Treatment & Care
- Remove separators and clear any debris from the interproximal areas. Seat the appliance completely, checking the fit before cementation. Check the passive fit of directors and bayonets – adjust as necessary.
- Mix cement, load bands and cement the appliance as a single unit, in a customary manner.
- After cement clean-up, remove stabilizing floss or wire before activation.
- The appliance is activated initially after cementation and at four-week intervals by complete compression of coil spring with the activation lock (see special note below).
How to Convert to a Nance
- After distalization is complete, convert the Distal Jet to a retainer.
- Peel the spring from the appliance with a Weingart plier.
- Slide the lock firmly against the stop and tighten the screw.
- Squeeze the end of the lock tightly onto the bayonet wire. Important: this prevents the appliance from becoming loose.
- An alternative option is to tie the lock and bayonet wire/molar sheath together with a steel ligature or elastic chain or thread.
SPECIAL NOTE:
Molar rotations must be corrected before they are distalized. This is easily accomplished in the lab by bending rotational compensation into the double-back sections of the bayonets. Seat and cement as above, do not activate and recall in one month. Begin activation after molars are corrected.
This appliance should be cleaned every day with toothpaste and a soft toothbrush, morning and night. Encourage the patient to give sufficient time to clean thoroughly around the appliance, gums, teeth, and bands to maintain proper hygiene and prevent inflammation. 3 minutes is recommended.
Materials
- Distal Jet: American Orthodontic Distal Jet Kit
- Acrylic: JBC Monomer and Polymer
Attachment & Band options:
- AO Maximum Retention Bands
- Leone Web Bands
- AO .022 Slot w/ Hook
- AO Headgear and .022 Slot with Hook
- AO MBT w/hook
- AO Double Slot w/ Hook
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