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

Phase III - Molar Position








The third phase in orthodontic treatment is correction of molar position. The title of this step is a good description of the process Ð aligning the molars in an appropriate configuration. The ideal molar relationship was established by Dr. Edward Angle. He defined the ideal molar relationship to be Class I. Class I molar relationship is shown in the following picture.

The goal of correction of molar position is to place the first molars in a Class I relationship as depicted above.

What molar relationship does the patient have?
A.) Class I
B.) Class II
C.) Class III

This will be the answer

If the patient already has a Class I molar relationship, does the patient need correction of molar position? NO!

Which wire works best?

The process of correction of molar position is accomplished by bodily movement of the first molars into a Class I molar relationship. Correction of molar position requires a wire with the following specification relative to the wire used during the leveling phase of treatment:

                    higher strength
                    higher stiffness
                    lower range

Shape:

Note:
     Round wires produce uncontrolled tipping because they cannot produce a counterbalancing couple.
     Rectangular wires produce controlled tipping because they produce a counterbalancing couple.

Would you prefer a round or a rectangular wire?
Answer: Rectangular because translation is required; thus you must create a CBC.

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.) 16 X 22 NiTi
B.) 18 SS
C.) 17 X 25 B-Ti

This will be the answer



[ BACK | HOME | INDEX | NEXT ]

Last Update: August 18,1998
Please direct questions and comments about this page to appl@net.chem.unc.edu
Designed in cooperation with The Shodor Education Foundation, Inc.
© Copyright 1998 The University of North Carolina at Chapel Hill