Universal Cut and Hold Distal End Cutter, Long Handle

The Universal Cut and Hold Distal End Cutter with a Long Handle, identified as 678-101L, is a tool used in orthodontic procedures with the following uses:

1. Wire Cutting: It is designed to cut all types of orthodontic wires ranging from 0.012" (0.30mm) to 0.021" x 0.025" (0.53mm x 0.64mm). This makes it suitable for a wide range of wire sizes that are commonly used in braces​​​​.

2. Safety and Comfort: When used intraorally, this instrument holds the cut portion of the wire to be discarded, ensuring that the cut piece does not fall into the patient's mouth, which could pose a swallowing or inhaling risk. Additionally, the smooth, tapered tip of the tool enhances patient comfort during the procedure​​.

3. Long Handle Design: The long handle provides the practitioner with better reach and may be particularly helpful when working on posterior teeth or in patients with limited mouth opening. The instrument is approximately 5.1" long, providing a comfortable grip and leverage for the orthodontist​​.

4. Reducing Debondings: This cutter is also designed to cut and hold wire distally flush to the buccal tube or bracket, which aids in reducing the occurrence of debondings, a common issue where the brackets detach from the tooth surface. It comes equipped with a silicone insert in the working end to assist with this function, and replacement inserts can be ordered as needed​​.

These features make the 678-101L an essential instrument in orthodontics, used for precise cutting and managing wires during the application and maintenance of braces, ensuring patient safety and comfort.