History

 

Dr. P. R. Begg1 introduced LDOM in the 50's and it has gone through changes, modifications, and refinements in its mechanics and appliance. Dr. Begg practiced LDOM with 256 bracket which changed in the 70's when Dr. Peter Kesling introduced Tip-Edge® bracket system that used LDOM but took it a step further making the appliance more user-friendly, accommodating cosmetic appliance considerations of our patients and it also permitted the clinician to finish cases "more precisely". 

Dr. H. D. Kesling, an orthodontist and father of Dr. Peter Kesling, was so impressed by Dr. Begg’s work that he was instrumental in bringing Dr. Begg to USA. Dr. P. R. Begg had displayed his cases as a part of his presentation in April of 1960 at the AAO annual meeting. These were started and finished using round finishing archwire and 256 brackets. The quality of his treatment was stunning according to members of Kesling & Rocke group who were edgewise practitioners. This was first introduction to Begg Mechanics or LDOM in USA.

 In the following years Dr. Peter Kesling used his scientific education and inventor’s vision to develop Tip-Edge® appliance that retained quality of treatment using 256 brackets, achievable mechanics in 3 Goal oriented Stages, and made it better by further simplifying Stages as well as giving the clinician a choice of having a rectangular or a round archwire finishing stage. Dr. Kesling called it DSAT® for Differential Straight-Arch Technique. It sort of creates a happy medium for those who practice with round stainless steel archwires (Begg) and those who are used to rectangular archwires (Edgewise).

Tip-Edge® appliance is meant to be used by those who want the ease of Begg mechanics and style of Edgewise appliance. However, since the bracket works just like a Begg-256 bracket, Begg Clinicians can also effortlessly finish cases using a round wire and auxilliaries. However this renders Rx built within Tip-Edge® appliance useless for advocates of Light Force technique, hence enters a stamped out Tip-Edge® appliance called Coralex. Same mechanics, same look, same feeling.. cheaper to use.

E-mail: drkale@clinicalorthodontic.com

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