Steps and Procedures
PLEASE DETERMINE THE DIRECTION THAT YOU WANT THE SPRING FORCE APPLIED TO THE IMPACTED TOOTH AND RELAY SPECIFIC INSTRUCTIONS TO YOUR SURGEON AS TO WHERE THE SPRING CLAMP SHOULD BE ATTACHED TO DELIVER THAT DESIRED FORCE VECTOR.
To help make sure the Isoglide spring has maximum activation, the orthodontist should consider putting an incisal step-down of 4-5mm in the archwire at the site where the spring clamp will be attached BEFORE referring the patient for the exposure surgery. Also consider placing closed coil or rubber tubing at the attachment site of the clamp, as this will make it easier for the surgeon to crimp the clamp in place on the wire without it sliding. Again, if the orthodontist has a specific site to which he or she wants the spring clamp attached, please inform the surgeon of this prior to the exposure surgery.
CLOSED EXPOSURE: When the patient returns for the first orthodontic visit after the impacted tooth has been exposed, the Isoglide spring will already be actively stretched, coming out of the gingiva, and clamped to the arch wire at the desired location by the surgeon. As long as the spring is open and active, there is nothing to be done until the tooth erupts through the gingival tissue and appears in the mouth, at which point the spring may be removed and a normal orthodontic bracket placed.
OPEN EXPOSURE: The Isoglide spring can be bonded to the exposed tooth whenever the orthodontist desires to do so after the open exposure has been completed.