Legacy of begg's /certified fixed orthodontic courses by Indian dental academy

LEGACY OF DR.BEGG

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INDIAN DENTAL ACADEMY
Leader in continuing dental education


What is a Legacy?

It is what one leaves behind. It may be in
form of ‘Assets’ or ‘Liabilities’

Dr.Begg’s life sketch
Born in 1898.
Humble background.
B.D.Sc. in 1923.
Studied under Dr.Angle in 1924 to 1925.
Actively participated in the development of
Edgewise appliance.

After two years of practice, disillusionment
with Angle’s non-extraction theory and
edgewise appliance.
Development of a new appliance using
ribbon arch bracket and round wires for
lighter forces.

Doctoral Thesis on “Attritional occlusion” in
1933.
Development of ‘Australian’ Wires in 1940s.
Publication of ‘Stone age man’s Dentition’
in 1954 in A.J.O.
Begg courses from 1960.

Text book published in 1965.
Honored by A.A.O. in 1977 with Ketcham
Award.
Honored by the Australian Government in
1981(Officer of the Order of Australia)
Demise in 1983.

Why Begg Technique is very much
applicable to the Indian context?
This is because the conditions under
which Dr.Begg worked are similar to
what is found in an average Indian
Orthodontic Practice.


Assets left by Dr.Begg
Treatment with light forces – this influenced
edgewise practice as well.
Efficient management of intra oral
anchorage by splitting bodily movement
into tipping and uprighting – incorporated in
segmented arch technique.

Organization of treatment into sequence of
definite stages.
Encouraged the development of high tensile
wires.
Theory of Attritional Occlusion (?)
Development of auxiliaries which have been
accepted by other appliances.

Advantages of Begg treatment:
-Deep overbites can be opened efficiently.
-Teeth can be aligned quickly.
-En masse movement of anterior and
posterior groups of teeth results in rapid
overjet reduction and molar relation
correction.

-Efficient uprighting and torquing of roots
(the latter without appreciable reciprocal
effects on adjacent teeth.)
-Demands on patient’s co-operation are
minimal.
-Low cost of treatment.

Liabilities left by Dr.Begg.
Dogmatic opposition to the use of
headgear, functional appliances and mixed
dentition treatment.
Cookbook approach
Over emphasis on tooth material reduction.
Simplistic diagnosis

Disadvantages of Conventional Begg.
-Difficulty in fine finishing
-Posterior root torque is difficult
-True intrusion of upper incisors was
minimal.
-Undesirable proclination of lower incisors.

Root resorption associated with uncontrolled
tipping and long third stage.
No fail safe mechanism to check the tipping
or uprighting/torquing movements.
Unacceptable profile (?)


What do we do with the grand old
mansion we have inherited ?

KESLING AND ROCKE ROOTS – 1934.

Various Authors who have contributed
to the Begg Refinement.
Wagers – Mixed dentition Begg
treatment.
Sims – Problems with multi looped wires.
Swain – Use of headgear and rectangular
wires.

Mulie ,Ten Hoeve and Brandt &
Hocevar – Upper incisors intrusion
Kameda – Built in torque in the brackets.
Thompson – Posterior root torque.


Mollenhauer – Inadequacy of theory of
attritional occlusion, root control from
beginning, upper incisors intrusion,
rectangular finishing wires, higher grades or
Australian wires, Mini springs, use of
V.T.O. etc.

How Refined Begg differs from the
conventional?
There are some conceptual changes, few
additions/modifications in the hardware and
some modifications in the stage wise
sequence.
However, the basic tenets remain the same.

Begg tenets which are forever.
•Use of light forces.
•Splitting of bodily movement into the
crown tipping movement followed by root
movement, for an efficient anchorage
management.
•Use of differential forces for the movements
of different groups of teeth.

•A definite sequence of stages
•Use of light intraoral elastics.
•En-Masse movements of anterior and
posterior teeth.
•Separation of the root moving forces from
arch wire forces.
•Over correction of all the displacements.

If I were to select ‘Saptarishis’ -seven
prominent stars - which shine in the sky
of clinical orthodontics, I will name the
following:

Dr. Andrews

Dr. Ricketts

Dr. Tweed

Dr. Angle

Dr. Burstone

Dr. Begg

Dr. Reitan


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Legacy of begg's /certified fixed orthodontic courses by Indian dental academy

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Legacy of begg's /certified fixed orthodontic courses by Indian dental academy