3. ALF Basic Design 38

39

Diagnosis & Treatment Plan

Design

AdjustmentsOro-Facial Myology

Cranial Osteopathy

Patient/Parent Selection

ALF Philosophy

Diagnostic Records

3. Basic Design

40 3. Basic Design

Significance of the Premaxilla

Angle Class II, Division 1

41 3. Basic Design

Angle Class II, Division 2

3: ALF Basic Design

15

Basic ALF Design: Design Elements and Their Function

42 3. Basic Design

43

Body Wire

3. Basic Design

Loops

Shapes of Upper Midline Loop

44

Hairpin

Omega

3. Basic Design

45 3. Basic Design

Lateral Loops

16

46 3. Basic Design

Crescents

Cribs

47 3. Basic Design

• crib wire

• occlusal rest

• foil, 0.01mm

• crib crescents

Pedo crib designs

48 3. Basic DesignTwin Cribs

Resin Ledges

49 3. Basic Design

• Premise Flowable (by Kerr)

• Twinky Star (by Voco,sold through Patterson Dental)

17

Labial Bow

50 3. Basic Design

Buccal Arms, Hooks

Finger Springs

Lip Bumper

51 3. Basic Design

Acrylic Pads

Resin Build-Ups

Elgiloy Yellow

52

Composition in %:iron 55.34

cobalt 40

chromium 20

nickel 15.5

molybdenum 7

manganese 2

carbon 0.15

beryllium 0.01 Rocky Mountain Orthodontics

3. Basic Design

Biosteel for patients with nickel allergy

53

Composition in %:iron 77.8

chromium 18

manganese 18

molybdenum 2

nitrogen 1

nickel 0.2

made by Pozzi order from Pearson:

www.pearsondental.com

3. Basic Design

Noninium

18

Conversion Tables: inches / mm

54 3. Basic Design

Material List

55 3. Basic Design

19

Companion Booklet for ALF Master Class Chapter 3

Material List

Material ListName Manufacturer/Source Notes Picture

Articulator and Facebow

various

Panadent: 1620 AR Magnetic Model PSH Articulator 4000 FB Pana-Mount ™ Face-Bow

Band Pusher / Scaler various; Rocky Mountain Orthodontics www.rmortho.com tel. (800) 525-6375

handy to seat ALFs and remove them

Boley Gauge / Caliper Ortho Organizer www.orthoorganizers.com (part of Henry Schein) tel. (800) 547-2000 order # 636159

much cheaper ones available online; they are poor quality

Bonding Material various Optibond Solo by Kerr Corporation, item # 31513

bonding material for resin ledges

Buttons, lead-free Blumenthal Lansing www.BlumenthalLansing.com tel. (563) 538-421

orofacial myology tool

Camera various oftentimes simple cameras, including phone cameras, will do a good job

Cheek Retractors, double-ended,big and small

various; Great Lakes Orthodontics www.greatlakesortho.com tel. (800) 828-7626

Cheek Retractors, metal

PhotoMed Intl. tel. (818) 908-5369 Univ. Wire Stainless Retractors - Square item # IO-R-2000

Cheek Retractors, narrow

PhotoMed Intl. tel. (818) 908-5369 item # IO-R-1000

Composite: Twinky Star

Patterson Dental www.pattersondental.com

light-curing compomer with glitter effect, comes in different colors, used for resin ledges

Composite: Premise Flowable

Kerr resin ledges, this material is flowable but does not slump

1

20

Companion Booklet for ALF Master Class

Etch Gel, 40% various resin ledges

Trubyte Fox Occlusal Plane Plate

Dentsply www.dentsply.com tel. (800) 877-0020

normally used for complete dentures; take pics with the Fox Plate to assess roll and pitch

Impression Material: PVS

various; Genie PVS - Putty and XLight Body, both rapid set, Sultan Healthcare

Impression Material: alginate

various; Kromopan 100 by Lascod

alginate with chromatic phase indicator; impression can be poured up to 168 hours, lends itself to being poured twice

Impression Trays various; Maxi LockOrtho-Direct www.ortho-direct.com tel. (800) 833-7790

red and orange are pedo sizes, great locking mechanism that eliminates the need for adhesive; very rigid

Marking Tool Le Pen by Marvi Uchidea, Japan order from Amazon

used to mark the wire; does not dry out when left without the cap; alternative: red pencil (wet the tip so that it will leave a mark on the wire) OR permanent, fine-tipped marker

Ortho Grid Rideau Orthodontic www.orthodontic.ca tel. (800) 267-7982

handy to check symmetry of the ALF

Photocopy Machine

Photographic Mirrors, palatal and buccal, adult and child size

various

Pliers: Bird Beak Pliers with narrow beaks (without inserts)

Pliers:Bird Beak Pliers with inserts

various

NPI Company, www.npi-pliers.com

Tungsten Carbide inserts; NPI has the best price but the pliers tarnish and even rust easily in the autoclave

Pliers:Bird Beak Pliers without inserts

various;

NPI Company, www.npi-pliers.com

Name Manufacturer/Source Notes Picture

2

Chapter 3

21

Companion Booklet for ALF Master Class

Pliers:3-prong pliers,aka Aderer

various

Pliers:Direct Bond Bracket Remover

various

Dentsply www.dentsply.com tel. (800) 877-0020

use to remove very tight fitting cribs and/or resin ledges

Pliers:Direct Bond Bracket Remover, Angled

various

Dentsply www.dentsply.com tel. (800) 877-0020

remove resin ledges

Pliers:How

various; American Tooth Industries tel. (800) 235-4639 www.americantooth.com

Pliers:Oculist (Optical Pliers)

various; American Tooth Industries tel. (800) 235-4639 www.americantooth.com

Pliers:Weingart

various; American Tooth Industries tel. (800) 235-4639 www.americantooth.com

Range of Motion Ruler I used to get them from DOCS but they are out of business

Relief Wafers various; Ortho Organizers item # 301-040

Retainer Cases various; Practicon www.practicon.com tel. (800) 959-9505 item #70-86010

marbled, assorted colors, 24/Pk

Sulcabrush www.Sulcabrush.com oral hygiene tool, give to patient at insertion visit

Wax:Coprwax

Coprwax Bite Wafers by Heraeus Kulzer, Inc. item # 50092178

use for bite registration

Wax:Red Beading Wax (Utility or Rope Wax)

various; Utility Wax Square Ropes Red Dentsply International order # 77305

place on down-facing side of Fox plate

Wax:Relief Wax

various; Ortho Organizer www.orthoorganizers.com (part of Henry Schein) tel. (800) 547-2000 item # 301-030

relieves discomfort from wire irritating cheek or lip; give to patient at insertion visit

Name Manufacturer/Source Notes Picture

3

Chapter 3

22

Companion Booklet for ALF Master Class

Wire Cutter hardware store get a sturdy one, can have plastic grip if used in lab

Wire: Biosteel

made by Pozzi, order from PEARSON www.pearsonlab.com tel. (800) 336-8256

less than 1% nickel content; round, spring hard; 0.6, 0.7, 0.8 mm

Wire: Cobalt Clasp Crozat Wire

made by Leone, order from www.americantooth.com

can be used for cribs, crescents, or occlusal rest

Wire:

Elgiloy yellow, 0.025”

Rocky Mountain Orthodontics www.rmortho.com tel. (800) 525-6375

order 0.025” for the wire bending exercises

Wire:Multi-Purpose Wire -Galvanized Utility Wire 16 gauge *

hardware store for wire bending exercise

Dr. Ljuba Lemke version 16-04

Name Manufacturer/Source Notes Picture

4

Chapter 3

23