hey it's dr amanda with straight smile solutions straight smile solutions.com and today we're going
to talk about lingual arches and what i like to use them for and i want to give thanks to
olendorf orthodontic laboratory um olendorf is based in saint louis missouri miss louis
missouri today i'm tripping up on words that's my old stomping browns where i went to college where
i lived after college and they're really really nice i've done some webinars with them and stuff
they're one of our trusted partners at straight smile solutions we love to send them business
because they're they do good work um and they're affordable so i'm going to be showcasing um their
website today to talk about this product and thank you to kevin ollendorf for letting me do that
but in any case um i want to talk about lingual arches what i use them for they are like
really awesome um appliances and i use them for lots of things and sometimes doctors that
i work with have no idea how functional they are so the opposite of the lingual arch would
be something that goes on the top arch which would be either a trans-palatal arch or tpa or a nance
so these are all types of space maintainers but you can also use them in orthodontics for
anchorage and i'll let you know how i use them and i also like to place them in patients
as they grow if i'm anticipating that it might help them out so i use them also for retention in
phase one patient sometimes so you can have it um contoured as you can kind of see they did here and
you can ask them i mean hopefully if you're doing phase one treatment the teeth are straight um but
they're just kind of showing it they're using it here as a space maintainer right so i'll use them
for example as a traditional space maintainer if you had to pull like the lower second baby molars
for whatever reason prematurely they're great i take these over abandoned loop every day i
can't tell you how much i see a lot of cases you know with doctors i work with and i see a lot of
crappy band and loops so those things just bend you know they're just not you know you're making
them in office but they're just not so great you know um so i'll take a lingual arch any day over
abandoned loop i mean i realize there's a lab feed to that but they're just way more functional
um the other cool thing about lingual arches and by the way you can get adjustable u-loops are not
adjustable you loops you can have them straight it depends on what you're trying to do if you're
trying to straighten or retract or adjust then you should have the u-loop so you can you know
take it out and open it or you can even open it in the mouth if you need to with just a um ah
you can use a three-pawn plier upside down that works for me or you can it's even better just
to remove it open it fit it and then re-cement it but um these are really great for anchorage
so i use them in braces patients both phase one and comprehensive but you can ask them to solder
um the little why am i forgetting what it's called the buccal tubes today it's late today
my brain is fried um on the side so that way you can hook it up for racist patients and
if you ever have a class three patient or a patient that's like a hair class three um or
i mean hopefully you're not doing too many extraction cases but sometimes it happens you know
um if you're doing a primo extraction case and you need maximum anchorage so maximum anchorage
means that like if you're playing tug-of-war right anytime you have a space and you're pulling with
power chain even if you use elastics you're going to slip anchorage so you're not going
to get be able to use all that space um to your advantage but if you put in a lingual arch or
on the top or a tpa or a nance or something then you have maximum anchorage sure you can
put in a tad too but i'm telling you patients don't want those they don't want the surgery
they don't want it my daughter has a tad it's been as a parent honestly i've placed
them before in patients and until i was a parent and had a tad and my daughter
i will be very careful to not use cats and patients after having gone through it as a patient
your patients are going to hate you your patients are going to hate you the parents are going to
hate you it's just a miserable experience to be really honest putting you know dealing with the
tad dealing with the healing when they sleep when they bump it when they eat um ours failed
and we did everything right you know so um no i mean i would take a legal arch any day i mean
sometimes in an adult who's making a conscious decision that's fine but to put him in a kid
kids don't understand and they were really painful so and anytime you've got painful orthodontics you
are getting no referrals from that patient matter of fact you're probably getting anti-referrals
because they're probably going to leave you a negative review even if they understand the
why behind it and that's why it always blows my mind when people like i'm going to do a tad i'm
like really you really want to do that because if there's another way around this without a tad you
know um without a surgery it's just going to be better for your practice don't just rush into tads
and that's part of the reason just to let you guys know i don't consult on tads because i personally
hate them i understand the why behind them and there's a time and a place for it but first of all
i can't consult remotely on tads so um if you want to do a tad i'm not the right consultant for you
um we try to keep really simple healthy happy orthodontics with our doctors anyways that was
a diversion because i know it's going to come up because it comes up like once a week and i'm
like nope sorry um but yeah lingle arches are awesome make sure you ask for buckle tubes if
you're going to be using embraces because you're not going to get them with buckle
twos unless you ask for it and that may cost a few extra dollars but really really awesome
they make great retention great space maintenance um and they're just super multifunctional
and they're not that expensive so why not all right hopefully that was helpful thanks so much