Article: Volume 14 Number 2 Page 109 - April 2021

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  Orth Update 2021; 14: 109-109

Tricks of the Trade:  Derotation of severely rotated lower incisors with fixed appliances

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Abstract: The difficulty, particularly with rotated lower incisors, is that there is very little span between the brackets to allow full engagement of the wire into the slot (Figure 1). Partial ligation means that the clinician has to tediously and continuously retie until the tooth derotates sufficiently to allow full ligation.

Author notes: Catherine A Brierley, BDS (Hons), MFDS RCS, MClinDent, MOrth, FDS Orth, Orthodontic Consultant, Sheffield and Chesterfield, UK. Email: