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Introduction to Orthodontic
treatment in Mixed dentition
‫الرحيم‬‫الرحمن‬‫هللا‬ ‫بسم‬
By: Dr. Khaled Mohamed Wafaie
1-Anteroposterior
2-Transverse
3-Vertical
1-Anteroposterior:
A)Class 2: 1- Mandibular component (Functional
appliances/Fixed functional)
2-Maxillary component
B) Class 3: 1-mandible component
2-maxilla component
2-Transverse: 1- slow expansion 2- rapid expansion
3-Vertical: 1-Anterior 2-posterior
4- Habits
5- 2 by 4
1-Anteroposterior
A)Class 2:
1) Mandibular component
1-Functional appliances
2-Fixed functional
Functional
appliances
Frankel
Types of frankel:
 FR 1 : Class 1, class2 division 1 malocclusion
 FR2 :Class2 division 1&2
 FR3 :class3
 FR4 :Open bite and bimaxillary protrusion
 FR5 :They are functional regulator which incorporate
head gear indicated in long face patients having a
high mandibular plane angle and vertical maxillary
excess
Twin block appliance
Bionator
Activator
Fixed functional
appliances
Herbst
Forsus
Mara
Dynamax
 2) Maxillary component
a) Combi pull headgear
b) High pull headgear
B) Class 3:
1- Mandible component
2- Maxilla component
Mandibular
advancement
Class 3 Twin block
Chin cup
Maxillary
deficiency
Facemask
2- Transverse
1- Slow expansion
2- Rapid expansion
Slow
expansion
Expansion screw
Selective grinding
Quad-helix
ELSAA
Rapid expansion
Bonded rapid maxillary expansion
Banded rapid maxillary expansion
C)Vertical:
1-Anterior
2-Posterior
Anterior bite
plane
Bite turbos
Posterior bite
plane
Habit breaking appliances
2*4 /2*6
Thank you

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Introduction to Orthodontic treatment in Mixed dentition