eplacement® Indirect Bonding Tray FAQ
Q: How much does a set of eplacement® IBT trays cost?
A: For current pricing, please call one of our representatives at (866) 436-6335.
Q: What all is included in an eplacement® IBT case?
A: Included in the price of a set of eplacement® IBT trays is an emodel® and an eplan® (digital set-up).
Q: How long does it take to receive my eplacement® IBT trays?
A: Completed eplacement® IBT will arrive within 5 business days of eplan® approval. Total turnaround time is typically 10-14 business days after we receive your order.
Q: Who provides the brackets?
A: The brackets are supplied by the submitting Orthodontic Office.
Q: Can you use any type of brackets with this service?
A: We have worked with all types of appliances from all manufacturers, and have had success with all of the ceramic brackets and the standard metal appliances. Recently, we have experienced an increased demand for the self-ligating appliances, such as the TIME bracket from American Orthodontics, the Damon Appliance from Ormco, and the GAC Innovation. Although they require special handling, there are no limitations on their use with Indirect Bonding.
Q: Do I need alternate shipping supplies for my eplacement® IBT cases?
A: Yes. Please contact one of our Customer Representatives at (866) 436-6335. They will make sure your office receives the correct shipping forms and supplies needed for eplacement® IBT cases.
Q: How important are the impressions we submit?
A: We continually emphasize the importance of accurate impressions. Every practice strives for excellence in all impressions, but the precision fit of the Indirect Bonding trays and custom pad bases increases the necessity for 100% accuracy. We recommend PVS or a high quality alginate such as Triphasix&trade.
Q: How do you determine bracket placement using the eplacement® IBT system?
A: After the emodel® digital dental record is completed, we segment the teeth into individual elements, then we move the teeth into their post treatment positions based on the IBT Perscription Rx you provide. Brackets are digitally aligned on the post treatment emodel® and then their locations are used to guide tray fabrication.
Q: What are the eplacement® IBT trays made of?
A: Our IBT system employs a "Two-Tray" transfer system; the bracket stabilizer tray is made from pressure-formed vinyl material that cover the brackets while the outer shell is a hard acrylic material.
Q: What are the options for the tray itself?
A: Unless otherwise specified, we deliver the transfer trays to your practice with no sectioning or splitting. However, some offices prefer to have the trays sectioned at the dental midlines or even in three pieces per arch when the molars are bonded – they report that sectioning the trays helps in maintaining the isolation and dry field. When we have a request to cut the trays, the inner and outer trays are always sectioned in the same manner. In other words, if there is a mid-line split it will be on both the inner and outer trays. Since the working time with the indirect bonding resin is virtually unlimited, the degree of isolation, and ease of tray placement, are the determining factors.
On rare occasions, it may be advisable to consider sectioning the tray into thirds, in which case the trays may be sectioned as follows:
6-11 or 27-22 (anterior segment)
2-5 or 12-15: 31-28 or 21-18 (posterior segment)
Q: How are the molars treated when Indirect Bonding is used?
A: Over 75% of our indirect bonding customers now include bonded molars in their Indirect setups. The NOLA dry-field apparatus and today’s excellent adhesives have made molar-bonding with the indirect technique a routine procedure. Because the anatomy of molars varies so widely, many orthodontists believe the bracket positioning of Indirect is far superior to banding for these teeth. This is especially true when using some of the smaller mini-tubes on the second molars. Another advantage of bonding molars with indirect is the elimination of spacers at the beginning of treatment and band space at the end. When bands are placed on the posterior teeth, we recommend that they be placed after the indirect bonding trays have been delivered. Any movement ofthe teeth while the trays are being fabricated could create discrepancies between the construction model and the patient’s teeth, and prevent the trays from fitting properly.
Q: What is the procedure for seating an eplacement® IBT tray?
A: For more information on seating and clinical procedures involved in seating an eplacement® IBT please download the Indirect Bonding manual.