rocky mountain orthodonticsTM

Liberty Bielle
Liberty Bielle Fixed, the newest addition to the RMO Functional EducationTM
System,isamodernHerbsttypeappliance.Itsuniquecongurationsallowitto
rotate360degrees,maximizinglateralmovementandprovidingcomfort,exibility
forthepatient,andtreatmentefciencytothedoctor.
The Liberty Bielle consists of an assortment of precisely engineered and
manufactured components of the highest quality. These unique components
increase the durability of the appliance by minimizing destructive lateral forces
and allowing maximum movement of the mandible in many directions.
The Liberty Bielle is easy to adapt to any standard bracket and tube xed
appliance system. Combined with your edgewise therapy, multiple orthodontic
and orthopedic objectives can be achieved simultaneously.

Before and After: Liberty Bielle Fixed

Initial

Features
Fixed Appliance

Ball Joint Pivot Design

3 Months

Benets
Fixed version requires no patient compliance
Easy assembly and adaptation minimizes chair time
360 degree movement
Maximizedlateralexibility
Enhanced comfort in movement
Superiorresultsduetohighertreatmentefciency(feweradjustments)

LowProleDesign

Practical Construction

Greater patient comfort without bulky components

Reduced cheek irritation (no spring component)
Increased durability by minimizing destructive lateral forces common in
Class II correction
Fewer debonding and breakage failures
(light forces spread along wire instead of against bracket / tube)
No unwanted rotations

Level 13, 15 Collins St Melbourne VIC 3000

P 1800 335 895 F 03 9654 5959 E sales@ortho.com.au

Synergistic Solutions for Progressive OrthodonticsTM

800.525.6375 | www.rmortho.com

AB Orthodontics
Part No.

Description

Pkg

J01500
J01501
J01502
J01503
J01504
J01507

Liberty Bielle Upper Tube Rod

Liberty Bielle Lower Rod
Liberty Bielle Screw
Liberty Bielle Screwdriver
Liberty Bielle Activation Spacer 1.5 mm
Liberty Bielle Fixed Pivot

2 ea
2 ea
10 ea
1 ea
10 ea
10 ea

A00228
I00034

Arch Hex Screw

Hex Wrench

5 ea
1 ea

K01514

Liberty Bielle Fixed Kit

Liberty Bielle Upper Tube Rod
Liberty Bielle Lower Rod
Liberty Bielle Fixed Pivot
Liberty Bielle Screw
Arch Hex Screw

1 Kit
2 ea
2 ea
4 ea
4 ea
4 ea

Liberty Bielle Fixed

Frequently Asked Questions
1. What wire sizes are recommended for use with the Liberty Bielle?
Liberty Bielle is intended for wires up to .022x.028. Although the appliance is recommended for .018 x.025
and .022x.028, the minimum size is .016x.022.
2. Wha t a re the exa c t slo t d imensio ns in the fixed p ivo t?
Slot dimensions are 0.6 mm x 2.0 mm (0.024 x 0.087).
3. Is the A00228 Hex Sc rew the sa m e a s RM Lo c ks sold sep a ra tely?
Yes. RM Lock screws have a special tapered end design ideally suited for securing the archwire into the
pivot.

4. Once the RM Lock is fully engaged should the wire be stationary or allowed to move?
If the RM Lock is engaged and tightened to the wire, it should not move. The screw should be tightened for
the tapered section to secure the wire against the back wall of the slot. Any slop in the wire is an indication
that the taper of the screw was not tightened far enough or that the wire itself is too small.
5. Wha t m a teria l a re Lib erty Bielle c o m p o nents m a d e o f?
Standard AISI 316L Stainless Steel.
6. Wha t fo rc e is p ro vid ed to a d va nc e the m a nd ib le sinc e there is no sp ring ?
If the appliance is measured and engaged correctly, the length of the upper rod according to each patient
provides advancing force when biting down. The lower rod acts as a hard stop during normal bite position.
Activation spacers can be added to further mandibular advancement (1.5 mm).

Level 13, 15 Collins St Melbourne VIC 3000

P 1800 335 895 F 03 9654 5959 E sales@ortho.com.au

AB Orthodontics
7. Ho w m uc h a d va nc em ent d o you p la n fo r in the initia l setup (first m o nth)? Per m o nth?
Individual cases should be measured to Ideal Class I position from the start. The disappearance of the
posterior malocclusion indicates offset correction. At least 3 months is necessary to observe changes.
8. Ca n there b e a ny d isto rtion in the w ire w hen eng a g ed insid e the p ivo t a nd RM Lo c k?
If the pivots are mounted correctly parallel to the occlusal edge (horizontal) there should be no distortion
in the wire.

9. Wha t p revents the b a ll sc rew fro m b ec o m ing lo o se o r c o m ing o ut?

Theballscrewisspeciallydesignedtotaroundedholecavityontheupperandlowerrods. Thedesign
is unique and allows the rods / posts to move in circular motion without loosening the screw (the ball
assembly joint is what prevents the screw from coming out).
If the ball screw is tightened correctly, the rod should move with ease without loosening the screw (imagine
ball bone joints in the body works the same way!)

10. What is the intended range of lateral mobility allowed by Liberty Bielle?
LibertyBielleallowsfulllateralmobilityduetothebenetsofincorporatingaballjointdesignwhich
minimizes destructive lateral forces found in other modern Herbst appliances. The appliance allows range
far exceeding what the human bite construction will allow ~ 710 mm right and left (Fricton, 2004)
11. Wha t p revents the up p er a nd lo w er ro d s fro m c o m ing a p a rt o n a la rg e o p en ja w ?
Range of motion of the jaw is measured from occlusal edge to occlusal edge of the central incisors.
Minimumnormaljawopeningisconsideredtobeabouttwongerwidthsattheknucklesofthepatients
dominant hand, or approximately 40 mm (1.57) (Fricton, 2004).
Under recommended mounting procedures, upper and lower rod lengths are more than enough to
accommodate the estimated 1.70 total extension from pivottopivot on a typical open jaw, if measured and
cut correctly.
12. Are the RM Lo c k sc rew s tig htened fro m the o c c lusa l fo r b o th up p er a nd lo w er?
Yes. The hex screws should be tightened from the occlusal to allow access by the hex wrench.

References
Fricton J. (2004). Temporomandibular Muscle
and Joint Disorders. International Association
for the Study of Pain 7(2):16.

Level 13, 15 Collins St Melbourne VIC 3000

P 1800 335 895 F 03 9654 5959 E sales@ortho.com.au