TRIAMOND WedgeWise: Simplified Orthodontic Protocol
The field of orthodontics has witnessed a significant innovation with the introduction of WedgeWise™, a new appliance category developed by Dr. Moshe Davidovich. This breakthrough system is embodied in the TRIAMOND™ bracket, which departs from traditional edgewise setups by combining a triangular slot with a fully engaged archwire. It promises greater control, fewer wire changes and improved patient comfort, all while simplifying treatment workflow.
What Is the WedgeWise™ Protocol?
WedgeWise™ streamlines treatment in just two efficient stages, without the need for complex compensations or wire bending.
1. Diagnosis & Bonding
Your diagnostic process and bracket placement remain unchanged. However, unlike edgewise systems that require compensatory bends or vertical adjustments to address bite issues or tilted teeth, WedgeWise™ eliminates these needs. The triangular slot design in combination with a fully engaged wire keeps everything aligned naturally.
2. Triangular Slot + Full Archwire Engagement
By maintaining full wire engagement in the triangular slot, WedgeWise™ automatically balances bite forces and tooth positions. Issues common in edgewise protocols — such as bite opening, tipping, or teeth drifting into extraction spaces — are resolved through bracket geometry, not wire bending.
The Two-Stage Treatment Workflow
WedgeWise™ uses only two archwires:
Stage 1: Light Archwire Alignment
l Use a 0.016″ nickel-titanium (NiTi) wire.
l If needed, a 0.014″ NiTi wire may be used when engagement is difficult
Stage 2: Working & Finishing
l Switch to a 0.016″ square stainless-steel (SS) WedgeWise wire.
l This wire completes tooth movements — including Class II/III correction — controlling all three dimensions (tipping, torque and rotation), without adding more wires.
Early Mechanics and Force Control
One of WedgeWise™'s strengths is early mechanics, achieved even during alignment:
1. Class II or III elastics can be used from day one.
2. Recommended forces:
l 2 oz elastics with 0.014″ NiTi
l 4 oz with 0.016″ NiTi .
Patients typically see quarter-cusp sagittal correction every six weeks. Regular monitoring ensures that bracket adjustments during alignment reduce or eliminate wire-bending needs later.
Reduced Wire Bending Through WedgeWise™ Pliers
To finish treatment with precision, WedgeWise™ pliers are used instead of twisting or shaping wires manually.
The diamond-shaped stainless-steel wire sits securely in the wide plier jaws, preventing distortion or unintended bends .
This minimizes chair time, improves consistency and allows more team members to assist without advanced wire-bending skills.
Clip-Based Mechanics: A Game-Changer
The uniquely designed TRIAMOND™ clip offers more than passive wire retention:
l It anchors elastics, removing the need for hooks or auxiliary attachments.
l Designed to grip single wire corners when severe rotation exists, allowing targeted control.
l Enhances biomechanics, supporting 3D forces while disengaging if overload occurs, adding a safety mechanism.
This makes the clip an active participant in tooth movement — not just a door latch.
Instrumentation: Simple & Effective
The entire WedgeWise™ protocol requires just four essential tools:
1. Distal end cutter (wire trimming)
2. Weingart plier (wire placement)
3. Clip open/close tool
4. WedgeWise™ plier (precise wire adjustments)
With only two wires and standard tools, treatment becomes efficient, cost-effective and easy to integrate into routine practice.
Research Highlights & Evidence
1. Friction Efficiency
A study shows that fully engaged diamond wires in TRIAMOND™ brackets generate lower friction than rectangular SLBs — even under crowding — preserving movement efficiency.
2. Treatment Speed & Predictability
Clinical case series (56,000+ patients) indicate that WedgeWise™ treatments are 40 – 60% faster and reduce root resorption risks, while increasing predictability and clinical output.
3. Aligned with Biomechanics Research
Evidence confirms that light elastics even on initial wires result in effective correction — aligned with WedgeWise™ principles.
Benefits for Clinicians and Patients
|
Feature |
Clinician Advantage |
Patient Benefit |
|
Two-wire system |
Less inventory, faster setup |
Shorter treatment, fewer visits |
|
Early mechanics |
More control from day one |
Light forces, faster visible results |
|
Minimal wire bending |
Reduced chair time and clinician urgency |
Consistent, smooth progress |
|
No auxiliary hooks |
Simpler workflow |
Cleaner bracket profile, easier cleaning |
|
Built-in safety clip |
Low risk of overload |
Protects teeth, increases comfort |
Practical Recommendations
1. Perform standard diagnosis
2. Bond brackets without modifications
3. Insert 0.016″ NiTi wire (or 0.014″ if required)
4. Apply 2 – 4 oz elastics immediately
5. Monitor every 6 weeks — expect 0.25 cusp corrections
6. Reevaluate bracket positions during alignment
7. Switch to 0.016″ SS wire for working and finishing
8. Use functional clip engagement for elastics and chain
9. Use wedgewise pliers for minor adjustments, avoid extra bends
Conclusion
The TRIAMOND™ WedgeWise™ system offers a fully modernized orthodontic experience — optimized for simplicity, efficiency and predictability. By combining a triangular slot, active clip and minimal instrumentation, it eliminates traditional complications:
l No need for bite compensation
l Treatable with just two wires
l Allows early elastic use
l Reduces chair time and wire bending
l Improves patient comfort and safety
l Speeds up treatment while lowering risks
With strong clinical evidence and streamlined workflows, WedgeWise™ represents a bold step forward in fixed-appliance orthodontics.
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