Third Stage Begg Mechanotherapy
Third Stage Begg Mechanotherapy
Third Stage Begg Mechanotherapy
Begg Mechanotherapy
A Seminar by
Dr.Girish Gerard
INTRODUCTION
Patients at the beginning of third stage
show variation in occlussion from a
class I to class II relationship through
the buccal segments and an edge to
edge bite on the anteriors.
All the anteriors are tipped
mesially and the molars upright.
Encompasses procedures to restore the
teeth to their correct axial inclination.
Mastery over the intricasies involved in
the third stage can mean all the
difference between delight and defeat in
most cases treated with the Begg
appliance
Stage three Begg is Divided into
a)Base archwires
b)Auxiliaries
Base Archwires are the backbone that
shape the outcome of the effort put in.
Auxiliaries can be either
a) Torquing Auxiliary
b) Paralleling Auxiliary
Function of Base archwire
Is mainly to maintain the arch form and
arch symmetry achieved during the
earlier stages as the auxiliaries used in
this stage tend to distort the results
achieved previously
To provide anchorage for certain
movements carried out by the
auxiliaries
Requirements of Base archwire
They need to be
a)Sufficiently rigid
b)Simple to fabricate
c) Should not have a complex nature
d)Should not harm the tissues
Consideration during fabrication
of Base archwires
Diameter of the wire
a)Type and extent of root torque
required
b)The diameter of the uprighting
spring used
c)The design of the springs used
FORM OF THE BASE ARCHES
In the Begg technique over retraction of
the anterior teeth place very high torque
demands in most extraction cases
such situations would create
considerable expansile counter
moments hence the base archwires had
to be excessively contracted across the
molars in the upper arch.
Lower arch wire is slightly expanded to prevent
lower molars rolling lingually from continued class
II elastic wear during stage III
Both the upper and lower .020 third stage
archwires have a slight bite opening bend distal to
the cuspids
Anchor bends in the upper archwire are very slight
more if the molars are tipped distally whereas
lower anchor bends are bit more pronounced
Auxiliaries used in third stage
Begg.
Auxiliaries
Torquing auxiliary used in the Begg technique is the
most important single mechanism in the system.
Chourie in 1965 in his thesis sugested that length of
the torque spur loop exerts an affect upon the
amount of force delivered to the root tip.
Newmann in 1963 presented a formula for
calculating the force at the apex of the
incissors
.
F=ØG¶r4
2Ld
Ø is the angle in radians
G is the average modulus of rigidity of
stainless steel
¶ is a constant
L is length of the wire
D is the distance from root apex to bracket area
r is the radius of the wire
Barrer in 1963 suggested the acuteness
of the angle between the torquing spur
and the horizontal plane
contd
The helices and the arms of the spring has to
be in the same plane as to the long axis of the
tooth and the arch.
Constucted of .014/.016 for cuspids and
premolars.
In extraction cases springs should be used on
both teeth adjacent to the extraction site
More recently springs with smaller helices and
shorter arms have been utilized
MINISPRINGS
Made from .010’supreme wires
plan
this means more use of auxiliaries like head gears , lip