SPEED System™ Why Nickel Titanium?
Superior Durability SPEED’s Nickel Titanium Spring Clip Never Tires Dramatically Superior Performance Changes in the stiffness of the ligating mechanism in retrieved active Self-Ligating Brackets (AJODO) Decrease in Spring Clip Stiffness During Treatment SPEED Imitators SPEED 50% Decrease* 0% Decrease* SPEED’s resilient Super-Elastic Spring Clip entraps and interacts with the archwire, providing the ultimate in 3-dimensional control. AJODO published research illustrates the significant performance advantage offered by SPEED’s Nickel Titanium Spring Clip, compared to the Stainless Steel / Chromium Cobalt designs offered by SPEED imitators. *Nikolaos Pandis, Christoph Bourauel, Theodore Eliadesc Changes in the stiffness of the ligating mechanism in retrieved active self-ligating bracketsAm. J. Orthod. Dentofacial Orthop 2007; 132:(6):834–837 Performance and aging of clips significantly depend on the alloy composition “ “
Discover the advantages offered by an active Nickel Titanium Spring Clip. Available only from SPEED System Orthodontics. Contact us today at 1-519-658-2925. For Superior & Predictable Performance , There is Only One! Superior Performance Driven by Nickel Titanium! SPEED’s Nickel Titanium Spring won’t deform, and never “tires”! Choose a Spring Clip you can rely on. 400% More Elastic than Stainless Steel Efficiency at your fingertips! SPEED Brackets are easily opened using the labial window. No special technique required. Repeated openings won’t tire SPEED’s Nickel Titanium Spring Clip! Choose a Spring Clip you can count on. Easy to Open, Easy to Close Stainless Steel Nickel Titanium Maximum Elastic Deflection SPEED Imitator Chromium Cobolt SPEED Imitator Chromium Cobolt SPEED Imitator Chromium Cobolt SPEED Nickel Titanium
Treatment with the SPEED System™ - Class I Non-Extraction 4 Case Type: Class I Non-Extraction Problem List: • Brachycephalic pattern • Low Mandibular Plane Angle • Short Lower Face • Poor Upper and Lower Lip Support • Clenching • Parafunction Case Resumé: A young lady, age 21 years. Growth is finished and she has relatively good posterior occlusion but has traumatic occlusion in the anterior section, due to her large overbite. The patient came to the office because of the discolouration and sensitivity of her upper right lateral incisor. She has a normal overjet of 2.5 mm, but a large overbite (6 mm). A Maryland bridge was masking her impacted canine, and the mesial wing bonded to the adjacent lateral is responsible for the discolouration of this tooth, and has resulted in traumatic occlusion of the lateral, resulting in gingival recession and sensitivity due to parafunction. On the panoramic X-ray, we can see a bony defect distal to the tooth 12 and the impacted upper right canine. We can also see 3 impacted wisdom teeth (18, 28, 48) and root dilaceration of tooth 15, 25, 35, 43, and 45. The curve of Spee is almost normal. Treatment Plan: The patient was sent to the periodontist to evaluate the gingival tissue and recession prior to the start of treatment. The Periodontist decided to evaluate the recession as treatment progressed and re-evaluate the case once the Orthodontic treatment was completed. Maxillary Arch: Remove the Maryland bridge, initiate dental alignment and create space in the arch for the impacted canine (13). Work up to a rectangular wire to prepare anchorage for orthodontic traction of the impacted canine. Next steps are to align the canine, coordinate arches, and finally, retention. At the end of treatment, re-evaluate the gingival tissue and the recession with the periodontist, and send the patient to the General Dentist to have cosmetic procedures to compensate for the incisal attrition of the upper incisors, if needed. Mandibular Arch: Align the teeth, correct the curve of Spee, coordinate the arches using rectangular archwire, and if needed, incorporate anchorage using Class II elastics. Retention with a lingual bonded retainer, and re-evaluate the periodontics on the right side, particularly for tooth numbers 43, 44, and 45. Case Presentation by: Dr. François Bérubé D.M.D. Cert. Orth. - Québec City, Canada Comments from Dr. Bérubé I have used the SPEED Appliance since the start of my practice in 1986 because it offers many benefits. SPEED permits me to efficiently achieve my treatment objectives through the application of light forces applied in a very precise manner. I have successfully treated thousands of cases with SPEED over the past 27 years, and I have been very satisfied with what it has enabled me to achieve. This case is typical of those seen everyday in my practice. It illustrates SPEED's ability to correct crowding and its ability to resolve ectopic displacement of an impacted tooth while maintaining archform. The combination of light forces with the miniaturized SPEED bracket permitted large dental movement without root resorption, permitted bone formation and thereby reduction of the periodontal defect, while it also improved the gingival anatomy around the initially impacted tooth. The horizontal auxiliary slot of the SPEED bracket permitted the application of parallel and simultaneous mechanics within the same dental arch. A component of these mechanics was anchorage with large archwires which prevented undesired side effects caused by secondary light wire force application on the impacted tooth. The accuracy of the bracket placement and the effectiveness of the spring clip has led to a complete dental correction in all three dental orders. • Masticatory Muscle Pain • Gingival Recession - tooth 12, 14, 43, 44, 45 • Upper and Lower incisor attrition • Upper Right Impacted Canine • Upper and Lower Crowding
Treatment with the SPEED System™ - Class I Non-Extraction 5 21 years 4 months Class I - Impacted Canine Pre-treatment Note: Canadian government privacy laws forbid the disclosure of patient's identity. For this reason, selected facial photographs have been blurred.
Treatment with the SPEED System™ - Class I Non-Extraction 6 Cephalogram Ceph Tracing Panorex Treatment Record: SPEED brackets were bonded 7-7 in the upper arch. In the lower arch, SPEED brackets were bonded 5-5, with SPEED buccal tubes bonded to the lower molars. Metal anterior bite ramps were bonded to the upper centrals at the initial bonding appointment to prevent interference between the upper incisors and lower anterior SPEED brackets. Use of metal anterior bite ramps has since been discontinued in my practice. My current preference is to build a composite bite shelf on the lingual surface of the central incisors in cases where posterior extrusion is required to increase lower facial height and correct overbite while preventing traumatic occlusion.
Treatment with the SPEED System™ - Class I Non-Extraction 7 10 0 20 30 40 50 60 70 80 90 100 Mandibular Arch Maxillary Arch .014 SE .018 SS Class II elastic 1/4 2oz UR3 to LR6 & UL3 to LL6 .014 SE .018 SE .018 SS .018 x .025 Stainless Steel .014 SE .016 SE .018 SE .016 x .022 SE .018 x .025 SE .018 x .025 SS .018 x .025 SS .018 x .025 Super Elastic .016 x .022 SS .018 x .025 SS Bite Ramp Weeks 6W 6W 6W 19W 8W 7W 8W 6W 6W 6W 12W 7W 6W 8W 9W Maxillary Arch: Tooth movement was initiated with a light .014 Nickel Titanium archwire. At week 6, a .018 Stainless Steel wire was placed to continue levelling and an open coil spring was placed to create space for the upper canine. At week 12, a .018 x .025 Stainless Steel archwire was placed to establish anchorage and to act as support for an .014 nickel titanium sectional wire that was placed to engage the impacted canine. A SPEED bracket was bonded at the tip of the impacted canine (13) to begin the orthodontic traction. At week 18, bite ramps were removed and the .014 sectional wire was replaced with a .016 Nickel Titanium sectional wire. At week 30, the canine bracket was rebonded in the ideal position, and was engaged by a .018 Nickel Titanium archwire, which was placed 7-7 to complete alignment. Light Class II elastics were used to maintain the Class I molar relationship. At week 37, a .016 x .022 Nickel Titanium archwire was placed to establish archform, followed by .018 x .025 Nickel Titanium, combined with elastic chain 7-7 to close space, and to continue to correct the archform. At week 52, a .018 x .025 Stainless Steel wire was used to finish the case, finalize arch coordination and levelling, and establish proper occlusion. Mandibular Arch: Alignment and levelling of the lower arch was carried out over an 18-week period using .014 Nickel Titanium archwire, followed by a .018 Nickel Titanium archwire, and finally with a .018 Stainless Steel archwire. A .018 x .025 Nickel Titanium archwire was then placed to establish archform, initiate torque, and correct the curve of Spee. This was followed by a .018 x .025 Stainless Steel archwire. At week 45, a .016 x .022 Stainless Steel Wire was placed to address a bond failure and subsequent relapse of tooth number 37. This wire stayed in place for 7 weeks, at which point a .018 x .025 Stainless Steel archwire was placed to finish the case. As proper posterior occlusion had been achieved with good final torque positions, cuspid rise, and overbite / overjet, it was unnecessary to progress to a Stainless Steel wire larger than .018 x .025 to finish the case. Further, in the lower arch, I was concerned that advancing to a larger archwire may have excessively torqued the lower anteriors and compromised lip support. W = Weeks (eg. 29 W = 29 Weeks) Archwire Progression:
Treatment with the SPEED System™ - Class I Non-Extraction 8 Maxillary archwire: .018 x .025 SS + .014 NiTi + Bite Ramp Stage of Treatment Maxillary: Anchorage and Alignment #13 Mandibular archwires: .018 SS Stage of Treatment Mandibular: Levelling and Aligning WEEK 12
Treatment with the SPEED System™ - Class I Non-Extraction 9 Maxillary archwire: .018 x .025 SS + .016 NiTi Stage of Treatment Maxillary: Anchorage and Alignment #13 Mandibular archwires: .018 x .025 NiTi Stage of Treatment Mandibular: 3rd Order Control WEEK 18
Treatment with the SPEED System™ - Class I Non-Extraction 10 Maxillary archwire: .016 x .022 NiTi Stage of Treatment Maxillary: Alignment #13 Mandibular archwires: .018 x .025 SS Stage of Treatment Mandibular: 3rd Order Control WEEK 37
Treatment with the SPEED System™ - Class I Non-Extraction 11 Maxillary archwire: .018 x .025 NiTi Stage of Treatment Maxillary: 3rd Order Control + Space Closure Mandibular archwires: .018 x .025 SS Stage of Treatment Mandibular: 3rd Order Control WEEK 43
Treatment with the SPEED System™ - Class I Non-Extraction 12 Age: 22 years 7 months 10 weeks post-treatment Length of Active Treatment: 1 year 2 months
Treatment with the SPEED System™ - Class I Non-Extraction 13 Final Records: After 1 year and 2 months of active orthodontic treatment, we obtained a functional and stable result. The immediate incisal guidance, bilateral cuspid rise, and proper maximal posterior occlusion assure a very good masticatory and TMJ function. On the panoramic X-ray we see good root alignment, no root resorption, and the bone level on the distal of the lateral (12) is improved relative to the beginning of treatment. The patient's three wisdom teeth will have to be removed in the future. On the ceph tracing superimposition you can see the movement of the upper and lower incisors, and that the lip support has remained unchanged. The patient chose not to proceed with a cosmetic procedure to resolve the incisal wear on her upper centrals. Cephalogram Ceph Tracing Panorex
Treatment with the SPEED System™ - Class I Non-Extraction 14 Initial Final Nasion Basion at Nasion Corpus Axis at PM Maxillary Plane at ANS Nasion Basion at CC Profile
Treatment with the SPEED System™ - Class I Non-Extraction 15 Age: 24 years 6 months 26 months after completion of treatment Stable Occlusion
SPEED Sets the Standard! .016 Auxiliary Slot enhances appliance versatility. New Rhomboid shape simplifies bracket positioning. A Labial Window you can actually use! Only SPEED has an active Nickel Titanium Spring Clip. Easy to Position Exceptional Versatility Superior Tooth Control Easy to Open / Easy to Close Call Today to get Started! Save 50 % of the regular price. The SPEED Introductory Kit © 2019 Hespeler Orthodontics Limited WNT-E Rev B. Printed in Canada SPEED System™ Orthodontics HESPELER ORTHODONTICS LIMITED 298 Shepherd Avenue Cambridge Ontario N3C 1V1 Canada Tel: 1-519-658-2925 • 1-800-267-7333 • Fax:1-519-658-6925 www.speedsystem.com • speedback@speedsystem.com
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