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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 1-866-388-1851 ORTHODONTICESSENTIALS.COM