Lesson 1Final intraoral checks and occlusal verification: ensuring no sharp edges, patient bite check, articulating paper if indicatedFocus pon final intraoral inspection after ligation. Include checkin fi sharp edges, verifyin archwire seating, assessin occlusion wid bite checks, an usin articulating paper when indicated.
Inspect brackets and tubes visuallyCheck for exposed or sharp wire endsVerify full archwire seatingAssess patient bite and comfortUse articulating paper if neededLesson 2Temporary management of loose brackets during sequence: isolation, placement of bracket on a gauze, protecting soft tissues and deciding whether to postpone bondingDescribe how fi handle loose brackets discover during di sequence. Include isolation, safe storage, soft tissue protection, documentation, an when fi postpone rebonding or proceed after consultation.
Recognize signs of loose bracketsIsolate bracket with gauze or cottonRemove bracket from archwire safelyStore bracket on labeled gauzeInform and consult orthodontistLesson 3Placing new ligatures (elastic): selecting size and color, single vs figure-of-eight technique, placement technique to avoid tissue impingementCover selection an placement a elastic ligatures, includin size an color choices. Compare single versus figure-eight techniques an emphasize avoidin tissue impingement an excessive force pon brackets.
Select correct ligature size and typeColor selection and patient inputSingle tie versus figure-eight useStepwise placement around bracketsCheck for tissue impingementLesson 4Initial patient interaction and verification: identity confirmation, medical/dental history update, explain planned sequence in simple languageCover confirm patient identity, reviewin medical an dental history, an explainin di archwire an ligature change sequence in clear, rassurin language fi support safety, consent, an patient cooperation.
Confirm identity with two identifiersReview medical alerts and medicationsUpdate dental and orthodontic historyExplain procedure in simple languageObtain and document informed consentLesson 5Placing metallic ligatures: twisting technique, appropriate tension, protecting gingiva and avoiding over-tighteningDetail placement a metallic ligatures, includin threadin, twistin, an tuckin techniques. Emphasize correct tension, avoidin over-tightenin, an protectin gingiva an lips from sharp wire ends.
Select appropriate ligature gaugeThread ligature through tie wingsTwisting technique and tension controlCut and tuck pigtails safelyCheck for sharp or exposed endsLesson 6Identifying and managing debris and plaque before wire removal: plaque clearing, use of gauze, retraction for visibilityFocus pon identifyin plaque, food debris, an calculus before wire removal. Emphasize retraction, suction, an gauze use fi improve visibility, reduce contamination, an prepare teeth fi accurate archwire placement.
Visual inspection for plaque and debrisUse of air, water, and suctionGauze use for wiping and isolationRetraction for visibility and accessPatient education on oral hygieneLesson 7Placing new archwires: selecting appropriate wire, pre-bending and trial fitting, insertion sequence for upper and lower archesOutline selection, pre-bendin, an trial fittin a new archwires. Detail insertion order fi upper an lower arches, managin crowdin, an ensurin smooth engagement widout excessive force or tissue trauma.
Confirm prescribed wire size and alloyPre-bend and contour arch formTrial fit and adjust before full seatingInsertion sequence by quadrantManage crowding and rotated teethLesson 8Securing archwires and verifying fit: torque/engagement checks, trimming distal ends, using distal end cutters and overlaysExplain how fi secure archwires an verify fit. Include torque an engagement checks, trimmin distal ends, usin distal end cutters, an addin overlays when indicated fi prevent irritation or slippage.
Check full bracket engagementAssess torque and rotational controlTrim distal ends safelyUse distal end cutters correctlyAdd overlays or stops if neededLesson 9Removing archwires safely: steps for upper and lower wire removal, stabilizing brackets, controlling spring-back, minimizing patient discomfortExplain stepwise removal a upper an lower archwires, includin cuttin, stabilizin brackets, an controllin spring-back. Emphasize minimizin patient discomfort an preventin soft tissue injury or wire aspiration.
Check wire type and attachmentsCut wire in safe strategic segmentsControl spring-back with cotton rollsStabilize brackets and tubesRetrieve and secure removed wireLesson 10Handling unexpected resistance or tissue entrapment during wire removal: stepwise maneuvers to release wire, instruments to use, when to call orthodontistGuide management a resistance or tissue entrapment during wire removal. Cover systematic maneuvers, instrument choices, soft tissue protection, an clear criteria fi stoppin an callin di orthodontist.
Identify source of resistanceUse mirror and retraction for viewGentle back-and-forth wire mobilizationUse hemostats or Weingart pliersIndications to stop and call orthodontistLesson 11Removing elastic ligatures: instrument selection, technique for safe removal, handling and disposal of used elasticsDetail instrument selection an safe technique fi removin elastic ligatures. Include controlled removal sequence, avoidin bracket damage, preventin tissue trauma, an proper handlin an disposal a contaminated elastics.
Select appropriate ligature removerSequence for quadrant by quadrant removalStabilize brackets during removalAvoid snapping toward soft tissuesDispose of used elastics as biohazardLesson 12Sequence overview and roles: clear division of tasks between assistant and orthodontist for each stageProvide a structured overview a di entire sequence an clarify task division between hygienist, assistant, an orthodontist. Highlight communication, timin, an safety checks at each stage a di procedure.
Outline full archwire change workflowDefine hygienist and assistant dutiesIdentify orthodontist-only proceduresHandoff communication checkpointsTime management and chairside flow
