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For extraction cases with twin brackets, my sequence is .014" nickel titanium, .018" .018" nickel titanium, .017" .025" stainless steel with an additional 10 of torque on the incisors, and .019" .025" nickel titanium

This isn't a medical diagnosis, but rather a temporary period of discomfortoften including mild headaches or fatigueas your system adjusts to a more active state of cellular maintenance

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10.4103/0253-7613.96297 117 RasineniK.ThomesP