hey it's dr amanda with straight smile solutions street smile solutions.com and today we're going
to be talking about copper nighttime wires and how they're different from regular nighttime wires
slightly different properties it may be something you want to buy maybe not i kind of like the idea
of having maybe like copper nitrite just 18 nitai upper and lower there are indications for it so
for example i mean you can see i might type it on here there's a few brackets broken but let's
see for example first wire here what would i use maybe 12 nitai on the top or 14
um maybe 16 on the bottom now if i had copper nitei i could probably pull off a 16 or an
18 which is a slightly bigger wire which is nice because you can do it you can have a
slightly stiffer wire so you don't have to change your wires as often so maybe you save a wire and
the way that the copper nite works is that you can use endo ice like this okay don't spray it
directly ooh frosty um don't spray it directly in the patient's mouth but it changes the properties
of the wire i mean you could just use an ice cube too right but so that it's easier and more
malleable um so normally this would be tricky to get in right but if i change the properties of the
wire and keep it cold i probably should have done it right before i did it maybe i'll do it again
it's going to be more flexible and really behave a little bit more like maybe like a 14 night
instead of being an 18 nighttime which is great keep in mind i am looking at this wire through
a lens right now so it's a little bit trickier so maybe i'll do this one first
but you know i can save a wire so maybe my first wire could be that 16
or an 18 if i use copper you know because it makes it temporarily more malleable
now it got stiff again it's still cold though so you can just keep doing this i mean to me it takes
more time but you know let's say a patient is going to camp for four months and won't come back
you could use this copper nighttime wire and you know patient's not coming back the initial wire
could be a stiffer wire and it could last longer of course the rubber o-ties still have to be
changed so that doesn't really change anything but you could always if you had self-ligating brackets
and you can see how it went all the way in i mean normally you couldn't do this that easily with an
18 nine tie right but it's definitely going in the slot which is good right it's still cold perfect
i'm gonna keep rubbing it on the wire so that it's more flexible the other cool trick you
can use is you can use something like a ligature director right here to really
get it right in the slide see that now we're in the slot so um you know it's not for everybody
but it's something that you should consider you know having in your armamentarium for sure
again sorry i'm doing this through the the camera lens so it's a little trickier for me to do this
but definitely i mean i think it's a it's a helpful tool to have
um for that patient that maybe can't come in as often or you know is going out of town or
if you just really don't hate changing wires and you just want to have the
initial wire be a little bit stiffer keep in mind the patient is going to be more sore so
but if you're putting in a stiffer wire you need it to be fully fully in the slot and this will
help you get the wire fully in the slot you know everything is fully ligated here as you can see so
you know and you would never never expect that from an 18 nine tie as an initial wire so that's
the benefit of the copper night tie i've got a kobe hook here so a little bit trickier to put on
there we go
got it okay so 1890 fully ligated thanks to copper knight and endo ice i don't know is it
worth it this is more expensive so i'm not sure it's something that it's something that i'd use
occasionally but if i had self like eating brackets it might make a little more sense because
then first visit you there's no rubber ties to change anyways so you could put it at 18 night
top and bottom they're gonna be sore but that darn thing is gonna cook for like four months
in the same wire theoretically if you're using virtual check-ins the patient doesn't even need
to come back to the office you could totally just do virtual check-ins as long as nothing's broken
it will be completely straight by the time you see them again and assuming you put your brackets
correctly placed all right hopefully this is helpful thanks so much that's copper nighttime