Adenta Hycon User Manual

H YC N
DEVICE
were all about solutions
The Hycon Device... fast, precise and successful space closure
made easy!
Hycon
tube
The history of the Hycon
Hycon
Hycon Clip on
clipon
Hycon Clip on user manual

Hycon Tube
Hycon Tube user manual
Ordering information
HYCON DEVICE
welcome
from the desk of DR. WINFRIED SCHTZ - ORTHODONTIST
The screw is one of the oldest elements of force used in removable
orthodontics. Its function accepted by and familiar to every
orthodontist, allowing the handler to apply an exact defined pressure
to the periodontium. The defining aspect of the Hycon Device is that its
capacity goes beyond that of a standard screw, forming an impeccable
functional unity with the help of a multiband apparatus, preferably the
straight-wire-technique. By working with the multiband appliance,
the new force element eases the job and can offer new ways of
treatment
Relentless to the space, gentle to the tooth....The Hycon Device
hycon
hycon contents
Introducing the
hycon
hycon device
options
hycon tube
user manual
Activation profiles
hycon clipon
user manual
Activation profiles
2-5
6-7
8-10
11
12-14
15
catalog
contents
ycon
evice
for
space
closure
Closing spaces with a different mechanical principle

Dr. Schtz
When I started working as an orthodontist, I was not sure of the force generated
by my closing loops. I was concerned about the periodontium tissue. The idea to
close the space by means of screw mechanics eased my mind. Since 1984 all my
space closing has been done by the Hycon - it has never failed me. Sometimes
my colleagues tell me, that they are able to treat cases with the Hycon device,
that before would have been beyond therapy. This is especially important for the
periodontal compromised adult patients.
the hycon device .... fast , precise and

Adenta has worked closely with Dr. Winfried Schtz of
Germany to engineer a unique device to provide a technical approach for a step by step tooth movement: mesially,
distally, but more specifically for space closure. With each
activation, the Hycon Device enables to move the tooth in
a precise and controlled motion, insuring permanent blood
supply to the surrounding periodontal structures. This device
permits exact and controlled activation in small steps. With
each 360 degree turn the Hycon screw moves by .014 /
0.35mm - precisely.
Hycon ClipOn - self-ligating locking

clip in closed state.
The ADenta Companies: Germany - phone: +49-8105-73436-0 email: info@adenta.com website: www.adenta.com
page 2
Hycon Devices
HYCON TUBE
HYCON CLIPON
Archwire indicated
Holding pin of the Hycon Tube to be
inserted into auxiliary tube.
Self-ligating locking
clip open
The Hycon ClipOn requires no auxiliary

tube, simply clip onto archwire.
successful space closure

The Alphabet of HYCON Features
!
y
s
a
e
e
d
a
m
Activated in small defined rates - .014 per turn.

Brings about pain free function.
Compatible with all straight arch systems
Demands only minimum of tissue turnover.
Enables the application of intermitting forces.
Facilitates disassociation of activation length and generated force.
Gives the opportunity for additional tissue regeneration.
Helps reduce chair-time - as activated by the patient.
Improves and simplifies treatment.
Makes tooth movement predictable.
Operates with screw power.
Overcomes any friction of the arch wire.
Permits easy and precise control of anchorage.
Provides almost ideal bodily tooth movement.
Speeds up space closure.
Warrants permanent blood circulation for the
involved periodontium.
The ADenta Companies: USA - phone: 215-942-2070 Toll Free: 1-888-942-2070 email: info@adentausa.com website: www.adentausa.com
page 3
Hycon Devices
Physiologic Reference
The Hycon minimizes tissue turnover.
The force exerted by turning the screw is entirely sufficient to overcome friction, without requiring an activation greater than the periodontal space. This permits
adequate stimulation of tissue response, ensuring
permanent blood supply to the periodontium and the
surrounding structures. An ideal situation for optimal
metabolism, consequently osteoclast and osteoblast
activity is given.
As friction is of little concern, the HYCON facilitates utilization of arch dimensions that fully fit bracket
slots and provide torque control. Deflection can be
practically neglected because the activation is of such
a short distance. These are important bio-mechanical
aspects because they allow a close approach to ideal
bodily tooth movement. As a result, tissue turnover is
minimized providing a high efficiency of tooth movement while being stress free on the periodontium.
An interesting investigation idea from India:

Alkaline phosphatase as an indicator substance
The alkaline phosphatase (bone specific also known as bones alkaline phosphatase (BAP)) is an enzyme that is active
in the alkaline milieu. It is generated as a by-product of bone synthesis, produced by the osteoblasts and additionally
serves as a marker for bone regeneration processes. From this Prof. Dr. Anmol Khala concluded, that out of the quantity
of measured alkaline phosphatase the activity of the bone metabolism and consequently the rate of bone turnover can
be determined.
ALKALINE PHOSPHATAS E LEVEL ( PERCENTAGE S )
GRAPH 2: Increase of alkaline phosphatase level during tooth movement within 21 days.
250%
225%
200%
175%
150%
125%
100%
BASE LINE
7 DAYS
14 DAYS
21 DAYS
Sliding mechanic
Hycon Device
Alkaline phosphatase level of unmoved teeth (Base Line)
Data reported by Dr. A. Khala 2005.
His experiment consisted of measuring the concentration of alkaline phosphatase in the gingival crevicular fluid of the
shifted tooth. Here, the teeth - divided into two groups were moved by different mechanisms. Group 1 was drifted by
sliding mechanics, while with group 2 the Hycon was put into action.
After a 3 week treatment period, there was a significant difference in the amount of alkaline phosphatase. Based on the
phosphatase level of unmoved teeth, set at 100 percent, a considerable increase could be discovered in both groups.
While in group 1 there was an increase of 65 percent, in group 2 (the Hycon group) the measured level of increase was
found to be approximately 140 percent. This indicates that group 2 had the highest metabolic activity.
Consequently, the largest rate of bone turnover and hence quickest tooth movement took place here.
page 4
Hycon Devices
This 22.8 year old male presented with a Class I dental and
skeletal pattern. He showed a satisfactory profile and had
previously been treated orthodontally with extraction of his lower
second bicuspids. His upper lateral incisors were congenitally
missing, however, upper space closure had not been completed
during past orthodontic treatment. These spaces were closed
during treatment with the Hycon.
Characteristics - Concepts
Total control on activation.
A New Space Closure Principle

Screw mechanics versus elastic forces.
The force necessary to move a tooth must overcome

the friction between arch-wire and bracket, and also
must stimulate tissue response.
The HYCON is, activated in small steps at intervals

which can be determined according to the condition
of the periodontal tissue. So by creating intermittent
tooth movement, the Hycon allows recovery of the
tissue in between activation steps.
With elastic forces the amount of stretching or deflection is proportional to the total force required. Therefore, in order to achieve the appropriate amount of
force, the activation length of an elastic mechanism
has to be far greater than the periodontal gap.
In contrast to this the threaded screw-type mechanism allows the separation of force and distance. The
movement of the tooth is determined solely by the
advancement rate of the thread, and the amount of
activation turns.
Being independent of elastic forces it is thus possible
to exert a very precise activation at a fairly high force
level, but at a very short distance.
In contrast to the characteristics of elastic elements of

force, were the power being generated is proportional
to the activation stretch - a screw driven mechanism
enables the separation of activation distance and
force. The screws force only plays a role insofar
as being adequate enough to overcome frictional
forces.
After the adjustment of the HYCON screw the appliance is once again passive. There are no existing
elastic forces, what remains from the activation is a
slight increase in tissue pressure. This is the physiological stimulus for the desired alteration processes.
page 5
ycon
evice
for
space
closure
different attachment options

are now available.
HYCON TUBE
Holding pin of the Hycon Tube to be

inserted into auxiliary tube.
Designed specfically with a support-wire which is inserted into the auxiliary-tube of the
molar band from the mesial side and bent back.
A double buccal tube is required for the use of this appliance.

Available in .018 slot technique with a .018x.025 support wire.
Available in .022 slot technique with a .021x.025 support wire.
page 6
Hycon Devices
The HYCON CLIPON was introduced in 2007 to provide our growing HYCON users in the
United States. In general our European orthodontists use a double buccal tube in treating 90%
of patients, however this was not the case for our orthodontists in the United States. In an effort
to simplify installation the HYCON CLIPON was designed. If a double buccal tube is not available, the HYCON CLIPON simply clips onto the archwire.
HYCON CLIPON
Hycon self-ligating locking clip is shown

in open state, reveiling the Hycons slot.
Designed specfically with a self-ligating locking clip which is attached directly to the
arch wire.
Recommended when a double buccal tube is NOT available.

Available in .018 slot technique with a .018 slot locking clip.
Available in .022 slot technique with a .021 slot locking clip.
page 7
ycon
evice
for
space
closure
hycon t u b e placement information

HYCON T U B E placement information
01
block. The teeth of the front block should be laced with a

figure 8 ligature wire. In addition, (elastic) ligatures should
be used to hold the archwire to the front block teeth.
The HYCON TUBE
03 Preparing the HYCON
Fig. 1: View of the HYCON TUBE

The HYCON TUBE consists of a bolt and nut combination in which the nut is mounted on a support wire. A friction brake is installed to prevent the bolt from uncontrolled
turning.
Rate of advancement per turn .014 (Fig. 1)
The HYCON TUBE is available with two support wire dimensions: for .018 slot technique a .018 x .025 support
wire and for .022 slot technique a .021 x .025 support
wire.
Please note that on some .022 molar attachments the
dimension of the auxiliary tube may be .018 x .025.
TUBE
The tension wire (minimum .012 ligature wire) is bent into a U

shape (Fig. 2a), inserted from the outer side into the two holes
of the wire linking attachment (Fig. 2b), then pulled through and
bent sharply in the direction of the tension. (Fig. 2c)
Fig. 2a
Fig. 2b
Fig. 2c
Fig. 2a-c: application of the tension wire on the HYCONS
Characteristics and Concept

The threaded (screw type) mechanism permits exact activation in small steps at intervals. Thus it allows to apply
intermitting forces. The devices high potential force rules
out friction as a factor, thus permitting the use of a strong
straight arch wire (Recommended arch wire dimension:
.021 x .025 with .022 slot technique.)
Consequently the tooth movement very closely approaches
the bodily type providing maximum torque control.
02 Preconditions for the HYCON
04 Inserting the HYCON
TUBE
The support wire is inserted into the auxiliary tube on the

molar band from the mesial side, so that the nut points to
the buccal side. (Fig. 3)
The HYCON is then fixed by bending the support wire
back. Recommended instrument: Weingart type pliers or
ligature director.
TUBE
Straight arch technique, i.e. no bends that could prevent the arch from sliding into the molar tube.
Straight wire appliance with auxiliary tube on the
molar bands.
Leveling and aligning must be completed with a heavy,

straight, rectangular steel wire installed. The teeth should
be grouped into blocks, normally two lateral and one
front, with the defined spaces each distally from the front
Fig. 3: insertion of the HYCON TUBE into the auxiliary

tube of double buccal tube.
page 8
Hycon tube
05 Connecting the HYCON
DEVICE
The tension wire connects the screw with the tooth or

group of teeth on the other side of the space.
Connecting Option 1: The tension wire is fastened to the
eye of a Kobayashi ligature (Fig. 4). This can, if necessary,
simultaneously be used to stabilize the front group of teeth
by means of a figure 8 ligature.
5. Connecting the HYCON TUBE

HYCON CLIPON
06 Activation of the HYCON DEVICE

Using the small safety screwdriver which comes with the
set (see page 10 for more details regarding the use of the
Safety Screwdriver) , the patient usually activates the HYCON about every three to four days by turning it clockwise.
The HYCON has to be activated in 2 steps.
First step: To reduce the slack of the connection wire the
patient should turn the screw clockwise until they feel a
slight tension.
Fig. 4: Connecting the tension wire by means of a

Kobayashi ligature.
Connecting Option 2: Preferably in the case of individual
tooth movement, e.g. in the event of distalisation of the
canine tooth, the tension wire can be ligated directly onto
the bracket or on the power hook.( Fig. 5)
Fig. 5: Distalisation of a singel tooth (canine)

Connecting Option 3: The tension wire may also be connected directly to the arch, e.g. posted arch wires (Fig 6),
Gurin Hook. In this respect, care is to be taken that the
arch, in the course of activation, remains centered in the
medial line. (Fig 7)
Second step: The patient then has to turn the screw for
a given amount, please refer to page 11 for details on
activation guidelines.
A practical hint for the patient.
When tighting the device with the safety screw driver, the
patient should simultaneously stabilize the tension wire
with a finger nail to prevent it from twisting.
07 Reactivation
If there is still a space left after working the complete
range of the screw, it is necessary to unscrew the device
and to re-tighten the tension wire accordingly.
08 Anchorage Control
Fig. 6: Ligature wire attached to power hook of posted arch
An inherent advantage of the method of space closure

involving the HYCON is that there is less strain upon
anchorage units. Activating the HYCON has an effect
on both sides of the space. The additional use of means
of anchorage (intermax. elastics, headgear, palatal bar)
enables the orthodontist to control anchorage, in order
to reduce or neutralize the effect of the HYCON on the
side of the space where little or no tooth movement at all
is required.
Fig. 7: A drop of self-curing resin applied to the midline

mark is an easy way to prevent midline shift of the arch
wire.
page 9
Hycon tube
09 Use of the Safety Screwdriver

In order to prevent lateral slippage the HYCON safety
screw driver has a protective sheath around the blade.
intrusion steps subsequently. Thus, with an.019x.025

or 21x25 instrusion archwire inserted one will reach
the desired closure of the spcaes simultaneously with
a gentle working instrusion.
In order to activate the HYCON the safety screwdriver

first has to be placed over the head of the screw.
Space Closure and Midline Correction

In case of a dentoalveolar shift of the midline and
resulting asymmetrical spaces, it is recommended to
lace a front block with a figure 8 Kobayashi ligature,
with the eye pointing to the wider space, that is, the
side to which the midline should be corrected. First,
the HYCON is applied to this one side only, until the
midline shift is roughly corrected. Then, the HYCON
is applied on the other side as well.
Minor corrections in the mid-line can be completed
by asymmetrical activation.
Fig. 9: Placement of the HYCON safety screwdriver
Maximum Anchorage
In situations in which a maximum of anchorage is
required (mostly in the upper jaw), it is recommended
to distalize the canines first. In this case the incisors
should be laced with a figure 8 ligature wire (e.g.)
while the connecting wire of the HYCON is ligated
to the canine only.
Fig. 8: Frontal view of the HYCON safety screwdriver
The safety screw driver is turned until its blade clicks

into the groove on the screw head of the HYCON
In a second step, the incisor block can be retracted as

explained above.
Stabilization after Space Closure
With space closure completed as desired, it is recommended to keep the result stable and passive for some
time, depending on the amount of completed tooth
movement and the related adaptation of soft tissue.
Fig. 10: To lock into place turn the safety screwdriver

clockwise.
Activation by the patient

When tightening the device with the screwdriver, the
patient should simultaneously stabilize the connecting
wire with a fingernail to prevent it from twisting.
Finally the activation of the HYCON can take place.

The direction of rotation is indicated by an arrow on the
screwdriver grip.
10 Practical Hints - Hycon Device

Retraction and Intrusion of the Maxillary Front Block
In case a combined retraction and simultaneous
gentle intrusion of the upper front teeth is desired, it is
recommended to bend an intrusion step right distally
of the brackets from the lateral incisors. One should
start with a slight intrusion step in an .016 x .022 wire
(.022 slot system) then increase archwire dimension and
page 10
2 x turn per week
2 full turns per week

[3 x turn per week]

[3 full turns per week]
Disclaimer: Please be advised this activation guideline can not take the place of the orthodontist expertise and visual inspection.
IMPORTANT - THE HYCON FUNCTIONS PAINLESSLY
1 x turn per week

[2 x turn per week]
2 x turn per week

[1 full turn per week]
2 x turn per week

[3 x turn per week]
( ANCHOR UNIT: WEAK )
[ ] indicates an alternative possibility of activation - based on individual findings

* additional measures of anchorage are necessary (intermaxillary elastics, HG) see back page
** additional prolonged interval between activation should be given occasionally (due to tissue response)
2 x turn per week

[3 x turn per week]
Important instruction to be given to the patient.

Note: Gerneraly two step activation is required.
Preactivation: To reduce the slack of the connection wire the patient should turn the screw clockwise until they feel a slight tension.
Actual activation: Only turn the screw in accordance with the instructions given by the orthodontist. (According to the above directions)
REDUCED MARGINAL BONE RIDGE
REDUCED TISSUE RESPONSE **
ADULT PATIENT
NO/LITTLE PERIODONTAL ISSUE
NORMAL TISSUE RESPONSE
VITAL ADULT PATIENT
NO PERIODONTOSIS
OPTIMAL TISSUE RESPONSE
ADOLESCENT PATIENT
( DIFFERENT BLOCKS ADJACENT TO SPACE
ANCHORAGE DEMAND: MAXIMUM *
ANCHORAGE DEMAND: LITTLE *
ANCHORAGE DEMAND: NONE
( EQUAL BLOCKS ADJACENT TO SPACE )
SPACE CLOSURE: ONE SIDE STATIONARY
RECIPROCAL SPACE CLOSURE
ANCHORAGE SITUATION OF CASE PRESENTED
HYCON ACTIVATION GUIDELINES
Hycon activation
page 11
CLINICAL CRITERIA
ycon
evice
for
space
closure
hycon c l i p o n placement information
01
03 Preparing the HYCON
The HYCON CLIPON
CLIPON
The tension wire (minimum .012 ligature wire), is bent into a U

shape (Fig. 2a), inserted from the outer side into the two holes of
the wire linking attachment (Fig. 2b), then pulled through and bent
sharply in the direction of the tension. (Fig. 2c)
archwire indicated
Fig. 1: View of the HYCON CLIPON - clip in closed

position.
The HYCON CLIPON is available for arch sizes
.018 x .025 and .022 x .025
Fig. 2a
The following color marking of the elastics is to be

observed in the choice of each quadrant:
Fig. 2a-c: application of the tension wire on the

HYCONS
a)
b)
Yellow: upper mandible right/lower mandible left.

Black: upper mandible left/ lower mandible right.
Characteristics and Concept

The threaded (screw type) mechanism permits exact activation in small steps at intervals. Thus it allows to apply
intermitting forces. The devices high potential force rules
out friction as a factor, thus permitting the use of a strong
straight arch wire (Recommended arch wire dimension:
.021 x .025 with .022 slot technique.)
Fig. 2b
04 Inserting the HYCON
Fig. 2c
CLIPON
The HYCON CLIPON is held using a Weingart plier such

that the slot-shaped mouth shows horizontal to the plier jaws
and towards the exterior. Note: Apply only enough pressure
on the pliers to hold the HYCON CLIPON!
Consequently the tooth movement very closely approaches

the bodily type providing maximum torque control.
02 Preconditions for the HYCON
CLIPON
Straight arch technique, i.e. no bends that could prevent the arch from sliding into the molar tube.
Leveling and aligning must be completed with a heavy,
straight, rectangular steel wire installed. The teeth should
be grouped into blocks, normally two lateral and one
front, with the defined spaces each distally from the front
block. The teeth of the front block should be laced with a
figure 8 ligature wire. In addition, (elastic) ligatures should
be used to hold the archwire to the front block teeth.
Fig. 3a
Fig. 3b
Fig. 3c
Holding the HYCON CLIPON without pressure - clip in

open state (yellow arrow) Fig. 3a -3c magnified x 1.
The slot of the HYCON CLIPON is pushed over the archwire from the buccal side until the slot is fully loaded. Only
now increase pressure with the plier until the locking mechanism closes and clicks into place.
page 12
Hycon Devices
06 Avoiding Occlusion Interference
HYCON CLIPON
Fig. 4a
Fig. 4b
Fig. 4c
Fig. 4: a, archwire inserted and clip in open state.

Fig. 4: b ,c Closing the HYCON CLIPON by applying pressure with the pliers - clip in closed state (yellow arrow)
05 Placing the HYCON
CLIPON onto the arch
1st Possiblity: Distally of the first molar, in the case that the
first and second molars are banded and are connected by a
strong steel arch.
The HYCON CLIPON is to be inserted in accordance
with the color code (see point 1). The HYCON CLIPON
should not cause any interference in the occlusion. In
general: the thin wall of the clip slot always has to show
towards the occlusal side. In the case of minor occlusal
interference one can reduce the points of contact with a
sutitable bur on the occlusal side of the clip.
07 Connecting the HYCON
DEVICE
The tension wire connects the screw with the tooth or

group of teeth on the other side of the space.
Connecting Option 1: The tension wire is fastened to the
eye of a Kobayashi ligature (Fig. 8). This can, if necessary, simultaneously be used to stabilize the front group
of teeth by means of a figure 8 ligature.
5. Connecting the HYCON TUBE

HYCON CLIPON
Fig. 8: Connecting the tension wire by means of a Kobayashi ligature.
Fig. 5: Attaching the HYCON CLIPON onto the arch distally from the first molar.
2nd Possibility: In case the second molar is not banded,
the HYCON CLIPON has to be placed mesially to the
first molar and connected with a ligature to the molar attachment.
Connecting Option 2: Preferably in the case of individual tooth movement, e.g. in the event of distalisation of
the canine tooth, the tension wire can be ligated directly
onto the bracket or on the power hook. Fig. 9
Fig. 6: Attaching the HYCON CLIPON onto the arch, mesially to the first molar.
Fig. 9: Distalisation of a singel tooth (canine)
never attach the HYCON CLIPON to a

free standing end of the arch
Connecting Option 3: The tension wire may also be

connected directly to the arch, e.g. posted arch wires
(Fig. 10), or Gurin Hook. In this respect, care is to be
taken that the arch, in the course of activation, remains
centered in the medial line. Fig 11.
Correct position
Fig. 7a correct position
Incorrect position
Fig. 7b incorrect position
Fig. 7: a, b Correct and incorrect placement of the

HYCON CLIPON on the arch.
Fig. 10: Ligature wire attached to power hook of posted

arch
page 13
Hycon clipon
Fig. 11: A drop of self-curing resin applied to the midline

mark is an easy way to prevent midline shift of the arch
wire.
08 Activation of the HYCON
Using the small safety screwdriver which comes with the

set, the patient usually activates the HYCON about every
three to four days by turning it clockwise.
anchorage units. Activating the HYCON has an effect

on both sides of the space. The additional use of means
of anchorage (intermax. elastics, headgear, palatal bar)
enables the orthodontist to control anchorage, in order
to reduce or neutralize the effect of the HYCON on the
side of the space where little or no tooth movement at all
is required.
11 Use of the Safety Screwdriver

In order to prevent lateral slippage the HYCON safety
screwdriver has a protective sheath around the blade.
The HYCON has to be activated in 2 steps.

First step: To reduce the slack of the connection wire the
patient should turn the screw clockwise until they feel a
slight tension.
Fig 12. HYCON and safety screw driver

Second step: The patient then has to turn the screw for
the given amount. Please refer to page 15 for details on
activation guidelines.
Fig 13. Frontal view of the HYCON safety screwdriver

In order to activate the HYCON the safety screwdriver
first has to be placed over the head of the screw.
Fig 14. Placement of the HYCON safety screwdriver

The safety screwdriver is turned until its blade clicks into
the groove on the screw head of the HYCON
A practical hint for the patient.

When tightening the device with the safety screw driver,
the patient should simultaneously stabilize the tension
wire with a finger nail to prevent it from twisting.
09 Reactivation
If there is still a space left after working the complete
range of the screw, it is necessary to unscrew the device
and to re-tighten the tension wire accordingly.
10 Anchorage Control
Fig 15. To lock into place turn the safety screwdriver

clockwise.
Finally the activation of the HYCON can take place.
The direction of rotation is indicated by an arrow on the
screw driver grip.
An inherent advantage of the method of space closure

involving the HYCON is that there is less strain upon
page 14
Hycon activation
12 Practical Hints - HYCON
DEVICE
Retraction and Intrusion of the Maxillary Front Block

In case a combined retraction and simultaneous gentle
intrusion of the upper front teeth is desired, it is recommended to bend an intrusion step right distally of the
brackets from the lateral incisors. One should start with
a slight intrusion step in an .016 x .022 wire (.022 slot
system) and increase archwire dimension and intrusion
steps subsequently. Thus, with an.019x.025 or 21x25
intrusion archwire inserted one will reach the desired
closure of the spaces simultaneously with a gentle working intrusion.
Space Closure and Midline Correction
In case of a dentoalveolar shift of the midline and
resulting asymmetrical spaces, it is recommended to
lace a front block with a figure 8 Kobayashi ligature,
with the eye pointing to the wider space, that is, the
side to which the midline should be corrected. First,
the HYCON is applied to this one side only, until the
midline shift is roughly corrected. Then, the HYCON
is applied on the other side as well.
Minor corrections in the mid-line can be completed by
asymmetrical activation.
Maximum Anchorage
In situations in which a maximum of anchorage is
required (mostly in the upper jaw), it is recommended
to distalize the canines first. In this case the incisors
should be laced with a figure 8 ligature wire (e. g.)
while the connecting wire of the HYCON is ligated
to the canine only.
In a second step, the incisor block can be retracted as
explained above.
Stabilization after Space Closure
With space closure completed as desired, it is recommended to keep the result stable and passive for some
time, depending on the amount of completed tooth
movement and the related adaptation of soft tissue.
Activation by the patient
When tightening the device with the screwdriver, the
patient should simultaneously stabilize the connecting
wire with a fingernail to prevent it from twisting.
HYCON ACTIVATION GUIDELINES

ANCHORAGE SITUATION OF CASE PRESENTED
SPACE CLOSURE: ONE SIDE STATIONARY
ANCHORAGE DEMAND: NONE
ANCHORAGE DEMAND: LITTLE *
ANCHORAGE DEMAND: MAXIMUM *
( DIFFERENT BLOCKS ADJACENT TO SPACE )
( ANCHOR UNIT: WEAK )

[3 full turns per week]
2 x 1/2 turn per week

[3 x 1/2 turn per week]



[1 full turn per week]

CLINICAL CRITERIA
( EQUAL BLOCKS ADJACENT TO SPACE )
ADOLESCENT PATIENT
OPTIMAL TISSUE RESPONSE
NO PERIODONTOSIS
VITAL ADULT PATIENT

NORMAL TISSUE RESPONSE
NO/LITTLE PERIODONTAL ISSUE
ADULT PATIENT
REDUCED TISSUE RESPONSE
**
REDUCED MARGINAL BONE RIDGE
Important instruction to be given to the patient.
[ ] indicates an alternative possibility of activation - based on individual findings

* additional measures of anchorage are necessary (intermaxillary elastics, HG) see back page
** additional prolonged interval between activation should be given occasionally (due to tissue response)
Note: Gerneraly two step activation is required.

Preactivation: To reduce the slack of the connection wire the patient should turn the screw clockwise until they feel a slight tension.
Actual activation: Only turn the screw in accordance with the instructions given by the orthodontist. (According to the above directions)
IMPORTANT - THE HYCON FUNCTIONS PAINLESSLY
Disclaimer: Please be advised this activation guideline can not take the place of the orthodontist expertise and visual inspection.
page 15
German Office
GutenbergstraBe 9, 82205 Gilching, Germany. phone: +49-8105-73436-0
email: info@adenta.com website: www.adentausa.com
USA Office
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Adenta Hycon User Manual

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H YC N

were all about solutions

The Hycon Device... fast, precise and successful space closure

The history of the Hycon

Hycon Clip on user manual

Relentless to the space, gentle to the tooth....The Hycon Device

were all about solutions

Closing spaces with a different mechanical principle

the hycon device .... fast , precise and

Hycon ClipOn - self-ligating locking

The Hycon ClipOn requires no auxiliary

successful space closure

Activated in small defined rates - .014 per turn.

An interesting investigation idea from India:

ALKALINE PHOSPHATAS E LEVEL ( PERCENTAGE S )

A New Space Closure Principle

The force necessary to move a tooth must overcome

The HYCON is, activated in small steps at intervals

In contrast to the characteristics of elastic elements of

different attachment options

Holding pin of the Hycon Tube to be

A double buccal tube is required for the use of this appliance.

Hycon self-ligating locking clip is shown

Recommended when a double buccal tube is NOT available.

hycon t u b e placement information

block. The teeth of the front block should be laced with a

The HYCON TUBE

03 Preparing the HYCON

Fig. 1: View of the HYCON TUBE

The tension wire (minimum .012 ligature wire) is bent into a U

Fig. 2a-c: application of the tension wire on the HYCONS

Characteristics and Concept

02 Preconditions for the HYCON

04 Inserting the HYCON

The support wire is inserted into the auxiliary tube on the

Leveling and aligning must be completed with a heavy,

Fig. 3: insertion of the HYCON TUBE into the auxiliary

05 Connecting the HYCON

The tension wire connects the screw with the tooth or

5. Connecting the HYCON TUBE

06 Activation of the HYCON DEVICE

Fig. 4: Connecting the tension wire by means of a

Fig. 5: Distalisation of a singel tooth (canine)

An inherent advantage of the method of space closure

Fig. 7: A drop of self-curing resin applied to the midline

09 Use of the Safety Screwdriver

intrusion steps subsequently. Thus, with an.019x.025

In order to activate the HYCON the safety screwdriver

Space Closure and Midline Correction

Fig. 9: Placement of the HYCON safety screwdriver

Fig. 8: Frontal view of the HYCON safety screwdriver

The safety screw driver is turned until its blade clicks

In a second step, the incisor block can be retracted as

Fig. 10: To lock into place turn the safety screwdriver

Activation by the patient

Finally the activation of the HYCON can take place.

10 Practical Hints - Hycon Device

2 x turn per week

2 full turns per week

2 full turns per week

IMPORTANT - THE HYCON FUNCTIONS PAINLESSLY

1 x turn per week

2 x turn per week

2 x turn per week