10. Finishing Procedures (Part 2)
MEAW can achieve various aspects of tooth movement by using MEAW wires with
tip back activation and various rubber bands. This can be made by evaluating anterior,
molar and premolar of maxilla and mandible.
It is necessary to understand the difference between ideal arch-wire with tip back
bends, reverse curve NiTi, and MEAW with tip back bends used in the final stage.
In the final stage, individual teeth movements as well as skeletal improvement may be
required. It is necessary to understand Anterior Vertical Elastics for the open bite
treatment, Class Il elastics for Class Il relationships improvement, Class III elastics for
Class III relationships improvement, midline elastics for improvement of the central
displacement and the teeth movement aspects caused by using technics above.
For example, the effect of orthodontic treatment can be maximized by understanding
teeth movement aspects which is caused during leveling or closing the space where the
tooth was extracted and teeth movement aspects which is caused by the rubber bands
used in the final stage in the cases of class II and III non-extraction treatment, maxillary
and mandibular first premolar extraction, maxillary first premolar and mandibular
second premolar extraction.
The anticipated treatment results can be achieved by understanding the rubber band
sequence used in the final stage. In addition, reverse occlusion on posterior which can
occur during the final stage allow improvement of reverse occlusion on anterior and
normal occlusion by using expansion arch-wire as an overlay type which is allowing
free tongue movement.