This document discusses different types of labial bows used in removable orthodontic appliances. A labial bow is an essential component that functions to retrude anterior teeth. There are several types including short and long labial bows, Roberts retractors, reverse labial bows, and Begg's labial bow. Each has a specific indication and method of fabrication and activation. The document reviews the components, placement, construction techniques, and functions of various labial bows used to correct malocclusions through minor tooth movements.
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An Adams clasp is a component used to retain a custom-made medical device in the mouth. The clasp functions by engaging the mesiobuccal and distobuccal undercuts of a tooth, typically the maxillary first molar and is used to retain a wide range of devices prescribed in a variety of medical and dental specialties
Clasps are wire components that aid in retention of a removable appliance. These are the retentive components that aid in keeping the appliance in place and resist displacement of the appliance
An Adams clasp is a component used to retain a custom-made medical device in the mouth. The clasp functions by engaging the mesiobuccal and distobuccal undercuts of a tooth, typically the maxillary first molar and is used to retain a wide range of devices prescribed in a variety of medical and dental specialties
Clasps are wire components that aid in retention of a removable appliance. These are the retentive components that aid in keeping the appliance in place and resist displacement of the appliance
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Brief discussion on removable appliances, various types of clasps, their indications and uses. Various forms of removable appliances along with their indications and clinical uses
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2. What is a labial bow?
A labial bow is the most notable component of a retainer so
patients are very sensitive to the look and feel of it.
Labial bows or the active component of the removable
orthodontics appliances.
The principle function of the bow is to retrude the anterior teeth.
Labial bow is an essential component of removable orthodontic
appliances.
3. Functions
It can be either passive OR active.
It can also be used for retentive purposes.
They exist in two groups: With U-loops & without U-loops.
4. Types Short labial bow
Long labial bow
Roberts retractor
Reverse labial bow
Begg’s labial bow
Mills labial bow
Fitted labial bow
High labial bow with apron springs
Split labial bow
5. Components
The incisor segment.
Vertical loops.
The occlusal or cross over section.
The retentive ends.
Vertical loop
Retentive end
6. Placement of the incisor segment
Active bow Passive bow (below the HOC)
0.6 or 0.7 mm 0.9 or 1 mm
8. Short labial bow
indications
Closure of
spaces
Mesial to
canine
Retraction
of anteriors
Proclination
Anterior
spacing
Overjet
reduction
0.7 mm (A)
9. Fabrication of S.L.B.
Labial segment of wire is placed at the J. of the incisal and
middle third.
Vertical segment starts from mesial third of canine, should be
perpendicular to the incisor segment and should be away from
gingiva.
Occlusaly it passes between canine and premolar.
Retentive ends adapted
to the lingual or palatal
side.
11. Long labial bow
indications
Anterior
space closure
Overjet
reduction
Anterior
spacing
Closure of
the space
distal to the
canine
Retaining
device
at the end of
Fixed T.
Guidance of
canine
Using palatal
retractor
0.7 mm (A) 0.9 mm (P)
12. Fabrication & Activation of L.L.B.
Same as short labial bow, BUT:
Occlusaly it passes between two premolars.
Also activated by compressing of the U-loop.
19. Fabrication
Labial segment of wire is placed at the J. of the incisal and
middle third.
Extends only two thirds of the MD width of the lateral incisors.
A coil of 3mm internal diameter placed mesial to canine.
Distal part is supported in a SS tubing.
20. Activation
It is activated by closing the coil OR giving
palatal bend at emergence of the coil.
22. Fabrication
U-Loops are placed distal to the canine.
The free ends of the U-loops are adapted occlusally between the
premolar and canine.
23. 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
24. Begg’s labial bow
wrap around, around the globe bow
indications Retainer
After Fixed
Ortho th.
0.9 mm
25. Fabrication
Consists of labial wire that extends till the last erupted molar.
U-loop is incorporated at the premolar and
molar area to close the band spaces.
Advantage: because there is no cross-over wire
between the canine and premolar, it eliminates
the risk of space opening up.
29. High labial bow
with apron spring
indications
Retraction
One or
more teeth
Large
overjet
0.9 mm
30. This labial bow:
• Is very similar to a Roberts retractor
• Highly flexible
• Light force
31. Fabrication
A heavy base arch of 0.9 to 1mm wire extends into the buccal
sulcus, with vertical arms incorporated and relived in the areas of
labial frenum.
Apron springs are the active components which are attached to
the base arch by winding a few turns in horizontal arms. made of
0.4mm wire is attached to the high labial bow.
32. Activation
Bending the upright arms of the apron spring towards the teeth.
(3mm activation at a time)
Disadvantages: Difficulty in construction & Tissue injury.
34. This labial bow:
• Used for retraction; effective for incisors retraction.
• Used for median diastema closure; in this type, the
free ends of labial bow meet each other.
• Not effective for overjet reduction
• Activation is same as short labial bow.
35. References
Contemporary orthodontics, proffit’s 2013
JSS university official website & presentations.
Alam, Mohammad Khursheed. "REMOVABLE APPLIANCE.“
Luther, Friedy, and Zararna Nelson-Moon. Orthodontic retainers
and removable appliances: Principles of design and use. John
Wiley & Sons, 2012.
Indiandentalacademy.com
http://www.dent-wiki.com/dental_technology/labial-bow/