hey it's doctor amanda with straight smile  solutions street smile solutions.com and today  
hey it's doctor amanda with straight smile  solutions street smile solutions.com and today  

we're going to be talking about wire sequence  we're going to be talking about figure eights  
we're going to be talking about wire sequence  we're going to be talking about figure eights  

we're going to be talking about steel ties we're  going to be talking about what to use as your  
we're going to be talking about steel ties we're  going to be talking about what to use as your  

first wire how to tell if you can progress  to the next wire and i actually have videos  
first wire how to tell if you can progress  to the next wire and i actually have videos  

on all of this already each of these components  that i mentioned has its own specific video so  
on all of this already each of these components  that i mentioned has its own specific video so  

if you go to my straight smile solutions youtube  site and you put in like wire sequence or put in  
if you go to my straight smile solutions youtube  site and you put in like wire sequence or put in  

figure eight or steel tie or sst um or just wires  in general um you will see an individual video  
figure eight or steel tie or sst um or just wires  in general um you will see an individual video  

that will kind of dig more into depth into each  of these topics so this video is just going to  
that will kind of dig more into depth into each  of these topics so this video is just going to  

be a very high level overview another great  resource that you can jump on would be our  
be a very high level overview another great  resource that you can jump on would be our  

digital education course you can access that at  straightsmilesolutions.com go to digital education  
digital education course you can access that at  straightsmilesolutions.com go to digital education  

our straight wireless course we have a lot of  resources there there is a fee for that course  
our straight wireless course we have a lot of  resources there there is a fee for that course  

another resource that you can use which is cheaper  and the youtube videos is free another pro free  
another resource that you can use which is cheaper  and the youtube videos is free another pro free  

resource would be to go to letter g letter p  webinar.com that's gpwebinar.com and we have a  
resource would be to go to letter g letter p  webinar.com that's gpwebinar.com and we have a  

lot of archive webinars there with a lot of free  resources and lastly another resource which is  
lot of archive webinars there with a lot of free  resources and lastly another resource which is  

very affordable it's between nine dollars and  fifty dollars depending on if you have a kindle  
very affordable it's between nine dollars and  fifty dollars depending on if you have a kindle  

or if you like paperback is our textbook or a book  um again if you go to straightsmilesolutions.com  
or if you like paperback is our textbook or a book  um again if you go to straightsmilesolutions.com  

there's a banner at the top which takes you to our  book and there's a i mean for that price there's  
there's a banner at the top which takes you to our  book and there's a i mean for that price there's  

so much nuggets in that book that you could  definitely use so so many nuggets so anyways  
so much nuggets in that book that you could  definitely use so so many nuggets so anyways  

let's get back to our high level overview on  wire sequencing steel ties figure eights etc  
let's get back to our high level overview on  wire sequencing steel ties figure eights etc  

so let's look at this case here and this is  not even my case this is just a stock photo  
so let's look at this case here and this is  not even my case this is just a stock photo  

sometimes i love using stock photos because i  can just purchase them i have a subscription  
sometimes i love using stock photos because i  can just purchase them i have a subscription  

and i see all kind of things that i can talk about  and have to get releases or anything like that so  
and i see all kind of things that i can talk about  and have to get releases or anything like that so  

it's just easier but all in all the bracket  placement is pretty decent here there's definitely  
it's just easier but all in all the bracket  placement is pretty decent here there's definitely  

some things i think they did wrong here that i  would do differently i'm not saying they're wrong  
some things i think they did wrong here that i  would do differently i'm not saying they're wrong  

it's just different than i would do but um let's  see if you can point out some of the mistakes so  
it's just different than i would do but um let's  see if you can point out some of the mistakes so  

bracket placement is decent all in all clearly  either they knew how to put on their brackets or  
bracket placement is decent all in all clearly  either they knew how to put on their brackets or  

they use indirect bonding and again if you are  a newbie dentist who is not an orthodontist or  
they use indirect bonding and again if you are  a newbie dentist who is not an orthodontist or  

you're not going to orthodontic residency just  use indirect bonding don't be cheap okay you can  
you're not going to orthodontic residency just  use indirect bonding don't be cheap okay you can  

get this for so cheap now really high quality  0-2 slot mbt brackets a variety of different  
get this for so cheap now really high quality  0-2 slot mbt brackets a variety of different  

companies do it of course i have my favorites the  one i like to use is about 300 to 350 dollars for  
companies do it of course i have my favorites the  one i like to use is about 300 to 350 dollars for  

3m unitec victory series mbt brackets top of the  line metal brackets not cheap ones there's a lot  
3m unitec victory series mbt brackets top of the  line metal brackets not cheap ones there's a lot  

of really really cheap brackets that are out  there on the market they will not express the  
of really really cheap brackets that are out  there on the market they will not express the  

way they're supposed to will not express torque  you will not get the right outcomes they'll get  
way they're supposed to will not express torque  you will not get the right outcomes they'll get  

bent they'll get ugh no don't go cheap so if  you want that referral this is a word of mouth  
bent they'll get ugh no don't go cheap so if  you want that referral this is a word of mouth  

situation only originally they were in beta but  now they're not but they just don't spend money on  
situation only originally they were in beta but  now they're not but they just don't spend money on  

marketing because they try to leave their prices  low for you so if you want and they only take  
marketing because they try to leave their prices  low for you so if you want and they only take  

certain types of doctors so i kind of vet the  doctors and i send them because i just love  
certain types of doctors so i kind of vet the  doctors and i send them because i just love  

working with them so they've asked me to vet the  doctor so contact me and if i think you're a good  
working with them so they've asked me to vet the  doctor so contact me and if i think you're a good  

fit i will send you to my resource for a really  great indirect bonding but lots of different  
fit i will send you to my resource for a really  great indirect bonding but lots of different  

good companies out there too a lot of other ones  are a lot more expensive but they'll still work  
good companies out there too a lot of other ones  are a lot more expensive but they'll still work  

so anyways mistakes that are made here so  obviously i always say first wire should be  
so anyways mistakes that are made here so  obviously i always say first wire should be  

the biggest possible wire that you can fully put  in and engage into the patient so if you look here  
the biggest possible wire that you can fully put  in and engage into the patient so if you look here  

i'd look at this it really depends on the patient  i might use 14 i might use 12 i don't use 12 very  
i'd look at this it really depends on the patient  i might use 14 i might use 12 i don't use 12 very  

often usually 14 is my or 16 is my go-to wire  it really depends on the patient if the patient  
often usually 14 is my or 16 is my go-to wire  it really depends on the patient if the patient  

is super high maintenance a whiner a complainer  then i probably go with 12. you know i can just  
is super high maintenance a whiner a complainer  then i probably go with 12. you know i can just  

kind of tell by their personality how high strong  they are how much they complain how much they're  
kind of tell by their personality how high strong  they are how much they complain how much they're  

like moaning and groaning over little things  that shouldn't hurt at all then i'm going to  
like moaning and groaning over little things  that shouldn't hurt at all then i'm going to  

use the lightest possible wire which would be  a 12. um if i think they're a little more tough  
use the lightest possible wire which would be  a 12. um if i think they're a little more tough  

and they're really excited to get going then i'd  use a 14 here but again it's the you can always  
and they're really excited to get going then i'd  use a 14 here but again it's the you can always  

go lighter right it's not a problem what's  the worst thing that's gonna happen maybe  
go lighter right it's not a problem what's  the worst thing that's gonna happen maybe  

it's gonna take a few more weeks but you know  patient will be a little more comfortable so  
it's gonna take a few more weeks but you know  patient will be a little more comfortable so  

um personal choice but yeah i mean first thing i  see here is they didn't fully engage this tooth  
um personal choice but yeah i mean first thing i  see here is they didn't fully engage this tooth  

or this tooth well actually they figurated them  i think it's hard to tell they only have this  
or this tooth well actually they figurated them  i think it's hard to tell they only have this  

one thing so maybe they did fully engage it but  definitely you want to make sure that the wire is  
one thing so maybe they did fully engage it but  definitely you want to make sure that the wire is  

fully in the slot so the figure eight and you can  watch my video and figure it will really help it  
fully in the slot so the figure eight and you can  watch my video and figure it will really help it  

get in slot it just holds it in tighter you can  do figure eight on everything if you want and  
get in slot it just holds it in tighter you can  do figure eight on everything if you want and  

there's nothing wrong with that um but just  takes more time right to put on and take off  
there's nothing wrong with that um but just  takes more time right to put on and take off  

but a figure eight stays tighter and it'll fully  slap it or you can do a stainless steel tie or  
but a figure eight stays tighter and it'll fully  slap it or you can do a stainless steel tie or  

ligature tie again this is technique sensitive  if you don't do it right you can break a bracket  
ligature tie again this is technique sensitive  if you don't do it right you can break a bracket  

with those so i kind of like figure eights better  but you can break a bracket with figure eight too  
with those so i kind of like figure eights better  but you can break a bracket with figure eight too  

so um yeah it would really depend on  whether or not this was fully rotated  
so um yeah it would really depend on  whether or not this was fully rotated  

fully engaged fully in the slot from even at this  kind of right angle i'm guessing it's probably not  
fully engaged fully in the slot from even at this  kind of right angle i'm guessing it's probably not  

if it wasn't then what i might do is i  might put a button on a lingual aspect  
if it wasn't then what i might do is i  might put a button on a lingual aspect  

and do a counter rotation but i'd have to see the  picture to show you how to do that but otherwise  
and do a counter rotation but i'd have to see the  picture to show you how to do that but otherwise  

the bracket placement is excellent they fully  engage this one this was a tricky one i think i  
the bracket placement is excellent they fully  engage this one this was a tricky one i think i  

don't know if this is fully engaged you'd have to  see if it wasn't then maybe i'd use a lighter wire  
don't know if this is fully engaged you'd have to  see if it wasn't then maybe i'd use a lighter wire  

or a ligature fork would help but they did a  good job the other thing that i probably would  
or a ligature fork would help but they did a  good job the other thing that i probably would  

have done different is i probably would have put  some temporary posterior bite bumps on here just  
have done different is i probably would have put  some temporary posterior bite bumps on here just  

because i think this is going to get locked in um  it might not depends on how much of a clencher the  
because i think this is going to get locked in um  it might not depends on how much of a clencher the  

patient is um but certainly if you didn't see it  jump after one visit i would definitely put some  
patient is um but certainly if you didn't see it  jump after one visit i would definitely put some  

bite bumps on just to help open the occlusion so  that this jumps forward and once it jumps forward  
bite bumps on just to help open the occlusion so  that this jumps forward and once it jumps forward  

and this comes back then you can just zig those  off you don't want to leave posterior bite bumps  
and this comes back then you can just zig those  off you don't want to leave posterior bite bumps  

on for too long because you'll get intrusion of  those teeth over time and then you're going to  
on for too long because you'll get intrusion of  those teeth over time and then you're going to  

have to deal with bringing those teeth back up and  one of the biggest mistakes i see is that people  
have to deal with bringing those teeth back up and  one of the biggest mistakes i see is that people  

slap those things on all the time even in deep  bite faces you're actually making your deep bite  
slap those things on all the time even in deep  bite faces you're actually making your deep bite  

worse by putting those on and of course you're  getting uneven step in the occlusion so they're  
worse by putting those on and of course you're  getting uneven step in the occlusion so they're  

not my preference anytime i do a posterior bite  bump it is a temporary thing only i'm gonna put  
not my preference anytime i do a posterior bite  bump it is a temporary thing only i'm gonna put  

a big alert on the chart to say check it every  visit and then reduce it every visit to as much  
a big alert on the chart to say check it every  visit and then reduce it every visit to as much  

as i can and they need to be off within two to  three months if they're not then you need to  
as i can and they need to be off within two to  three months if they're not then you need to  

change directions and do something else to address  that issue and there's all the types of different  
change directions and do something else to address  that issue and there's all the types of different  

types of other techniques you can use but i mean  90 day max on posterior bite bumps and too often  
types of other techniques you can use but i mean  90 day max on posterior bite bumps and too often  

doctors forget they put them on which is why you  should definitely watch my posterior bite bump  
doctors forget they put them on which is why you  should definitely watch my posterior bite bump  

video again you can search for these if you can't  find them in my youtube just email me at info  
video again you can search for these if you can't  find them in my youtube just email me at info  

streetsmilesolutions.com or message me through my  website and i will personally send that video to  
streetsmilesolutions.com or message me through my  website and i will personally send that video to  

you i know where all my videos are it's very easy  you can find it in one second and i will send it  
you i know where all my videos are it's very easy  you can find it in one second and i will send it  

to you because you want to make your poster by  bums colored you don't want to have them tooth  
to you because you want to make your poster by  bums colored you don't want to have them tooth  

colored because you'll forget they're on there  and they can trap decay and other issues and you  
colored because you'll forget they're on there  and they can trap decay and other issues and you  

want it to be like glaringly obvious that there's  posterior bite bumps on at every visit so you make  
want it to be like glaringly obvious that there's  posterior bite bumps on at every visit so you make  

sure to remind yourself to take it off fully all  right hopefully this was helpful thanks so much
sure to remind yourself to take it off fully all  right hopefully this was helpful thanks so much