I was just about to post a comment suggesting that you made a video about Open Coil placement and right after that I found this video. I knew I was in the right place ❤ thank you so much.
My orthodontist just put a coil on my braces tonight. I didn’t notice until I left and I’m nosey about what’s going on so thanks for explaining! Now I don’t have to wait a month lol
I where just chilling when i opened my mouth to eat and dang that hurt haha. I didnt even know i got a spring bruh i though he just tightend it but i was not at all correct ;-;
Hi, great video! Once the space is open enough, how would you go about moving the tooth in? Would you use a 2 link power chain looped around the coil on the bracket or is there a better way?
There are several ways to align the tooth once you have enough space but usually I’ll tie elastic thread (one brand is Zing String but there are other brands that also work great) from the crooked tooth to the space you want to put it in. Just tie the thread or attach the chain from the bracket of the crooked tooth to a point on the wire or to a bracket of an aligned tooth that will pull the crooked tooth straight enough that you can eventually engage the wire into the bracket of the crooked tooth to fully align it. It often takes several appointments because you need to change the chain or elastic thread every 4-6 weeks to keep it pulling but eventually you’ll get the tooth aligned enough to engage it with the wire. I hope that helps!
Can I ask a question? I have these coil springs, both in upper and lower.. 2 days after installation, they are bending in an outward direction, so they look like a halved circle.. and it's uncomfortable and it does hurt, can't even close my mouth properl6
Everyone’s teeth move at a different rate but a general rate of movement to expect is about 1 mm per month. Opening space is often slower than closing space, though, so I would estimate 6-9 months to open 6 mm of space. It might be more or less time than that, though, depending on the patient. Kids’ teeth generally move faster than adults’ teeth.
Hello first of all thank you for your nice videos and simple explantion doc,and can you please tell me how the treatment plan will start in this situation? Do you use 12 niti wire then going for 14 and placing an open coil? Or you use 14 niti from the start and placing an open coil from the begining? And also can you use the normal elastic instead of steel tie on the bracket? And thank you
We start with .014” NiTi wires and we place open coil on those wires if we need to open space. We do not use .012” wires in our office. You can use normal elastics with an open coil spring if you want to but the teeth adjacent to the open coil spring are more likely to rotate than if you tie them in with steel ties. Just remember to snug the steel tie down but don’t tie it so tight that the bracket can’t slide along the arch wire. If you place the steel tie too tight the open coil can’t slide the bracket along the wire to open the space.
Kindly explain how to revert to the right angle of the front upper 6 teeth which were retroclined towards inside due to wrong orthofontic treamnet which resulted in rollercoaster effect
Assuming that the brackets have been properly placed, you would work your way through the sequence of archwires until you could place a large rectangular archwire, like a .017”x.025” NiTi if you’re using .018” slot brackets or a .019”x.025” NiTi or larger if you’re using .022” slot brackets. Then you leave that wire in place for 4 months or so to give it time to correct the torque of the teeth. Maybe have the patient wear 4Tri elastics during that time, too, if the premolars aren’t occluding due to the rollercoaster effect. (Please see my video on Elastics & Occlusion if you’re unsure what 4Tri elastics are.)
You use each of the wires and auxiliaries until it’s done what you need it to do. For example, you use the spring for as many weeks or months as it takes to open the space that you need to be able to align a tooth. If it’s a little bit of space, it might only take one month but if it’s a lot of space it might take six months. It just depends on the needs of the patient.
@@likeabossproductions1254 On average, if it's a case for mild to moderate class II or III where extractions of 4's or 4's and 5's are required I understand the mechanics behind is dependent on cases, please advise the duration of wire change starting from 0.012-0.016 Niti round, then 0.017x0.025 Niti round following 0.017x0.022 Niti round and 0.016x0.022 SS rectangular, is that 2 months interval, please advise
Yes, generally I follow a two month interval per archwire unless there is some reason to leave the wire in longer. The .016x.022 steel wire usually stays in longer than that because you’re putting detail bends in at each appointment until all of the teeth are perfectly straight.
I have a gap in my 2 front teeth and my ortho put a closed coil on those 2 teeth can u explain why he would do that if my main goal is to close the gap.
I’m not sure. There is a lot of information that has to be assessed when making treatment decisions and, unfortunately, I don’t have any of it. However, you should always feel free to ask your orthodontist why they are doing what they’re doing. If you ask politely, most orthodontists don’t mind explaining what they’re doing and why. It makes us feel smart! 😂
Great question! We place open coil spring on any wire .014" NiTi or larger. There will be some small rotations as the space opens but everything will align nicely after you have enough space to engage the blocked out tooth.
Open coil spring is meant to push a space open so it stays in place until it’s pushed the space as open as it needs to. For some people that’s one month but for others it could be six months or more. It just depends on how fast the persons teeth move. The doctor just needs to make sure that the OCS stays active, meaning that the spring is compressed and is actively pushing. Once the OCS has pushed all the space open that it can, it will be passive (not actively pushing any more). If more space is still needed, the Dr will have to reactivate the OCS by either replacing the existing OCS with a longer one or by placing a crimp on the wire that compresses the OCS, thus reactivating it. I hope that makes sense.
Try to gently push in on the bent part of the wire to get it to go straight again. The spring should recompress as it goes back into a straight line between the braces. I hope that helps!
An o tie on a twin bracket next to an active open coil spring will likely result in that tooth rotating while the OCS pushes it sideways. A steel ligature prevents that rotation. If the brackets are self ligating, though, no steel ligature is needed. I hope that helps!
An o tie on a twin bracket next to an active open coil spring will likely result in that tooth rotating while the OCS pushes it sideways. A steel ligature prevents that rotation. If the brackets are self ligating, though, no steel ligature is needed. I hope that helps!
An o tie on a twin bracket next to an active open coil spring will likely result in that tooth rotating while the OCS pushes it sideways. A steel ligature prevents that rotation. If the brackets are self ligating, though, no steel ligature is needed. I hope that helps!
I was just about to post a comment suggesting that you made a video about Open Coil placement and right after that I found this video. I knew I was in the right place ❤ thank you so much.
Nice! I’m glad you found it useful!
😁👍
You deserve more subs. Please upload more video.
My orthodontist just put a coil on my braces tonight. I didn’t notice until I left and I’m nosey about what’s going on so thanks for explaining! Now I don’t have to wait a month lol
I where just chilling when i opened my mouth to eat and dang that hurt haha. I didnt even know i got a spring bruh i though he just tightend it but i was not at all correct ;-;
Such an awesome explanation... Please upload more videos...
WOW! So helpful video! Thank you.
Thank you! I’m glad you found the video useful! 😁👍
Very much clear video you made .thanks a lot.
Amazing presentation Sir, Thank you 🙏❤️
My pleasure! Feel free to check out the other videos on my channel. Hopefully you’ll find them useful, too! 😁👍
Hi, great video! Once the space is open enough, how would you go about moving the tooth in? Would you use a 2 link power chain looped around the coil on the bracket or is there a better way?
There are several ways to align the tooth once you have enough space but usually I’ll tie elastic thread (one brand is Zing String but there are other brands that also work great) from the crooked tooth to the space you want to put it in. Just tie the thread or attach the chain from the bracket of the crooked tooth to a point on the wire or to a bracket of an aligned tooth that will pull the crooked tooth straight enough that you can eventually engage the wire into the bracket of the crooked tooth to fully align it. It often takes several appointments because you need to change the chain or elastic thread every 4-6 weeks to keep it pulling but eventually you’ll get the tooth aligned enough to engage it with the wire. I hope that helps!
I have two open coil springs. I have two bottom teeth that loon just like that. How long do they usually have to stay on the teeth?
Sir which type of wire should be used for coils, elastic?? Details plz
When to put o tie when to put steel tie? Im confused
Thank you ❤❤❤❤❤
Can I ask a question? I have these coil springs, both in upper and lower.. 2 days after installation, they are bending in an outward direction, so they look like a halved circle.. and it's uncomfortable and it does hurt, can't even close my mouth properl6
The open coil has came of the wire I have attempted to twist it back on but it doesn’t fit I’m not sure what to do
How long will it take to gain 6 mm space between pre molar and teeth with open coil spring
Everyone’s teeth move at a different rate but a general rate of movement to expect is about 1 mm per month. Opening space is often slower than closing space, though, so I would estimate 6-9 months to open 6 mm of space. It might be more or less time than that, though, depending on the patient.
Kids’ teeth generally move faster than adults’ teeth.
Hello first of all thank you for your nice videos and simple explantion doc,and can you please tell me how the treatment plan will start in this situation? Do you use 12 niti wire then going for 14 and placing an open coil? Or you use 14 niti from the start and placing an open coil from the begining? And also can you use the normal elastic instead of steel tie on the bracket? And thank you
We start with .014” NiTi wires and we place open coil on those wires if we need to open space. We do not use .012” wires in our office.
You can use normal elastics with an open coil spring if you want to but the teeth adjacent to the open coil spring are more likely to rotate than if you tie them in with steel ties. Just remember to snug the steel tie down but don’t tie it so tight that the bracket can’t slide along the arch wire. If you place the steel tie too tight the open coil can’t slide the bracket along the wire to open the space.
@@likeabossproductions1254 thank you very much for your respontse
Kindly explain how to revert to the right angle of the front upper 6 teeth which were retroclined towards inside due to wrong orthofontic treamnet which resulted in rollercoaster effect
Assuming that the brackets have been properly placed, you would work your way through the sequence of archwires until you could place a large rectangular archwire, like a .017”x.025” NiTi if you’re using .018” slot brackets or a .019”x.025” NiTi or larger if you’re using .022” slot brackets. Then you leave that wire in place for 4 months or so to give it time to correct the torque of the teeth. Maybe have the patient wear 4Tri elastics during that time, too, if the premolars aren’t occluding due to the rollercoaster effect. (Please see my video on Elastics & Occlusion if you’re unsure what 4Tri elastics are.)
DR, do you have any teaching video on ap space closure / two stage or enmass retraction? 🙏🏻🙏🏻
Greetings. Please advise duration for change of various orthodontic wires, coils, springs, elastics and appliances
You use each of the wires and auxiliaries until it’s done what you need it to do. For example, you use the spring for as many weeks or months as it takes to open the space that you need to be able to align a tooth. If it’s a little bit of space, it might only take one month but if it’s a lot of space it might take six months. It just depends on the needs of the patient.
@@likeabossproductions1254 On average, if it's a case for mild to moderate class II or III where extractions of 4's or 4's and 5's are required I understand the mechanics behind is dependent on cases, please advise the duration of wire change starting from 0.012-0.016 Niti round, then 0.017x0.025 Niti round following 0.017x0.022 Niti round and 0.016x0.022 SS rectangular, is that 2 months interval, please advise
Yes, generally I follow a two month interval per archwire unless there is some reason to leave the wire in longer. The .016x.022 steel wire usually stays in longer than that because you’re putting detail bends in at each appointment until all of the teeth are perfectly straight.
I have a gap in my 2 front teeth and my ortho put a closed coil on those 2 teeth can u explain why he would do that if my main goal is to close the gap.
I’m not sure. There is a lot of information that has to be assessed when making treatment decisions and, unfortunately, I don’t have any of it. However, you should always feel free to ask your orthodontist why they are doing what they’re doing. If you ask politely, most orthodontists don’t mind explaining what they’re doing and why. It makes us feel smart! 😂
What wire size we use with open coil spring ?
Great question! We place open coil spring on any wire .014" NiTi or larger. There will be some small rotations as the space opens but everything will align nicely after you have enough space to engage the blocked out tooth.
How long does one have to put on the coil spring? Mine's almost two months and a half but no response from my dentist. Its an open coil spring
Open coil spring is meant to push a space open so it stays in place until it’s pushed the space as open as it needs to. For some people that’s one month but for others it could be six months or more. It just depends on how fast the persons teeth move.
The doctor just needs to make sure that the OCS stays active, meaning that the spring is compressed and is actively pushing. Once the OCS has pushed all the space open that it can, it will be passive (not actively pushing any more). If more space is still needed, the Dr will have to reactivate the OCS by either replacing the existing OCS with a longer one or by placing a crimp on the wire that compresses the OCS, thus reactivating it. I hope that makes sense.
@@likeabossproductions1254 thank you so much. You've made it much easier to comprehend ❤👍🏻
i have the coil in my braces and it bended what do i do the orthodontist is closed today :(
Try to gently push in on the bent part of the wire to get it to go straight again. The spring should recompress as it goes back into a straight line between the braces. I hope that helps!
is it possible to use it at initial 14NITI wire
Yes.
Can u do an O tie instead of a ligature?
An o tie on a twin bracket next to an active open coil spring will likely result in that tooth rotating while the OCS pushes it sideways. A steel ligature prevents that rotation. If the brackets are self ligating, though, no steel ligature is needed.
I hope that helps!
An o tie on a twin bracket next to an active open coil spring will likely result in that tooth rotating while the OCS pushes it sideways. A steel ligature prevents that rotation. If the brackets are self ligating, though, no steel ligature is needed.
I hope that helps!
An o tie on a twin bracket next to an active open coil spring will likely result in that tooth rotating while the OCS pushes it sideways. A steel ligature prevents that rotation. If the brackets are self ligating, though, no steel ligature is needed.
I hope that helps!
@@likeabossproductions1254 thank unso much learned a lot from Ortho Assistant here thanks again Doc
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You bet! I’m glad you found the video useful! 😎👍