Orthodontic Forsus Fatigue Resistant Device.pptx

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Forsus are a rod with a coil spring around it and are attached to the braces to help correct the bite. They move the upper teeth back and the lower teeth forward. The forsus is used to correct class 2, patient’s jaws that the upper jaw and teeth protrude over the lower jaw and teeth. It is not used in all cases but the more extreme cases that the orthodontist thinks that normal orthodontic elastics may not be able to correct or the forsus would correct it faster. This can reduce time in braces limiting or basically eliminating the use of regular orthodontic elastics The forsus helps the patients that may not remember to wear a headgear or the elastics and can also possibly prevent the need for expensive jaw surgery in some case. The appliance is made to align the teeth and reduce the overbite and promote the proper jaw growth in patients. It is mostly used in adolescents because that is the time the growth of the jaw in mainly taking place. Once the appliance is placed in the patient’s mouth it needs to stay there for 6 to 9 months depending on the severity of the case. Class II division I malocclusion, deep and open bites Maxillary distalization appliance Maxillary anchorage in extraction cases Anchorage for Mandibular incisors Early intervention in severe Class II Maxillary and mandibular asymmetries

Health & Medicine

Orthodontic Forsus
Fatigue Resistant Device
ACHIEVED BY: Dr.Maen Dawodi

Forsus are a rod with a coil spring around it and are
attached to the braces to help correct the bite. They
move the upper teeth back and the lower teeth
forward.
Forsus is an appliance used to help correct an
overbite and class II
What is Orthodontic Forsus

The forsus is used to correct class 2, patient’s jaws that
the upper jaw and teeth protrude over the lower jaw
and teeth.
It is not used in all cases but the more extreme cases
that the orthodontist thinks that normal orthodontic
elastics may not be able to correct or the forsus would
correct it faster.
This can reduce time in braces limiting or basically
eliminating the use of regular orthodontic elastics
What Does The Forsus Appliance Do?

The forsus helps the patients that may not remember to wear a
headgear or the elastics and can also possibly prevent the need
for expensive jaw surgery in some case.
The appliance is made to align the teeth and reduce the overbite
and promote the proper jaw growth in patients. It is mostly used
in adolescents because that is the time the growth of the jaw in
mainly taking place.
Once the appliance is placed in the patient’s mouth it needs to
stay there for 6 to 9 months depending on the severity of the
case.
Cont.

Case selection for Forsus Use
• Class II division I malocclusion, deep and open bites
• Maxillary distalization appliance
• Maxillary anchorage in extraction cases
• Anchorage for Mandibular incisors
• Early intervention in severe Class II
• Maxillary and mandibular asymmetries

Need for Class II Correctors in Young Adults
Four main indications of Class II correctors in young
adults, namely:
• 1- Skeletal Correction in patients with mild skeletal Class II
malocclusion.
Class II cases with deficient mandible (LANB 4-6 degrees) are suitable
for this approach.
However, obvious surgical cases are a contra-indication to such
treatments. It is also important to consider that these individuals
should not be seeking drastic changes in their facial appearance.

• 2- Dental Class II malocclusion correction only.
Obviously, the amount of skeletal correction achievable in adults is
much less than in adolescents (only 30-40% skeletal changes may
be expected).
Therefore, the best results in young adults are those cases which
have mainly a dental component of Class II without an underlying
skeletal discrepancy.
.
Cont.

• 3- Correction of Class II subdivision malocclusion patients
having a mandibular midline.
shift. In these cases, by selective differential force selection on
either side, subdivision correction becomes more predictable,
while addressing the lower midline.
• 4- Class II dental malocclusion requiring maxillary molar
distalization.
Again, in these cases, selective molar distalization, on one side or
bilaterally, is easily effected by minor variations during appliance
installation
Cont.

Duration of Forsus Class II Corrector Usage
Most clinicians prefer to keep Forsus device only for 4-5
months
in majority of patients.
Based on these lines, I prefer leaving the Forsus device
for an
average time period of 7-8 months.

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When the teeth are subjected to a variety of forces and does not move to a new location under usual circumstances. Complete dentition is in the state of equilibrium functional processes of bones will be altered if the function is lost or changed. -alveolar process exists only to support the teeth. - if a tooth is extracted, the alveolus in that region resorbs until finally it completely atrophies. Consequences of tooth loss • Mesial tipping and rotations of distal molars • Distal tipping and rotations of mesial teeth • Eruption of opposing tooth in edentulous space • Gingival tissues become folded, and pockets form in the area • Accumulation of plaque in pockets leads to periodontal damage, with loss of gingival attachment and alveolar bone loss. Indications for regaining space • Severely tipped molars • Periodontal involvement of the mesial root(s) of the molar need to be uprighted.

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There are 2 types of forces used in orthodontics- 1) orthodontic force when applied brings about dental change. They are light forces ( 50- 100 gm) bringing about tooth movement. 2) orthopedic force when applied brings about the skeletal changes. They are heavy forces ( 300-500gm) that bring about changes in the magnitude & direction of bone growth. The following are the commonly used orthopedic appliances a) Headgears b) Protraction Face Mask c) Chin Cup Appliance. Headgears are the most widely used extra oral orthopedic appliances. They are mainly used in the management of skeletal class II malocclusion by growth modification. They are also used for distalization of maxillary molars 1) Force delivering unit a) Face bow b) ‘J’ hook 2) Force generating unit 3) Anchor unit a) Head cap or b) Neck strap

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This is the point through which an applied force must pass fora free object to move linearly without any rotation - as the orthodontic force are delivered through the tooth crown they will not produce pure linear movement (some rotational movement will be present ) those rotation called Types of tooth movement : 1- tipping ( controlled & uncontrolled ) 2- translation ( bodily ) 3- root movement 4- rotation 5- intrusion & extrusion Tipping - simplest orthodontic movement - controlled occurs about the tooth apex - uncontrolled - Force needed is about 5o - 75 gm. Translation : All PDL is uniformly loaded with the force - Force needed is about 100 – 150 gm Rotation : Needs high force Occurs around the CER Force needed is about 50 – 100 gm Root movement : Usually expressed as torque The crown is held stationary and the root moves CER is the bracket itself Done by increasing the moment / force ratio Extrusion : -needs to produce tension in the PDL ligaments - Force needed is about 50 gm Intrusion : Forces are nearly at the apex Needs minimum force application Force needed is about 15 – 25 gm

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