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Direct Bond Buccal Tubes

Exceeding All Expectations

SIX KEYS TO BUCCAL TUBE SELECTION 42


FIRST MOLAR CONVERTIBLE TUBES 44
NON-CONVERTIBLE TUBES 46
UPRIGHTING TUBES 46
TRUMPETED NON-CONVERTIBLE TUBES 47
NICKEL FREE NON-CONVERTIBLE TUBES 47

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DIRECT BOND BUCCAL TUBES

SIX KEYS TO PROPER BUCCAL TUBE SELECTION

O RTHODONTISTS SPEND A GREAT DEAL OF TIME SELECTING, EVALUATING AND ANALYZING THE RESULTS
of their 5 x 5 pr eadjusted bracket systems. O ften times, surprisingly little time is spent choosing and evaluating dir ect bond and
prewelded molar assemblies. Yet these choices ultimately have a profound affect on archform, arch length, anchorage requirements,
interactions with the bracket prescription, extraction verses non-extraction therapy, class I molar relationships and so on.

Our goal in providing this guide is to provide the framework for informed choice. We offer one of the broadest selections of torque,
offset, and tube confi gurations in the industr y. Our goal? To meet the tr eatment objectives of all or thodontists, regardless of
technique or preference.

We invite you to call us directly with your questions. We feel, as you certainly do, that this is one of the most important decisions to
be made in selecting the proper appliance. And we thank you for choosing us to provide it.

1 SELECT THE PROPER TORQUE

H igher torque values are associated with a g reater


lingual inclination and may reduce arch width and length. It is
increasingly popular t o see incr eased torques in the upper t o
2 Anti-r
SELECT THE PROPER OFFSET

otational distal off sets ar e desig ned t o


rotate the buccal sur faces of molars distally (see illustration
opposite page). They are especially helpful to counteract the
reduce “dangling cusps” and decreased torque in the lowers to effects of hea vy class II elastics or spr ings but can also pr o-
promote more “upright” posterior segments. mote a lingual crown orientation. It is common to see higher
offsets in the upper ar ch and little or no off set in the low er
-0° Promotes fr ee sliding and off ers the most “upright”
arch.
inclination possible.
0° Promotes mor e upr ight post erior seg ments and fr ee
sliding w ithout “binding.” M ost p opular i n t he M BT
-10° The most common upper 1st and 2nd molar t orques lower 1st molar Rx.
for Roth and MBT Rx.
5° The m ost c ommon l ower 1 st m olar R x. M odest y et
-14° A increasingly popular choice for the upper arch. effective anti-r otation eff ects without ex cessive low er
Promotes a more pronounced lingual orientation . lingual inclination .

-20° A popular choice with MBT users for the lower arch. 8° The most common upper off set. They will r educe the
Promotes upright posterior segments, especially when incidence of “dangling cusps ” and mesh ideally with
combined with a 0 degree offset. 0 and 5 degree lower offsets.

-25° This Roth Rx is still the most common lower torque 12° This high off set is r ecommended only f or the upper ar ch
value for both 1st and 2nd molars. and promotes a pronounced lingual inclination.

CONVERTIBLE -VS- NON-CONVERTIBLE


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Convertible This design is important if you experience difficulty when inserting large finishing wires into 2nd molar tubes. They can also
be ligated when necessary with conventional elastics or ligature wires. They are by far the most popular choice for 1st molars.

Non-Convertible These tubes are smaller and more rounded for patient comfort. Bondable non-convertible singles are quickly replac-
ing second molar bands and can be effectively used on first molars when your only requirement is a hook for class II auxiliaries.

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DIRECT BOND BUCCAL TUBES

4 PAD DESIGN:
INDENTED -VS- NON-INDENTED

Either the cast tube or the bonding pad can be fl at


(non-indented) or off er a pr onounced “dimple” that fi ts
5 HEADGEAR OPTIONS

Occlusal: This is by far the most popular option. Clinicians have


the option of placing class II cor rective devises in occlusal tubes
into the buccal groove of molars (indented). and they r educe th e r isk of g ingival impinge ment and patient
discomfort. The headgear bow also has less oppor tunity t o
Indented The most popular st yle. The bonding pad will interfere with elastics or inflame swollen gingival tissues.
adapt more easily to the crown to promote seating and place-
ment. F ully seating the brack et into the buccal g roove also Gingival: This headgear tube placement has the advantage
reduces the potential for trapping bacteria or bond failure of being much closer t o the cent er of r esistance of molars and
should the adhesive “wash out” during treatment. should provide more efficient distalization. They will also reduce
the risk of posterior occlusal interferences.
Non-Indented These pad types allow the clinician to seat
.045 vs. .051 Tubes: The overwhelming majority of headgears
the bondable assemble in an y position, such as mesial t o
are .045 in diamet er. There appears t o be no clinical advantage
enhance the offset or on the lower gingival margin to reduce
to either design except that the .051 st yle is not offered by many
interferences. Non-dimpled pads are also generally larger
companies.
and cover more tooth surface verses dimpled pads.

WHAT ARE THE IMPLICATIONS OF MESIAL/DISTAL TUBE POSITIONING ON MECHANICS?


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Positioning is an important variable in both bonding and welding attachments. Non-indented bonding pads will offer the greatest
flexibility in placement. We can also custom weld to your specifications based on the considerations listed below. We can also sug-
gest preadjustments that best fit your needs If you routinely require custom welding and repositioning of molar bonds.

Standard
Two millimeters of f orward (mesial) placement of the buccal
tube on the band will add appr oximately 10 degrees of distal
offset.

Mesial 1/3
The standard welding position is designed to deliver the distal
offset manufactured into the buccal tube.

Distal 1/3
Two millimet ers of back ward (distal) placement of the
buccal tube on the band will subtrac t appr oximately 10
degrees of distal offset.

NEED MORE GUIDANCE?


We can offer suggestions based on your 5 x 5 bracket prescription, desired lingual inclinations of upper and lower molars, rate
of extraction, headgear use, size of finishing wires and so on. We can also provide samples upon request.

ORDER TOLL FREE 1.800.637.1237 43

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DIRECT BOND BUCCAL TUBES

COMFORT HOOK™ BUCCAL TUBE Features


80 GAUGE MESH BASE Made in the U.S.A.

INVESTMENT CAST
THE ONLY BUCCAL TUBE WITH COMFORT BUILT IN
Ortho Specialties C omfort Hook™ Dir ect Bond Buccal Tube Line off ers miniaturized cast buccal tubes with r ounded sur faces for
exceptional patient comfort and acceptance.

• Torque-in-base buccal tube designs for easier alignment with optimal


functional occlusion and case finishing.
• Smooth recessed convertible caps reduce the likelihood of soft tissue irritation.
• Headgear tubes also incorporate a distinctive tie wing design for secure ligation following archwire slot conversion.
• Convertible buccal tubes incorporate a true “twin” bracket tie wing design to aid in ligation.

Malleable Ball Hooks Trumpeted Headgear Tubes


can be positioned away from on mesial face, which facilitates
soft tissue t o a void ir ritation facebow insertion to maximize
and potential food traps patient cooperation

Octagon Headgear Tubes


Angled Mesial Extension Tabs
minimizes fr iction by utilizing
to facilitate removal, simply“peel”
single point contact on the
the cap away using a Weingart
interior walls
or How plier

Chamfered Slots
to ease in the insertion of
archwires and auxiliaries

ONLY THE STRONG SURVIVE INDENTED


INDENTED PAD DESIGN
This pad desig n f eatures a buccal tube indent which
Achieve a str onger, mor e consist ent bond with Or tho
assists in accurate tube positioning.
Specialties Comfort Hook™ Series direct bond buccal tubes. .1150

Featuring an 80 gauge mesh base in


three different pad configurations our
Comfort Hook™ Series direct bond
buccal tubes are sure to meet all .2000
of your treatment needs.

Our var ious pad st yles f eature LONG


LONG PAD DESIGN
.1000

molded compound contour bases


Our long pad is indicat ed
which p rovide c orrect a natomical f it a nd a ppliance
when maximum coverage
expression. These features, when combined with our 80
is desired. .2500
gauge foil mesh base, increase bond strength.

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DIRECT BOND BUCCAL TUBES

COMFORT HOOK™ FIRST MOLAR BONDABLE CONVERTIBLE


80 GAUGE MESH BASE
INVESTMENT CAST

FIRST MOLAR CONVERTIBLE TUBES ORDER CODES


TYPE TORQUE OFFSET RX TUBE PLACEMENT PAD L/R .018 .020 .022
COMBINATION -10˚ 8˚ ROTH† .045” GINGIVAL LONG UL 780-101 780-125 780-201
-10˚ 8˚ ROTH† .045” GINGIVAL LONG UR 780-102 780-126 780-202
-10˚ 8˚ ROTH† .045” GINGIVAL INDENTED UL 790-101 790-125 790-201
-10˚ 8˚ ROTH† .045” GINGIVAL INDENTED UR 790-102 790-126 790-202
-10˚ 8˚ ROTH† .045” OCCLUSAL INDENTED UL 790-181 - 790-281
-10˚ 8˚ ROTH† .045” OCCLUSAL INDENTED UR 790-182 - 790-282
-14˚ 10˚ MBT† .045” GINGIVAL LONG UL 793-320 - 793-420
-14˚ 10˚ MBT† .045” GINGIVAL LONG UR 793-321 - 793-421
-14˚ 10˚ MBT† .045” GINGIVAL INDENTED UL 792-320 - 792-420
-14˚ 10˚ MBT† .045” GINGIVAL INDENTED UR 792-321 - 792-421

DOUBLE -10˚ 8˚ ROTH† .018 X .025 AUX. UL 790-113 - 790-123


-10˚ 8˚ ROTH† .018 X .025 AUX. UR 790-114 - 790-124

-20˚ 0˚ MBT† .018 X .025 AUX. LONG LL 793-360 - 793-460


-20˚ 0˚ MBT† .018 X .025 AUX. LONG LR 793-361 - 793-461

MOLAR TUBES
DIRECT BOND
-20˚ 0˚ MBT† .018 X .025 AUX. INDENTED LL 793-360 - 793-460
-20˚ 0˚ MBT† .018 X .025 AUX. INDENTED LR 793-361 - 793-461

SINGLE -10˚ 0˚ - - INDENTED UL 790-105 - 790-147


-10˚ 0˚ - - INDENTED UR 790-106 - 790-148
-10˚ 5˚ - - INDENTED UL 790-107 - 790-151
-10˚ 5˚ - - INDENTED UR 790-108 - 790-152
-10˚ 8˚ ROTH† - - LONG UL 780-109 780-129 780-149
-10˚ 8˚ ROTH† - - LONG UR 780-110 780-130 780-150
-10˚ 8˚ ROTH† - - INDENTED UL 790-109 790-129 790-149
-10˚ 8˚ ROTH† - - INDENTED UR 790-110 790-130 790-150
-10˚ 12˚ ROTH† - - INDENTED UL 790-111 - 790-153
-10˚ 12˚ ROTH† - - INDENTED UR 790-112 - 790-154

-20˚ 0˚ MBT† - - LONG LL 793-103 - 793-203


-20˚ 0˚ MBT† - - LONG LR 793-104 - 793-204
-20˚ 0˚ MBT† - - INDENTED LL 792-103 - 792-203
-20˚ 0˚ MBT† - - INDENTED LR 792-104 - 792-204
-25˚ 5˚ ROTH† - - LONG LL 780-103 780-225 780-203
-25˚ 5˚ ROTH† - - LONG LR 780-104 780-226 780-204
-25˚ 5˚ ROTH† - - INDENTED LL 790-103 790-225 790-203
-25˚ 5˚ ROTH† - - INDENTED LR 790-104 790-226 790-204
-25˚ 12˚ ROTH† - - INDENTED LL 790-205 - 790-207
-25˚ 12˚ ROTH† - - INDENTED LR 790-206 - 790-208

ORDER TOLL FREE 1.800.637.1237 45

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DIRECT BOND BUCCAL TUBES

COMFORT HOOK™ BONDABLE NON-CONVERTIBLE


80 GAUGE MESH BASE
INVESTMENT CAST

FIRST AND SECOND MOLAR NON-CONVERTIBLE TUBES ORDER CODES


TYPE TORQUE OFFSET RX TUBE PLACEMENT PAD L/R .018 .020 .022
SINGLE 0˚ 0˚ - - INDENTED UL 780-115 - 780-215
0˚ 0˚ - - INDENTED UR 780-116 - 780-216
0˚ 8˚ ROTH† - - INDENTED UL 780-117 - 780-217
0˚ 8˚ ROTH† - - INDENTED UL 780-118 - 780-218
-10˚ 0˚ - - INDENTED UL 780-119 - 780-219
-10˚ 0˚ - - INDENTED UR 780-120 - 780-220
-10˚ 8˚ ROTH† - - INDENTED UL 780-121 780-133 780-221
-10˚ 8˚ ROTH† - - INDENTED UL 780-122 780-134 780-222
-14˚ 10˚ MBT† - - LONG UL 793-121 - 793-221
-14˚ 10˚ MBT† - - LONG UR 793-122 - 793-222
-14˚ 10˚ MBT† - - INDENTED UL 792-121 - 792-221
-14˚ 10˚ MBT† - - INDENTED UR 792-122 - 792-222

0˚ 5˚ - - INDENTED LL 780-127 - 780-227


0˚ 5˚ - - INDENTED LR 780-128 - 780-228
-25˚ 5˚ - - INDENTED LL 780-123 780-229 780-223
-25˚ 5˚ - - INDENTED LR 780-124 780-230 780-224

PLATINUM™ BONDABLE UPRIGHTING TUBES


INTEGRATED PYLON BASE DESIGN
MIM

SECOND MOLAR UPRIGHTING TUBES ORDER CODES


TYPE TORQUE OFFSET RX TUBE PLACEMENT PAD L/R .018 .020 .022
UPRIGHTING 0˚ 0˚ - - - ONE-PIECE UL 780-421 - 780-321
0˚ 0˚ - - - ONE-PIECE UR 780-422 - 780-322
-10˚ 0˚ - - - ONE-PIECE UL 780-425 - 780-325
-10˚ 0˚ - - - ONE-PIECE UR 780-426 - 780-326
-14˚ 0˚ - - - ONE-PIECE UL 780-429 - 780-329
-14˚ 0˚ - - - ONE-PIECE UR 780-430 - 780-330

0˚ 0˚ - - - ONE-PIECE LL 780-423 - 780-323


0˚ 0˚ - - - ONE-PIECE LR 780-424 - 780-324
-10˚ 0˚ - - - ONE-PIECE LL 780-427 - 780-327
-10˚ 0˚ - - - ONE-PIECE LR 780-428 - 780-328
-25˚ 0˚ - - ONE-PIECE LL 780-431 - 780-331
-25˚ 0˚ - - ONE-PIECE LR 780-432 - 780-332

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DIRECT BOND BUCCAL TUBES

TRUMPETED BONDABLE NON-CONVERTIBLE


80 GAUGE MESH BASE
INVESTMENT CAST

EXCEEDING ALL EXPECTATIONS!


Save time with our fully funneled entrance.

Our engineers have eliminated the frustrating and time-consuming practice of threading a wire into the small opening of traditional
buccal tubes. One of the most appealing features of the Viper is its trumpeted entrance to facilitate easy wire insertion. Wires are
guided easily and gently into Viper’s expansive entrance, simplifying arch wire adjustments and saving valuable chair time.

• 4.2mm tube allows for full rotational control.


• Full funneled entrance.
• Distal notch for use in additional anchorage.
• Bondable tube features molded compound contour base
with 80ga mesh.
Extended Pad Short Contoured Pad • Available bondable / weldable - .022 only.
• Unique Pad Design.

NON-CONVERTIBLE TUBES
MAXILLARY FIRST AND SECOND MOLAR EXTENDED SHORT CONTOURED
TYPE TORQUE OFF. RX WIDTH L/R .022 .022
SINGLE -0˚ 0˚ STD 4.2MM UL 780-239 790-239

MOLAR TUBES
-0˚ 0˚ STD 4.2MM UR 780-240 790-240

DIRECT BOND
76 67
76 67 -10˚ 8˚ ROTH† 4.2MM UL 780-241 790-241
-10˚ 8˚ ROTH† 4.2MM UR 780-242 790-242
-14˚ 10˚ MBT‡ 4.2MM UL 781-201 792-221
-14˚ 10˚ MBT‡ 4.2MM UR 781-202 792-222

SINGLE -0˚ 0˚ STD 4.2MM LL 780-241 791-241


76 67 -0˚ 0˚ STD 4.2MM LR 780-242 791-242
76 67 -20˚ 0˚ MBT‡ 4.2MM LL 791-223 792-321
-20˚ 0˚ MBT‡ 4.2MM LR 791-224 792-322
-25˚ 5˚ ROTH† 4.2MM LL 781-203 792-233
-25˚ 5˚ ROTH† 4.2MM LR 781-204 792-234

NICKEL FREE Direct Bond Buccal Tubes


METAL INJECTION MOLDING

MAXILLARY AND MANDIBULAR FIRST AND SECOND MOLARS


TYPE TORQUE OFF. IN/OUT RX .018L .018R .022L .022R
† ‡
SINGLE -10˚ +8˚ .042” ROTH / MBT 780-249 780-250 790-249 790-250
76 67
SINGLE -20˚ 0˚ .042” MBT‡ 780-309 780-310 790-309 790-310
76 67
SINGLE -25˚ 5˚ .042” ROTH† 780-349 780-350 790-349 790-350
76 67

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