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Dr. Richard McLaughlin’s
Preferred Bracket Rx
UPPER
Torq
Ang
Width
In/Out
.018L
.018R
.022R
.022L
Central
+17˚
+4˚
0.132
0.041”
111-001
111-002
121-001
121-002
Lateral
+10˚
8˚
0.105
0.048”
111-005
111-006
121-005
121-006
Cuspid
-7˚
8˚
0.127
0.021”
111-015
111-016
121-015
121-016
Bicuspids
w/hooks
-7˚
0˚
0.117
0.029”
111-017
111-026
121-017
121-026
1st Molar
-14˚
10˚
4.4mm
0.030”
780-028
780-029
720-028
720-029
2nd Molar
-14˚
4˚
2.5mm
0.030”
780-013
780-014
820-013
820-014
LOWER
Torq
Ang
Width
In/Out
.018L
.018R
.022R
.022L
Anteriors
-6˚
0˚
0.097
0.048”
111-061
111-061
121-061
121-061
Cuspid
0˚
3˚
0.128
0.020”
111-029
111-040
121-029
121-040
1st Bicuspid
-12˚
2˚
0.122
0.030”
111-039
111-050
121-039
121-050
2nd Bicuspid
-17˚
2˚
0.122
0.034”
111-047
111-058
121-047
121-058
-20˚
0˚
4.4mm
0.030”
780-026
780-027
720-026
720-027
-10˚
0˚
2.5mm
0.030”
780-017
780-018
820-017
820-018
w/hook
small pad
mini
w/hook
w/hook
w/hook
1st Molar
small pad/
occlusal offset
2nd Molar
mini
*Dr. McLaughlin prefers a .022 slot bracket
PLEASE NOTE for .018 slot users: When using
a 17x25 wire in the .018 slot, a +12 degree upper
central incisor torque and a +10 degree upper
lateral incisor torque is preferred. If using a
16x22 wire in the .018 slot, then the normal +17
degree upper central incisor and +10 degree
upper lateral incisor is recommended.
For the past few years, I have been a consultant with Opal Orthodontics, a division of
Ultradent Products, Inc. A privately owneddental company with a 30-year history of
commitment to quality products, patient health, and humanitarian efforts, Ultradent was
founded by Dr. Dan Fischer, who remains its president and CEO.
It is a pleasure to work with Dr. Fischer, a great innovator and one of the most recognized
figures in the dental world. Together, we hope to deepen Opal Orthodontics’ commitment
to continuing education, and develop quality, innovative orthodontic products that provide
the best possible patient care.
Richard McLaughlin, DDS
EXAMPLE WIRE SEQUENCE
Extraction Case (1st bicuspids)
D
D
r. McLaughlin explains his wire sequence in a nonextraction and extraction case. The sequence is not
meant as a guide for orthodontic treatment, rather, to
give an idea of how wire sequences differ for extraction
and non-extraction cases. In addition to wire selection,
Dr. McLaughlin shows when to reposition brackets.
Through proper wire selection and repositioning
brackets, Dr. McLaughlin has reduced treatment times
by 30% in his practice.
r. McLaughlin uses light forces for his retraction
methods through round stainless steel wires. For
extraction cases, he generally does not place brackets
on crowded incisors until further into treatment.
Waiting to place incisor brackets allows him to use
stiffer round wires to retract canines (with lacebacks
and light open cross springs) without the tipping or
dumping that occurs with flexible wires.
.016 Heat Activated NiTi
Non-Extraction Case
For non-extraction cases, Dr. McLaughlin utilizes the
extreme elasticity of VIA Wires to get patients into
rectangular wires as quickly as possible. He may use as
little as three wires or as many as six, depending on the
case. Here is his example sequence for a non-extraction
case:
.018 Stainless Steel or .020 Heat Treated
.016 Heat Activated NiTi
.019 x .025 Heat Activated NiTi
.016 x .022 Heat Activated NiTi - OPTIONAL
Reposition Brackets
(can be skipped 60% of the time if crowding is not too severe
and a .019 x .025 can comfortably be engaged)
.016 x .022 Heat Activated NiTi - OPTIONAL
(can be skipped 60% of the time if crowding is not too severe
and a .019 x .025 can comfortably be engaged)
.019 x .025 Heat Activated NiTi - OPTIONAL
(only required depending on the severity of bracket repositioning)
.019 x .025 Heat Activated NiTi
.020 Stainless Steel - OPTIONAL
Reposition Brackets
.019 x .025 Heat Activated NiTi - OPTIONAL
(only required depending on the severity of bracket repositioning)
.020 Stainless Steel - OPTIONAL
Stainless Steel to close the space
(only used in 20% to 30% of cases to correct curve of spee
where a deep bite or open bite is present)
.019 x .025 Heat Treated Stainless Steel
- POSTED OPTIONAL
(only used in 20% to 30% of cases to correct curve of spee
where a deep bite or open bite is present)
Caucasian Arch Form Distribution
.019 x .025 Heat Treated Stainless Steel
- POSTED OPTIONAL
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