hey it's dr amanda with straight smile solutions straight smile solutions.com and today we're
going to talk about picking the right bracket prescriptions specifically o22 versus 01.8 slot
and the whole roth mbt there's so many different prescriptions and i have a whole different video
on the prescription part the roth and bt all that but today i'm specifically going to talk
about the slot size picking 018 versus o22 and really it comes down to personal preference and
how you were trained and probably what they used in your residency or what they used in
the in your class that you took um you just do what's comfortable for you so they're really
it's nothing i can demo that what you'd notice with your naked eye it's really just down to like
how things handle every orthodontist uses i i find more orthodontists use 1018 more dsls use 022 um
more gp dentists use o2 but that doesn't mean one's wrong or right so i'll kind of tell you
the differences what i notice and you can pick your own personal preference the main thing you
need to know is that you need to pick one stay with one and that's the bracket you use so if
patients transfer in for another provider that's the first thing you're going to ask is this o22 or
is this 018 and what is the prescription unless it matches with the bracket that you're using now you
could have an o2 roth from one vendor and o2 roth from ornco and one from 3m and you should be able
to mix and match like if you take that patient and one of their brackets breaks and they lost it you
can use one of yours even though it might be from a different vendor it should perform the same way
i don't know if that makes sense if your bracket prescription doesn't match with the transfer
then it's a risk because first of all you're going to take a look and say do i love the bracket
positioning would i change anything you know and if the patient was like one month from being done
and everything looked perfect and you wouldn't change a single thing
then you're probably okay to keep it but if the patient's only halfway through treatment
probably better unless that doctor sent a you know like um a pile of you know a set of brackets
as a backup it's probably better if you pull all those brackets off and put your brackets back on
because you're going to be in trouble if the patient breaks and loses a bracket
or later down the road if you decide to reposition the brackets i don't know if that makes sense so
patients don't love that but that's how it is okay so let's get down to the one eight versus
one two two o two two thing so one eight i've used both in practices i'm pretty you know capable of
using one or the other i'll come into a practice or take over a practice and um i just use what
they have i mean as long as i don't use tip edge that's the one thing it's a whole different system
it's a whole different bracket shape that is not something i'm trained on it's totally weird and
different for me so no that's not something i do nor do i train doctors who want to do tip
edge it's not me so i just do standard mini twin straight rider so on e is going to be a smaller
bracket slot so see this slot right here slot slot slot okay you can't you're naked i can't
tell the difference between an 022 and an o18 slot difference you can't it's i mean you're talking a
hundredth a couple hundredths of a millimeter i mean you can't see that with a naked eye right but
the one thing i like about o118 is i actually use less wire so i don't have to inventory as many
wires because the max wire size i can put in is an 1825 i can't put in a 1925 into an 018 slot i
can't put in a 20 by 20 or anything like 21 by 25 don't need those because i'll never use them right
so that's the good part for me it's less inventory number two um i start to see
torque being expressed earlier because i'm feeling this lot earlier with lower force wires
personal preference okay so that's if i'm opening up a hypothetically a new shop and it's only me
working there that's the bracket i'm using i'm using 018 roth that's just something that i
like best but it's also a little trickier to get those wires in because it fills the slot sooner
um with a lighter wire etcetera so it's a little more technique sensitive so i don't recommend gps
use 018 that roth i recommend they use 022 roth or mbt it's pretty similar prescriptions again
watch my other video on the difference between those but you need to stick with one vendor
these are just they're just subtle differences between a certain orthodontist like i like this
much torque on a lateral or like this much tip on my molar you will not notice any difference
your patient will not notice any difference try to keep it consistent because if you have one
lateral that's one type and one letter that's another they're not going to be symmetrical
which is why you need to keep your patients symmetrical so in a nutshell again i recommend
general dennis use 022 because it's technique easier you most likely aren't going to be using
the hugeoid wires anyways and filling the slot 100 the only time i do that is when i need max
torque or if i'm trying to get some expansion on an arch and put in a steel wire or something
like that then i'm going to max out the thing so i mean it's really not going to make any difference
i think it's going to be easier for you to manipulate easier if you use
either for you to train people using 02 slot hopefully that was helpful thanks