Combination anchorage technique: an update of current mechanics.

Experience and advances in design and technique have greatly enhanced combination orthodontic techniques during the past 5 years. Improvements have made the delivery of treatment more effective and reduced the problems with appliance adjustment and esthetics. Some of these improvements are in the bracket itself, which has been modified for efficiency and esthetics. A modification of treatment technique by the addition of tandem wires, stabilizing arch wires, Dual Flex arch wires, and sectional wires have increased the movement capabilities and anchorage control. A technique of orthodontic mechanics has evolved that is called combination anchorage technique (CAT). The technique is designed to broaden the treatment effectiveness of the orthodontist by providing a combination of orthodontic technical capabilities. Use of the two different bracket slots provides a simple and efficient means to vary (1) anchorage (dynamic or static), (2) movement (tipping or bodily), (3) technique (light wire or straight wire), (4) resistance (one tooth or multiple teeth), and (5) treatment compensation (skeletal or dental).