Clinical tip: Midline Correction with Intermaxillary Elastics|【Chris Chang Ortho】CC451

2018 ж. 5 Қаң.
442 801 Рет қаралды

Abstract
Asymmetric intermaxillary elastics are often indicated for midline correction. However, asymmetrical elastics in the posterior segment often result in occlusal canting due to unwanted molar extrusion. To avoid this side effect, a recommended alternative is to use z-shaped elastics in the anterior segment instead of asymmetrical elastics in the posterior for mild midline correction.
摘要
改正中線常須借助不對稱的配戴顎間橡皮筋(Intermaxillary elastics),然而對後牙施展不對稱牽引會造成大臼齒的不當擠壓,使咬合平面歪斜。為了避免這樣的副作用,後牙應儘量避免使用不對稱的牽引,可改用在前牙區拉Z字形橡皮筋,以改正輕微中線偏移問題。

Пікірлер
  • As a person who is in this procedure to correct midline shifting, it is good to know what my orthodontist is trying to do to correct my midline as I always want him to explain what he is doing and what process I’m in but he’s always in a rush. This helps me a lot. Good to know! Thanks a lot!

    @Formerguineapig@Formerguineapig10 ай бұрын
  • I think, the important moment under such influence is rectangular arcs. It is also necessary to take into account the final molar ratio. The arcs must be fixed to prevent slipping in the grooves. And I do not like clamping hooks.

    @sniper117332@sniper1173326 жыл бұрын
  • Orthodontics is fascinating!

    @lalalabia7464@lalalabia7464 Жыл бұрын
  • Thx Dr Christ Chang for your lesson ❤❤❤

    @susianasetiono4912@susianasetiono4912Ай бұрын
  • Smart solution. Other possibility its use an elastik from 23 to 43... or a heavier elastic than the other side.

    @miqueiascardoso6051@miqueiascardoso60515 жыл бұрын
    • Not good. Incisors are sensitive with direct vertical force. It will cause extrusion.

      @hautran5476@hautran54762 жыл бұрын
  • hello dear Doctor hope you are doing great I want to clarify some points if u don't mind dear doctor, 1. The long class 2 elastics in posterior segment + z-shaped will neutralize the effect of clockwise cant rotation ( the moment and force ration in long class 2 elastics produce big moments as u mentioned in the beginning)? why u didn't use only z-shape elastics? 2. the z-shape elastic ( between upper central two opposite forces will equal 0 + on lower canine to premolar will it equal zero? then from 12 teeth distally to lower 33 teeth mesially will act like short class 2 but the force direction is to the upper center of Resistance so will have translation movement of maxilla but due to distance between force and center of resistance on the lower arch will still have some moment right? thank you for your knowledge dear Doctor hope to meet you one day and learn more from you

    @hamadalobaidat8124@hamadalobaidat81243 жыл бұрын
  • Hi, what Is the best arcs to use elastics for II or III class to have best results?thanks

    @andreaitalia256@andreaitalia2562 жыл бұрын
  • Excelente trabajó del Dr.Chan

    @gerardolaverianoalfaro342@gerardolaverianoalfaro342 Жыл бұрын
  • Why am I even watching this? I'm not a dentist

    @greyperry@greyperry4 жыл бұрын
    • Thank you for your watching.

      @ChrisChangOrtho@ChrisChangOrtho4 жыл бұрын
    • 😂😂😂

      @MissAnnaDominique@MissAnnaDominique Жыл бұрын
    • Because you are captivated

      @hopepeacetrust@hopepeacetrust8 ай бұрын
  • Bravo! Pure physics 🎉

    @improwise2171@improwise21714 ай бұрын
  • Great tip

    @taruntarun8317@taruntarun83172 жыл бұрын
  • Thank you.

    @billos008@billos0083 жыл бұрын
  • what about presence of insufficient overjet? still cl 2 elastics?

    @semihcankaya@semihcankaya6 жыл бұрын
  • My midline is off like the first patient but my teeth aren’t that flared out I hope my ortho fix this

    @chantelh532@chantelh532 Жыл бұрын
  • Eso me pasó a mí y ahora tengo problemas de oclusión....

    @zabdi3728@zabdi37285 жыл бұрын
  • good job thank you

    @malikadjeriou1545@malikadjeriou1545 Жыл бұрын
  • Hi, for the class ll and class lll on 2:26 how long will it take to fix the midline for this type of bite, I have it

    @laila36790@laila36790 Жыл бұрын
  • Excuse me Dr., what kínd of program use to do that video?

    @miqkeolvera@miqkeolvera3 жыл бұрын
  • This is my problem, do you have clinic here in the philippines?😊

    @arnelynq.batugo-esteban2677@arnelynq.batugo-esteban26773 жыл бұрын
  • It's necessary to create space in a dental arch to correct the midline?

    @jadelakshmi@jadelakshmi6 ай бұрын
  • I think left side elastic incorrect in last part? It must fit from UL6 to LL3 instead of UL3-LL6?

    @MaxillaTR@MaxillaTR6 жыл бұрын
    • I don't think there is nothing wrong with the final diagram. The LHS should be a C2 Elastic, If you use C3 elastic on LHS you will make the cant worse.

      @andrewho6679@andrewho66795 жыл бұрын
  • Nice.. love that.. duration how long to use the elastics and how to rwtqin this after treatment..can u pls explain..thank u

    @akhilj2010@akhilj20103 жыл бұрын
  • It hurts so much its torcher every single minute

    @AngelaBeers929@AngelaBeers929 Жыл бұрын
  • This adjustment is possible in adults over 35 yrs??

    @touchreceptor8706@touchreceptor87063 жыл бұрын
  • For the intermaxillary elastics, was it a single elastic or three?

    @DocVinny@DocVinny3 ай бұрын
  • Nice clinical tip, but check the last part of the presentation. I believe the patient's left side should have a Class III elastic instead of a Class II. Let me know if this is correct.

    @JerrySmithPersonalPage@JerrySmithPersonalPage6 жыл бұрын
    • Si, me parece lo mismo. Avísame si esto es correcto. Gracias.

      @gergisalkhouri3936@gergisalkhouri39366 жыл бұрын
    • Jerry Smith I feel same

      @vishseth1696@vishseth16966 жыл бұрын
    • Jerry Smith Same question.

      @thiaugusto15@thiaugusto156 жыл бұрын
  • Lol that's exactly how my teeth is

    @XRON@XRON Жыл бұрын
  • what if there's premature contact that causing the functional shift?

    @chinhnhavietuc6273@chinhnhavietuc62735 жыл бұрын
    • ؟؟

      @MBasha-zk9fe@MBasha-zk9fe4 жыл бұрын
    • You mean like this? kzhead.info/sun/fN2Poq2EjnyMo3A/bejne.html

      @BrianJ.@BrianJ.3 жыл бұрын
  • Me parece que el señor Jerry Smith tiene razón. Avísame si esto es correcto. Gracias.

    @gergisalkhouri3936@gergisalkhouri39366 жыл бұрын
  • How to get treatment from nepal ?

    @helloentertainment2999@helloentertainment2999 Жыл бұрын
  • 我認為這樣仍然會產生咬合傾斜

    @user-cv8cb2ft9c@user-cv8cb2ft9c Жыл бұрын
  • I have a CLASS II DEEP BITE and my orthodontist has almost concluded my braces journey albeit I still have them on. I have a major midline discrepancy on my bottom teeth and she says it’s normal and can’t really be fixed. I feel very sketchy and want a second opinion. Who should I go to for getting this checked out? Can it be done online by any chance?

    @exploronautrizz@exploronautrizz2 жыл бұрын
    • Same!!! Update???

      @thisnameisreserved5512@thisnameisreserved55122 жыл бұрын
    • @@thisnameisreserved5512 i changed my orthodontist and my new one worked on fixing my bite and it has significantly improved over the past month!! i have 4-5 months worth work still left with elastics and i’ll get them off!!

      @exploronautrizz@exploronautrizz2 жыл бұрын
    • @@exploronautrizz did you have to pay some extra money at your new ortho because you already had the braces on??

      @thisnameisreserved5512@thisnameisreserved55122 жыл бұрын
    • @@thisnameisreserved5512 yes but luckily it wasn’t as expensive since I didn’t pay my last instalment at my current ortho so it kind of compensated for that.

      @exploronautrizz@exploronautrizz2 жыл бұрын
    • @@exploronautrizz i called an other ortho and they said they have to take off my braces and put a new one on and pay for it. Lmao. So you didnt have to do this? Did you bring your old papers/x-rays to your new ortho?

      @thisnameisreserved5512@thisnameisreserved55122 жыл бұрын
  • The Z shaped elastic consists of 3 different elastic or single elastic?

    @CH-yn8ty@CH-yn8ty4 жыл бұрын
    • The same, thank you, my friend!

      @ChrisChangOrtho@ChrisChangOrtho4 жыл бұрын
    • Z shaped elastics, is it three pieces of elastics to create the Z or just one? @@ChrisChangOrtho

      @DocVinny@DocVinny3 ай бұрын
  • if upper midline and lower midline is wrong, the z-shaped elastic will effect both uper and lower midline.In case , only lower midline is wrong ,so I want to correct only lower midline. How should I use intermaxillary elastics ?

    @NganTran-it3cd@NganTran-it3cd Жыл бұрын
    • Try TADs in the lower arch with elastics to correct midline

      @myyoutube7228@myyoutube7228 Жыл бұрын
  • Can I get elastics without getting braces?

    @agodsdream9172@agodsdream917213 күн бұрын
  • I am at the end of my treatment. The Clockwise Rotation U1 Q Loss is what my Dr. is trying to achieve right now. However, I keep trying to tell him that this has only moved my 1st molar, with no movement of the K9 tooth at all. It has not only pulled the molar in towards my tongue, but it also pulled it out some. To the point that I have now grinned down the tooth. I’m starting to lose my patience with my Dr for not listen to me, but now I am mad. What should I do?

    @amyard1871@amyard18712 жыл бұрын
    • Are you an orthodontist?

      @roxanarominu5866@roxanarominu58662 жыл бұрын
    • wsyd? stop winging and crying

      @tb98ber56@tb98ber56 Жыл бұрын
  • Can braces fix weak chin

    @aansetiyani9146@aansetiyani91462 жыл бұрын
  • I think my orthodontist is doing the first one to correct my midline because i'm missing a canine on my upper teeth... Can someone enlighten me with risk on this

    @dawilddogg8607@dawilddogg860729 күн бұрын
  • my dentist does the opposite of this. i’m worried

    @dk8844@dk88444 жыл бұрын
    • What happened

      @hazeltitular7112@hazeltitular71123 жыл бұрын
  • what if my bottom teeth are like...they skipped a tooth to the left? how can i fix that?? 😂 yes the midline is not in center

    @elvachin3167@elvachin31673 жыл бұрын
  • what if top is already middle only lower teeth need adjusting

    @ZenrioBelieve@ZenrioBelieve5 жыл бұрын
    • Zen Kantaphon they would still Have to give you braces for your upper and lower row

      @katiephan6983@katiephan69834 жыл бұрын
    • if it’s after braces it might be because you are still used to biting down with crooked teeth

      @deeznut9734@deeznut97343 жыл бұрын
    • No decent answer till now.. haha

      @SL-rh5xo@SL-rh5xo3 жыл бұрын
  • Ganyan Yun akin Hindi magkatapat 😢 sana maayos ni dra

    @dudaysdiary1763@dudaysdiary1763 Жыл бұрын
  • Good

    @topgriporthodontictccutter9588@topgriporthodontictccutter9588 Жыл бұрын
  • I’m victim of malpractice by Federico Hernández Alfaro (maxillo Monkey-facial Institute in Barcelona). Looking for an experienced professional for the revision this time.

    @tomred9438@tomred9438 Жыл бұрын
  • How long does it take to be fixed roughly? My teeth are straight and only my centreline is wrong. I’m wearing my elastics daily but they don’t seem to be doing anything. I really want these bad boys off

    @mattie_sizer7187@mattie_sizer71874 жыл бұрын
    • This is whats happening with me.

      @consumerguywastaken@consumerguywastaken3 жыл бұрын
    • same i had elastics two times but they are not working my centerline is still messed up😀

      @fa5252@fa52523 жыл бұрын
    • Itsme Angel thank you 🥺❤️

      @fa5252@fa52523 жыл бұрын
    • Same. Been wearing elastics for a while & it doesn’t seem to be moving. I wanna cry lmao😢

      @nandukitty6769@nandukitty67693 жыл бұрын
    • same and i get my braces off in a week.. my midline isn’t perfect yet

      @kyliem@kyliem3 жыл бұрын
  • My orthodontics are so stupid. I have the last case and they put the elastics in the same directions (CII elastics), making the midline even worse. When I told them or recommended to put the elastic in differing directions (CII and CIII), he agreed with me. But now I am worried about my canted smile even becoming worse as I already have right upper teeth more intruded. It is so frustrating. Is it rude If I show them this video?

    @gdaebb9179@gdaebb91794 жыл бұрын
    • So... you told/recommended them to do something... and now you’re complaining about your own recommendation??? Maybe stop trying to be the doctor just bc you watched KZhead. Just a suggestion. 😄

      @johnh5149@johnh51494 жыл бұрын
    • How is your teeth now?

      @celciemacabinguil9508@celciemacabinguil95083 жыл бұрын
    • @@johnh5149 Obviously I missed your reply but listen Sherlock, I was complaining about the risk of occlusal canting as shown in the last case. I am not the orthodontist, they are so When I brought up that my midline is off and advised elastics in different directions to line up the midline, they SHOULD have known about occlusal canting and the elastics SHOULD have been exactly as the last case....NOT just class II and Class III. My upper teeth are concaved in because of that reason now. Ps; after SIX years of braces, I learned the hard way that NOT everyone knows what they are doing and you have to speak up and express your concerns.

      @gdaebb9179@gdaebb91793 жыл бұрын
    • @@celciemacabinguil9508 It is much better.....about to remove it in a month or two.

      @gdaebb9179@gdaebb91793 жыл бұрын
    • @@gdaebb9179 you had the braces for six years??? I did my braces just yesterday. What do you recommend me to get done with my braces within two years max. My case is midline discrepancy and bite correction and I’m adult. I wish you all the best.

      @rehaboth203@rehaboth2033 жыл бұрын
  • now i understand why my occlusal plan was canted, My doctor corrected my midline with classII elastic on a one side and class III elastic on another side :(

    @ThuyNguyen-ev7fz@ThuyNguyen-ev7fz3 жыл бұрын
    • Did he fix this for u somehow? Because i have the same problem But didnt mention to him yet

      @thisnameisreserved5512@thisnameisreserved55122 жыл бұрын
    • @@thisnameisreserved5512 no, i removed brackets and the problem isn't resolved completely.

      @ThuyNguyen-ev7fz@ThuyNguyen-ev7fz2 жыл бұрын
  • Здравствуйте скажите а вот ставят коронки они вообще могут перетерать пищу как своими родными или ето для красоты ставят

    @user-ro7zd7ye9l@user-ro7zd7ye9l Жыл бұрын
  • He put mine on Parallel and on the video it said no to do that. I’m scared now

    @Wazzupppmyjomis2348@Wazzupppmyjomis2348Ай бұрын
  • I had perfectly aligned set, but after completing the treatment ( to push the teeth back), I realize my teeth were no longer aligned. I consulted with the same doctor who did my treatment, about my concern. To this the doctor suggest that the only way to fix this is by pulling out one healthy tooth to have enough space to move teeth for aligning. This video, show there is no need to pull out healthy tooth in order to do the aligning.

    @hqueen5411@hqueen54112 жыл бұрын
    • this video is a simplified example to make people understand. not everyone have the same set of teeth. alot of other factors to take into account

      @snapfire3711@snapfire37112 жыл бұрын
  • Soundtrack please

    @AM-mr5so@AM-mr5so5 жыл бұрын
  • My upper is now midlined but its my lower that is SUPER off the midline and my smile became crooked. And my ortho told me that I only have 3 months. What should I do?

    @patriceleray910@patriceleray9103 жыл бұрын
    • Did he fix it???

      @thisnameisreserved5512@thisnameisreserved55122 жыл бұрын
    • @@thisnameisreserved5512 Nope, and I'm already hopeless about it 👁💧👄💧👁

      @patriceleray910@patriceleray9102 жыл бұрын
  • What size is Elastic used for The Z shaped Elastic ?

    @Vuko8888@Vuko88883 жыл бұрын
    • you prolly dont give a damn but does someone know of a tool to log back into an instagram account?? I was dumb forgot the login password. I would love any assistance you can give me!

      @ulisesshane8379@ulisesshane83792 жыл бұрын
    • @Ulises Shane Instablaster ;)

      @musaking5991@musaking59912 жыл бұрын
    • @Musa King thanks so much for your reply. I found the site through google and I'm trying it out atm. I see it takes quite some time so I will reply here later with my results.

      @ulisesshane8379@ulisesshane83792 жыл бұрын
    • @Musa King It worked and I actually got access to my account again. I'm so happy:D Thanks so much, you saved my ass :D

      @ulisesshane8379@ulisesshane83792 жыл бұрын
    • @Ulises Shane Glad I could help =)

      @musaking5991@musaking59912 жыл бұрын
  • Can midline shift of teeth cause jaw assymetry

    @sujithavitus5265@sujithavitus5265 Жыл бұрын
    • sadly yes

      @fyh033@fyh033 Жыл бұрын
  • They’re making me wear 1 on 1 side and 2 on the other and i feel like its messing up my teeth 😭

    @Pphehe@Pphehe Жыл бұрын
  • I'm interesting in fixing teeth,but I don't have tools to learn

    @user-fl4ik6tj2i@user-fl4ik6tj2i3 ай бұрын
  • Can you fix midline correction and or canting with TADs?

    @TheCalliopeSky@TheCalliopeSky4 жыл бұрын
    • I think we can. Please go to consult your dentist. Thank you!

      @ChrisChangOrtho@ChrisChangOrtho4 жыл бұрын
  • Occlusal cant will not happen. Yes in theory correct. But in practice it won't.

    @ManRed1987@ManRed19875 ай бұрын
  • Isn't it the orthodontist's job to prevent that from happening?

    @tarabean1892@tarabean18923 жыл бұрын
  • My middle line is incorrect. I think my ortodentist don't know this. He didn't put my rubber bands like that

    @user-no1ky4yo8e@user-no1ky4yo8e11 ай бұрын
    • He put mine on Parallel and on the video it said no to do that. I’m scared now

      @Wazzupppmyjomis2348@Wazzupppmyjomis2348Ай бұрын
  • My dentist told me that I have to extract a tooth so that I can have my midline corrected but my the lower part is shifted to the left while the upper part is to the right and he said he needs to extract my 2nd molar at the upper left part . Why??

    @marielsalem9053@marielsalem90534 жыл бұрын
    • It depends your won situation. Please consult with your doctor.

      @ChrisChangOrtho@ChrisChangOrtho4 жыл бұрын
    • im having the same thing, i already got a tooth extracted from the upper right tho..

      @naaimamasood2199@naaimamasood21994 жыл бұрын
    • @@naaimamasood2199 I'm not happy with my progress

      @marielsalem9053@marielsalem90534 жыл бұрын
    • @@marielsalem9053 whats ur progress? and how long have u had braces for

      @naaimamasood2199@naaimamasood21994 жыл бұрын
    • @@naaimamasood2199 2 yrs and 9 months, my doctor said that its done already and we are in the healing process but I'm not happy I still have deep overbite and my midline shifts to the right. The first 3 teeths on the right side are still slanted for me

      @marielsalem9053@marielsalem90534 жыл бұрын
  • Can anyone tell how long that takes?

    @user-mt1ig9jt5q@user-mt1ig9jt5q Жыл бұрын
    • 4 months i think

      @KaidenPvP15@KaidenPvP15 Жыл бұрын
  • Mine has midline problem the doctor said she gonna pull out one of my teeth. Is it effective?

    @amuservlog4561@amuservlog4561 Жыл бұрын
    • Everyone has specific cases. We can't help you with that. Sorry

      @KaidenPvP15@KaidenPvP15 Жыл бұрын
    • dont ever pull out your teeth its gonna make your face look worse

      @infinityboom1842@infinityboom18422 күн бұрын
  • 😊

    @dudaysdiary1763@dudaysdiary1763 Жыл бұрын
  • This is exactly how I have to wear my elastics right now

    @its.dayday__@its.dayday__2 жыл бұрын
  • How much time it takes to finish the midline treatment ?

    @arfaouiahmedmoubarek@arfaouiahmedmoubarek4 жыл бұрын
    • This will depend on the circumstances.

      @ChrisChangOrtho@ChrisChangOrtho3 жыл бұрын
  • That’s literally my teeth right now

    @Tejano._.@Tejano._. Жыл бұрын
  • Does anyone know how long this process is?

    @talyarias4160@talyarias41605 жыл бұрын
    • May be as early as 3 and as long as 8 appointments as far as in my practice

      @UMASOOT@UMASOOT5 жыл бұрын
    • Its been a month for me and i havent seen any much movements to my midline yet

      @nat2739@nat27394 жыл бұрын
  • Did anybody else got grossed out from the thumbnail?

    @iilxmon6065@iilxmon60655 жыл бұрын
  • Hi Doc, may I know the size and oz of elastics?

    @mariateresacruz4950@mariateresacruz49503 жыл бұрын
    • your orthodontist chooses according to your case and treatment

      @nawalshahid4964@nawalshahid49643 жыл бұрын
    • 3.5 oz is the force. Size depends…

      @anacristinar638@anacristinar638 Жыл бұрын
  • name of the song?

    @Rockstarhero@Rockstarhero3 жыл бұрын
    • that's what i'm looking for! haha

      @karabrynn@karabrynn3 жыл бұрын
  • 斜牵纠正中线,相当不科学

    @chunlizhang2717@chunlizhang27176 жыл бұрын
  • Orthodontist are loosing their jobs now🤣🤣🤣

    @drvenugopal6588@drvenugopal6588 Жыл бұрын
    • ?

      @KaidenPvP15@KaidenPvP15 Жыл бұрын
    • With ur presentation method and teachings every BDS doctor will be confident to do ortho cases, then what will the orthodontist do.? Obviously they won't be having so many cases. Jobs lost. Right.

      @drvenugopal6588@drvenugopal6588 Жыл бұрын
  • Good

    @johnwish7405@johnwish7405 Жыл бұрын
KZhead