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Removable Appliances
Including retainers
Myofunctional Appliances - Including Head Gear Removable-Fixed Appliance (aka Passive Fixed)
Removable appliances
Used to expand arches (usually maxilla, not mandible). Open jackscrew 0.25 mm (1/4 turn), not exceed 1mm/month Fingersprings more gentle movement than jackscrew
Retention of removable appliances is critical (anchorage)
Main use today is as retainers, biteplates for crossbite corrections Some functional appliances are used, but claims of early 70s not substantiated in randomized clincial trials
Removable Appliances
Components
Retentive Active
Components
Active component
Fingerspring
Bite Plate
Removable Appliances
Distalizing molars
Hawley appliance *
Spring retainer
Tooth positioner
Invisalign
Myofunctional appliances
History Theoretical Basis
Activator/Bionator*
Cl II malocclusions Developed in Europe Dental and skeletal effects
Activator/Headgear Combination
Hybrid appliance, add what you need Lip bumper Torquing wires
Frankel Appliance
Buccal shields Lip pads Lingual plate
Herbst Appliance
Commonly used Has dental and skeletal effects Patient compliance not required
Repelling magnets
Headgear
Myofunctional Anchorage for fixed appliances
Headgear
Cervical pull
High pull
Usually HG facebow attached to molar tubes J hook directly to soldered hooks on archwire
Upper appliance used prior to age ~ 13, before the midpalatal suture gets interdigitated, get skeletal effects Lower arch only tipping movement of teeth
Very commonly used to reinforce anchorage with fixed appliance; 036 SS wire Connects the transverse dimension, and helps in expansion and root movements
Expansion appliances Maxillary expansion more common than mandibular Increase in length of wire by forming helices, 040 wire
Pendulum appliance
Bonded to premolars Uses TMA wire with helices molar tubes Anchorage from palate Primarily molar movement, but Movement of anteriors
Questions