BENDISTAL PLIERS

The pliers of V-Bend Technique. The only pliers in the world that bend and activate super elastic wires without annealing.

CLINICAL FUNCTIONS

DISTAL END BENDING (CINCH BACK)

These pliers were named after this original function of bending the unbendable distal ends of super elastic arch wires (by one easy squeeze), intraorally without annealing.

The arrows are pointing to the bends that were done by two different pairs of pliers.

MOLAR TIP BACK BEND

Placing the proper V-Bend before molar tube can efficiently tip back or tip forward molars according to clinical needs. Orientation of pliers tips in relation to arch wire determines where to tip the molar. Such one-second squeeze of the pliers negates the time and need for fabricating a helix. This bend can be used to:

1. Regain space for the eruption of impacted second premolars.
2. Strengthen posterior teeth anchorage.
3. Finalize correction of the molar relations.

Molar tip back bends to regain spaces for both second premolars eruption

Same patient after treatment and second premolars eruption

INTRUSION OF MAXILLARY INCISORS AND OPENING DEEP OVERBITE

It is well known to orthodontists that successful incisors intrusion and opening severe over bites has always been a big challenge to achieve.

Once the V-Bends of bendistal pliers showed efficiency in intruding teeth, they became the essence of a new technique that effectively opens sever over bite with unprecedented ease, comfort, convenience and time saving.

Using this technique routinely in his office, Dr. Khouri cares to share his clinical achievement in correcting severe overbite using the intra oral V-Bend technique on super elastic arch wires Such a bend produces light and tolerable, but consistent forces on adjacent teeth due to flexibility of such arch wire By placing these bends, the arch wire becomes active to intrude the whole segment of incisors between those bends. The best bend locations for intrusion are behind canine brackets with the apex of the V is pointed downwards. On the other hand, inversing the bend will extrude teeth (close open bites).

Following are intra oral photos of two patients exhibiting complicated overbite situations that were effectively and easily treated with V-Bend technique:

CASE 1

Severe overbite in a class II division 2 patient before treatment

Same patient during treatment. Note the intrusive V-Bends (arrows) behind canine brackets on upper and lower arch wires

Same patient treated with the V-Bend technique of the Bendistal Pliers with one premolar extraction

CASE 2

Models of severe 95% overbite in a class I adult patients before treatment

Intra oral photos showing same patient after opening the bite during treatment. Note how the V-Bends adjustments (arrows) opened that sever overbite with the simple V-Bend technique of the Bendistal Pliers

Same patient after the dramatic deep bite opening using the simple, but effective V-Bend technique of Bendistal Pliers

NON-SURGICAL CORRECTION OF CLASS III MALOCCLUSION

The V-Bend techniques showed efficiency in correcting skeletal, as well as dental, severe overbite mentioned above. It depends on placing the simple intra oral V-Bends in strategic al locations on tied super elastic arch wires to produce light and consistent epically force on anterior segment of incisors.

Dr. Khouri applied the same intrusive principle in class III malocclusions to disengage incisors that allowed the easy incisor jump. The clinical results came out dramatic in countless number of cases.

The V-Bends were able to level, intrude and disengage incisors in mild and moderate blocking mandibular incisors and with the help of bite raiser in severe cases. It is the ability of V-Bend to efficiently intrude incisors and ultimately disengage them is the essence of this non-surgical easy approach.

After the incisors disengagement stage, orthodontists can plan and provide the necessary spaces in the mandibular dental arch to retract lower incisors and achieve normal over bite over jet relations.

CASE 1

Pretreatment models of class III patient showing complicated incisals interlocking cross bite

Frontal intra oral views showing incisors disengagement stage with V-Bend technique

Advanced stage in treatment showing selective locations of V-Bends (arrows) that disengage teeth where needed

Post treatment results after 4-bicuspid extractions using V-Bend technique of Bendistal Pliers

CASE 2

Pretreatment models of adult class III patient with unilateral posterior cross bite

Stages of treatment using V-Bend technique. Note how you can over disengage incisors using the upper and lower intrusive V-Bends (arrows), and how only existing spaces were use to retract mandibular incisors without extraction

Post treatment photos of the same patient using the routine adjustment of V-Bend technique