Fixed functionals Appliance /certified fixed orthodontic courses by Indian dental academy

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The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and offering a wide range of dental certified courses in different formats.


Indian dental academy provides dental crown & Bridge,rotary endodontics,fixed orthodontics,
Dental implants courses.for details pls visit www.indiandentalacademy.com ,or call
00919248678078

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  • 1. FIXED FUNCTIONAL APPLIANCES INDIAN DENTAL ACADEMY Leader in continuing dental education www.indiandentalacademy.com www.indiandentalacademy.com
  • 2. The Herbst appliance – generations Gen. I – Banded and crown Herbst Gen. II – Herbst directly onto archwires Gen. III – Cantilever Herbst Gen. IV – The Ball joint attachments www.indiandentalacademy.com
  • 3. RFFA’s : The Ventral Telescope www.indiandentalacademy.com
  • 4. RFFA’s : The Magnetic Telescopic device - Ritto – 1997 www.indiandentalacademy.com
  • 5. RFFA’s : The Mandibular Protraction Appliance ( MPA) -Coelho Filho – 1995,97,98,2001 MPA I www.indiandentalacademy.com
  • 6. RFFA’s : The Mandibular Protraction Appliance ( MPA) MPA I www.indiandentalacademy.com
  • 7. RFFA’s : The Mandibular Protraction Appliance ( MPA) MPA II www.indiandentalacademy.com
  • 8. RFFA’s : The Mandibular Protraction Appliance ( MPA) MPA II www.indiandentalacademy.com
  • 9. RFFA’s : The Mandibular Protraction Appliance ( MPA) MPA III www.indiandentalacademy.com
  • 10. RFFA’s : The Mandibular Protraction Appliance ( MPA) MPA IV www.indiandentalacademy.com
  • 11. RFFA’s : The Universal Bite Jumper (UBJ) Xavier Calvez - 1998 www.indiandentalacademy.com
  • 12. RFFA’s : The Universal Bite Jumper (UBJ) www.indiandentalacademy.com
  • 13. RFFA’s : The Universal Bite Jumper (UBJ) www.indiandentalacademy.com
  • 14. RFFA’s : The Ritto Appliance - Koroddi Ritto - 1998 www.indiandentalacademy.com
  • 15. RFFA’s : The Ritto Appliance www.indiandentalacademy.com
  • 16. RFFA’s : The Biopedic - GAC www.indiandentalacademy.com
  • 17. RFFA’s : The Intra-oral Snoring Therapy appliance (IST) - Hinz www.indiandentalacademy.com
  • 18. The MARA appliance – Toll and Eckhart www.indiandentalacademy.com
  • 19. The MARA appliance – Toll and Eckhart www.indiandentalacademy.com
  • 20. The MARA appliance www.indiandentalacademy.com
  • 21. Effects due to the Herbst appliance www.indiandentalacademy.com
  • 22. Effects due to the Herbst appliance www.indiandentalacademy.com
  • 23. Herbst appliance in an adult a)Dento-alveolar changes b)Source of anchorage c)TMJ dysfunction www.indiandentalacademy.com
  • 24. Clinical considerations for a fixed functional appliance Appliance selection Archwire selection – Upper + Lower Initial adaptation of the patient Stepwise advancement Considerations of retention www.indiandentalacademy.com
  • 25. Clinical considerations for a fixed functional appliance Appliance selection PEA preferable (specially in the lower arch)– rigid rectangular wire with labial root torque on anteriors. Upper appliance dependant on the malocclusion www.indiandentalacademy.com
  • 26. Clinical considerations for a fixed functional appliance Archwire selection Upper archwire – atleast 0.018” SS (Begg) or 0.017 X 0.025” SS (PEA) Lower archwire – 0.019 X 0.025” (PEA) 0.021 X .025” (Tip-edge) 0.022 X 0.018” ( Begg) www.indiandentalacademy.com
  • 27. Clinical considerations for a fixed functional appliance Initial adaptation of the patient Acrylic splint with mandible postured forward for muscle adaptation and training the patient www.indiandentalacademy.com
  • 28. www.indiandentalacademy.com
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  • 30. Clinical considerations for a fixed functional appliance Stepwise advancement – Not always necessary Considerations of retention - How long - with what? www.indiandentalacademy.com
  • 31. Thank you www.indiandentalacademy.com Leader in continuing dental education www.indiandentalacademy.com