Journal of the American Orthodontic Society • January

ORTHO BITES Fig. 4 Fig. 5 Fig. 2 Fig. 6 Fig. 7 Fig. 3 Ormco. It is the Turbo Arch Wire. It is a .021 x .025 braided rectangular Nitinol product. Because it is so soft and flexible, I can place this arch wire very early on and produce amazing unraveling of the arches. While the Turbo arch wire is developing the arches from the first and second order moments of force due to it filling up the RX of the bracket, it is also creating third order moments of force. When I place this arch wire, I also create a closed system of mechanics (instead the normal sliding mechanics) by placing .022 x .028 crimpable stops on the arch wire. These are also made by Ormco. It is important to get these particular stops as they are a solid rectangle and can be uncrimped, moved and recrimped. I will normally take a wax bite of the arch I am placing the Turbo arch wire in, mark mesial to the first molar tubes with a marking pencil, and place the stops ½-1mm distal to the marks. I then crimp them securely, place the Turbo wire into the arch, and secure the wire with safe-t-ties. If I want to direct the force to one particular area, I place power chains to direct the excess arch length of the wire to the blocked out tooth as in this case. And the results are amazing. I began this case in July 2006. I bracketed the teeth with .022 slotted double tie wing brackets (Optimim by Ortho Organizers), banded the first molars with Fig. 8 www.orthodontics.com January/February 2011 13