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BOWS
Prakash A.T.
LABIAL BOWS
• Labial bow is an essential component of
removable orthodontic appliances
• It can be either active or passive
• The principal function of the bow is to
retrude the anterior teeth
• It can be used for retentive purposes
Parts of labial bow
• The incisor segment
• Vertical loops
• The occlusal or cross
over section
• The retentive ends
Placement of the incisor segment
• Active bow
placed at the junction of incisal and
middle third
• 0.6 or 0.7 mm SS Wire used
• Retentive or passive bow
placed at the junction of cervical and
middle third or below the height of
contour
• 0.9 or 1 mm SS Wire used
Types
• Short labial bow
• Long labial bow
• Roberts retractor
• Reverse labial bow
• Begg’s labial bow
• Mills retractor
• Fitted labial bow
• High labial bow with apron springs
• Split labial bow
Short labial bow
Indications
• Retraction of anteriors
• Anterior spacing with proclination
• Overjet reduction
There should be good contact between
canine and premolar
• 0.7mm wire used
• Fabrication:- labial segment of wire is
placed at the junction of the incisal and
middle third.
Vertical segment starts from mesial third of canine,
should be perpendicular to the incisor segment &
should be away from gingiva
Occlusally, it passes between canine and premolar
Retentive ends adapted on the lingual or palatal
side.
Activation - Compressing the U-loop by 1mm
Long labial bow
Indications
• Anterior space closure
• Overjet reduction
• Closure of the space distal to the canine
• As a retaining device at the end of fixed
therapy
• Guidance of canine during canine
retraction using palatal retractor
• 0.7 mm wire used in active purpose
• 0.9 mm wire used in passive purpose
• Fabrication - same as short labial bow but
occlusal wire passes between two
premolars
• Activated by compressing the U-loop
Roberts retractor
• It was first designed by G.H Robert
• Indication
it is suitable only for retraction of four
incisors following retraction of canines
• This is a flexible bow which is constructed
from 0.5 or 0.6 mm wire inserted into a
stainless steel tubing to give support to
either end of the bow
• Fabrication
Labial segment of wire is placed at the junction
of the incisal and middle third
Extends only two thirds of the mesiodistal width
of the lateral incisors
A coil of 3mm internal diameter placed mesial to
canine
Distal part is supported in a stainless steel tubing
• It is activated by closing the coil or giving palatal
bend at the emergence of the coil
Reverse labial bow
• Indication
For retaining tooth positions
For minor tooth movements
• 0.7 mm wire used
• Fabrication:-loops are placed distal to
the canine and the free ends of the U-
loops are adapted occlusally between
the premolar and canine
• This is too stiff for effective incisor retraction
• The stability ratio is poor
Activation
First the U-loop is opened this results in
lowering of the labial bow in the incisor region .
A compensatory bend is given at the base of
the loop
Begg’s labial bow
(Wrap Around / Around the Globe Bow)
• Popularized by P.R . Begg
• It is used as retainer after fixed
orthodontic therapy
• 0.9 mm wire is used
• Fabrication
consists of labial wire that extends till the last
erupted molar
U-loop is incorporated at the pre molar and molar
area to close the band spaces
• Advantage of this bow is that there is no
cross- over wire between the canine and
premolar there by eliminating the risk of
space opening up
Mills retractor
• It is also called extended labial bow
• Indication
Large overjet
For alignment of irregular incisors
• 0.7 mm wire is used
• This labial bow has an extensive looping of the
wire so as to increase the flexibility and range of
action
• Poor patient acceptance
• Complex design
Fitted labial bow
• Used to secure the incisors firmly after they been
rotated
• It acts as retainer
• It is not used in active tooth movement
• 0.7 mm wire is used
High labial bow with apron spring
• Used in retraction of one or more teeth
• Large overjet
• It is very similar to a Roberts retractor
• Highly flexible
• Light force
• Fabrication
A heavy base arch of 0.9mm to 1mm wire extends
into the buccal sulcus
apron spring made of 0.4mm wire is attached to
the high labial bow
• Activation
It is activated by bending the upright arms of the
apron springs towards the teeth
3mm activation at a time
Disadvantages are difficulty in construction and soft
tissue injury
Split labial bow
• Used for anterior
retraction
• Closer of midline
diastema
Other bows
• Protrusion bow
• Palatal arch with central U-loop
THANK YOU

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BOWS Siddharth.PPT

  • 2. LABIAL BOWS • Labial bow is an essential component of removable orthodontic appliances • It can be either active or passive
  • 3. • The principal function of the bow is to retrude the anterior teeth • It can be used for retentive purposes
  • 4. Parts of labial bow • The incisor segment • Vertical loops • The occlusal or cross over section • The retentive ends
  • 5. Placement of the incisor segment • Active bow placed at the junction of incisal and middle third • 0.6 or 0.7 mm SS Wire used
  • 6. • Retentive or passive bow placed at the junction of cervical and middle third or below the height of contour • 0.9 or 1 mm SS Wire used
  • 7. Types • Short labial bow • Long labial bow • Roberts retractor • Reverse labial bow • Begg’s labial bow • Mills retractor • Fitted labial bow • High labial bow with apron springs • Split labial bow
  • 8. Short labial bow Indications • Retraction of anteriors • Anterior spacing with proclination • Overjet reduction There should be good contact between canine and premolar
  • 9. • 0.7mm wire used • Fabrication:- labial segment of wire is placed at the junction of the incisal and middle third.
  • 10. Vertical segment starts from mesial third of canine, should be perpendicular to the incisor segment & should be away from gingiva Occlusally, it passes between canine and premolar
  • 11. Retentive ends adapted on the lingual or palatal side. Activation - Compressing the U-loop by 1mm
  • 12. Long labial bow Indications • Anterior space closure • Overjet reduction • Closure of the space distal to the canine • As a retaining device at the end of fixed therapy • Guidance of canine during canine retraction using palatal retractor
  • 13. • 0.7 mm wire used in active purpose • 0.9 mm wire used in passive purpose • Fabrication - same as short labial bow but occlusal wire passes between two premolars • Activated by compressing the U-loop
  • 14. Roberts retractor • It was first designed by G.H Robert • Indication it is suitable only for retraction of four incisors following retraction of canines
  • 15. • This is a flexible bow which is constructed from 0.5 or 0.6 mm wire inserted into a stainless steel tubing to give support to either end of the bow
  • 16. • Fabrication Labial segment of wire is placed at the junction of the incisal and middle third Extends only two thirds of the mesiodistal width of the lateral incisors A coil of 3mm internal diameter placed mesial to canine Distal part is supported in a stainless steel tubing
  • 17. • It is activated by closing the coil or giving palatal bend at the emergence of the coil
  • 18. Reverse labial bow • Indication For retaining tooth positions For minor tooth movements
  • 19. • 0.7 mm wire used • Fabrication:-loops are placed distal to the canine and the free ends of the U- loops are adapted occlusally between the premolar and canine
  • 20. • This is too stiff for effective incisor retraction • The stability ratio is poor Activation First the U-loop is opened this results in lowering of the labial bow in the incisor region . A compensatory bend is given at the base of the loop
  • 21. Begg’s labial bow (Wrap Around / Around the Globe Bow) • Popularized by P.R . Begg • It is used as retainer after fixed orthodontic therapy • 0.9 mm wire is used
  • 22. • Fabrication consists of labial wire that extends till the last erupted molar U-loop is incorporated at the pre molar and molar area to close the band spaces
  • 23. • Advantage of this bow is that there is no cross- over wire between the canine and premolar there by eliminating the risk of space opening up
  • 24. Mills retractor • It is also called extended labial bow • Indication Large overjet For alignment of irregular incisors
  • 25. • 0.7 mm wire is used • This labial bow has an extensive looping of the wire so as to increase the flexibility and range of action • Poor patient acceptance • Complex design
  • 26. Fitted labial bow • Used to secure the incisors firmly after they been rotated • It acts as retainer • It is not used in active tooth movement • 0.7 mm wire is used
  • 27. High labial bow with apron spring • Used in retraction of one or more teeth • Large overjet • It is very similar to a Roberts retractor • Highly flexible • Light force
  • 28. • Fabrication A heavy base arch of 0.9mm to 1mm wire extends into the buccal sulcus apron spring made of 0.4mm wire is attached to the high labial bow
  • 29. • Activation It is activated by bending the upright arms of the apron springs towards the teeth 3mm activation at a time Disadvantages are difficulty in construction and soft tissue injury
  • 30. Split labial bow • Used for anterior retraction • Closer of midline diastema
  • 31. Other bows • Protrusion bow • Palatal arch with central U-loop