hey it's dr amanda with street smile solutions street smile solutions.com and today we're going
to talk about the one of the biggest mistakes i see almost every day with doctors whenever
they have like an overjet overbite and a spacing case so this isn't necessarily the
best representation of what i'm talking about but it's i got a hit two out of two out of three so
um sometimes you know let's go over the steps again and if you're not sure of the steps of
straight wire you really should watch all the videos in my straight wire playlist which is
free and available to all doctors yes it's free orthodontic education we do not charge
for our classes they just plug them on youtube and you can watch them whenever you want to
um and we spend money to make them but you know we get a few pennies back from google but not much
certainly doesn't cover the overhead but i do it as a gift for y'all just because and it's also an
educational tool for my own paid clients you know obviously we're working on a case and i'm like oh
yeah this is going on sometimes it's a lot easier for me just to give you a small video where i've
already explained something that i've talked about 20 times to other doctors you know than to have to
individually explain it so saves me a lot of time to make these videos as well um so remember the
initial steps of braces and to access oh yeah going back go back to my playlist go to your
youtube channel put in the search bar street smile solutions that'll take you to my youtube
channel which has a green banner from there on the home page there is a straight wire playlist
you can go ahead and scroll down and access that playlist with over 100 and possibly 200 straight
wire videos on all kinds of different techniques that you would use in streetwear so if you listen
to my videos you should have this hammered into your head first and this is like basic ortho 101
what we learned in ortho residency first thing we do and by the way i don't think this bracketing is
right i didn't do it um it's really really really incisal i don't know why they're doing it and then
it's super gingival up here it's just terrible whoever did this bracketing i don't know what's
going on up here but um in any case don't look at that let's talk about the techniques
so first step is going to be a line and level a line in level making the teeth straight
you know rotations up and downs in and out okay so obviously this is not aligned and leveled
okay well apart but it's because the bracket is terrible but when you finish aligning and leveling
you shouldn't have a deep bite so it's correcting all the vertical issues in the front um all your
teeth should be in contact you shouldn't have a posterior open bite like you do here
it should look really nice the only thing that you haven't finished after the aligning in the
leveling phase um is there should be some spaces potentially and then also you might have an ap
issue so ap meaning like over jet overbite um sorry overjet uh it's a little early for me
today like like or underbite so you know where the top teeth are ahead or the bottom teeth are
ahead so those are the only things that should be left you should have fixed everything else
perfectly already so what happens is when you rush your braces which happens so often where
doctors are like oh i see spaces i need to hurry up and close those but they haven't finished
leveling like they skipped they skip to the next phase before they finish the first phase is weird
things happen and then when you go to try to close your spaces what happens those front teeth hang
down and get blocked by the lower braces which prevents space closure so that's why it's really
important to fix your vertical first and finish first stage before you try to rush and close
space now i know it's a little different than what some of these um short-term ortho braces
gp focus classes i'm not going to name them teach you but i can tell you i've been doing braces for
over 18 well goodness i guess if you factor in my residency i've been doing braces now for 21 years
and this is the way you have to do it if you don't do it this way you're gonna get into a
mess at the end and it's gonna take you way longer than it would have ever taken if you just stuck
to the procedure and the process and did things correctly i know i sound like a mom saying that
and trust me a lot of times when i was in residency i tried to skip stages and i
and then i learned the hard way you know do things the right way so even though patients
might be pressuring you to start closing the spaces you have to really stick to your guns
and explain to them look i only close spaces on this type of wire we aren't ready for that
kind of wire yet if we don't do this it's going to end up taking longer in the long run
so that is my suggestion do watch all the rest of my videos um and sure you're thinking hey we could
just put some bite bumps on here just to lift the occlusion but the problem with doing that
is that you're actually making a deep bite worse in the long run and it's going to
take you even longer to fix it so just do it right the first time all right thanks so much