandentalacademy.com
  • 55. In terms of direction, the counter- balancing moment is always going to be in the direction opposite the moment of force. www.indiandentalacademy.com
  • 56. It seems that type of movement exhibited by a tooth is determined by the ratio of the counter-balancing moment produced to the net force that is applied to a tooth . This is called as the moment to force ratio . www.indiandentalacademy.com
  • 57. Moment of force Force Counter-balancing moment www.indiandentalacademy.com
  • 58. The ratio of the counter-balancing moment to the force applied determines the type of tooth displacement, brought about by the combined application of a force and counter-balancing moment. As the counter-balancing moment increases, the center of rotation moves apically. www.indiandentalacademy.com
  • 59. At one specific level of M/F, the moment which arises from the force and the applied counter-balancing moment cancel out each other i.e. there is no rotational component, and hence only a translation takes place under the effect of force . www.indiandentalacademy.com
  • 60.  M/F Ratio values normally quoted of various types of displacements are M/F ratio less than 5:1 causes uncontrolled tipping in which the crown and the root apex move in opposite directions. M/F ratio between 5:1 and 8:1 causes controlled tipping in which the root apex remains stationary and only the crown moves. www.indiandentalacademy.com
  • 61. M/F ratio of 10:1 causes translation. The crown and the root apex move to same extent in the same direction of force. M/F ratio of 12:1 causes root movement. The crown remains stationary while only the root moves. www.indiandentalacademy.com
  • 62. It is important to note that the differences between the M/F Ratio for controlled tipping, translation and root movement are small. www.indiandentalacademy.com
  • 63. In other words, even small alterations in the magnitude of the applied force or the counter-balancing moment will alter the type of tooth movement brought about. www.indiandentalacademy.com
  • 65. When an appliance is fitted in the mouth, it assumes a state of equilibrium. The active elements in the appliance generate certain forces or moments. Other forces or moments arise automatically in the system to balance these forces or moments. Some of them may be beneficial while others may be undesirable. www.indiandentalacademy.com
  • 66. Whenever state of equilibrium is established in the system the sum of all forces and moments (together) present must be zero in all three planes. www.indiandentalacademy.com
  • 67. For example, tip back bend (like the bite opening bend in Begg appliance) generates a moment which tends to tip the molar tooth crown distally. This is balanced by an automatic creation of another moment in the overall system in opposite direction comprising of two forces an intrusive force at the anterior end and on extrusive force on the molar. www.indiandentalacademy.com
  • 70. Begg mechanotherapy is very efficient in opening the deep anterior overbites. It is generally agreed that Begg mechanics bring about bite opening by a combination of molar extrusion (especially of lower molars) and some intrusion of lower anteriors. www.indiandentalacademy.com
  • 71. Upper anteriors may not change in their position in vertical direction (i.e. they are prevented from erupting) or may intrude slightly or may even extrude slightly. www.indiandentalacademy.com
  • 72. There are three basic movements in the Begg mechanotherapy  Incisor intrusion  Tipping of teeth  Root uprighting. www.indiandentalacademy.com
  • 73. The mechanism of intrusion is understood by considering the net intrusive force magnitude and direction in relation to Centre of resistance of tooth. While tipping of teeth and root uprighting is explained on the basis of M/F ratio. www.indiandentalacademy.com
  • 75.  Open the anterior bite : Proper amount of bite opening bends or curves in the arch wire. Continuous wearing of Class II (intermaxillary) elastics as required. www.indiandentalacademy.com
  • 76.  Eliminate anterior crowding : Vertical loops between crowded anterior teeth, with bracket areas modified for desired overcorrection. Loop arch wire NiTi wire www.indiandentalacademy.com
  • 77.  Close anterior spaces : Plain arch wire with latex elastic or elastomeric chain from cuspid to cuspid. Closure of Anterior spaces by cuspid tie www.indiandentalacademy.com
  • 78.  Over correct rotated cuspids and bicuspids : Rotating springs Elastomeric traction into the arch wire www.indiandentalacademy.com
  • 79. Rotating spring Rotating spring on Premolar Elastomeric traction www.indiandentalacademy.com
  • 81.  Over correct the mesiodistal relationship of the buccal segments Continuous wearing of class II elastics. Proper bite opening bends in both upper and lower arch wires. www.indiandentalacademy.com
  • 82. BIOMECHANICS OF STAGE I www.indiandentalacademy.com
  • 83. As we understand today the Begg appliance is a good example of single couple system. Stage I arch wire www.indiandentalacademy.com
  • 84. The orthodontic environment created during stage I is conducive to rapid movement of anterior teeth under the light forces generated by the arch wires and intermaxillary elastics www.indiandentalacademy.com
  • 86. Lack of true intrusion of the maxillary incisors was one of the major weaknesses of traditional Begg. Bite opening occurred mainly on account of molar extrusion and some intrusion of the lower incisors. www.indiandentalacademy.com
  • 87. Whether the upper incisors are intruded is a debated issue. The round archwire derives bite opening force from the anchor bends. www.indiandentalacademy.com
  • 88. A clockwise moment generated by the anchor bend in the molar tube (upper) is automatically balanced by the generation of anticlockwise moment in the anterior segment along with intrusive force on the anterior and extrusive force on the molars in order to establish state of equilibrium. www.indiandentalacademy.com
  • 89. This anticlockwise moment generated in the anterior segment bring about labial flaring of the upper anteriors. www.indiandentalacademy.com
  • 90. This flaring tendency of upper incisors can be resisted by using Class II elastics during stage I. But class II force along with horizontal component have vertical component of force which reduces the magnitude of the intrusive force of the arch wire on the upper anteriors. www.indiandentalacademy.com
  • 91. Thus the interplay between the intrusive force from the archwire and the retractive force from the elastics determines both the magnitude and direction of the net resultant force acting on anterior teeth. www.indiandentalacademy.com
  • 92. THE INTERPLAY BETWEEN THE ANCHOR BEND AND CLASS II ELASTICS CLASS II ELASTIC FORCE INTRUSIONFORC www.indiandentalacademy.com
  • 93. VARIOUS TYPES OF BITE OPENING BENDS:  The Anchor bend the conventional bite opening bend causes more intrusion of canines while the lateral and central incisors progressively lag behind. www.indiandentalacademy.com
  • 94.  A Gable bend causes a progressively more intrusion of central and lateral incisor, as compared to canine  Mollenhouer’s bite opening curve – Mollenhouers especially recommends it with use of 0.018 wire. www.indiandentalacademy.com
  • 96.  Swain modification: Mild gingival curve is incorporated in the anterior section, from mesial of cuspid to mesial of other side cuspid. www.indiandentalacademy.com
  • 97. CONSIDERATION OF THE MAGNITUDE OF INTRUSIVE FORCE. www.indiandentalacademy.com
  • 98. OPTIMAL INTRUSIVE FORCE VALUE Many authors have suggested optimum intrusive force values ranging from 15-30 grams per upper incisor and slightly higher values for upper canines. www.indiandentalacademy.com
  • 99. For active intrusion the upper anteriors should receive approximately 60 grams net force in the midline, after negating the extrusive component of Class II elastics. www.indiandentalacademy.com
  • 100. ROLE OF LIGHT CLASS II ELASTICS: www.indiandentalacademy.com
  • 101. Hocevar stated that 120 grams of intrusive force generated by arch wire in conjunction with 60 grams of Class II elastics pull on either side is “efficient for intrusion” www.indiandentalacademy.com
  • 102. According to Dr.Jayade net intrusive force of 60 grams can be obtained by a combination of 75 grams of intrusive force generated by arch wire and some modification in wearing of elastics that is by using light elastic forces for longer periods from 2-5 days. Very light Class II force is delivered as the elastic force diminishes rapidly in oral environment. www.indiandentalacademy.com
  • 103. Sims states the use of 3/8” ultra light elastics instead of routinely used 5/16” light elastics. He said continue the same elastic for 4-5 days till they break. www.indiandentalacademy.com
  • 104. Role of Class I Elastic Forces www.indiandentalacademy.com
  • 105. Modifying the force system to achieve simultaneous intrusion and retraction using Class I elastic instead of Class II elastics was first illustrated by Shin Yang Liu (1981). www.indiandentalacademy.com
  • 106.  He summarized that the direction of resultant force should pass through the center of resistance of anterior teeth (or close to it).  Therefore, substituting Class II elastic forces by Class I elastic forces would orient the resultant force more vertically passing nearer to the center of resistance of anterior teeth. www.indiandentalacademy.com
  • 107.  In traditional begg technique the direction of the intrusive vector of the maxillary arch wire and the extrusive vector of the class II elastics are opposite. This accounts for the difficulty in obtaining anterior maxillary teeth intrusion. www.indiandentalacademy.com
  • 108.  In this technique modification, of using Class I elastics, it solve the problem of lack of intrusion of the maxillary anteriors. www.indiandentalacademy.com
  • 109.  In this arrangement the vectors are in the same direction as the elastic pull and the archwire force are unidirectional and hence synergistic. www.indiandentalacademy.com
  • 110. Dr. Jyothindra Kumar introduced concept of power arms as a point of attachment high up in the vestibule for the engagement of Class I elastics. CLASS I ELASTIC FORCE www.indiandentalacademy.com
  • 111. Dr. Jayade has been using Class I elastics, which were worn from transpalatal arch (TPA) to the canine hooks/loops. CLASS I ELASTIC FORCE www.indiandentalacademy.com
  • 112. It is impossible to precisely calculate the required intrusive force every time, for every patient, since it is dependent on various variables.  Different root sizes and tooth inclination.  Different arch sizes, which affect the length of the wire spans and stretch of the elastics. www.indiandentalacademy.com
  • 113.  Individual biomechanical response  Difference in the archwire sizes. Normally .018” wire will produce more intrusive force as compared to 0.016” wire when some degree of anchor bend is given. www.indiandentalacademy.com
  • 114. THE CONCLUSION IS, “TO USE HIGHER INTRUSIVE FORCES IN COMBINATION WITH VERY LIGHT CLASS II ELASTIC FORCES FOR ACTIVE UPPER INCISOR INTRUSION” www.indiandentalacademy.com
  • 115. CONSIDERATION OF THE DIRECTION OF THE RESULTANT FORCE: www.indiandentalacademy.com
  • 116. Teeth respond only to the resultant of the forces which are applied and not to the individual components of the force system. www.indiandentalacademy.com
  • 117. During Stage I, the upper anteriors are subjected to two forces i.e. the retractive force of class II elastics and the intrusive force generated by the anchor bend in the arch wire. The resultant of these two will determine how the upper anterior teeth respond to the intrusion. www.indiandentalacademy.com
  • 118. THE INTERPLAY BETWEEN THE ANCHOR BEND AND CLASS II ELASTICS CLASS II ELASTIC FORCE INTRUSIONFORC www.indiandentalacademy.com
  • 119. The direction and magnitude of resultant force both depend upon the interplay between.  Magnitude of Intrusive Force: Whose direction remains constant i.e. tangential to the arc that the anterior segment of the archwire would subscribe, if released from the brackets.  Magnitude and the direction of the elastic force. www.indiandentalacademy.com
  • 120. Different inclinations of the anterior teeth would require different combinations of the intrusive and elastic forces. Hocevar states, that the teeth are not affected by the magnitudes of various components of force systems, they experience only the total resultant force www.indiandentalacademy.com
  • 121. For example, in case of severely proclined upper anteriors a low magnitude of intrusive force along with high class II force would give a desired resultant force, passing palatal to Cres, this will help correcting the proclination of incisors . Once the inclination of upper incisors is corrected then the class II elastics force is reduced helping in keeping the resultant force close to Cres . www.indiandentalacademy.com
  • 123. In Class II Division 2 cases , where the upper centrals are retroclined , only intrusive force should be used (Avoiding the Class II elastics) The intrusive force acts labial to Cres and corrects the retroclination. Once the inclination is corrected then we can use Class II elastics . www.indiandentalacademy.com
  • 126. Rotating spring works on the principal of couple. Since in rotating spring the couple generated is acting on one side of Cres of tooth so it is less effective as compared to couple acting on either side of Cres www.indiandentalacademy.com
  • 130. CLASS II ELASTIC FORCE The concept of tipping back the teeth in the first stage & further in stage II … INTRUSIONFORC www.indiandentalacademy.com
  • 131. Generally, uncontrolled tipping is undesirable because it leads to root resorption as stated by Reitan. There is more resorption when uncontrolled tipping is in labio-lingual direction. www.indiandentalacademy.com
  • 132. Intrusion and tipping are intimately related not only because they are carried out simultaneously but also, when both are balanced judiciously it help in overcoming uncontrolled tipping of incisors. www.indiandentalacademy.com
  • 133. This is achieved by manipulating the intrusive force generated by wire and retractive component of force from the Class II elastics. www.indiandentalacademy.com
  • 134. BOTH THE ANCHOR BEND IN THE WIRE AND CLASS II ELASTICS PRODUCE MOMENTS IN THE SAME LABIO-LINGUAL PLANE BUT ACT IN OPPOSITE DIRECTIONS. www.indiandentalacademy.com
  • 135. The intrusive force produces crown labial-root lingual moment i.e. anticlockwise moment on the upper anteriors. While the retractive force produced the Class II elastics generates clockwise moment i.e. crown lingual-root labial moment www.indiandentalacademy.com
  • 136. The moment from the intrusive force can act as the counter balance moment against the moment produced by the elastic force. The ratio of the former to the retraction component of the elastic force is the M/F ratio which governs the type of tipping while retracting the anterior teeth. www.indiandentalacademy.com
  • 137. The most important consideration is to keep light Class II elastic and use adequate amount of intrusive force so that correct M/F ratio (8:1) is obtained to have a controlled tipping. www.indiandentalacademy.com
  • 139. In the refined Begg mechanics, use of MAA (Mollenhauer’s Aligning Auxillary) which provides a moment in the labio-lingual plane by creating a couple. This couple moment is an anti-clockwise moment. www.indiandentalacademy.com
  • 142. The moment produced by the anchor bend is in the anticlockwise direction in the Y – Axis. In case of MAA, the moment of couple generated again is in anticlockwise direction but in X – Axis. Both the moments generated by the anchor bend and the MAA are in the anticlockwise direction thus gets summed up. www.indiandentalacademy.com
  • 143. Once the bite is opened in the first stage, the intrusive force level is reduced which inturn reduces M/F ratio. This leads to greater likelihood of uncontrolled tipping of upper anterior teeth during later part of the first stage and whole of second stage. www.indiandentalacademy.com
  • 144. Thus the anticlockwise moment produced by anchor bend on anterior is supplemented by the moment of couple produced by MAA www.indiandentalacademy.com
  • 145. Flaring occurs as lower incisors are subjected to crown labial root-lingual moment from the intrusive force generated in arch wire, while there is no restraining force on these teeth as similar to Class II elastic force on Upper incisors. www.indiandentalacademy.com
  • 147. The flaring can be avoided by two means;  Minimizing the clockwise force moment by reducing the intrusive force.  Secondly, cinching tightly the distal ends of the arch wire. www.indiandentalacademy.com
  • 148.  Lastly by producing counter moment using a MAA for labial root torque or a reverse torquing auxiliary (Udder arch) www.indiandentalacademy.com
  • 150. In case of severely lingually tipped lower anteriors, Cres will be lying buccal to the point of application of the intrusive force generated by the anchor bend so there is more chances to tip the lower anteriors more lingually. www.indiandentalacademy.com
  • 151. So in that case we give a By pass arch wire in order to upright the lower incisors . www.indiandentalacademy.com
  • 155. Among the traditionally described stages of Begg technique, the second stage of treatment involves closure of extraction spaces. This is thought to be the easiest phase of treatment. www.indiandentalacademy.com
  • 156. During Stage II all the corrections achieved during Stage I should be maintained. www.indiandentalacademy.com
  • 157.  Maintain Edge to Edge relationship of anterior teeth  Maintain anterior space closure  To maintain overcorrected or normal mesiodistal molar relationship www.indiandentalacademy.com
  • 158.  In addition to the above, the stage II of the refined Begg aims are Controlled tipping of the incisors, when space closure is to be mainly achieved by the anterior retraction. www.indiandentalacademy.com
  • 160. When all the objectives of Stage I are met stage II mechanics can be instituted. The sole or main purpose of II stage is closure of extraction spaces. www.indiandentalacademy.com
  • 161. The extraction space can be closed by either retraction of the anteriors or protraction of the posteriors or combination of both. www.indiandentalacademy.com
  • 163. The anchor bend should be sufficient enough as to produce a counter clockwise moment slightly less than the clockwise moment produced by the Class I elastics in anterior section of upper arch. www.indiandentalacademy.com
  • 164. The M/F ratio should be sufficient around 8/1 so as to have a controlled tipping movement. www.indiandentalacademy.com
  • 165. CLASS I ELASTIC FORCE INTRUSIONFORC At the end of Stage II www.indiandentalacademy.com
  • 166. Same way in lower arch the clockwise moment should be slightly lesser than anticlockwise moment produced by Class I elastics, so as to have controlled tipping movement. www.indiandentalacademy.com
  • 167. Normally 0.016 upper and lower arch wires with reduced bite opening bends are used. Some authors say use of heavy arch wire 0.020 as it will function as retainers to maintain arch form and bite opening achieved during stage I. www.indiandentalacademy.com
  • 168. Dr. Swain advocated the use of lingual attachments on molars and cuspids to allow the use of lingual space closing elastics to aid the traditionally used buccal vector of intra maxillary elastic force during stage II known as half strength elastics. www.indiandentalacademy.com
  • 169. Two distinct advantages in using intra maxillary (Half strength) space closing elastics  It gives a better positional control over the anchor molar thus obviating the need for a mandatory compensate toe in bend when using elastic force only from buccal side.  Closure of extraction spaces becomes easier. www.indiandentalacademy.com
  • 172. When further retraction of anterior teeth into the remaining extraction space is deemed undesirable clinically, then the posterior teeth are brought forward, that is posterior teeth are mesialized. www.indiandentalacademy.com
  • 173. To achieve mesialization of posterior teeth heavy elastic forces are required with concurrent use of brakes in the anterior region. www.indiandentalacademy.com
  • 174. Various brakes are:  Using uprighting springs (passive springs)  Reverse torque to incisor roots (Udder arch and MAA)  Using T pins www.indiandentalacademy.com
  • 175. Passive Uprighting Springs T PINS MAAUDDER ARCH www.indiandentalacademy.com
  • 176. CLASS I ELASTIC FORCE INTRUSIONFORC At the end of Stage II www.indiandentalacademy.com
  • 177. The brakes reverse the anchorage site from the posterior to anterior segment by allowing bodily movement rather than the tipping of anterior teeth, this bodily movement provides more resistance hence acting as a anchorage. www.indiandentalacademy.com
  • 179. The importance of biomechanics is well understood in clinical orthodontics. Application of biomechanical principles improve the efficacy of our appliance system as well as orthodontic technique. www.indiandentalacademy.com
  • 180. A common misconception is that the application of biomechanical properties would make the technique too cumbersome. On the contrary, biomechanically designed appliance gives a predictable tooth movement, optimal biologic tissue response and minimal side effects. www.indiandentalacademy.com
  • 181. In the lighthearted note - One can say that on the average, an orthodontist spends half the treatment time on problems presented by the patient and other half on problems resulting from treatment side effects . www.indiandentalacademy.com
  • 182. ORTHODONTICS COULD BE IN OUR HAND IF WE USE EFFICIENT BIOMECHANICS www.indiandentalacademy.com
  • 185.  Nanda Ravindra. Biomechanics in clinical orthodontics.Philadelphia: W.B Saunders Company ;1997  Begg, P. R.: Begg orthodontic theory and technique, Philadelphia, 1965, W. B. Saunders Company.  Swain, B. F., and Ackerman, J. L.: An evaluation of the Begg technique, AM. J. ORTHOD. 55: 668-687, 1969. www.indiandentalacademy.com
  • 186.  Hocevar RA: Orthodontic force systems: Technical refinements for increased efficiency. AM J ORTHOD 81: 1-11, 1982.  Hocevar RA: Understanding, planning, and managing tooth movement: Orthodontic force system theory. AM J ORTHOD 80: 457-477, 1981.  Reitan K: Tissue behavior during orthodontic tooth movement. AM J ORTHOD 46: 881-900, 1960. www.indiandentalacademy.com
  • 187.  Hocevar RA: Orthodontic force systems: Technical refinements for increased efficiency. AM J ORTHOD 81: 1-11, 1982.  Hocevar RA: Understanding, planning, and managing tooth movement: Orthodontic force system theory. AM J ORTHOD 80: 457-477, 1981.  Reitan K: Tissue behavior during orthodontic tooth movement. AM J ORTHOD 46: 881-900, 1960. www.indiandentalacademy.com
  • 188.  Cadman, G. R.: Nonextraction treatment of Class II, Division 1 malocclusion with the Begg technique, AM. J. ORTHOD. 68: 481- 498, 1975.  Sims, M. R.: Anchorage variation with the light wire technique, AM. J. ORTHOD. 59: 456-469, 1971.  Marcotte MR: Prediction of orthodontic tooth movement. AM J ORTHOD 69: 511-523, 1976. www.indiandentalacademy.com
  • 189.  Thompson, W. J.: Current application of Begg mechanics, AM. J. ORTHOD. 62: 245-271, 1972.  Begg, P. R., and Kesling, P. C.: The differential force method of orthodontic treatment,AM.J. ORTHOD. 71: 1-39, 1977. www.indiandentalacademy.com
  • 190.  Shin-Yang Liu and C.W Herschleb: Controlled movement of maxillary incisors in the Begg technique AM.J. ORTHOD.79 : 300-315, 1981.  Smith and Burstone: Mechanics of tooth movement AM.J. ORTHOD.105: 294-307, 1984. www.indiandentalacademy.com