(Manual for the Clinical Application of MEAW Technique) Orthodontic Therapy Using Multiloop Edgewise Arch-Wire Editor: Sadao Sato Professor, Kanagawa Dental College (Orthodontics Dept.) Authors: Sadao Sato, Susumu Akimoto, Atsushi Matsumoto, Akiyoshi Shirasu, Junzo YoshidaPreface It has been more than 20 years since the Multiloop Edgewise Arch-Wire (MEAW) was introduced in Japan. It was primarily used to treat open bite conditions but its usage has gone far beyond what it was originally designed for. It is now being used for the treatment of almost all types of malocclusions. In fact, most of the dentists and orthodontists in Japan use MEAW to treat their orthodontic cases. However, textbooks about the use of MEAW for orthodontic treatment have not been available and numerous practitioners have been requesting for it. Indeed there is a great demand for such a book and I had relayed this request to Dr. Young H. Kim, the author and proponent of MEAW, but unfortunately, due to his hectic schedule he was not able to complete it. Thus, the publication of a book on MEAW did not materialize. Thus, for this reason, this textbook on the use of MEAW in orthodontic treatment was published with the help of Daiichi Shika Publications. This book does not contain the MEAW Technique and the philosophy of Dr. Y.H. Kim but it contains the basic concept and technique of using MEAW in the treatment of malocclusion. Needless to say that the most important aspect in the treatment of malocclusion is the knowledge about it. If one lacks the knowledge about the strategic treatment and problem points of each malocclusion, the condition will not improve even with the use of MEAW. Dr. Y.H. Kim once said that MEAW is only a tool for treatment and nothing else. The use of MEAW is only significant once a treatment plan has been established based on the understanding of the malocclusion and its accurate diagnosis. In this book, the treatment procedures applied with the use of MEAW in various types of malocclusion will be the center of discussion and illustrations as well as pictures were used for easier understanding. Nevertheless, the procedures and methods that are discussed in this book are not the only possible methods. Though treatment methods may vary from the ones discussed here, the ones used on each patient in this book were based on the patients’s condition. Lastly, the publication of this book has been made possible with the encouragement and advice of Mr. Fujiwara of the Daiichi Shika Publications, Inc. and I would like to thank him from the bottom of my heart. Sadao Sato Autumn 2001Table of Contents Prefia 1, Structure and Function of MEAW = /9 (Sato) I. Structure of MEAW. II. Function of MEAW.. Ill. Modification of MEAW.. 2. Bending Method Used in MEAW AS (Sato) 1, Basic Structure of MEAW. 16 IL. Instruments and Materials Needed for MEAW Construction. 16 IIL, First Order Bend, cee IV. Second Order Bend (Horizontal loop bend). V. Third Order Bend (Torque bend). 18, VI. Heat Treatment of MEAW. 18, 3. Adjustment Methods Used in MEAW ‘9 (Sato) Adjustment Methods Used in MEAW. 1. Tip-back 2. Tip-back deactivation. 3. Step up bend...... : 4, Localized tooth intrusion... vation... 5. Tip back bend without altering the occlusal plane... 6. Curve of Spee ...eescsceeceeees 4. Patient Evaluation and Treatment Plan /23 (Sato) 1. Records used for diagni IL. Kim's Method of analysi 1. ODI (Overbite Depth Indicator)... 2. APDI (Anteroposterior Displasi Indicator). 3. CF (Combination Factor). IIL, Denture frame analysis: IV. Occlusal plane and denture frame