I N S I G H T O R T H O D O N T I C. Three Common Missed Opportunities in Social Media Dr. Leon Klempner, DDS, Diplomate ABO Page 4 (Article)

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1 Issue Three O R T H O D O N T I C I N S I G H T A C E R U M O R T H O N E W S L E T T E R & S P E C I A L A C A N A D I A N C O M P A N Y ADVANCING THE FUTURE OF ORTHODONTICS Three Common Missed Opportunities in Social Media Dr. Leon Klempner, DDS, Diplomate ABO Page 4 (Article) Class II Correction with The Twin Force Bite Corrector Dr. Bruce McFarlane DMD, BScD, MCID, FRCD(c), Diplomate ABO Page 5 (Article) Class II Correction with the Carriere Distalizer Dr. Luis Carrière DMD, MSD, PhD. Page 6-9 (Article)

2 CE Courses Learn How to Grow Your Practice With Social Media Dr. Leon Klempner, DDS, Diplomate ABO In this seminar you will learn how to: Use social networking to engage your current patients, so they refer friends. Use blogs, Facebook, Twitter and YouTube to enhance your credibility Enhance your practice s online reputation Dr. Leon Klempner has been a diplomat of the American Board of Orthodontics since He received his Doctor of Dental Surgery from the University of Maryland in 1975 and his certification in Orthodontics from Tufts University in Dr. Klempner is on the teaching faculty of two dental schools, and has lectured both nationally and internationally on the subject of early orthodontic treatment. He has over 25 years of clinical experience using fixed and removable appliances in the primary and mixed dentition. His work has been published in both the Journal of Clinical Orthodontics and the American Journal of Orthodontics and Dentofacial Orthopedics. He is currently practicing on Long Island, New York. Dr. Klempner is also the founder of People & Practice ( a social media marketing consultancy for dentists that builds the online credibility of doctors through social media leading to more patient referrals and speeding time to start. 9 AM Noon Why your practice needs SM to survive Rethink your marketing using Facebook, Twitter, Pinterest, Youtube, Blogs Changing referral patterns Google searches Monitor your Digital Reputation Return on your Investment Class II Treatment 1 PM 4 PM Diagnosis skeletal v. dental Early function jaw orthopedics twin block Carriere Distalizer How and why it works Shorten Tx time Advantages Use with Invisalign Unilateral Cl ll s Numerous clinical cases TORONTO Oct 18, 2013 CALGARY Nov 1, 2013 VANCOUVER Nov 2, 2013 HALIFAX Nov 22, 2013 Course dates, cities and content are subject to change. 2 For further details and to register contact or or register online at

3 Class II Correction Demystified O N E D A Y C O U R S E Dr. R. Bruce McFarlane DMD BScD MClD FRCD(C) Diplomate: American Board of Orthodontics Dr. McFarlane received his dental degree in 1984 from the University of Manitoba where he also served as an Associate Professor of Graduate Orthodontics from He received his Masters of Clinical Dentistry in Orthodontics in 1992 from the University of Western Ontario. He is a Fellow of the Royal College of Dentists of Canada, and a Diplomate of the American Board of Orthodontics. Dr. McFarlane is also a recent Inductee into the Pierre Fauchard Honorary Dental Academy. Dr. McFarlane maintains a private orthodontic practice in Winnipeg, Canada. He is an internationally renowned speaker, and was a leading pioneer lecturer for a clear aligner orthodontic company. He serves as an orthodontics educator for Ortho Organizers in Carlsbad, CA and Cerum Ortho Organizers in Canada, and has given numerous lectures for the American and Canadian Associations of Orthodontics. His latest penchant, however, is giving back through McFarlane Missions, which provides dental and medical volunteer trips to third world countries. COURSE CONTENT & GOALS The Premise: Class II malocclusion are amongst the most studied in the orthodontic literature, and many devices exist to address them. The most recent trends are toward low-force, low resistance devices that work predictably without a great deal of commitment from the patient. This One-Day Course: Will explore Class II correction at various time points in the treatment, and with various devices. Which one to choose; when and why will be explored. From molar distalization to fixed functional devices and everything in between the concepts and choices for modern Class II correction will be clarified. Objectives: The choice between molar distallization and/or fixed functional Class II correction When to incorporate one, the other, or both into a particular patient s regimen How to combine efficient Class II correction with reduced friction devices for enhanced treatment outcomes in shorter time periods. How to make all of this more esthetic and less visible. As alway with Dr. McFarlane the day will be fast-paced, engaging, and entertaining. Please join us! CANADA LECTURE SERIES HALIFAX February 21, 2014 MONTREAL February 22, 2014 REGINA February 28, 2014 VANCOUVER March 1, 2014 Biominimalism in Orthodontics AS IT APPLIES TO SELF LIGATION, 3RD GENERATION WIRES & DISTALIZATION Dr. Luis Carrière DDS, MSD, PhD. Ph.D. Degree University of Barcelona (Cum Laude) (UB) 2006 DDS degree by the University Complutense of Madrid (UCM) MSD degree by the University of Barcelona (UB) Winner of the Joseph E. Johnson Award. American Association of Orthodontists. San Francisco May Inventor of the Carriere Distalizer and the Carriere SLB Dr. Carriere has been the invited Professor at the Orthodontic Departments in several Universities of USA, Europe, and Asia Dr. Carriere is an international lecturer and inventor of the Carriere Distalizer and the Carriere Self-Ligating Bracket Systems. He received his PhD in Odontology Cum Laude from the University of Barcelona in 2006, following under and graduate degrees from the Universidad Complutense of Madrid and the University of Barcelona, respectively. Dr. Carriere is also the winner of the prestigious Joseph E. Johnson Award from the American Association of Orthodontists. Dr. Carriere is in private practice at the Carriere Orthodontic Centre in Barcelona and is an invited professor at the Orthodontic Departments at several universities. COURSE CONTENT & GOALS Introduction Biominimalism Biomimetics Working Closer to nature Innovation in the design of the different components for a Biominimalist orthodontic system Carriere System Carriere Bracket & Distalizer Resolution of orthodontic space problems related to friction created Types of orthodontic displacement according to the variable of Space Clinical considerations New technology wires in the achievement of a biological friendly action Archwire sequencing in different stages Case reports Conclusions CANADA LECTURE SERIES TORONTO May 23, 2014 CALGARY May 24, 2014 Course dates, cities and content are subject to change. For further details and to register contact or or register online at 3

4 Three Common Missed Opportunities in Social Media I m fortunate enough to be invited to lecture to my dental colleagues on social media, and it provides me the opportunity to meet and talk with dentists across the country. I am always amazed at the number of my colleagues that don t take advantage of even the most basic online marketing opportunities that are so readily available. Here are the three easiest and least expensive marketing tips ignored by most of your colleagues: Claim your Google+ Local Business Page Dr. Leon Klempner, DDS, Diplomate ABO PEOPLE & PRACTICE LLC Dr. Leon Klempner has been a diplomat of the American Board of Orthodontics since He received his Doctor of Dental Surgery from the University of Maryland in 1975 and his certification in Orthodontics from Tufts University in Dr. Klempner is on the teaching faculty of two dental schools, and has lectured both nationally and internationally on the subject of early orthodontic treatment. He has over 25 years of clinical experience using fixed and removable appliances in the primary and mixed dentition. His work has been published in both the Journal of Clinical Orthodontics and the American Journal of Orthodontics and Dentofacial Orthopedics. He is currently practicing on Long Island, New York. Based on the success of his own practice, Dr. Klempner founded People & Practice ( a social media marketing consultancy that helps other dentists grow their practices through greater online visibility, a strong digital reputation and enhanced patient loyalty. Google Places has been replaced by Google+ Local. This is Google s entry into the social media arena and is very important for SEO (Search Engine Optimization) due to its integration with Google search, Google maps and Zagat. This is a free service and it s very likely that dentists with an active Google+ social presence will enjoy higher visibility and more online reviews than their competition. Monitor Your Reviews Reputation management has always been important, but with online reviews it is now imperative. All dentists must continually monitor the web for all positive as well as potentially negative comments. Both types should be responded to quickly, especially the latter. The goal is to demonstrate that you re responsive, and then quickly and concisely take the conversation offline. The shorter your response, the less opportunity there is to trigger additional negativity. And you must always be polite, no matter how strongly the negative review makes you feel. The bottom line: address the review quickly, empathize with the reviewer, speak politely and drive the conversation offline. Demand Geographic Exclusivity Social Media Marketing is recognized as a crucial component of any dental practice s growth plan. And let s face it it s a competition for patients. That means it doesn t make sense to hire a company that also represents your competition. There is an inherent conflict of interest. However most dentists are represented by companies that provide identical services to their local competitors. Demand geographic exclusivity from your marketing support teams. People & Practice, LLC is dedicated to helping dentists enhance their online visibility, strengthen their digital reputation and build patient loyalty, leading to more patient referrals and speeding time to start. 4 Phone: Fax:

5 Class II Correction with The Twin Force Bite Corrector Indication: Non-compliance Class II correction in growing individuals Mechanism: Twin Force Bite Corrector Two spring-loaded modules that are attached via clamps to archwires mesial to upper first molars and distal to lower canines Figure 1. Dr. R. Bruce McFarlane DMD BScD MClD FRCD(C) Diplomate: American Board of Orthodontics Dr. McFarlane received his dental degree in 1984 from the University of Manitoba where he also served as an Associate Professor of Graduate Orthodontics from He received his Masters of Clinical Dentistry in Orthodontics in 1992 from the University of Western Ontario. He is a Fellow of the Royal College of Dentists of Canada, and a Diplomate of the American Board of Orthodontics. An Inductee into the Pierre Fauchard Honorary Dental Academy Dr. McFarlane maintains a private orthodontic practice in Winnipeg, Canada. He is an internationally renowned speaker, and was a leading pioneer lecturer for a clear aligner orthodontic company. He serves as an orthodontics educator for Ortho Organizers in Carlsbad, CA and Cerum Ortho Organizers in Canada, and has given numerous lectures for the American and Canadian Associations of Orthodontics. His latest penchant, however, is giving back through McFarlane Missions, which provides dental and medical volunteer trips to third world countries. Effects: Class II correction through mandibular posturing that leads to condylar and glenoid fossa remodeling, and dentoalveolar Class II correction. Headgear effect to maxilla. Figure 2 shows a Class II facial profile prior to Twin Force therapy. Figure 3 demonstrates the devices in place - in this case for six months. Figure 4 shows the post - Twin Force facial profile. Clinical TIPS Time: Approx. 1mm of A-P change per month. Overcorrection is recommended Setup: 19 X 25 SS archwires upper and lower. Steel-ties to lower canines Cinch back lower archwire to avoid excess proclination of lower incisors and space opening. Figure 3 Figure 5 Figure 6 Figure 1 Figure 2 Figure 4 Midline discrepancies can be managed with different lengths of TwinForce: left and right. TwinForce can be reactivated by sliding the lower clamp distally and/or the upper clamp mesially. Figures 5 and 6 show the device moved more distally on the lower archwire for renewed activation. Cautions: Watch lower incisor proclination and labial gingival attachment. Twin Forc e is most effective in brachyfacial, flat mandibular plane, deep bite individuals. Less predictable in vertical growth patterns. Monitor TMJ health as devices are worn. Caution patients to avoid wide opening, blows to mouth. Phone: Fax:

6 Class II Correction with the Carriere Distalizer Appliance Introduction In the Class II malocclusions, there is a group due to a dentomaxillary protrusion that may require distalization of maxillary posterior segments and avoid the extraction of upper first premolars. Cases of the same type with space problems in maxillary incisors may also require distalization of posterior segments to recover space without making extractions or protruding the incisors. (Fig. 1&2) Class One Platform We define the Class One Platform as: The interarch relationship in which the occlusal platform comprehended between molars and canines exhibits a perfect matching intercuspidation in Class I, at the same time the Centric Relation coincides with the Centric Occlusion. INVENTOR OF THE CARRIERE SYSTEM Dr. Luis Carrière DDS, MSD, PhD. Ph.D. Degree University of Barcelona (Cum Laude) (UB) 2006 DDS degree by the University Complutense of Madrid (UCM) MSD degree by the University of Barcelona (UB) Winner of the Joseph E. Johnson Award. American Association of Orthodontists. San Francisco May Inventor of the Carriere Distalizer and the Carriere SLB Dr. Carriere has been the invited Professor at the Orthodontic Departments in several Universities of USA, Europe, and Asia Dr. Carriere is an international lecturer and inventor of the Carriere Distalizer Appliance and the Carriere Self-Ligating Bracket Systems. He received his PhD in Odontology Cum Laude from the University of Barcelona in 2006, following under and graduate degrees from the Universidad Complutense of Madrid and the University of Barcelona, respectively. Dr. Carriere is also the winner of the prestigious Joseph E. Johnson Award from the American Association of Orthodontists. Dr. Carriere is in private practice at the Carriere Orthodontic Centre in Barcelona and is an invited professor at the Orthodontic Departments at several universities. Figure 1 Figure 2 The resolution of Class II malocclusions without severe skeletal disharmonies can be carried with a variety of appliances. First and oldest is the extraoral traction designed by Kloehn, followed by the Wilson arch with his mechanics by modules and the Cetlin removable plate. Other appliances are: Nitinol coil springs, pendulum appliance, Jones jig, repelling magnets, etc. They produce mainly a dental effect. There is another group, like the Herbst appliance, Jasper Jumper, Bite corrector, Forsus, Bite Fixer, Bite Block etc. which have an added skeletal effect by pulling the mandible forward with a concomitant result of molar distalization. There is a common characteristic in all of them, they distalize the maxillary molars as a single unit. There is the exception of Cetlin s plate, which advocates that distalization of maxillary molars with his removable appliance, pulls distally, in a certain degree, the second premolars by the effect of transeptal fibres. With the mentioned appliances, after first molars have been distalized, maxillary premolars and canines have to be distalized in a sequence of movements until they get into contact with the maxillary molars. This sequence of movements takes longer treatment time and pays a token in terms of anchorage loss with a mesial drift of molars, into the already created space. In this article we propose an appliance of new design, which distalizes the group of posterior teeth as a block in the same operation, from maxillary canines to molars. After distalization of buccal segments is accomplished, the case is in the position which we denominate Class One Platform. From this stage on, the case can be finished in an easier manner with the technique of the clinician s choice. The Distalizer presented here could be considered a Disposable Treatment Starter. Figure 3 This is a clear position to which we look forward when we want to avoid extractions in a Class II case (Fig. 3). The first priority of the system is to correct the posterior occlusion to a true Class One Platform. The key factor to accomplish this is a combination of distal rotation, uprighting and distalization of the maxillary molars together with premolars and canines, at the same time, as a block. Functional requirements of the Distalizer appliance Simplification of function has been the basic intention. The requirements pursued for the desired function of the appliance have been: 1. Distalize posterior segments in a block. 2. Obtain a univectorial dental movement. 3. Try to eliminate the internal binding forces that appear in every successive wire activation, which appears in the conventional systems of distalization. 4. Mild uniform impulse. 5. Passive appliance exclusively activated by Class II elastics. Morphology and description of the appliance Our attention was driven to apply a natural force, with the intention to work close to a natural function. In nature every element has an adequate design for its function. Nature imitation has given us the path for the design of a minimalist double articulated structure. Figure 4 Related to its morphology, the Distalizer is a nature objectified design, a result of Biomimetics. (Fig. 4) 6 Phone: Fax:

7 It is constituted of two parts: 1. The anterior segment: It has pad, which is bonded on the canine and carries a hook for insertion of Class II elastics. It is extended distally by a half-round section arm, which runs in a posterior direction over passing the two upper premolars with a mild curve that ends in a sphere. 2. The posterior segment: Bonded on the molar, has a socket that receives the sphere or condyle. Both parts are articulated and work like the human joint of the hip. Statistical measurements have been taken of the different sizes of teeth and the device is manufactured in different sizes. Biomechanics The conceptual approach to the biomechanics has been the development of a new category of orthodontic displacement, avoiding the binding effect. Teeth are treated as independent but interrelated units. Based on how teeth move spontaneously in dental arches, they are orthodontically displaced in a controlled way with a light force, but their difference and independence of response is preserved. Biomechanically the device calls for a two part appliance united by a joint that allows the expression of two completely different kinds of movement. The Distalizer is attached to the upper canines and to the maxillary first molars. Both have a different position in the dental arch, which needs an individual approach for their dental displacement. The maxillary canine requires a bodily movement along the corner of the alveolar ridge with control in the inclination of its longitudinal axis. The anterior pad portion of the device is rigidly bonded to the canine. It directs the movement without change in the angle between the arm of the device and the longitudinal axis of the cuspid. Figure 5 Figure 6 The maxillary molar requires a combination of three movements, 1) a distal rotation around the palatal root, 2) a controlled distal displacement and 3) a body distalization with the particularity to prevent the distal inclination of the crown of the molar. This corresponds to the posterior part of the Distalizer. (Fig. 5 & 6) The movement of the molar is independent and qualitatively different of the movement in the cuspid. Both movements must be independent, as it is their functional environment, but at the same time they must be connected to express a simultaneous response, as a group. The two upper premolars are orthodontically displaced between the maxillary molars and canines. The device has been designed to perform: 1. A free but limited movement. Figure 7a Figure 7b 2. Correct the mesial inclination of the crown of maxillary first molars. For this purpose, the mesial arm of the Distalizer has a downward movement of 10 degrees. The posterior part has a vertical line engraved in the middle. This has to be placed coincident with the longitudinal middle axis of the molar when bonding it. (Fig. 7a & 7b). After the crown of the upper first molars, have been uprighted, the polar cuts of the ballhead will prevent the excess of distal inclination. Figure 8 3. Limit the molar over-rotation in the distal movement, (toe in). Once accomplished the adequate rotation of about 15º, the shoulder of the posterior base collides with the arm of the device and stops the rotation. (Fig. 8). In cases of exaggerated mesial rotation, the wide lateral opening in the buccal direction of the arm permits an easy placement. 4. Control of torque movement in the molars along the distalization by means of the polar cuts incorporated in the ball head. (Fig. 9). After the three movements: Uprighting, Over-rotation, and Control of Torque have been Figure 9 accomplished, the case continues with a distal pure movement to arrive to the needs of distalization of the case in treatment. So it works as a self engineered appliance, able to adjust automatically its function as treatment is in progress. 5. It is passive when not using elastics Class II type. 6. The device is of universal use with any of the existing orthodontic techniques. The main biomechanical characteristic lays in the freedom of fit of the human like joint that connects the two parts of the appliance. The three different movements are limited by the stops incorporated in the morphology. The collision points convert the device in a self-engineered appliance, with a predetermined sequence of movements Indications for the Distalizer Class II Division 1 and Class II Division 2, non extraction cases, in permanent and in mixed dentitions, symmetrical and asymmetrical. Its use is being extended to many Class I and Pseudo Class I cases with a mesial migration of maxillary molars. It is indicated as a starter of a case. Once the Class One Platform is achieved, the treatment complication is simplified and the case has more possibilities to be treated in a more conservative approach. In Class II and Class I with 4 extractions proposal, in which extractions in the maxilla might have a negative impact in the nasolabial angle with a retruded upper lip, extractions can be avoided in the maxilla to accomplish a more aesthetic facial result. It has also possibilities in the treatment of Class I cases with hypoplastic maxilla, to improve facial esthetics, and in Class I cases with crowding in maxillary anterior segments. Some Class III cases. Treatment protocol In Class II cases accepted to be treated with distalization of maxillary teeth, the only way to distalize canines to a true Class One, is through distalizing and recovering the hidden space lost distal to them. Figure 10 When we work with the Distalizer, the first sign of a good treatment progress is the appearance of open spaces mesial to the upper canines and evident diastemas in the upper incisors (Fig. 10). To consolidate the Class I and to prevent the tendency to relapse to the former distocclusion, it is of outmost importance to overcorrect the neutrocclusion of canines to a position, which we call a Super Class One. It is advisable to continue the distalization process until the distal incline plane of the upper canine establishes a contact against the mesial incline plane of the lower first premolar. Figure 11: Force 1 and 2 Elastics Phone: Fax:

8 Use of Class II elastics ELASTICS TRACTION Alternative I - For Convergent Patients Force 1/First Month: CLASS II Elastics: 6 oz., ¼, full time wear Force 2 /After the First Month: CLASS II Elastics: 8 oz., 3/16, full time wear Alternative II - For Divergent Patients Force 1 Daytime Wear: CLASS II Elastics: 6 oz., ¼ Force 2 Nighttime Wear: CLASS II Elastics: 8 oz., 3/16 Instruct patients to wear elastics 24 hours a day except when eating because of the vertical force vector that opening the mouth while chewing produces. A predominantly vertical force vector may result in a mild extrusion of the cuspids during distalization. Night-time wear can compensate for this phenomenon because it produces a more horizontal vector of traction but will prolong the distalization period. Patients should change their elastics after each time they eat. (Source of anchorage Vacuum Passive aligner Essix style) POSSIBLE SOURCES OF ANCHORAGE FOR THE DISTALIZER Once a case is selected to follow a distalizer treatment, the next decision is the source of anchorage. This can be of different types according to the needs of the case and the decision is in the hands of the clinician. Lower Essix The Essix type appliance is the preferred appliance to be used as a base of support for insertion of Class II elastics. A.040 layer of Essix material type A is the ideal for making it. For the insertion of Class II elastics a regular tube with a mesial hook must be bonded in the first or if possible in the second lower molar. This fits in a window previously cut in the Essix material. Lingual Arch It runs in contact with the lingual side of the mandibular dentition. When the case that we consider presents an ideal lower dental arch without crowding. It is made with.036 wire and must be completely passive adapted to the inner contour of the mandibular dental arch. The distal ends are inserted in the lingual tubes of the lower molars, run in a mesial direction in contact with the middle third of the lingual side of the crown of the premolars, and extend to an upper level above the cingulum of the canines and incisors. The lingual arch holds the Class II traction of elastics. When second lower molars are fully erupted, it is advisable to band them, to take advantage of getting more force from elastics, a more horizontal direction of traction and better resistance of the lower arch in terms of anchorage. Miniscrews This is the most reliable system for holding anchorage. Mini screws are best placed in the space between first and second mandibular molars. Micro implants are best placed in the mandible through the attached gingiva for better insertion of Class II elastics. They have to be placed in the buccal area between first and second lower molars in the zone of more density of cortical bone. Full bonding of mandibular arch In cases that present a marked Curve of Spee or a mild crowding in the mandibular arch, which are accepted by diagnosis as non extraction cases, it is advisable to bond brackets on the lower dental arch to support the Class II elastic traction. The source of anchorage selection is a clinical decision of the orthodontist for every particular case in terms of maintaining the anterior limit of lower incisors not to be moved forward because of anchorage loss. Patient cooperation The Distalizer is used in the first 3 to 6 months of treatment when compliance is best. The simplicity as well as the fact that upper incisors are left without any appliance in the maxilla help in the acceptance. The novelty of the design plus comfort of use, make it easy to receive good cooperation. The patient is stimulated by the immediate results of seeing the appearance of diastemas in upper incisors. This characteristic is informed in advance to the patient as a favourable progress of distalization and a reward for the good cooperation. It is a good deal for the patient to cooperate and receive in exchange the benefit of avoiding the extraction of two upper premolars. Clinical application Before proceeding to bond the Distalizer, the measure of the size needed must be taken. Measurement is made with a pair of callipers or with an enclosed disposable ruler. The measurement is made from the geometric midpoint of the buccal face of the first maxillary molar, to the midpoint of the maxillary canine crown. In cases with an inaccessible high cuspid, the Distalizer can be bonded on the first premolar. This is an alternative to distalize this segment and provide space for the blocked out upper cuspid to erupt. The bonding procedure starts in the posterior part. The sequence to follow after etching and application of sealant is to place bonding material on the two pads of the device. The molar part is positioned in the geometrical centre of the buccal side of the molar with a thumb pressure. In this position, it is light cured. The canine pad already filled with composite allows time enough to the operator to position it correctly. After which it is light cured in a second operation. When bonding on the canine, we have to make emphasis in the convenience of bonding the anterior pad slightly advanced, on the mesial third of the vestibular surface of the crown of the canine, and not in the midline of the canine crown. The Carriere Distalizer for Class III malocclusions We have designed a Carriere Distalizer special for Class III cases that do not present a degree of skeletal discrepancy important enough as to require surgical approach. Those cases can benefit from the same distalizing principle as the one presented for the Class II s. The posterior bucal segments from the molars to lower cuspids of the mandibular dental arch are distalized, as a block with the Carriere Distalizer Class III. For this purpose are used Class III elastics and anchorage is provided in the maxilla by three different procedures: An Essix plus buccal tubes with a mesial hook, bonded on the first or second maxillary molars, full bonding of maxillary dental arch or Mini Implants. The morphology of the Class III Distalizer is a one-piece device in which the distal arm that runs from a molar pad to a cuspid pad in the mesial end that carries a hook for the insertion of Class III elastics. The protocol of treatment is a first stage in which it is accomplished a distalization of the lower buccal segments to a Class One Platform. After this procedure the case is treated as a Class I with Carriere SLB brackets, to retract and finish the case. Figure 12 Fig 12: New Carriere Aesthetic Distalizer (Available in 2014) 8 Phone: Fax:

9 BEFORE Carriere Distalizer Appliance Cases Class II & III AFTER Fig 13 a-b: Patient 15 years old, 3 months of Distalizer. Before-After Aesthetic Distalizer. Class II Figure 13 a Figure 13 b Fig 14 a-b. Patient 16 years old, 3 months of Distalizer. Before-After. Metalic Distalizer. Class II Figure 14 a Figure 14 b Fig 15 a-b. Patient 14 years Old, 4 months of Distalizer. Before-After. Metalic Distalizer. Class II Figure 15 a Figure 15 b Fig 16 a-b: Patient 32 years old, 3 months of Distalizer. Before-After. Class III case. Class III Figure 16 a BIBLIOGRAPHY 1. McNamara JA Jr, Brudon WL. Orthodontics and dentofacial orthopedics. Ann Arbor, Mich: Needham Press; Cangialosi TJ, Meistrell ME, Leung MA, Ko JY. A cephalometric appraisal of edgewise Class II nonextraction treatment with extraoral force. Am J Orthod 1988;93: Hubbard GW, Nanda RS, Currier GF. A cephalometric evaluation of nonextraction cervical headgear treatment in Class II malocclusion. Angle Orthod 1994;64: Haas AJ. Headgear therapy: the most efficient way to distalize molars. Semin Orthod 2000;6: Cetlin NM, Ten-Hoeye A. Nonextraction treatment. J Clin Orthod 1983;17: Ferro F, Monsurrò A. Perillo L. Sagittal and vertical changes alter treatment of Class II Division 1 malocclusion according to the Cetlin method. Am J Orthod Dentofacial Orthop 2000;118: Wilson WL, Wilson RC. Multi-directional 3D funtional Class II treatment. J Clin Orthod 1987;21: Muse DS, Fillman MJ, Emmerson WJ, Mitchell RD. Molar and incisor changes with Wilson rapid molar distalization. Am J Orthod Dentofacial Orthop 1993;103: Rana R, Becher MK. Class II correction using the bimetric dislalizing arch. Semin Orthod 2000;6: Blechman AM. Magnetic force systems in orthodontics. Am J Orthod 1985;87: Gianelly AA, Vaitas AS, Thomas WM. The use of magnets to move molars distally. Am J Orthod Dentofacial Orthop 1989;96: Itoh T. Tokuda T, Kiyouse S, Hirose T, Matsumoto M, Chaconas SP. Molar distalization with repelling magnets. J Clin Orthop 1991;25: Bondemark L, Kurol J. Distalization of maxillary first and second molars simultaneously with repelling magnets. Eur J Orthod 1992;14: Bondemark L, Kurol J, Bernhold M. Repelling magnets versus superelastic nickeltitanium coils in simultaneous distal movement of maxillary first and second molars. Angle Orthod 1994;64: Figure 16 b 15. Gianelly A, Bednar J, Dietz V. Japanese NiTi coils used to move molars distaly. Am J Orthod Dentofacial Orthop 1991;99: Gianelly A. Distal movement of the maxillary molars. Am J Orthod Dentofacial Orthop 1998;114: Locatelli R, Bednar J, Dietz V, Gianelly A. Molar distalization with superlastic NiTi wire. J Clin Orthod 1992;26: Jones R, White J. Rapid Class II molar correction with an open coil jig. J Clin Orthod 1992;26: Gulati S, Kharbanda OP, Parkash H. Dental and skeletal changes after intraoral molar distalization with sectional jig assembly. Am J Orthod Dentofacial Orthop 1998;114: Runger ME, Martin JT, Bukai F. Analysis of rapid molar distal movement without patient cooperation. Am J Orthod Dentofacial Orthop 1999;115: Haydar S, Üner O. Comparison of Jones jig molar distalization appliance with extraoral traction. Am J Orthod Dentofacial Orthop 2000;117: Brickman CD, Sinha PK, Nanda RS. Evaluation of the Jones jig appliance for distal molar movement. Am J Orthod Dentofacial Orthop 2000;118: Carano A, Testa M. The distal jet for upper molar distalization. J Clin Orthod 1996;30: Ngantung V, Nanda RS, Bowan SJ. Posttreatment evaluation of the distal jet appliance. Am J Orthod Dentofacial Orthop 2001;120: Bolla E, Muratore F, Carano A, Bowman J. Evaluation of maxillary molar distalization with the distal jet: a comparison with other contemporary methods.angle Orthod 2002;72: Keles A. Maxillary unilateral molar distalization with sliding mechanics: a preliminary investigation. Eur J Orthod 2001;23: Kelles A, Pamukcu B. Bilateral maxillary molar distalization with sliding mechanics: Keles Slider. World J Orthod 2002;3: Hilgers JJ. The pendulum appliance for Class II non-compliance therapy. J Clin Orthod 1992;26: Ghosh J, Nanda RS. Evaluation of an intraoral maxillary molar distalization technique. Am J Orthod Dentofacial Orthop 1996;110: This article has been published with express written permission of Doctor Luis Carriere Phone: Fax: Byloff FK, Darendeliler MA. Distal molar movement using the pendulum appliance. Part 1: Clinical and radiological evaluation. Angle Orthod 1997;67: Byloff FK, Darendeliler MA. Distal molar movement using the pendulum appliance. 32. Part 2: The effects of maxillary molar root uprighting bends. Angle Orthod 1997;67: Bussick TJ, McNamara JA. Dentoalveolar and skeletal changes associated with the pendulum appliance. Am J Orthod Dentofacial Orthop 2000;117: Joseph AA, Butchard CJ. An evaluation of the pendulum distalizing 35. Kalra V. The K-loop molar distalizing appliance. J Clin Orthod 1995;24: Keles A, Sayinsu K. A new approach in maxillary molar distalization: intraoral bodily molar distalizer. Am J Orthod Dentofacial Orthop 2000;117: Fortini A, Lupoli M. Parri M. The first class appliance for rapid molar distalization. J Clin Orthod 1999;33: Pancherz H. The mechanism of Class II correction in Herbst appliance treatment: a cephalometric investigation. Am J Orthod 1982;82: Steiner CC. The use of cephalometrics as and aid to planning and assessing orthodontic treatment. Am J Orthod 1960;46: Ngantung V, Nanda Rs, Bowman SJ. Posttreatment evaluation of the distal jet appliance. Am J Orthod Dentofacial Orthop 2001;120: Burkhardt DR, McNamara JA Jr, Baccetti T. Maxillary molar distalization or mandibular enhancement: a cephalometric comparion of comprehensive orthodontic treatment including the pendulum and the Herbst appliances. Am J Orthod Dentofacial Orthop 2003;123: Carriere J. La Técnica de Anclaje Inverso y su Ecuación. Aplicación de Razonamiento Cuantitativo al Tratamiento de las Maloclusiones, Quintessenz Verlags-GMBH, en español, Berlín 1990, 1ª edición, Berlín 1993, 2ª edición. 43. Henry R.G Relationship of the maxillary first permanent molar in normal occlusion and malocclusion. 44. Angle E H. New system of regulation and retention. Dent. Register. 1887; 41:

10 Carriere System The Carriere Distalizer (Metal) Class II Correction Appliance shifting the way you think about orthodontics. A huge move in the right direction for orthodontics! To limit extractions and to turn difficult Class II cases into simpler Class I cases is a dream come true for you and your patients. With its sleek, aesthetic and non-invasive design, the Carriere Distalizer Class II Correction Appliance provides greater comfort and shortens treatment time by up to four months. Delivering a natural, gentle and uniform force for distal molar movement with controlled rotation and tipping correction before brackets or other appliances are placed, the Carriere Distalizer Appliance solves complex problems almost effortlessly. Molar Pad Ball Articulates in the socket. Stiff Arm Runs posteriorly over the two upper premolars in a slight curve. Maintains exact space between pre-molars during distalization. Hooks on Pad For attachment of the Class II elastics (1/4 inch, 6 ounces and/or 3 16 inch, 8 ounces). Sleek and Non-Invasive Design delivers greater comfort. Metal Injection Molded (MIM) For strength and proven performance. Fixed Cuspid Pad Allows the distal movement of the cuspid along the alveolar ridge. Master Kit C Standard Kit C Loose but Controlled Forces The ball-and-socket joint provides maximum freedom of movement, but also has built-in stops that allow the molars to move directly to their desired position while preventing any unwanted over-rotation or tipping. 10 Phone: Fax:

11 Carriere Distalizer Appliance A comparison with Forsus Carriere Distalizer Appliance Forsus Fatigue Resistant Device EZ2 Module Profile Class II Usage Yes Yes Class III Usage Inventory Requirements Simply reverse from upper arch to lower arch One right, one left per patient Not specifically designed for Class III. This adaptation requires a lip bumper tube on lower first molar Many components: Left spring assembly, right spring assembly, left push rod, right push rod, and universal split crimps Sizes Twenty-three sizes per right and left for maximum coverage Five Placement Procedures Three Steps: 1. Measure and choose size Appliance must be assembled in 2. Bond to canine and 1st molar or 1st pre-molar to 1st molar the mouth using several steps 3. Activate with Class II Elastics Band Buccal Tube Requirements Activation and Reactivation Archwire Requirements Method of Archwire Attachment Patient Comfort: Mandibular Movement Patient Comfort: Tissue Interaction If holding lingual arch is utilized Essix retainer has no band requirement Either lower bondable button or Bondable Buccal Tube Only Class II elastics needed for activation None, appliance used prior to braces and wires Not Applicable Full lateral, mandibular movement Appliance is very smooth and low profile Molar bands required Doctor must select an occlusal headgear tubes Reactivation is required to maintain force levels and facilitate continued advancement Requires.017" x.025" or.019" x.025" archwire, depending on slot size, with cinch-back wire bends Wraps loosely around the wire and is braced by the cuspid bracket, sometimes debonding the cuspid bracket Sufficient lateral, mandibular movement The large, exposed coil spring can chafe the cheek and gather debris Lab Requirements When using Essix retainer No lab work required Staff Training Your staff can be quickly trained over lunch System requires extensive, detailed training; Required on placement of the appliance a course is recommended Ligation and Anchorage Lower essix, holding lingual arch, or TAD Chain elastics and figure 8 ties are sufficient Appointment One-two appointment, depending upon necessary ancorage Requires at least two appointments Installation Time 6-7 minutes minutes Removal Time 2-3 minutes 4-5 minutes fast natural gentle CarriereSystem.com 2010 Ortho Organiers, Inc. All rights reserved. U.S. Patent No. 7,621,743 and foreign patents. Phone: Fax:

12 Carriere System The Carriere Self-Ligating Bracket System Shifting the way you think about orthodontics. Takes clinical performance and patient outcomes to a new level. Dual-Lock Fasteners in the Bracket Face Cap opens to the incisal/occlusal edge allowing the cap to always stay in the closed position (e.g. during the mastication movements). Smooth Labial Surface of the Locking Mechanism Contoured edges and smooth surfaces provide enhanced patient comfort. Simple Locking Mechanism Opens with the Wire Director and Opener Tool and closes securely with finger. Accessories Hooks Available on 3s, 4s and 5s For maximum versatility. Torque-In-Base/ Compound-Contour For ultimate precision, control and accurate fit. Beveled Edges Mesial and distal edges of the slot have been carefully rounded to reduce friction and enhance sliding mechanics. Tie Wings For chain elastics or conventional ligation (if necessary). The Carriere with the LX Difference Micro-etched surface for increased bond strength. Inset is 100x SEM. Opening Locking Mechanism Place tip of Opener (or instrument such as an explorer) in opening and apply light incisal/occlusal pressure. Seating of the Archwire Fully engage wire before closing the locking mechanism. Closing Locking Mechanism Close the locking mechanism by pressing the door gingivally with your finger. Fig. 1 Carriere System-Double Ended Opener Instrument Fig. 2 Opti-Mim Bite Guide Stainless Steel Composite Fig. 3 Rotation Wedge Silver Clear The Carriere Philosophy. fast natural gentle CarriereSystem.com 2010 Ortho Organiers, Inc. All rights reserved. U.S. Patent No. 7,621,743 and foreign patents. 12 Phone: Fax:

13 Metal & Aesthetic Bracket Systems Discover the Precision, Comfort, and Control of the MIM-Manufactured Maestro Bracket Lowest possible profile reduces occlusal interferences Small footprint is less bulky than conventional twin brackets, minimizing the look and feel Smooth rounded surfaces ensure patient comfort Contoured archwire slot edges mesial-distal to reduce friction Finely Tuned Design for Detailed Finishes In/Outs Built-In, Not Machined for precision and consistency The Maestro Bracket Offers Multiple Visual Cues to Enhance Precise Bracket Placement The geometries of the Maestro Bracket are specifically designed to provide signposts which assist you in positioning brackets in their ideal location. Anatomically contoured base and pad Deep tie-wing undercuts Rhomboid-shaped brackets and pads align with tooth edges Vertical aspects follow long axis of the tooth Long axis scribe line not only runs the entire length of the pad, but also the bracket for an accurate placement cue Constant occlusalgingival heights across the system foster placement repeatability Horizontal aspects run parallel to occlusal plane Specific bracket geometries, such as in this lower lateral bracket, further guide the eye for placement accuracy Optional gingivally offset brackets, on large bonding bases 80 gauge micro-etched bondable mesh pad Maestro A Complete System Maestro Buccal Tubes complete the appliance system. The 80 gauge mesh pad, compound contoured base, and defined buccal indent, provides the practitioner with the precise control needed throughout all phases of treatment. The large funneled entrance, side-grip areas, and colour-coding make for easier identification, placement, positioning, plus wire insertion. The patient will have one of the most comfortable experiences with its smooth shape, low profile, rounded edges, and lowered hook. The Maestro Buccal Tube orchestrates all components of the system seamlessly, providing reduced chair time and increased satisfaction for both practitioner and patient. Maestro Buccal Tubes bondable and weldable are engineered to provide a complete and seamless appliance system Funneled slot opening makes wire engagement easier without adding bulk Torque-in-base Optimized mesial-distal width 2010 Ortho Organizers, Inc. All rights reserved. Phone: Fax:

14 Metal & Aesthetic Bracket Systems NeoCrystal Sapphire Ceramic Bracket System The Crystal Clear Advantage Manufactured from pure monocrystalline material, the NeoCrystal Sapphire Ceramic Bracket is the clear aesthetic choice for your practice. NeoCrystal Brackets are developed from a single crystal sapphire, one of the hardest and clearest materials found in nature. Once machined out of the crystal, the brackets are then annealed for strength and heat polished to perfect any microscopic flaws. The result is an unmatched aesthetic bracket that allows the natural tooth tone to show through, regardless of shade, for a virtually invisible appearance. Featuring Ortho Organizers proprietary Crunch COAT Base and anatomically contoured base radii, the NeoCrystal Bracket provides the exceptional performance you demand. Unmatched Aesthetics Pure monocrystalline material for a transparent, natural appearance Stain resistant throughout treatment Designed for Patient Comfort Heat polished for a remarkably smooth surface Low profile Rounded corners Single hook offers a less bulky feel than universal hooks Crunch COAT Base Bond Strength Comparable to Mesh Pad Fine alumina particles bonded to the bracket base provide a large surface area for adhesive bonding Consistent Debonding Because debonding occurs near the Crunch COAT adhesive interface, there is minimal distress to the enamel surface Enhanced Performance Heat treated for increased strength Reduced friction offers sliding mechanics comparable to metal brackets Non-allergenic for sensitive patients Anatomically contoured base for quick and easy bracket placement Removable colour-code ID mark to ensure accurate placement Patient Supplies NeoCrystal Sapphire Ceramic Brackets Neocrystal Typodont (6x6) Brackets Neocrystal 15X Bracket Demo Model X SEM Picture 2010 Ortho Organizers, Inc. All rights reserved. 14 Phone: Fax:

15 Finishing Touches To ensure excellence in every one of your cases, we offer an extensive line of aesthetic auxiliaries compatible with the NeoLucent Plus Ceramic Bracket System. Aesthetic Archwire Options Tooth Tone Plastic-Coated Archwires Stain and crack resistant this archwire features a tooth-coloured coating that blends with natural dentition and reduces friction. (Available in Niti and S.S. ) White Micro-Coated Bio-Kinetix Thermally Activated Nitanium Archwires The labial side of the wire is coated in bright white to enhance aesthetics, without affecting wire dimensions. Pearl Tone Preformed Ligature Wires Available in a white/pearl hue, this archwire features a super smooth nonstick coating. Aesthetic Elastomeric Options NeoLucent Plus Ceramic Bracket System The NeoLucent Plus Low-Profile Ceramic Bracket System delivers superb aesthetics by blending with the natural tooth tone for a virtually invisible appearance. With improved performance due to a Crunch Coat Base, more anatomically contoured base radii, and improved materials for a smoother finish and colour consistency, NeoLucent Plus Ceramic Brackets provide the definitive performance you demand. Patient Satisfaction Invisible Appearance Crafted to the highest aesthetic standards Translucent, natural appearance from 99.9% pure Polycrystalline Alumina Stain resistant throughout treatment Comfort Designed with your patient s comfort in mind Low profile Smooth, polished surface Rounded corner Single Hook More Comfort for the Patient less bulky than universal hooks Clinical Performance Accurate placement achieved with an easily removable colour-coded ID mark Strong bonding and predictable debonding with a Crunch COAT Base Superior Sliding Mechanics via a precisioncut archwire slot Non-allergenic for sensitive patients as brackets do not contain nickel, chromium or other metals Easy Ligation with ample tie wing clearance Routine Protocol with no special instruments or adhesives required Safe-T-Tie Ligatures Ligatures for individual patient use, avoiding cross-contamination. We offer an array of colour options that blend with the bracket and dentition. Available in clear, white, tooth tone, natural glow and smoke. Compatible with Maestro Low-Profile Bracket System and NeoLucent Plus Bracket System For aesthetic anterior and metal posterior bracketing NeoCrytal Bracket Maestro Bracket NeoLucent Bracket Chain Elastic Orthodontic Instruments Made from super-elastic long lasting material, these ligatures deliver gentle, continuous force for more predictable tooth movement. Multiple colours to choose from: clear, white, tooth tone, natural glow and smoke. Triumph Debonding Pliers Safely and easily removes steel, ceramic, and plastic direct bond brackets and remaining adhesive from the tooth surface. Catalog No Light Force Chain Elastic Delivers a 20% lighter force than our regular chain making it an excellent choice for low force treatment mechanics. Available in clear. Triumph Angulated Debonding Pliers 2010 Ortho Organizers, Inc. All rights reserved. The angulated design quickly and easily removes anterior and posterior direct bond brackets. Catalog No XL Phone: Fax:

16 Specialty Appliances Twin Force Bite Corrector Device, Double Lock A comparison with Forsus Twin Force Bite Corrector Device, Double Lock Forsus Fatigue Resistant Device EZ2 Module Profile Class II Usage Yes Yes Class III Usage Simply reverse from upper cuspid to lower molar Not specifically designed for Class III. This adaptation requires a lip bumper tube on lower first molar Inventory Minimum: Two self-contained Twin Force Springs, small Many components: Left spring assembly, right Requirements and standard. Appliance is bi-directional, so there is no confusion pring assembly, left push rod, right push rod, about which goes on the left or right, or which end attaches and universal split crimps in the molar region or cuspid region Sizes Two Five Placement Two Steps: Appliance must be assembled in Procedures 1. Measure and choose size the mouth using several steps 2. Clamp and tighten to wire Band Requirements No molar bands required, allowing direct bond of molars Molar bands required Buccal Tube No special buccal tube required. Doctor must select an occlusal headgear tubes Requirements Doctor can use their preferred buccal tubes Activation and There is no need to activate or reactivate the appliance. Reactivation is required to maintain force levels Reactivation Dual cylinders containing nickel titanium coil springs provide over and facilitate continued advancement 200 g of continuous force for 1-2 mm of movement per month Archwire Requires.019" x.025" stainless steel archwire as a minimum size when Requires.017" x.025" or.019" x.025" archwire, Requirements using.022" slot brackets and.018" x.022" or.017" x.025" stainless steel depending on slot size, with cinch-back wire bends archwire when using.018" slot brackets, with cinch-back wire bends Method of Archwire Twin Force Devices fit firmly onto the archwire without removal Wraps loosely around the wire and is braced by the Attachment of the wire and lock into place. They do not slide on the wire cuspid bracket, sometimes debonding and will not debond any brackets the cuspid bracket Patient Comfort: Maximum lateral, mandibular movement Sufficient lateral, mandibular movement Mandibular Movement Patient Comfort: There are no exposed springs to puff and chafe The large, exposed coil spring can chafe the cheek Tissue Interaction the cheek or gather debris and gather debris Lab Requirements No lab work required No lab work required Staff Training Your staff can be quickly trained over lunch System requires extensive, detailed training; Required on placement of the appliance a course is recommended Ligation and Chain elastics and figure 8 ties are sufficient Chain elastics and figure 8 ties are sufficient Anchorage Appointment Needs only one appointment Requires at least two appointments Installation Time 6-7 minutes minutes Removal Time 2-3 minutes 4-5 minutes 16 Phone: Fax:

17 INCREASED EFFICIENCY Nitanium Molar Rotator 2 Kit This Rotator fits easily into.036 lingual sheaths for immediate activation. Efficiently corrects molar rotations. Ortho Patent No. 5,816,800 Patented Design: 5,399,087,35,170 and 5,538,422 Under Limited Sub-license from Ultimate Wireforms, U.S.A Adjustable Ortholoy Loops Molar Rotator 2 Kit Kit contains 1 Rotator of each of the following 10 sizes: 26mm, 28mm, 30mm, 32mm, 34mm, 36mm, 38mm, 40mm, 42mm, 44mm; Instructions and Acrylic Storage Case. P R O V E N S U C C E S S! Nitanium Palatal Expander2 This appliance is pre-programmed to provide arch expansion, rotational control and uprighting through continuous direct vector forces. The thermallyactivated expander starts to work immediately after reaching mouth temperature. Full-Range Kit Kit contains: 1 Expander of each of the following 10 sizes: 26mm, 28mm, 30mm, 32mm, 34mm, 36mm, 38mm, 40mm, 42mm and 44mm; Instruction Manual and Acrylic Storage Rack. Adjustable Ortholoy Loops Mid-Range Kit M Kit contains: 1 Expander of each of the following 5 sizes: 32mm, 34mm, 36mm, 38mm, and 40mm; Instruction Manual and Acrylic Storage Rack. WITH TITANIUM CLAMPS AND SCREWS! Virtually Invisible Arch Development Appliances TransForce 2 Transverse Arch Developer The Transverse Appliance has an expansion module to increase the inter-canine width (expands at the cuspids) and may be used in the upper or lower arch when expansion is required to accommodate crowding in the labial segments, or to correct arch width in constricted arches. CATALOGUE NUMBER COLOUR CODE TRANSVERSE SIZE: INTER- CANINE FULLY EXTENDED TRANSVERSE SIZE: INTER- CANINE FULLY COMPRESSED Transverse Kit MAXIMUM AMOUNT OF EXPANSION Red 26 mm 18 mm 8 mm Green 28 mm 20 mm 8 mm Purple 30 mm 22 mm 8 mm Pink 32 mm 24 mm 8 mm Transverse Arch Development Planner T TransForce 2 Sagittal Arch Developer The Sagittal Appliance is specifically designed for anterior arch development (creates space by advancing the 3x3 labially) and is often indicated for simultaneous use in both arches. The appliance operates on the slide principle and may be used unilaterally or bilaterally to extend arch length. CATALOGUE NUMBER COLOUR CODE SAGITTAL SIZE: ANTERIOR-POSTERIOR FULLY EXPANDED Sagittal Kit SAGITTAL SIZE: ANTERIOR-POSTERIOR FULLY COMPRESSED MAXIMUM AMOUNT OF EXPANSION Green 28 mm 24 mm 4 mm Purple 30 mm 26 mm 4 mm Pink 32 mm 28 mm 4 mm Blue 34 mm 30 mm 4 mm Black 36 mm 30 mm 6 mm Yellow 38 mm 32 mm 6 mm White 40 mm 34 mm 6 mm Sagittal Arch Development Planner T Titanium Twin Force Double Lock Version Small Ti Standard Ti High-Quality Grade Titanium Clamps and Screws Reduces Breakage and Slippage Square Screw Versus Hex Screw Allows Tightening of Clamp Without Stripping or Loosening of Screw Laser Welding of All Components Insures That All Working Components Function as a Single Unit Minimizing Separation Precision Machining for Precise Accuracy and Comfort The Right Size Components Provide a Secure Attachment Every Time and Enhanced Patient Comfort Ask for Your Free Copies of These Articles! Twin Force Bite Corrector, Light Force and Patient Friendly Drs. Maurice Corbett and Francisco Molina April JCO 2004 Class II Correction Drs. Rothenberg, Campbell and Nanda Phone: Fax:

18 Smart Archwires Cu Nitanium Copper Nitanium Archwires Copper. A Natural Transition. Cu Nitanium Archwires are truly comparable to Ormco s Copper Ni-Ti Archwires* and refined using the most advanced technology for greater treatment predictability and control. The unique thermal properties of copper enhance the Nitanium Archwires for a precise control of forces, while maintaining excellent flexibility. Made of the highest quality materials, Cu Nitanium Archwires provide fast, natural, and reliable results for optimal patient outcomes. Available in two archwire series options to fit your treatment needs: Cu Nitanium 27 C Archwires This wire series provides optimal nickel titanium force levels with the additional flexibility required for easy placement in crowded cases and comfortable tooth movement. Cu Nitanium 35 C Archwires This wire series is activated at body temperature to facilitate easy engagement, consistent forces, and efficient tooth movement using transitional temperature changes back and forth between the soft martensite state and firm austenite state. Nitanium Pro Form Pro Form Pro Form Oval Arch Oval Arch D-LX Shape D-LX Shape Archwires Arch Shape Arch Shape Arch Shape Form III Shape Form III Shape Universal Universal w/stops with Dimple with Dimple (Damon Shape) (Damon Shape) Cu Nitanium 10/single-pack 10/pack 10/pack 10/pack 10/pack 10/single-pack 10/single-pack 27ºC Archwires pouches pouches pouches ST.014 Upper Lower ST.016 Upper Lower ST.018 Upper Lower ST.014 x.025 Upper x.025 Lower ST.016 x.022 Upper x.022 Lower x.025 Upper x.025 Lower ST.017 x.025 Upper x.025 Lower ST.018 x.025 DLX ST.019 x.025 Upper x.025 Lower ST Cu Nitanium 35 C Archwires.016 Upper Lower Upper Lower x.022 Upper x.022 Lower x.017 Upper x.017 Lower x.025 Upper x.025 Lower ST.018 x.025 Upper x.025 Lower x.025 Upper x.025 Lower ST.020 x.020 Upper x.020 Lower * Data on file. Ormco is a registered trademark of Ormco Corporation. 18 Phone: Fax:

19 *FREE! with order of 20 packs of wires *Covered Archwire Rack Holds up to 14 different types of preformed archwires. The clear hinged lid keeps wires sanitary and dust free. Sufficient height to fit either standard or Pro Form archwires. *Offer Excludes Stainless Steel Wire GENTLE FORCES MODERATE FORCES HEAVY FORCES Variable Force 3 Archwires Three Distinct Forces, All In One Archwire The Variable Force 3 Archwire is a heat activated, multi-force, nickel titanium archwire with three distinct force regions. 10 PER PACK.016 Upper Lower Upper Lower x.016 Upper x.016 Lower x.022 Upper x.022 Lower x.025 Upper x.025 Lower x.018 Upper x.018 Lower x.025 Upper x.025 Lower x.025 Upper x.025 Lower x.020 Upper x.020 Lower Proform Arches Also Available in S.S. and Bio-Kinetix *Oval Arch Form III Archwires More Narrow and Oval in shape. Offers variety in natural arch form archwire. Allows the doctor to select archwires that more closely match each patient s needs. Available in most popular sizes. Available in S.S., Nitanium, CNA & Bio-Kinetix Bio-Kinetix Plus Thermally Activated Nitanium Archwires Pro Form Oval Pro Form D-LX Arch Form Proform Arch Shape Wires III Shape Wires Shape Wires Shape Wires Bio-Kinetix Plus Bio-Kinetix Dimpled 10/pack 10/pack Single 10/pack 10/pack.013 Upper Lower Upper DM Lower DM.016 Upper DM Lower DM.018 Upper DM Lower DM.014 x.025 Upper DM x.025 Lower DM.016 x.016 Upper x.016 Lower x.022 Upper x.022 Lower x.025 Upper DM x.025 Lower DM.017 x.025 Upper x.025 Lower x.025 Upper DM x.025 Lower DM.019 x.025 Upper x.025 Lower x.025 Upper x.025 Lower x.027 Upper x.027 Lower PERMANENT LASER MARKED BLACK MIDLINES Nitanium Super Elastic Preformed Archwires ROUND UPPER LOWER per pack RECTANGULAR UPPER LOWER.016 x x x x x x x per pack Phone: Fax: SMOOTH HIGH POLISH FINISH! CNA Beta III Pro Form Beta Titanium Alloys Archwires (Improved TMA*Alternative) Developed in consultation with Dr. Ravi Nanda UPPER LOWER 5 PER PACK x x x x x x x x x x x x *TMA is a registered trademark of Ormco Co Dimpled Super-Elastic Nitanium Archwires Dimpled Notch reduces archwire drift and slide-out! ROUND UPPER LOWER per pack RECTANGULAR UPPER LOWER.016 x x x x x per pack 19

20 Deluxe e Spool Dispenser PN Safe-T-Ties Ligatures Mini-T-Ties Ligatures *BUY 15+ Packs and GET A FREE SAFE-T-Tie Dispenser! (Empty) This reference colour chart may be used in your office for easy reordering of your favourite colours. Catalogue No. 400-Chart Chain Elastic 15-foot spool. Continuous Short Long Elastomerics Safe-T-Ties New Metallic Colours & Glow-In-The-Dark!.120 Individual Patient Ligatures (720/Pack) (30 Sticks per pack) Mini-O-Tie Ligatures 120" diameter size (Latex-Free) 10 modules per stick, 50 ligature sticks per pack Available in an array of 34 colours With 10 ligatures per stick, there is little waste and no cross contamination Easily remove each ring by utilizing the grip and ergonomic shape LIGATURE TIES COLOUR / DESCRIPTION SAFE-T-TIE MINI-O-TIE HAND-EE-LAST 15 CHAIN COLOUR / COLOUR NAME.120".120".120" SHORT LONG CONTINUOUS GRAY CLEAR WHITE C BLUE C GREEN C NEON PINK C BLACK C PURPLE C RED C YELLOW C ORANGE C TEAL C PEARL C VANILLA C NEON BLUE C NEON GREEN C GOLD C SILVER C SMOKE C BURGUNDY C GLOW NATURAL GLOW PINK GLOW BLUE CAROLINA BLUE C COBALT BLUE L C PERIWINKLE C METALLIC GREEN C METALLIC BLUE C METALLIC PURPLE L C METALLIC RED C GRAPE C LIGHT PINK C LIGHT GREEN C DARK BLUE C RASPBERRY C SKY BLUE C ASSORTED COLOUR ASSORTED GLOW ASSORTED METALLIC SMALL ASSORTED KIT (18 COLOURS) LARGE ASSORTED KIT XL (24 COLOURS) (26 COLOURS) COLOUR CHART 400-CHART 400-CHART 400-CHART 400-CHART 400-CHART 400-CHART NEW LARGER SIZE! Single Separators Radio Opaque 1000 per pack New Larger Size! 1000 per pack L Mini-O-Tie Ligature Kits (Latex-Free) Mini-O-Tie Ligature Kits (Latex-Free) Small Kit (1800 ties) 18 individual colours/10 sticks each Empty 400-5BX Large Kit (2600 ties) 26 individual colours/10 sticks each XL Empty 400-5BXXL *Offers cannot be used in conjunction with other offerings. 20 Phone: Fax:

21 AMBER Smile Safari Orthodontic Elastics 100 Elastics per Pack and 50 Packs per Box Smile Safari Intraoral Elastics Chart Light oz. Medium oz. Heavy oz. 1/8 3/16 NEON CRYSTAL CLEAR (LATEX-FREE) Giraffe Chimpanzee Python Amber S Amber S Amber S Neon S Clear S Toucan Zebra Elephant Amber S Amber S Amber S Neon S Clear S *FREE! (Empty) Dispenser with order of 15+ Packs Filled with 12 Matching Colours of Safe-T-Ties and Chain Elastic Holds 12 separated spaces for Safe-T-Ties and a bar to accommodate 12 spools of short chain elastic. Clear cover with front cutout for chain elastic facilitates use and provides protection from dust. 6 x 9 x 4. Safe-T-Tie Dispenser Dispenser filled with 270 assorted Safe-T-Ties, and Colour Chart. Full Kit Empty Combo Chain and Safe-T-Tie Dispenser Full Kit Empty Kit /4 5/16 Gazelle Lion Rhino Amber S Amber S Amber S Neon S Clear S *FREE! (Empty) Dispenser with order of 18+ Spools Covered Spool Dispenser Compact with aesthetically pleasing design. Holds up to 18 spools. Clear hinged lid keeps spools sanitary and dust free. Slot in front of lid allows material to be dispensed without opening the cover. Portable /8 Leopard Gorilla Hippo Amber S Amber S Amber S Neon S Clear S Vulture Warthog Crocodile Amber S Amber S Amber S Neon S Clear S ***FREE BONUS OFFER Buy 10+ Boxes and GET a FREE Rack S Glow in the Dark! Elastic Attachers Simplifies placement and removal of intraoral elastics. 100 per pack per pack Glow Attachers 100 per pack G ***Offers cannot be used in conjunction with other offerings. Phone: Fax:

22 Auxiliaries Opti-MIM Direct Bond Eyelet with Chain A great addition to a popular favourite. Our eyelet is now available with a 1 length sterling silver chain that can be used full length or trimmed as needed. Strong and completely biocompatible, the chain links are big enough to thread power elastics through to provide traction in the desired direction to expose impacted teeth. 1 per pack C Direct Bond Eyelet This Nickel-Lite eyelet can be easily bonded to any tooth. It offers better bond strength and a Grip-LOK base. 10 per pack Bite Guide Open Deep Bite Cases! This one-piece appliance is bonded to the lingual side of the upper centrals to efficiently open deep bite cases. Features an anatomically shaped design with smooth, radiused edges for maximum patient comfort. The micro-etched Grip-LOK base adds superior bond strength. DUAL PURPOSE DESIGN: The Bite Guide s reversible design allows the practitioner the choice of advancing the mandible while opening the bite. (10 per pack) Bite Guide Stainless Steel Bite Guide Composite Eruption Appliance Round Base 3.5mm diameter flat base 80-gauge foil mesh base Eyelet welded to base 5 per pack Rectangular Base 3.75mm x 3mm curved base Micro-etched mesh base One-piece construction 5 per pack Composite Direct Bond Button 10 per pack MIM Crimp Stop Our MIM Crimp Stop can be placed anywhere on an archwire to limit tooth movement or maintain proper wire positioning. Fits round or rectangular wires up to.021 x.025. (10 per pack) Orthodontic Patient Kits Your patients will enjoy these bright colourful kits that will provide them with everything they need while wearing braces. The slim-case style is easy to travel with and store. Assorted bright colours. Sorry, we cannot guarantee specific colours when ordering. An assortment will be provided. Each Slim-case includes: Orthodontic Tooth Brush Interproximal Brush Travel Brush Mint Wax Threaders 15-yard Mint Floss Spool Dental Mirror Prepasted Toothbrushes Disposable or Reusable Provides a sanitary environment around the sink Six assorted colours: 24 of each colour per pack Eliminates cross contamination Individually wrapped 4 rows of bristles 144 per pack Crimpable Archwire Hooks Precision-cast crimpable hooks are easily crimped onto archwire for precise placement in or outside of the mouth. Crimp tubes create a strong, nonsliding lock with the archwire. Ball hook may be bent for right or left applications. All hooks fit round or rectangular wire up to.018 x.025. Crimpable Ball Hooks (20 per pack) Crimpable Archwire Power Hooks (20 per pack) RIGHTS LEFTS Hook Crimping Plier (Straight) Direct Bond Lingual Buttons Single unit MIM construction provides ease of placement and superior retention. 20 per pack Micro Direct Bond Lingual Buttons The small size of these low-profile buttons allows bonding in hard-to-reach areas. 10 per pack Phone: Fax:

23 Try our New Metallic Cases standard or Special deep Lab Sizes Increased strength and durability. All sizes and colours. Improved latch. STANDARD Large enough to hold upper or lower retainer or a positioner LAB Ideal for Bionators, Frankel or special lab appliances. Cheek Retractors Adult Retractors Pedo Retractors Teen Retractors Cheek Retractor Assort. (3 One each size) Photo Lip Retractor One-piece clear plastic retractor has both an anatomical small and large end. Either end is used to push the lower lip out of the way to easily photograph the mouth. Cold sterilization Face Mask (Reverse Pull) For use in Class III cases. Made of stainless steel and durable plastic. Features a lightweight, comfortable design. Easily adjusted to fit all patients. Blue Red Teal Pearl Extra Oral Elastics Amber (1000 per pack) 1/2 Bulk Elastics (8 oz.) (16 oz.) Available in Metallic Black, Blue, Red, Purple, Teal, Dark Green, Florescent Green, Orange, Gold & Neon Green. Packages of 10, 100 or 300 Mixed Colours Available Only in Packages of 100 or 300 Set of 2 Relief Wax Provide orthodontic relief in six fun ways! All waxes are in quality jewel cases holding four strips of wax. (50 cases per box) Regular Wax (clear case) Scented Cases Bubblegum (pink case) Cherry (red case) Lemon (yellow case) Orange (orange case) Mint Scented Wax (clear case) BG C L O Brace Guard Orthodontic relief gel (1/8 oz. tube) and silicone wax stick dramatically reduce patient discomfort. Brace Relief Kit (10 kits per pack) Silicone Wax (16 mini boxes) Silicone Wax (30 mini boxes) BUY Any 4 Boxes of Relief Wax and GET A FREE Dispenser Riofoto Rhodium-Coated Intraoral Photography Mirrors Improve Your Image All photographic mirrors are not the same. Mirrors coated with Rhodium, a silvery white precious metal, provide clearer, brighter images that will produce higher quality dental pictures. Superior quality pictures are an excellent tool to help improve clinical effectiveness as they may be used to promote patient education and help explain why major restorative treatment is necessary. They also provide documentation for patient records, insurance claims and case presentations to colleagues. A quality picture really is worth a thousand words! Item Description Catalogue No. Riofoto Mirror X-Long Kit of 3 (1 each of , & ) Riofoto Mirror Standard Kit of 6 (1 each of , , , , & ) Riofoto Mirror X-Long (Adult) Riofoto Mirror X-Long (Child) Riofoto Mirror Palatal (Adult) Riofoto Mirror Palatal (Child) Riofoto Mirror Lingual (Narrow Inside) Riofoto Mirror Lingual (Wide Inside) Riofoto Mirror Buccal (Narrow Outside) Riofoto Mirror Buccal (Wide Outside) Phone: Fax:

24 Pliers, Instruments & Alginate Replacement Triumph Mathieu Pliers Plier Racks Mathieu Pliers Precision Tips Non-Slip Grip Operator Friendly Narrow Tip The narrow tip Mathieu style needle holder has serrated tips. Safety Lock reduces the chances of gloves catching in the ratchet, while the double spring allows instant opening and closing. Excellent for placement of ligature wires and elastomeric ties Covered Plier Rack Portable compact size has space for 12 pliers and a front well for assorted double-ended instruments. Clear hinged lid keeps pliers sanitary and dust free Smooth glide spring for consistent opening and closing. FREE BONUS OFFER Buy 8 MATHIEU Pliers and GET One FREE A Wide Tip Wide tip Mathieu-style needle holder features serrated tips. Positive locking ratchet permits instant opening and closing. Very useful in ligating B Narrow Tip Narrow tip Mathieu-style needle holder has serrated tips. Positive locking ratchet permits instant opening and closing. Very useful in ligating C Hole Tip Hole tip Mathieu-style needle holder features a groove at tips for non-slip placement of elastic ligatures and other intraoral elastics D 1/2 Fine Tip This fine tip Mathieu is excellent for placing elastic ligatures. Precision serrations offer a nonslip grip. 5 1/2 long E Hook Tip This hook tip Mathieu-style needle holder has a notched tip for ease and assurance in placing elastics. Non-slip grip A B C D E Smaha Ultra-Fine Tip The ultra-fine tip Mathieu style needle holder has serrated tips. This Mathieu instrument is exceptional for use when placing elastic ligature ties. Safety Lock reduces the chances of gloves catching in the ratchet, while the double spring allows instant opening and closing DSL-16 Pure Silicone Lubricant Specially formulated to recondition plier joints before sterilization. After cleaning, simply spray the joints to maintain smooth performance. (NOTE: Never use oil based lubricants this will damage your pliers.) Spray Can 16 oz. 202-DSL-16 Syringe 5.5 grams (can be shipped by Air) 202-DSL-20 Upright Plier Stands Holds up to 10 pliers. Easy cleaning surface promotes a sterile environment. Available in Granite Colour and White. Granite White Upright Plier Rack with Cover Convenient shelf for double-ended instruments! Small Plier Rack #8 Holds 8 Pliers. White, pebblegrained plastic Large Plier Rack #15 Holds 15 Pliers. White, pebblegrained plastic Phone: Fax:

25 Band Biter Autuoclavable! Multi-purpose seater with hardened stainless steel tip, molded handle. Also serves as bite stick. 5 long Assistants will love the smaller 5 Handle!! Smaller 5 Size! Distal Bender A doctor s necessity, our Distal Bender is a simple tool made of durable stainless steel featuring a long handle and an angled tube on the end. Our Distal Bender is used to bend the archwire distal to the buccal tube to create a cinchback bend. Fits wires up to.019 x TC Buccal Tube Bonder #1 Design for Accuracy! This bracket-placing tweezer has a contoured tip with a size and angulation which facilitates bonding and placement of molar buccal tubes. As a reverse action tweezer, the fine tips hold the buccal tube firmly within the slot and release when pressure is applied, helping to make buccal tube placement steady and accurate Swivel- Head Bracket Positioner This quality stainless steel tool has positions for; 3.5mm, 4.0mm, 4.5mm and 5.0mm from the occlusal surface. The swivel-head design adjusts its angle to facilitate easy use on anterior, cuspid and bicuspid brackets Bracket Placer Slot Aligner Dual Purpose! With a bracket holder on one end and a slot aligner on the other you ll save valuable chair time using one instrument! Tungsten Carbide Deluxe Mathieu Pliers All of these mathieus feature a tungsten carbide tip which is made of a harder and more durable alloy than standard stainless steel so it resists wear while ensuring a firm grip over a longer life. Our special Safe-T-Lock Mathieus (part numbers # and # ) feature locking jaws placed forward of the handle to prevent the lock from pinching the skin or snagging, catching and tearing gloves while maintaining ease of use and comfort for doctors and assistants. Wide Tip Narrow Tip FREE MATHIEU Buy 6 Tungsten Pliers and Get One FREE Wide Tip NEW! SAFE-T-LOCK! Narrow Tip TC Silginat Silginat is useful for a variety of indications such as: Anatomical models Opposing models Fabrication of temporary crown and bridges Fabricating simple removable prosthetic restorations Orthodontic appliances Removable mouthguards and splints Case study models Silginat The new standard for opposing impressions Alginate Replacement Quality and convenience for opposing impressions CALL for FREE Sample The new A-silicone For all alginate applications! Phone: Fax:

26 Kettenbach Impression Material Final Impression material Identium PROMOTIONS Sympress Dispenser automix machine 5:1 foil bags Buy 2 Identium Heavy or Medium Economy Packs, get 4 Identium wash Standard Packs FREE. Kit configurations: Standard Pack wash contains: 2 x 50 ml, 12 mixing tips Economy Pack contains: 6 x 300 ml, 6 x 62 ml Alginate Alternative Silginat Sympress Dispenser automix machine 5:1 foil bags Buy 2 Silginat Economy Pack, get the 3rd Economy Pack for 50% OFF. Kit configurations: Economy Pack Silginat: 6 x 300 ml, 6 x 62 ml Silginat cartridge for (DS-50 1:1/2:1) dispenser system. Buy 2 Silginat Economy Pack, get the 3rd Economy Pack for 50% OFF. Kit configurations: Economy Pack Silginat: 24 x 50 ml, 24 mixing tips The new standard for preliminary Impressions. No hand mixing required Multiple pours High dimensional stability Low tear resistance Immediate pours Sympress Dispenser PROMOTION Buy $2,999 in Panasil or Idenitum products, get 1 Sympress Dispenser FREE. IS THIS THE BEST IMPRESSION TRAY EVER? WE THINK SO! TRIOTRAY PRO Super Accurate Super Efficient Super Value TRIOTRAY PRO 10 PACK Small Trays 5 Large Trays 50 Inserts (25 of each size) 5 PACK Large Small Trays 20 Inserts STARTER PACK Small Tray 1 Large Tray 10 Inserts (5 of each size) 26 Phone: Fax:

27 Super hydrophilic VPS impression material Hydrophilic properties High tear strength Dimensional accuracy High resistance to permanent deformation Final Impression material Panasil PROMOTIONS Sympress Dispenser automix machine 5:1 foil bags Buy 1 Sympress Panasil Refill Pack,get 1 Panasil Light Body Standard Pack FREE. Kit configurations: Standard Pack wash contains: 2 x 50 ml, 12 mixing tips Refill Pack contains: 2 x 300 ml, 2 x 62 ml Buy 3 Panasil Economy Pack, get 1 Panasil Economy Pack FREE. Kit configurations: Economy Pack contains: 6 x 300 ml, 6 x 62 ml Buy 1 Sympress Panasil Economy Pack, get 50 Dynamic Mixer tips FREE. Kit configurations: Economy Pack contains: 6 x 300 ml, 6 x 62 ml Buy 2 Sympress Panasil Economy Packs, get 4 Panasil Light Body Standard Packs FREE. Kit configurations: Standard Pack wash contains: 2 x 50 ml, 12 mixing tips Economy Pack contains: 6 x 300 ml, 6 x 62 ml Bite Registration Futar Cartridge for DS-50 1:1/2:1 dispenser system Buy 3 Futar Standard Packs. get 1 Standard Packs FREE. Buy 6 Futar Standard Packs, get 3 Standard Packs FREE. Kit configurations: Standard Pack: 2 x 50 ml, 12 mixing tips Panasil cartridge for (DS-50 1:1/2:1) dispenser system. PROMOTIONS Buy 12 Panasil Light or Heavy Body Standard Packs, get 4 Panasil Light or Heavy Body Standard Packs FREE. Kit configurations: Standard Pack wash contains: 2 x 50 ml, 12 mixing tips Standard Pack tray contains: 2 x 50 ml, 6 mixing tips TRIOTRAY LOWER WALL 5 PACK Large Small Trays 20 Inserts STARTER PACK Small Trays 1 Large Trays 10 Inserts (5 of each size) Low wall For the dentist who prefers using a rigid impression material or, where the patients anatomy requires a tray without a high wall for greater comfort. Eg: In cases where there is Tori present. TRIOTRAY INSERTS INSERTS 50 Small Large Small Large TRIOTRAY IMPRESSION SYSTEM The Triotray Impression System is a re-useable dual-arch metal tray system with all the rigidity and accuracy of a full-arch metal tray and all for under a dollar per impression. Phone: Fax:

28 Endura Plus Orthodontic Pliers Endura Plus Orthodontic Instruments Performance, Usability, and Guaranteed Reliability Our new Endura Plus Instruments have been designed and manufactured with an attention to detail that will assure enhanced performance and longevity. The care and precision that goes into each and every instrument will ensure a quality you can rely on every time you pick one up! Endura Plus Instruments offer the following advantages: Superior performance stainless steel inserts Polished, corrosion-resistant finish Smooth and contoured edges Reliable flush screwjoint Laser-engraved part numbers and applicable wire sizes on handles Endura Plus Cutting Instruments Distal End Cutter (Safety Hold) Can easily cut all types of wires ranging from.012" (.30 mm) to.021" x.025" (.53 mm x.64 mm) w/long Handle XL Distal End Cutter Safety Hold & Flush Cut The safety hold cutter cuts flush distal to the buccal tube. Cuts all types of wires from.010" (.25 mm) up to.020" (.51 mm) Replacement Silicone Insert (3 per pack) Hard Wire Cutter, 15 Angled Designed to cut hard wires ranging from.010" (.25 mm) to.022" x.028" (.56 mm x.71 mm) Multi-Use Cutter Designed to cut soft-wire pins and ligature wire up to.015" (.38 mm) Micro Mini Pin & Ligature Cutter The fine tips on this model allow access into hard-to-reach areas. Designed to cut soft-wire pins, elastics, and ligature wire up to.012" (.30 mm) w/long Handle XL Micro Mini Pin & Ligature Cutter, 15 Angled 15 offset with fine tips allow access into hard-to-reach areas. Designed to cut soft-wire pins, elastics, and ligature wire up to.012" (.30 mm) Micro Cutter The extra fine tips allow access to tight inter-bracket areas. Designed to cut softwire pins, elastics, and ligature wire up to.012" (.30 mm) Endura Plus Utility Pliers Slim Weingart Pliers Serrated tips hold wires firmly in the mouth. Tapered beaks fit easily into hard-to-reach areas How Pliers Serrated tips are designed for superior wire gripping. How Pliers are useful for placement and removal of archwires pins, and other auxiliaries Adhesive Removing Pliers Superior tip design allows easy access to remove excess adhesive after debonding. Double ended replaceable blade Adhesive Remover - Replacement Blade B Adhesive Remover - ¼" Replacement Pads (6) T Posterior Band Removing Pliers, Long Safely and quickly removes posterior bands. The pointed tip slides under the band while the plastic tip protects the occlusal surface of the tooth for easy band removal and patient comfort Band Remover 3 16" Replacement Pads (6) T Band Remover 1/4" Replacement Pads (6) TT Debonding Pliers Safely and easily removes steel, ceramic, and plastic direct bond brackets and remaining adhesive from the tooth surface Angulated Debonding Pliers The angulated design quickly and easily removes anterior and posterior direct bond brackets XL Crown & Band Contouring Pliers Ideal for reshaping molar bands and crowns Phone: Fax:

29 BUY 10 ENDURA PLUS PLIERS & Get One FREE A Hollow Chop Contouring Pliers Smooth working surfaces allow for consistent forming and contouring of arches up to.030" (.76 mm) Endura Plus Wire Forming Instruments Buy 10 ENDURA Plus Pliers & Get a FREE UPRIGHT Jarabak Pliers Excellent for precise wire bending and forming of loops. The fine serrations on the square beak and three precision grooves permit accurate and intricate bends and loops. Wires up to.020" (.51 mm) Three Jaw Pliers Adjust clasps, retainers, and archwires without marring the wire. The precision tips are carefully beveled to create extreme accuracy in adjustments. Wires up to.030" (.76 mm) Bird Beak Pliers An instrument for all types of wire bending. The round- and pyramidshaped tapered beaks will work with any size wire up to.030" (.76 mm) Tweed Loop Forming Pliers Excellent for making precise loops in.045" (1.1 mm),.060" (1.5 mm), and.075" (1.9 mm) diameters in wires up to.022" x.025" (.53 mm x.64 mm) Arch Bending Pliers Easily torque and bend wires without nicking the archwire..070" (1.8 mm) blade width. Wires up to.022" x.025" (.53 mm x.64 mm) Lingual Arch Forming Pliers Forms double-back and triple-back bends in.030" (.76 mm) and.036" (.91 mm) wire for lingual sheaths Mini Three Jaw Pliers Precision tips for accurate wire and clasp adjusting and contouring. Also excellent pliers for bonding of orthopedic appliances. Superior strength for wires up to.030" (.76 mm) Light Wire Bird Beak Pliers Precision tapered beaks allow intricate bends and loops in archwires up to.020" (.51 mm) w/groove Nance Loop Forming Pliers Precision loop forming with four step tip (3, 4, 5, and 6 mm). Excellent for wires up to.022" (.53 mm). Non-serrated tips and beveled edges prevent wire scoring Stop (V-Bend) Pliers Place an accurate 1 mm V-bend with one simple squeeze to shorten archwire or provide a positive stop. Wires up to.022" x.025" (.53 mm x.64 mm) Optical Pliers Round and concave beaks bend round or rectangular wire with a firm grip that will not score wire. Easily bends and forms all types of wire up to.022" x.025" (.53 mm x.64 mm) Bird Beak Pliers w/cutter A versatile instrument that bends and cuts wire ranging from.015" (.38 mm) to.025" (.64 mm) Silicone Instrument Lubricant Just one drop of this new Silicone Instrument Lubricant after the sterilization cycle will help extend the life of the instrument and maintain smooth and proper operation. 1/2 oz. Bottle oz. Bottle PLIER RACK B FREE Covered Plier Rack with order of 15 ENDURA Plus Pliers C Offerings A, B and C in ENDURA Plus Pliers cannot be used in conjunction with one another. Phone: Fax:

30 Triumph Pliers Our Most Popular Pliers CUTTING INSTRUMENTS 1 Distal End Cutter (Safety Hold) Shear cuts hard archwire, and can easily cut all types of archwires ranging from.012" (.30mm) to.021" x.025" (.53mm x.64mm) Distal End Cutter w/long Handle (Safety Hold) Long handle option that can easily cut all types of archwires ranging from.012" (.30mm) to.021" x.025" (.53mm x.64mm) XL 3 Distal End Cutter Safety Hold & Flush Cut The safety hold cutter cuts flush distal to the buccal tube. Cuts all types of archwires up to.020" (.51mm) Replacement Silicone Inserts (3 per pack) Multi-Use Cutter Designed to cut soft-archwire, pins, and ligature archwire up to.015" (.38mm) Mini Pin & Ligature Cutter The smaller tips on this model allow access into hard-to-reach areas. Designed to cut soft-archwire, pins, elastics, and ligature archwire up to.012 (.30mm) Micro Mini Pin & Ligature Cutter The fine tips on this model allow access into hard-to-reach areas. Designed to cut soft-archwire, pins, elastics, and ligature archwire up to.012" (.30mm) Micro Mini Pin & Ligature Cutter, 15 Angled 15 offset with fine tips allow access into hard-to-reach areas. Designed to cut soft-archwire, pins, elastics, and ligature archwire up to.012" (.30mm) Micro Cutter The extra fine tips allow access to tight inter-bracket areas. Designed to cut soft-archwire, pins, elastics, and ligature archwire up to.012" (.30mm) Hard Wire Cutter Designed to cut hard archwire up to.022" x.028" (.56mm x.71mm) UTILITY PLIERS 10 Weingart Pliers Serrated tips hold archwires firmly in the mouth. Tapered beaks fit easily into hard-toreach areas How Pliers Serrated tips are designed for superior archwire gripping. How Pliers are useful for placement and removal of archwires, pins, and other auxiliaries Adhesive Removing Pliers Superior tip design allows easy access to remove excess adhesive after debonding. Double ended replaceable blade Adhesive Remover - Replacement Blade B Adhesive Remover - 1/4 Replacement Pads (6) T 13 Posterior Band Remover, Long Safely and quickly removes posterior bands. The pointed tip slides under the band while the plastic tip protects the occlusal surface of the tooth for easy band removal and patient comfort Band Remover 3/16 Replacement Pads (6) T Band Remover 1/4 Replacement Pads (6) TT 14 Debonding Pliers Safely and easily removes steel, ceramic, and plastic direct bond brackets and remaining adhesive from the tooth surface THE CUTTING EDGE OF ORTHODONTIC PLIERS WITH A DURABLE SATIN FINISH 2 1 Buy 10 TRIUMPH Plus Pliers & Get a FREE UPRIGHT PLIER RACK B 15 Angulated Debonding Pliers The angulated design quickly and easily removes anterior and posterior direct bond brackets XL Offerings A, B, C and D in TRIUMPH Pliers cannot be used in conjunction with one another. 30 Phone: Fax:

31 17 16 Crown & Band Contouring Pliers Ideal for reshaping molar bands and crowns Rectangular Arch WIRE FORMING PLIERS Forming Pliers 17 Jarabak Pliers Excellent for precise wire bending and forming of loops. The fine serrations on the square beak and three precision grooves Easily torque and bend archwires without nicking the archwire..070" blade width. Archwires up to.022" x.025" (.53mm x.64mm) permit accurate and intricate bends and 23 Lingual Arch loops. Archwires up to Forming Pliers.020" (.51mm) Forms double-back and triple-back bends in.030" and.036" archwire for lingual 18 Three Jaw Pliers sheaths Adjust clasps, retainers, and archwires without marring the archwire. The precision tips are carefully beveled to create extreme accuracy in 24 Hollow Chop Contouring Pliers Smooth working surfaces allow for consistent forming and contouring of arches up adjustments. Archwires up to.030" (.76mm). to.030" (.76mm) NiTi Three Jaw Pliers Bends and forms NiTi and all other archwires up to.020" (.51mm) Light Wire Pliers with Groove Precision tapered beaks allow intricate bends and loops in archwires up to.020" (.51mm). The groove ensures a no-slip grip Light Wire Pliers Precision tapered beaks allow intricate bends and loops in archwires up to.020" (.51mm) Tweed Loop Forming Pliers Excellent for making precise loops in.045",.060", &.075" diameters in archwires up to.022" x.025" (.53mm x.64mm). 26 Stop (V-Bend) Pliers Place an accurate 1mm V-Bend with one simple squeeze to shorten archwire or provide a positive stop. Archwires up to.022" x.025" (.53mm x.64mm) Bird Beak Pliers An instrument for all types of archwire bending. The round and pyramid shaped tapered beaks will work with any size archwire up to.030" (.76mm) BUY 10 TRIUMPH PLUS PLIERS & Get One FREE A Bird Beak Pliers with Cutter A versatile instrument that bends and cuts archwires up to.022" x.025" (.53mm x.64mm) Long Tapered Bird Beak Pliers Long tapered beaks allow for intricate bends of archwires up to.022" x.025" (.53mm x.64mm) A Premium Plier For $139.00/plier NiTi Distal Cinch Back Pliers Cinches and bends NiTi wire distal to buccal tube. Archwires up to.025" (.63mm) FREE Covered Plier Rack with order of 15 TRIUMPH Pliers 24 7 Year Warranty on Cutters 10 Year Warranty on Benders (See Catalogue for Warranty details) Our Most Popular Pliers Buy 20 TRIUMPH Pliers & Get 2 FREE Pliers Plus Silicone Lubricant D Phone Customer Service to receive information on Triumph Orthodontic Instruments. Offerings A, B, C and D in TRIUMPH Pliers cannot be used in conjunction with one another. C Phone: Fax:

32 The Carriere Distalizer Metal Shifting the way you think about orthodontics. METAL Loose but Controlled Forces The Carriere Self-ligating Bracket System Takes Clinical Performance and Patient Outcomes to a New Level. CarriereSystem.com 2010 Ortho Organiers, Inc. All rights reserved. U.S. Patent No. 7,621,743 and foreign patents. Ortho Organizers presecription does not imply endorsement by the doctor(s). The Carriere Philosophy. fast natural gentle ADVANCING THE FUTURE OF ORTHODONTICS 24 HOUR DELIVERY UPON REQUEST ALL OFFERS CANNOT BE USED IN CONJUNCTION WITH OTHER OFFERINGS. Extended Hours for Atlantic Provinces Monday to Friday 6am MST - 6pm MST A CANADIAN COMPANY Phone: Fax: TH AVENUE SW, CALGARY, AB T2S 0A1 OFFERS EXPIRE JUNE 30, 2014

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