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The Tip-Edge AppliancePhilosophy and Technique

Dr. Angshuman Bhattacharya

The Evolution
1907(extraction

and tipping)

.Hunt for 3-D Control

1910

(nonextraction,
pin and tube)

1915

(Ribbon arch
appliance)

1925

(Edgewise
Backets : Tie brackets)

Strang (1933) broke the


continuity
Strang (1941)- As soon
as this mechanism was
brought to use no longer
were the molars the only
anchor teeth-infact, each
and every tooth is an
anchorage auxiliary

And the fight to overcome this


problem continued.

The

Edgewise bracket is
extremely violent in its
action.A.V. Sved
1938

Tip

back bends,
anchorage preparation,
no brackets on
selected teeth,
headgearTweed

Kesling

kept archwire
out of the slot while
retracting with coil
spring

Begg

changed to
Ribbon arch brackets

Segmented

arches.Burstone

Andrews

warned
against engaging the
incisor slots before
correcting canine
angulations
Roth executed slight
tipping of crowns
during extraction

Kesling

created the
Tip edge slot by
modifying the
Edgewise
slot..1987

The tip edge slot


Propeller design: Engagement
and Stepping up
Wings
Vertical slot
Single point contact prevents
undesirable force couples
during intrusion
Contiguously reciprocal
uprighting
No bowing

Prescription
Maxillary

Initial M-D
crown tip

Final Crown
tip

Final root
torque

CI

20Distal

12

LI

20Distal

Canine

25 Distal

11

-4

1st PM

20 Distal or
Mesial

-7

2nd PM

20 Distal or
Mesial

-7

Prescription
Mandibular Initial
Final crown Final root
Mesiodistal tip
torque
crown tip
CI

20Distal

-1

LI

20Distal

-1

Canine

25 Distal

-11

1st PM

20 Distal or
Mesial

-20

2nd PM

20 Distal or
Mesial

-20

The concept and function


Bite

opening

The concept and function


Retraction

and space
closure without loss of
vertical control

The concept and function


Propeller

slots

The concept and function


Anchorage consideration
No binding so no friction
Featherlight elastics can
do the work of retracting
6, 8 or even 10 teeth
Archwire move distally so
no sliding friction
Lesser mesial root tipping
than second order bends

The concept and function


Interbracket

distance

The concept and function


Axial

control is
selective , limited and
physiologic

Differential Straight Arch


Techinque
Stage I
Simultaneous correction
Only stage when archwires directly
do the job..
Goals of Stage I
Vertical correction
Horizontal correction
Alignment

Simultaneous correction

Differential Straight Arch


Technique
Bite

opening
mechanics

Differential Straight Arch


Technique
Overjet and underjet
correction
Bite with jet
No Interarch elastics
if bite is open
Outrigger appliance

Differential Straight Arch


Technique
Force vectors for intruision
and retraction
mechanics

Differential Straight Arch


Technique
Anterior alignment
Extraction cases:
elastomeric ties
Nonextraction:Vertical
loops
Rotations: Springs

Differential Straight Arch


Technique
Stage II
Goals:
Close remaining posterior spaces
Correct or maintain dental midlines
Correct posterior crossbites
Achieve class I molar occlusion
Over rotate severely rotate premolars
Level anchor molars(if tipped distally)
Maintain all corrections achieved during Stage I

Differential Straight Arch


Technique
Archwires:
Archwires are passive
Mild bite opening sweeps
In mild to moderate
anchorage situation:
Occlusal tube
In Maximum
anchorage:gingival round
tube

Differential Straight Arch


Technique
Automatic

canine
rotational Control
during retraction

Differential Straight Arch


Technique
Stage II Brakes
Sidewinders
Rectangular wires

Differential Straight Arch


Technique
Pre-stage Three
Level PMs
Derotate and align
anchor molars
Level occlusal plane

Differential Straight Arch


Technique
Stage

III
Goals:
Achieve final axial
inclinations
Maintain all
corrections achieved
during stages I and II

Differential Straight Arch


Technique
Stage

III
Archwires are
stabilizers only
Brackets keep control
over uprighting and
torquing
Class II or II elastics
worn as necessary
Distal ends bent

Differential Straight Arch


Technique
Auxiliaries

do the
main work and their
action is self limiting
due to the slot design

Differential Straight Arch


Technique