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Steve Luse & Craig Jacobson ©Copyright 2010 Ortho Kinetics Corp. This material is the property of OKC and may not be used without written permission. 12/21/10.

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Presentation on theme: "Steve Luse & Craig Jacobson ©Copyright 2010 Ortho Kinetics Corp. This material is the property of OKC and may not be used without written permission. 12/21/10."— Presentation transcript:

1 Steve Luse & Craig Jacobson ©Copyright 2010 Ortho Kinetics Corp. This material is the property of OKC and may not be used without written permission. 12/21/10 Length 37 pages.

2 Why use Headgear? Headgear Basic Info Types of Headgear Patient needs vs. Orthodontists needs

3 1. Increasing Anchorage 2. Distalizing the Maxillary (or mandibular arch 3. Precautionary Use Headgear can create either an orthodontic change or orthopedic change.

4 Used to hold or move teeth or entire arch e.g hold upper (maxillary) arch while child grows e.g move back (distalize) upper molars in relation to childs head.

5 Action Desired Recommended Wear Time - Distalizing 24 hours per day - Holding anchorage 14 hours per day - Precautionary night time wear

6 Headgear has been used Successfully for 150+ years. Dr. Angles Headgear from 1894

7 Need U6 for molar Band placement Girls = 6.22 years Boys = 6.40 years Other Teeth come in From 6-13 years Chart shows average age of tooth eruption

8 Force Applied X Time worn X Direction Applied X Other Factors

9 Before and After Headgear: Good headgear wear moved U6 back distally

10 Facebows Release Modules Straps or cushions Other items

11 Headgear is the outside part Facebow goes into patients mouth Facebow connects to buccal tubes headgear tube

12 Headgear is the outside part Facebow goes into patients mouth Facebow connects to buccal tubes headgear tube

13 Buccal tubes headgear tube accepts facebow wire Pictured here is the Nitom Locking Facebow

14 Kloehn - Regular - Cushion Loop J-Hook Asher Bite Plate

15 Kloehn style facebow diameter inner bow outer bow - 6 sizes inner bow - 2 sizes outer bow Rigid Feel

16 Kloehn Loop style - invented by Dr. Andrews outer bow with cushion loop Softer springy Feel

17 J-Hook Facebow - Two J shaped hooks connect to posted archwires

18 Asher Facebow - Used by Dr. Ron Roth - Intrudes anterior teeth - Short or regular outerbow - Pushes on Archwire

19 Bite Plate Facebow - Intrudes anterior teeth - Short or regular outerbow - Pushes on anterior teeth - two main styles: cushion loop style or regular style

20 Cervical Pull High Pull (occipital pull) Combi Pull Reverse Pull Vertical Pull J Hook

21 Pulls back from the upper molar Direction of Pull

22 Pulls upward from upper first molar Direction of Pull

23 Pulls upward and back from Upper first molar Direction of Pull

24 Pulls upper arch forward Direction of Pull

25 Pulls upward Direction of Pull

26 Four Types of Headgear Injuries In Europe (23 countries studied) Accidental disengagement while playing (17%) Incorrect handling during fitting or removal (8%) Bully Pulls headgear (4%) Unintentional nighttime disengagement (71%) Researcher and Author: Dr. Russel Samuels (UK) Published: JCO, AJO, BJO, EJO

27 Your Actions can reduce Potential Injuries: Proper patient instructions Proper fitting by orthodontic office Proper equipment – Ortho Kinetics Headgear & Facebows

28 Injury Cause & Prevention Strategy: 1. Accidental disengagement while playing (17%) Proper patient instructions and education 2. Incorrect handling during fitting or removal (8%) Proper patient instruction and education 3. Bully pulls headgear (4%) Releasable headgear modules 4. Unintentional nighttime disengagement (71%) Nitom Locking Facebow

29 Our releasable force modules latches are designed to release at higher force levels than competitive modules when pulled slowly We try to minimize accidental nighttime headgear module release. (Type 4 injury) Our design philosophy applies to: Nitro Modules NewGear Headgear

30 Releasable headgear for modules Aka. Safety modules or safety breaks, etc. Fit onto Cervical and high pull Straps and connect to facebow

31 When you pull strap; a force is applied by the module When strap is fully extended; module breaks away

32 The Further you pull strap (strap extension)= more force applied Marks on strap show how far strap is extended (pulled) Use OKC Force Tool to see relationship between force & extension

33 OKC offers plastic release clips on Nitro Brand Modules plastic clips are easier to put together

34 NewGear features plastic clips with higher breakaway force It is easy to put together Patented luggage buckle style

35 Patient Needs: Comfortable Easy to Use Attractive Easy to Clean Safe to use Orthodontist Needs: Patient Cooperation Right force level Safe to use Comfortable Minimal Inventory

36 NewGear Emphasizes: Ease of Use Attractive – color options Comfort options – Regular foam cushion Gel cushion Visco cushion

37 Ortho Kinetics Corporation Exclusively Focused on Innovative Orthodontic Force Systems


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