17 Vacuum Forming - Hu-Fa · PDF fileOrtho-Care (UK) Ltd . 5 Oxford Place . Bradford . West Yorkshire ... You no longer need ‘3 hands ... Clear Orthodontic Retainers EssixTM Type

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Vacuum Forming

Ortho-Care (UK) Ltd . Facsimile: 01274 734446 . Website: www.orthocare.co.uk . Email: [email protected]

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Vacuum FormingVacuum Forming

Vacuum Forming

Our Strength is our Service

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Vacuum Forming

Ortho-Care (UK) Ltd . 5 Oxford Place . Bradford . West Yorkshire . BD3 0EF . UK Telephone: 01274 392017

Essix™ Machine O/No 9001-200

Essix™ Vacuum Forming MachineUnique, advanced features make the Essix™ machine the easiest system to use, and consistently deliver superior adaptation of the various plastic materials to the model, giving the finest fit and function

Special design of the heating element produces better, uniform heating of the plastics Unique post delivers perfect placement of material over the vacuum plate, every time Minimise material wasted or ruined Improved, exclusive vacuum plate design delivers superior even suction/maximises adaptation Material transport lid stays up automatically for easy loading. You no longer need ‘3 hands’!

Applications Material Used Clear Orthodontic Retainers EssixTM Type C+/ACE Athletic Mouthguard EssixTM Mouthguard Protective Care Guard EssixTM Mouthguard Ortho Re-Positioner EssixTM Niteguard Space Retainer EssixTM Niteguard Periodontal Splints EssixTM Niteguard Custom Fluoride Trays EssixTM Niteguard Pressure Guard EssixTM Niteguard Soft Bruxism Splint EssixTM Niteguard Hard/Soft Bruxism Splint EssixTM Dual Laminate Retainer without wires EssixTM Dual Laminate Retainer with wires 060 Surgical Splint Material 080 Temporary Bridges 020 Surgical Splint Material 020 Coping Material Crown Forms 020 Surgical Splint Material 020 Coping Material Denture Bases 060 080 Base Plate Material 100Custom Trays 100 125 Tray Material 150Copings 020 Coping Material NB Machine comes complete with a technical booklet.

The HotknifeFed up with broken models? Cut fingers? or clouds of dust?With the Hotknife you can easily trim vacuum form appliances on the model and remove them without ‘extracting teeth’. The adjustable heat settings make the Hotknife suitable for all types of vacuum formed blanks, including hard splint and special tray material. British Made 12 month warranty

Hotknife Qty O/NoHotknife 240V Each 9001-250Hotknife 110V Each 9001-251 Hotknife Blades 10 per pack 9001-250B Hotknife Fuse 3 per pack 9001-250F Hotknife Pads 2 per pack 9001-250P

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Arctic Refrigerant SprayNon-flammable Arctic Spray chills to -52oC, and evaporates, leaving no residue. Itis ideal for chilling thermal ni-ti wires, or for instant cooling of Essix appliancesdescribed as ‘essential’ by Dr Jack Sheridan, the originator of Essix appliances:“Immediately spray the still hot plastic with a compressed spray refrigerant for a few seconds. This accelerates the final set, producing a significant improvement in plastic adaptation. The faster the plastic can be brought to room temperature, the better the plastic-to-cast adaptation will be because, if it is allowed to cool slowly, the plastic tends to distort ... this instant cooling reduces the possibility of lingual lift-off (the gingivolingual edge of plastic pulling away from the cast).”

EssixTM ACE Retainer MaterialDeveloped over two years, Essix ACE combines the best features of Type A+, Type C+ and Embrace:

Brilliantly clear and rigid - clearer than Essix A+® with strength comparable to the virtually indestructible Essix C+®

Excellent thermoforming properties Latex free Accepts bonding material Bubble free 18-24 months wear resistant Available in .030” and .040” Ideal for retention, minor tooth movement and temporary bridges Same price!

Essix ACE is available in .030” (.75mm) and .040” (1mm)

If you need a plaster model in a hurry, see Earthstone on page 139.

Essix Type ‘C+’ Retainer Material EssixTM Type “C+” plastic appears cloudy in sheet form, but when exposed to heat during thermoforming, it becomes clear. There are many Retainer Materials, but no plastic on the market combines the features of clarity, aesthetics, resistance to wear, cracking, splitting or abrasion, and formability that are inherent in Essix™ Type “C+” plastic. Inferior materials may cost slightly less, but they are often a false economy as patients grind through the occlusal surfaces and remakes are common.

Excellent aesthetics (only the patient will know Essix C+ appliance is being worn) Outstanding patient acceptance Will not crack or bubble, with wear resistance no other plastic can match Excellent thermoforming properties to ensure a snap-in fit

Available in circles or squares to fit all pressure and vacuum machines worldwide One thickness available. Due to the characteristics of Type ‘C+’ .030” material, which thins out when heated, it has been replaced by the .040” thickness, which itself thins out to a .030” thickness when heated.

If you need a plaster model in a hurry, see Earthstone on page 139.

Essix™ ACE50 per box .030 (.75mm) .040 (1mm) 5” square 9001-317 9001-320120mm round 9001-319 9001-322125mm round 9001-318 9001-321

Essix™ Type C+50 per box .040 (1mm) O/No 5” Square 9001-310 120mm Round 9001-312 125mm Round 9001-309

Arctic Refrigerant Spray O/No235ml 9001-004

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Invisible Braces Using Essix MTM™ TechnologyMillions of people would like a great looking smile...yet when they consider the cost and aesthetics of full orthodontics, they usually do without. However, you can now give these people the smile they want - both economically and with relative ease - using clear Essix appliances and the Hilliard Thermopliers to achieve Minor Tooth Movement (MTM) up to 3mm.

With the MTM technique, you maintain control over the cost and progress of each MTM case. Essix MTM Appliances are made in your office, keeping overheads down and allowing quick turnaround times for your patients eager to be treated. Adjustments to MTM appliances can be made chairside in mere seconds, keeping your chair open for new patients! Raintree Essix pioneered the MTM technique and provides you with all of the tools and training you will need to incorporate MTM into your practice. Before you review these offerings from Raintree Essix, please take a moment to learn the basic concepts of MTM.

Minor Tooth Movement (MTM) BasicsSmile enhancement techniques can involve rotation, bodily movement, tipping, torquing, intrusion, extrusion, lateral movement, and/or opening the bite. All of these... any tooth movement... requires three components: Space, Force and Time.

1. SpaceThere must be interdental room in the arch for the tooth to move (Fig 1). The most common ways to create space are extraction and expansion. For MTM, however, less radical alternatives are just as effective including: Interproximal Reduction (IPR), shaving enamel with stainless steel or diamond strips, or stripping away enamel with slow speed discs or burs (Fig 2); and Air Rotor Stripping (ARS), where high speed burs are used in the reduction of the proximal surface of the tooth (Fig 3). Both IPR and ARS remove up to 1mm of enamel from each contact surface (1/2mm per tooth surface). Several adjacent contacts may be stripped to gain up to 3mm.There must also be space within the Essix Appliance into which the target tooth can move. Without this opening, tooth movement is not possible. 3 ways to obtain space:A) Cutting an opening into the appliance with the Essix Window Bur (O/No 9001-18925) (Fig 4).B) Creating a bubble inside the appliance with Triad® Gel or Blockout Compound. Simply place a thickness of either material on the surface of the target tooth on the model that is proportionate to the amount of projected tooth movement. When the thermoplastic is formed over the cast, a ‘bubble’ will have been formed within the appliance (Fig 5).C) Creating a bubble inside the appliance with the Hilliard Bubble-Forming Thermopliers™. Heat the bubble tip of the Thermoplier and slowly squeeze the pliers. on the targeted area of the appliance starting interproximally. Work the pliers around the area that the tooth will be moving into, bellying out as much plastic as needed. It will be necessary to reheat the pliers with each application, as they will cool (Fig 6A and 6B)

2. ForcePressure must be applied in the direction of the desired movement (Fig 7). Brackets are rarely needed for minor tooth movement. In fact, the best starting point for moving teeth up to 3mm is an Essix appliance.The force (pressure) is provided by simply placing a bump in the Essix appliance. Each of the 11 Hilliard Thermopliers are designed to make exactly the right size and shape bump to create rotation, bodily movement, tipping, torquing, intrusion, extrusion, and/or lateral movement. Hilliard Thermopliers position each bump with complete precision. When plier tips are heated to the correct temperature, the plastic retains its shape, and the bump maintains its force. The same pliers can then increase the depth of the bump, applying force over time.

3. TimeMovement occurs over a number of weeks. The Essix approach increases the force by increasing the depth of the bump as the tooth moves. Every few weeks, the patient returns and the bump is increased using the Hilliard Thermopliers. When the appliance is worn full-time, except when eating, a tooth can be moved approximately 1mm per month. One appliance = 3 months = 3mm of movement.

Fig 1

Fig 2

Fig 3

Fig 4

Fig 6A

Fig 6B

Fig 7

Fig 5

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Mesial-Distal Thermopliers™

Mesial-Distal Thermopliers move teeth mesially and/or distally, allowing close proximity to the incisal edge. Pliers can be used on posterior and anterior teeth.

Maxillary/Mandibular Tooth-Moving Thermopliers™

Maxillary and Mandibular Tooth-Moving Thermopliers accomplish a variety of movements - incisal and root tipping, bodily movement and rotating of maxillary and mandibular anterior teeth. These pliers conform to the morphology of anterior teeth: a larger tip for maxillary and a smaller tip for the mandibular teeth.

Hilliard Thermoforming Pliers™

All Hilliard Thermoforming Pliers can be distinguished by a coloured identifying ring on the handle.

Undercut Enhancing Thermopliers™

Undercut Enhancing Thermopliers are the perfect tool for increasing retention without having to take a new impression and make a new Essix appliance. After debonding, a patient may have swollen tissue. The initial Essix appliance will fit only to possibly become loose at the first recall appointment when the tissue recedes. These pliers can be used to increase the undercuts on the appliance.

Maxillary and Mandibular Tooth-Moving Thermopliers accomplish a variety of movements - incisal and root tipping, bodily movement and rotating of maxillary and mandibular anterior teeth. These pliers conform to the morphology of anterior teeth: a larger tip for maxillary and a smaller tip for the mandibular teeth.

Maxillary/Mandibular Tooth-Moving ThermopliersMaxillary and Mandibular Tooth-Moving Thermopliers accomplish a variety of

to possibly become loose at the first recall appointment when the tissue recedes. These pliers can be used to increase the undercuts on the appliance.

Maxillary and Mandibular Tooth-Moving Thermopliers accomplish a variety of

Bite Plane Thermopliers™

Bite Plane Thermopliers create an instant bite plane in an Essix appliance chairside and without the use of acrylic. Simply have the patient bite on articulating paper and then apply thermopliers to the resulting mark to obtain the bite plane.

Mesial-Distal ThermopliersMesial-Distal Thermopliers move teeth mesially and/or distally, allowing close proximity to the incisal edge. Pliers can be used on posterior and anterior teeth.

Micro-Ramp Thermopliers™

Micro-Ramp Thermopliers move anterior teeth laterally, rotate mandibular/small teeth, tip incisal edges and help root torque teeth.

Hilliard Thermoforming Pliers Ring Colour O/NoUndercut Enhancing Red 9001-82510Maxillary Tooth-Moving White 9001-82520Mandibular Tooth-Moving Blue 9001-82530Micro-Ramp Yellow 9001-82560Bite Plane Black 9001-82540Mesial-Distal Purple 9001-82630

Thermopliers are adjustable!

The clinician controls the depth the thermoplier will travel into the plastic by adjusting the hex screw with an allen key.

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Bubble Forming Thermopliers™

Creates space in an Essix Appliance without cutting a window in the appliance. Use interdentally without distorting the mesial or distal of the appliance.

Elastic Slot-Forming Thermopliers™

After using the Elastic Hook-Forming Thermoplier, these pliers take the second step in enabling elastics to be attached to an Essix appliance. The Slot-Forming Thermoplier places the undercut to hold the elastic in place.

Small Circle Thermopliers™

Extend a pre-existing small bump (1mm) originally created with the Maxillary Thermopliers, without stretching the existing bump. Creates a release lever on full arch appliances.

Hakko Digital ThermometerEssential to give an exact digital readout of the temperature of the heated thermopliers. Exact temperature is required to thermoform the plastic.

Elastic Hook-Forming Thermopliers™

Elastic Hook-Forming Thermopliers are used in the first step toward attaching elastics to an Essix appliance. The Hook-Forming Thermoplier creates the hook for the elastic to attach to when used with the Slot-Forming Thermopliers below.

Large Circle Thermopliers™

Large Circle Thermopliers are used to create a platform which the elastic hook is extended. Using the Wedding Cake Concept, these pliers can also be used to extend a pre-existing large bump (2-3mm) originally created with the Maxillary Thermopliers, without stretching the existing bump. After using these pliers, the original bump will appear as the top layer of a tiered wedding cake, and the extension created will serve as a base layer.

Hakko Digital Thermometer

Hilliard Thermoforming Pliers Ring Colour O/NoElastic Hook-Forming Green 9001-82550Large Circle Grey 9001-82610Elastic Slot-Forming Orange 9001-82570Small Circle Pink 9001-82620Bubble Forming Brown 9001-82590

Hakko Digital Thermometer O/NoDigital Thermometer 9001-82591Replacement Couplers 10 per pack 9001-82592

APT II Dental BurnerSmall, efficient and safe, this dental burner enables the clinician to heat the thermopliers at chairside. The flame is ignited by pressing the starter button, and extinguished when released. No need to worry about the safety hazard of a continuous flame.

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APT II Dental Burner O/NoAPT II Dental Burner 9001-82580Refill Butane 8100-302

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When the brackets come off - Protect with the Best! Essix™ Mouthguard Material - For Custom MouthguardsThe important characteristics of mouthguard materials are tensile strength, softness, compression percent and uniform density. The Essix™ laminate maintains these characteristics best because of its heat/pressure laminating process. Tensile strength of the laminate is excellent because of the laminate’s two layers of material making up the mouthguard. The density is maintained at the pressure laminating process, so shrinkage of the mouthguard is uniformly controlled. If you want the best, the Essix™ Laminated Mouthguard is the choice! Also available in popular 2 and 3 Striped Colour Combinations.

The improved perfomance of Essix™ Mouthguards offer: Protection: Most mouthguards offer varying degrees of protection. However boil

and bite types often don’t fit well, creating a greater possibility of dental damage. Speech: Shop-bought mouthguards are thick and clumsy in the mouth. In sports,

where commands are critical, traditional mouthguards prohibit clear speech. Comfort: Most shop-bought mouthguards are either too tight or too loose, and

they are so uncomfortable that often your athlete will not wear it. Oxygen: When generic, clunky mouthguards are worn, your athlete’s oxygen

uptake is restricted, reducing oxygen supply by as much as 25%! That means reduced performance.

Mouthguard Top Sheet and Bottom SheetTensile Strength 11psi Elongation % 800 [high]Stiffness 22 [low] Hardness 83 [low]Compression % 55 [high] ASTM Standards Overall thickness 4mm

Resin Mouthguard MaterialSquare 5” x 5” Blanks. Manufactured from extruded PVC and available in clear and various colours.

Essix™ Mouthguard MaterialSold individually O/NoBlack 9001-201BK Black/Red 9001-201BK/RDBlue 9001-201BL Black/White 9001-201BK/WHClear 9001-201C Blue/Red 9001-201BL/RDGreen 9001-201G Blue/White 9001-201BL/WHOrange 9001-201O Blue/Yellow 9001-201BL/YWPurple 9001-201PU Green/White 9001-201GR/WHRed 9001-201R Red/White 9001-201RD/WHWhite 9001-201W Purple/White 9001-201PU/WHYellow 9001-201Y Red/White/Blue 9001-201RD/WH/BL Red/White/Red 9001-201RD/WH/RDOther colour combinations available upon request.

Resin Mouthguard MaterialSold individually: O/NoClear 4mm 9001-215C Blue 4mm 9001-215BLGreen 4mm 9001-215G Yellow 4mm 9001-215YBlack 4mm 9001-215BK Red 4mm 9001-215ROrange 4mm 9001-215OR Purple 4mm 9001-215PPWhite 4mm 9001-215WH25 per pack:Clear 1mm 9001-231 (Ideal for enclosing names in mouthguards)Clear 2mm 9001-219Buy more and SAVE! Qty Discounts Available

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EssixTM NiteguardsThis laminate was developed for soft bruxism splints but proved to be ideal for a variety of other clinical applications such as orthodontic repositioners, fluoride trays, or periodontal splints. The reason for the success of the Niteguard is the top layer. It is made of a dense vinyl with excellent plastic memory and high abrasion resistance. When combined with the soft pliable bottom sheet, this unique hard top surface provided a final appliance that is durable enough to withstand high tooth surface abrasion, yet soft enough to provide patient comfort and co-operation. Overall thickness 3mm. 5” Square. ASTM Standards Top Sheet Bottom SheetTensile Strength 19psi 11psiElongation % 750 [med] 800 [high]Stiffness 50 [med] 22 [low]Hardness 91 [med] 83 [low]Compression % 50 [med] 55 [high]

EssixTM Type A+ Sheet Resins Splint Material .020” is ideal for use with temporary crown and bridge cases, .060” can be used for orthodontic retainer and TMJ splints, while .080 can be used for retainers/splints where a thicker material is desired.

EssixTM Dual SplintsA Hard/Soft laminate used as a functional splint in TMJ cases. This combination of hard and soft material gives the final splint a number of excellent characteristics. The top hard surface has been formulated to withstand the jaw’s tremendous closing pressure, plus it has been chemically modified to enable acrylic to bond to it for additional occlusal bite adjust-ments. The bottom surface has good flow characteristics for great splint retention, yet is soft enough for gingival tissue comfort. Overall thickness 3mm. 5” x 5” Square.Duals Top Sheet Bottom SheetTensile Strength 25psi 11psiElongation % 300 [low] 800 [high]Stiffness 210 [high] 22 [low]Hardness 110 [high] 83 [low]Compression % 30 [high] 55 [high]ASTM Standards

Essix™ Niteguards O/No 9001-202

Essix™ Type A+ Sheet Resins Splint MaterialTemporary Splint Qty Shape O/No.020” (.5mm) 25 sheets 5”x 5” Square 9001-204 .060” (1.5mm) 25 sheets 5”x 5” Square 9001-206 .080” (2mm) 25 sheets 5”x 5” Square 9001-207 .030” (.75mm) 50 sheets 5”x 5” Square 9001-217.040” (1mm) 50 sheets 5”x 5” Square 9001-218.080” (2mm) 25 sheets 120mm Round 9001-11081 .080” (2mm) 25 sheets 125mm Round 9001-11080

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Essix™ Dual Splints O/No12 per pack 9001-203

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TrayRite® Whitening Tray MaterialA unique plastic that produces superior tooth whitening trays. Will not shrink or distort. Crystal clear and nearly invisible when in place. Does not require costly, time consuming ‘pockets’. Patent No 6,089,869. 0.5mm thickness (.020”).

Essix™ GasketImprove the performance of your Vacuum Former by over 20% with the Essix Gasket. By blocking out the peripheral holes, the suction is concentrated around the plaster model providing greater detail and fit.

Vacuum Forming Technical BookletA complete review of the vacuum forming techniques now being used in the dental field, discussing plastics, machines, clinical applications, and best result techniques. Contains step by step production methods on each appliance plus photos for easy interpretation.

Tray Material

TrayRite® Whitening Tray Material

Tray Material25 sheets per pack O/No.125” (3mm) 9001-213.150” (4mm) 9001-214

Essix™ Gasket O/No 9001-253

Vacuum Forming Technical Booklet O/No 9001-226

Vacuum Forming Technical Booklet

Silicone Holder Adapter O/No 9001-85ADA

Silicone Holder AdapterWe recommend the fitting of the silicone holder adapter to the vacuum frame.This will help secure the material in the frame during the vacuum forming process.

Silicone Holder Adapter

TrayRite®

15 per pack O/No5” square 9001-229

Essix Appliance Technology: Applications, Fabrications, RationaleJohn J. Sheridan DDS, MSD, with Keith Hilliard DDS and Paul Armbruster DDS, MSEverything you wanted to know about Essix but daren’t ask! Fully colour illustrated.

Essix™ Gasket

Essix Appliance Technology O/No 8222-054

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Block-Out Compound A specially formulated, high heat resistant compound ideal for blocking out undercuts. Will not run or stick to models.

Silicone LubricantHelps eliminate the plastic-frame sticking problems often associated with vacuum forming processes.

Tray Handles An aluminium handle ideal for quick custom impression tray production.

Essix™ PolishersThese polishers are ideal for polishing the rough edges of EssixTM and Hawley Retainers without the need for pumice for a high shine polish.

X-Acto KnifeMore sturdy than a scalpel, the X-Acto Knife is ideal for trimming Essix Retainers on the model.

Block-Out Compound O/No3 oz tub 9001-220

Silicone Lubricant O/No600ml 9001-105

Tray Handles O/No50 handles 9001-222

X-Acto Knife

Essix™ Polishers O/NoSet of three Polishers 9001-970Fine Grit Polisher 9001-971Medium Grit Polisher 9001-972Coarse Grit Polisher 9001-973

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X-Acto Knife O/No Knife 9001-254Spare Blades - 25 per pack 9001-255

More sturdy than a scalpel, the X-Acto Knife is ideal for trimming Essix Retainers on the model.

The Essix OrganiserAn ideal organiser for storing all those cumbersome instruments, probes, mirrors, scissors, and burs as well as hinged instruments. Made from clear lucite for easy viewing.

Silicone Lubricant

The Essix™ Organiser O/No 9001-820RG

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Wheel Saw A high quality cutting wheel useful for hard sheet resin and dual laminate trimming.

Wheel Saw O/No 9001-223

Acrylic BurA handpiece bur designed to quickly cut through heavy duty materials.

Window BurMakes the window for the Divots and Windows™ Protocol. Head size: W 2mm L 11mm

Crown And Bridge Scissors Stainless steel scissors excellent for trimming appliances.

AccentuatorUsed during the thermoforming process to force Essix Type C+/ACE into interproximal undercuts.

Mayo Scissors5” Mayo scissors used to cut the labial outline on Essix appliances.

Window Bur

Acrylic Bur O/No 9001-224

Crown And Bridge Scissors

Window Bur O/No 9001-18925

Accentuator

Crown and Bridge Scissors O/No 60-001

Mayo Scissors

Accentuator O/No 9001-18943

Mayo Scissors O/No 9001-252

Cast Removing InstrumentRemoves thermoformed appliance without ruining the cast.

Cast Removing Instrument O/No 9001-18742

Cast Removing InstrumentRemoves thermoformed appliance without ruining the cast.

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Retainer Brite™ Helps keep Essix Retainers and Aligners clean and fresh

Removable Appliance CleanserRegular cleansing using Retainer Brite™ will help prevent discolouration of Essix Appliances. Retainer Brite™ - The modern, effective orthodontic appliance cleanser

Unique colour change indicator Refreshing Mint Flavour Fast - 12 minute cleaning action Non-caustic - will not corrode stainless steel Strong against stubborn stains Effective for retainers, mouthguards, TMJ appliances, or nightguards Kills germs that cause retainer plaque Teenage appeal. No longer do teenagers have to buy denture cleanser!

ART Appliance Removal ToolART makes it easy for patients to remove their clear Essix appliances! Removes clear Essix appliances from the cheek-side and/or from the tongue side.Increases patient comfort and compliance. LATEX FREE makes a great patient gift.

Ortho Appliance Sonic CleanerIdeal for home use to clean orthodontic appliances, dentures, mouthguards - even jewellery! Use with Retainer Brite to remove coffee, tea, tobacco, calcium, calculus etc

Non-electrical - supplied with 2x AA batteries Includes 2 Retainer Brite tablets

Retainer Brite O/No1 Box (36 tablets) 9001-2321 Case (24 Boxes) 9001-2331 Economy Case (120 Boxes) 9001-234Buy more and SAVE! Qty Discounts Available

Sonic Cleaner O/No 9222-001

3.5cm

Essix ChewiesHelps patients seat clear aligners and Essix Retainers correctly. Essix Chewies are soft plastic bite-chews, the size of a cotton roll, that patients can bite on to ensure their aligner/retainer is correctly seated in the mouth. Cleaner, simpler and safer to use.Each patient pack contains 2 chewies in a sealed bag. Green mint scented.

ART Appliance Removal Tool O/No20 per pack 9001-ART01

Essix Chewies O/No10 patient packs (2 chewies each) 9001-AC-GM

Free Retainer Box

with every box of

Retainer Brite

Documents

17 Vacuum Forming - Hu-Fa · PDF fileOrtho-Care (UK) Ltd . 5 Oxford Place . Bradford . West Yorkshire ... You no longer need ‘3 hands ... Clear Orthodontic Retainers EssixTM Type