Phase 1 Wire Sequence

Phase 1 Wire Sequence: Why I Do Sectional Wires Sectional Wires and Cynch

As an orthodontist, I have had the opportunity to work with various wire sequences over the years. However, one of my go-to options for Phase 1 treatment is the sectional wire sequence with the addition of Cynch.

The sectional wire sequence

This approach uses wires of different sizes and shapes to target specific mouth areas. Using wires customized to each arch section, you can apply precise forces that facilitate tooth movement and alignment. This approach is useful during Phase 1 treatment, where you are trying to establish a solid foundation for permanent dentition.

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One of the advantages of the sectional wire sequence is that it allows you to make adjustments as needed. If a particular tooth is not responding to treatment as expected, you can switch out the wire in that section to a different size or shape. This level of customization is not possible with a traditional wire sequence, where the same wire is used throughout the entire treatment.

Cynch

This small device can be added to the wire to help prevent it from slipping out of the bracket slot. Cynch creates a slight indentation in the wire, which helps anchor it in place. This is useful in cases where the patient has a deep bite or other issues that make it difficult to keep the wire in place. Using Cynch, you can ensure that the wire stays where it needs to be, which can help to speed up treatment and reduce the need for frequent adjustments.

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Another advantage of Cynch is that it can help to reduce friction between the wire and bracket. When the wire moves through the bracket slot, there is some resistance, which can slow down treatment progress.

Wrapping Up

When you start Phase 1 orthodontic treatment, it's important to use sectional wires and cinching initially on light wires. This is because it helps to make the arches the right size to create space, which is crucial for avoiding the need to pull out permanent teeth or cause impactions. By using sectional wires and cinching, you can ensure that the teeth move in the right direction and avoid unnecessary complications.

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Remember that the ultimate goal of Phase 1 treatment is to create a healthy foundation for permanent teeth to grow into. The right techniques and tools can set the stage for a successful orthodontic treatment. If you need help with how to get started, there are plenty of resources available online, including my YouTube channel and website, which offer courses on Phase 1 treatment.