Fixed appliences
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Fixed appliences
- 2. Evaluation of Fixed Appliances in Brief Dr.Edward Angel - 1926. - Father of Modern Orthodontics - School of Orthodontics - Edgewise Appliance - 1st bracket, Band - Classification of mal-occlusion - Proponent of non extraction treatment.www.indiandentalacademy.com
- 4. Rectangular wire insertion for 3 dimensional control Followers of Dr.Edward Angel - Dr. Tweed - Dr.Begg Dr.Tweed popularized edgewise technique and extraction therapy. Dr.Begg popularized Beggs technique and extraction therapy.www.indiandentalacademy.com
- 5. Begg Technique Light wire technique, Round Wire technique. Tooth movement is sequential and divided in to three stages. 1st stage- Alignment, decrowding correction of deep bite bite and over jet. 2nd Stage- Retraction of teeth and closure of all the spaces. 3rd Stage- Root uprighting and torquing. 4th Stage- Finishing and detailingwww.indiandentalacademy.com
- 6. Features of Begg technique -1st and 2nd stages mainly include tipping of teeth - In the 3rd stage tooth uprighting is done and torque is done. - Connection of root inclination in Labio lingual direction is called as torquing of roots. www.indiandentalacademy.com
- 7. Uncontrolled tipping Control Tippingwww.indiandentalacademy.com
- 10. Edgewise system Bodily Movement of teeth can be achieved In 1971 Andrews introduced Preadjusted Edgewise system -Built in Tip and Torque in Brackets -Reduction of number of stages -Esthetically pleasing bracket system -Excellent finishing and detailing. www.indiandentalacademy.com
- 11. Recent Advances in PEA • Esthetic Brackets • Composite Brackets, Plastic Brackets, Ceramic Brackets • Titanic Brackets (Nickel Free) • Segmental Approach to reduce the treatment time and more comfortable to patient. www.indiandentalacademy.com
- 14. Begg Technique Advances Tip Edge - - Concept of both Beggs and Edgewise technique - Concept of light wire technique continued - Rectangular wire finish - Bracket design more pleasant and comfortable than Beggs Brackets.www.indiandentalacademy.com
- 16. Class I Malocclusion Skeletal Class I -Proclination -Bimaxillary protrusion -Crowding -Spacing -High labial positioned canines. www.indiandentalacademy.com
- 17. Proclination: -With space - Without spacing www.indiandentalacademy.com
- 18. Pre treatment profile, Age:15yrs www.indiandentalacademy.com
- 29. Crowding -Mild - 2-3mm -Moderate - 3-6mm -Severe - 6 and above www.indiandentalacademy.com
- 36. Class II cases: Every growing period 1. Maxillary prognathism Mandibular Normal 2. Maxillary Normal Mandibular deficient Vertical growing Horizontal growing www.indiandentalacademy.com
- 37. Treatment plan: to hold maxillary growth in anterior and posterior plane and vertical plane. Head gear can be given. Following to orthopaedic treatment, fixed treatment can be started in permanent dentition. www.indiandentalacademy.com
- 38. Vertical maxillary excess long face, incompetent lips, proclined incisors, infantile swallowing pattern www.indiandentalacademy.com
- 39. Skeletal open bite with long face syndrome www.indiandentalacademy.com
- 40. Maxillary intrusion splint, with habit breaker, with headgear. www.indiandentalacademy.com
- 45. • Maxillary Normal • Mandibular deficient www.indiandentalacademy.com
- 46. Treatment plan: Functional Appliance Therapy to advance the mandible: -Activator -Twin block -Bionator This is followed by fixed appliance therapy. www.indiandentalacademy.com
- 57. • Prognathic Maxillary • Retrognathic mandible Treatment Plan: Head and gear and Functional appliance Class II Combination www.indiandentalacademy.com
- 58. Class II non growing: 1. Maxillary forward 2. Mandibular back. www.indiandentalacademy.com
- 59. Orthodontics - Caumafluege 1. Upper extraction only 4 4 4 4 2. 4 4 4 4 3. 4 4 5 5 4. Non Extractionwww.indiandentalacademy.com
- 60. Late growing years • Fixed functional appliances 1. EVA Appliance 2. Jasper Jumper 3. S.U.S. Device 4. Fixed Twin Block 5. Herbst Appliance 6. Class II Correctorwww.indiandentalacademy.com
- 61. Class II Div. Feature : a. Usually Mandible / Chin Prominent b. ‘U’ Shape arches c. Cetrals retroclined d. Deep bite. www.indiandentalacademy.com
- 62. Treatment Plan: 1. Alignment of incisors 2. Intrusion of incisors and correction of deep bite 3. Some times mandibular relocation takes place in to class I 4. Growth Modulation through functional appliance if no relocation. www.indiandentalacademy.com
- 63. Class III Growing • Retraguathic Maxilla • Normal Mandible 6-9 years: Face mask, reverse pull head gear 9-13 years: Facemask with rapid palatal expander www.indiandentalacademy.com
- 64. RPE to split the sutures and facilitates the translation of maxilla forward. After 16 years Orthognathic Surgery www.indiandentalacademy.com
- 65. Growing mandible: - Chin Cup - Observe the mandible thought the growth period. - May require surgery at end of growth period. www.indiandentalacademy.com