Phase I -- Alignment
Phase II -- Leveling
Phase III -- Molar Closure
Phase IV -- Space Closure
Results of Concepts

Phase IV - Space Closure








The fourth phase in orthodontic treatment is space closure. For patients that require the extraction of teeth to provide the space to align the teeth, an additional step is necessary. This step closes any gaps that remain between the teeth after all of the teeth are aligned, leveled, and have proper molar position. Space closure can be accomplished in many ways. One method is to use a wire formed into the shape of a loop.

If a wire is bent out of its original position, the wire will tend to return to its original shape, provided the wire is not permanently deformed. For example, a straight wire will tend to springback to a straight position if it is deflected less than the proportional limit of the wire.

If a wire has a shape of a loop and is stretched, the wire will tend to return to the shape of a loop.

Orthodontists utilize a wire bent into the shape of loop to close space. If a loop-shaped wire were stretched to connect two teeth at each end, then a springback force would be created that would cause the two teeth to move together, thereby closing the space.

Which wire works best?

The process of space closure is accomplished by moving the teeth together to remove any gaps between the teeth. Space closure requires a wire with the following specification relative to correction of molar position:

                         higher strength
                         higher stiffness
                         lower range

Shape:

Would you prefer a round or a rectangular wire?
Answer: Rectangular wire is preferred because a wire with distinct edges allows you to bend the wire in the same plane of space without deviation. A rectangular wire also allows you to control better the position of the root during the translation of the teeth together.

Size:

Note:
     Nomograms allow you to compare many wires of different shapes, sizes, and compositions to each other.

Which wire would work best for this phase?
A.) 19 X 25 SS
B.) 17 X 25 NiTi
C.) 19 X 25 B-Ti

This will be the answer

With the proper orthodontic technique, your patientŐs teeth will move to result in the following configuration:



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Last Update: August13,1998
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