LOWER LINGUAL HOLDING ARCH
a space maintaining appliance
is comprised of stainless steel rings (bands)
around posterior teeth (usually molars)
a stainless steel wire that passively
contacts the lingual surfaces of the teeth.
is designed to maintain the position of the
lower molars as the baby teeth are lost.
to prevent your lower molars from
used to preserve and create space
in the mandibular arch and to aid in
uprighting of the molars
designed for space management
and rotation of molars if needed.
Lower Lingual Holding Arch
• Place seperators for sufficient time
• Band 26,36
• Weld lingual sheaths Lingualy.
• Take impressions with bands in place.
• Transfer the band to the impression.
• Pour cast and send it to the lab.
• When lower lingual holding Arch is used as a space
maintainer the entire assembly can be fabricated in
the lab itself. Only a clean stone impression is needed.
But when it is used along with fixed appliance systems
the procedure mentioned earlier important.
(a laboratory processed appliance soldered to a molar
band that requires two visits by the patient)
• Bands are adapted to the most posterior tooth
remaining on the arch (first permanent molar
or second primary molar)
• A pick up alginate impression is taken.
• The appliance is fabricated in a
laboratory. A 0.036” stainless steel wire is
soldered to the bands. This wire must be
1.5 mm away from the soft tissues for
gingival health. This wire should rest on
the cingula of the incisors.
• Cementation with appropriate cements
• Loss of second primary molar in the
• Bilateral loss of primary teeth in the
mandibular arch during transitional
• „ Maintenance of arch perimeter
and incisor positions.
• „ Contraindicated in primary
• Modification of LLA with
• „ Activation of loops help
flare anteriors with some
distalising of permanent
• Permanent mandibular
incisors not yet erupted.
How Do We Fit The Lingual
1. If required, separators are placed between
your back teeth to create space for the
2. The separators are removed approximately
one week later or at the band fitting
3. Bands are chosen to specifically fit your
How Do We Fit The Lingual
5. Once the bands have been fitted, an
impression is taken to have the lingual
6. Once the lingual arch has been
constructed, an appointment will be
scheduled to have the lingual arch
inserted into your mouth
How Do I Clean My Lingual
If food is not effectively removed from the lingual arch, it
can cause dental decay and gum problems
Tilt your toothbrush on a 45 angle on the gum line,
underneath the bands on your lower first molar teeth
Rotate your toothbrush ten times on both the left and
right sides, inside and outside of the bands
A dental floss threader will be provided so that you are
able to floss around the lingual arch
• No hard or sticky foods (corn chips, hard
candy, caramel, gum, taffy, peanuts, etc.)
• 3-4 carbonated drinks (coke, root beer, 7-up etc.)
• monitor highly sweetened foods (cake, pie,
ice cream, cookies) brush after or rinse with
• Brush teeth at least 3 times daily.
• Use a water pick or floss, to remove food caught
underneath the appliance.
• Watch diet and contact office if bands come loose
or anything breaks or wire gets bent.
• Warm salt water rinses for sores.
• 'Rescue' wax for bands until cheeks get used to
• Maintains the
tooth space and
• to prevent your
lower molars from
• First permanent
molars may be
• may be prone to
the patient is
As of June 1, 2012 by
Ortho Dent Laboratory
LLHA - 1361.26Php
LLHA with loops -