“Bracket Placement:
Ensure proper tooth preparation and cleaning before starting.
Select the appropriate bracket size (either .018 or .022) based on the treatment plan and slot compatibility.
Apply a small amount of orthodontic adhesive to the base of the bracket.
Carefully place the bracket on the center of the tooth’s surface, aligning it according to the prescribed angulation.
Bonding and Curing:
Light-cure the adhesive using a curing light for the recommended duration as per the adhesive manufacturer’s instructions.
Check for excess adhesive and remove it using a scaler or similar tool to ensure a smooth surface.
Tie-Wing Engagement:
Insert the archwire into the slot of the bracket, ensuring proper engagement.
Secure the archwire using ligature ties or self-ligating mechanisms, following the prescribed technique (Roth or Mbt).
Adjustments and Checks:
Verify the bracket’s placement and alignment using dental instruments and visual inspection.
Make any necessary adjustments to the archwire or bracket positioning to achieve the desired tooth movement.
Conduct regular checks during follow-up appointments to monitor progress and make adjustments as needed.
Patient Care and Maintenance:
Instruct the patient on proper oral hygiene practices, including brushing and flossing around the brackets and archwires.
Advise the patient on dietary restrictions to prevent damage to the brackets and wires.
Schedule regular appointments for adjustments, monitoring, and maintenance throughout the treatment period.
Removal and Post-Treatment:
Upon completion of treatment, carefully remove the brackets using appropriate debonding instruments and techniques.
Clean and polish the teeth to remove any adhesive residue and ensure a smooth finish.
Provide post-treatment instructions for retention, including the use of retainers to maintain the achieved results.”
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