A modified over-tie for the ligation of Incognito™ lingual fixed appliances

The Incognito lingual appliance has a ribbon-wise slot with vertically inserted wires. Control of tip can be problematic with this appliance and the conventional method to overcome this is to achieve full wire engagement via the use of power-ties. Although effective, these can be very difficult to place and also create very high friction. A method of ligation is described which consists of a modified elastic double over-tie. This is easily placed and very effective at controlling tip in Incognito brackets using a variety of arch wires. This method creates less friction than the power-tie.