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CDAMP
(Complete this skill one time for evaluation)
EVALUATION: Place and Remove Ligature Ties & Remove
Orthodontic Arch Wires
STUDENT NAME ______________________________ ID # _______________
DATE ___________________ PATIENT’S INITIALS _________or MODEL _____
Materials: 0 – 10 points
The following armamentarium is present:
___ Appropriate personal protective equipment, basic set-up, elastic ties, ligature wires,
Weingart pliers, Bird Beak pliers, ligature cutting pliers, distal-end cutting pliers,
condenser, hemostat, scaler, ligature wire cutting pliers, sharps container
Steps: 0 – 10 points each
(N/A if not applicable)
Placing elastic bands:
___ 1. Spreads tie and places on gingival extensions of bracket
___ 2. Pulls tie over arch wire
___ 3. Wraps the tie around the occlusal extensions of the bracket
___ 4. Continues procedure throughout the mouth
Removing elastic bands:
___ 5. Selects scaler to remove elastic ties
___ 6. Places scaler under elastic and rolls elastic over bracket wings until
elastic is released
___ 7. Removes all elastics placed, using safety technique
Placing wire ligatures:
___ 1. Holds ligature wire between thumb & index finger
___ 2. Wraps wire around occlusal and gingival wings of bracket in a distal-mesial
direction
___ 3. Crosses the wire ends & twists wire together for several rotations with hemostat
___ 4. Repeats process throughout mouth to secure arch wire
___ 5. With ligature wire cutting pliers, cuts “pigtails” to 3 – 4 mm.
___ 6. Bends “pigtails” into embrasures with condenser
___ 7. Checks for sharp ends with finger. Makes necessary adjustments
___ 8. Checks distal ends of arch wire & cuts away excess with distal-end cutting pliers
Removing wire ligatures:
___ 9. Places beaks of wire cutting pliers where wire is exposed
___10. Cuts wire
___11. Carefully removes wire from wings of bracket
___12. Removes all ligature wires, using safety technique
CDAMP-7-SS-OWT
Removing an arch wire:
___ 1. Removes arch wire from the brackets using a hemostat
___ 2. Pulls arch wire from buccal tube on one side
___ 3. Holds arch wire securely while removing opposite end from buccal
tube, avoiding injury to patient
____4. Disposes arch & ligature wires into sharps container
________ TOTAL POINT AVERAGE
Preceptor declares skill was successfully completed. (75% of total possible points)
PRECEPTOR’S SIGNATURE _____________________________________________
STUDENT’S SIGNATURE _______________________________________________
CDAMP-7-SS-OWT