Instructions for application of LightForce custom bite turbos.
LightForce Custom Bite turbos
Each LightForce bite turbo is custom designed with 500 microns of bite opening to ensure no tooth to bracket interference with just enough occlusal opening for patient comfort during orthodontic treatment.
- Bite turbo trays can be found in the middle compartment of the Patient Kit. (see Photo) Each Turbo will come as an individual transfer tray with an open well for material to be easily filled and custom made for the specific tooth.
- Bite turbo trays can be designed for the Upper 1's, Upper 3's, or Upper 6's
Recommended Bite Turbo Material Order Info
Canada ONLY Order Info
Note: A small amount of petroleum jelly may be noticed by you or the patient. This is applied to the inside surface of the turbo trays to ensure an easy removal experience and should be left on the trays.
1. Review Patient's LightPlan Prior to Applying Adhesive
Check anatomy & turbo shape in LightPlan before preparing turbo trays.
If needed, add additional adhesive to address the concavity of the incisors or shape of the teeth.
2. Fill turbo well with bite turbo material.
Slightly overfill the cavities to ensure solid contact between the material and the teeth.
- Ensure the tip of the material is deep in the well, filling slowly to avoid air bubbles
- Avoid overfilling the cavities too much, as this will create a lot of extra flash
- Extra material can be gently removed or flattened with a composite instrument or scaler, but be sure not to scrape too much away so that the turbo will no longer contact the tooth or will be incomplete
Note: If a tray breaks during removal, go to your patient's profile and order new bite turbo trays. See instructions on how to reorder trays >>> Reordering Brackets & Trays
3. Insert & Light Cure
- Fully prep tooth surface that turbo is placed, before tray insertion including- cheek retraction, etch, rinse, dry, primer
- Apply light pressure on occlusal/lingual ridge of the tray to ensure proper placement.
- Light Curing & Tray Insertion Instructions
- Upper 1’s & 3’s - Apply firm pressure on incisal edge & lingual, light cure for 6-10 seconds (2 beeps) from the facial portion of the tooth, this draws the adhesive to the tooth surface.
- Upper 6’s - Apply Occlusal firm pressure, light cure for 6-10 seconds (2 beeps) from the lingual, then from the buccal for 6-10 seconds (2 beeps)
- Then remove finger hold on occlusal/lingual edge 8-10 seconds (2 beeps) and light cure the occlusal/lingual surface with tray on.
3. Remove tray
- Grip the trays with thumbs on the incisal and fingers on the lingual.
- For Upper 1's & Upper 3's apply slight pressure to the tray and pivot from the incisal edge and roll the tray lingually. If removed too quickly or forcefully, the tray may tear. (see image below)
- For Upper 6's apply finger pressure on lingual and buccal of the tray and pull the tray straight down towards the mandible. If removed too quickly or forcefully, the tray may tear.
4. Cleanup & final curing
- If necessary, clean away excess flash using a hand-piece or scaler.
- Cleaning before the final cure will make the material easier to remove.
- After cleaning excess flash, cure turbos for an additional 8-10 seconds to ensure the turbos are fully solidified.
Bite Turbo Considerations
Check LightPlan to determine future occlusal interferences
The LightPlan image on the left represents the initial occlusion and the image on the right is the actual occlusion once the wire has expressed. Notice how the patient is biting on the brackets now in the image on the right.
Every Appointment Check Up ProtocolCheck occlusion for interferences at every appointment
- Visual check of bite
- Articulating paper
- Ask the patient
- Foods to avoid
- Movements to avoid
- When to call the office
Recommended Bracket Protection Materials
- 3M Bumper Guard Ties
- Softflow USA
- Adding more material to existing bite turbos or to other teeth in occlusion
Rebond Tray Design With Bite Turbo Cutout (Release Date 10/10/22)
This removes the need to manually cut the tray to avoid turbos and ensures proper fit and stability.
- This will also ensure accurate bonded bracket position on teeth with bite turbos and shorten rebonding appointment times.
- These trays are to be used as usual even if the turbo has been debonded at that point in treatment.
Upper 1st Molar Turbo Information
The turbo cutout seen on the U6 rebond trays is slightly larger than the U6 turbo shape to enable easy avoidance of turbos when rebonding. Because of this size difference, this turbo avoidance cutout cannot be used as a well to fill and bond turbos with.
To easily distinguish between this turbo avoidance cutout and a turbo bonding tray, an "X" has been added to the cutout along with the usual upper tray molar hole to discourage turbo bonding with the cutout.
Instructions for Rebond Tray with no cut out for Bite Turbos (All Cases Approved before 10/10/22)
When rebonding a bracket with an existing bite turbo, the rebond tray will not fit properly on the tooth for the rebond. Before bonding the bracket, make sure to trim the lingual portion of the rebond tray with enough clearance so the tray isn't resting on the bite turbo during the rebond.