Fixed appliences
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The document discusses the evolution and techniques of orthodontics, highlighting Dr. Edward Angle as the father of modern orthodontics and detailing various methods including the edgewise and Begg techniques. It covers the stages of tooth movement, treatment planning for different types of malocclusions, and contemporary advancements in orthodontic appliances. Additionally, it outlines functional appliance therapy for Class II and Class III malocclusions and surgical considerations for adult patients.
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.
- 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.
- 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 detailing
- 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.
- 7. Uncontrolled tipping Control Tipping
- 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.
- 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.
- 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.
- 16. Class I Malocclusion Skeletal Class I -Proclination -Bimaxillary protrusion -Crowding -Spacing -High labial positioned canines.
- 17. Proclination: -With space - Without spacing
- 18. Pre treatment profile, Age:15yrs
- 29. Crowding -Mild - 2-3mm -Moderate - 3-6mm -Severe - 6 and above
- 36. Class II cases: Every growing period 1. Maxillary prognathism Mandibular Normal 2. Maxillary Normal Mandibular deficient Vertical growing Horizontal growing
- 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.
- 38. Vertical maxillary excess long face, incompetent lips, proclined incisors, infantile swallowing pattern
- 39. Skeletal open bite with long face syndrome
- 40. Maxillary intrusion splint, with habit breaker, with headgear.
- 45. • Maxillary Normal • Mandibular deficient
- 46. Treatment plan: Functional Appliance Therapy to advance the mandible: -Activator -Twin block -Bionator This is followed by fixed appliance therapy.
- 57. • Prognathic Maxillary • Retrognathic mandible Treatment Plan: Head and gear and Functional appliance Class II Combination
- 58. Class II non growing: 1. Maxillary forward 2. Mandibular back.
- 59. Orthodontics - Caumafluege 1. Upper extraction only 4 4 4 4 2. 4 4 4 4 3. 4 4 5 5 4. Non Extraction
- 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 Corrector
- 61. Class II Div. Feature : a. Usually Mandible / Chin Prominent b. ‘U’ Shape arches c. Cetrals retroclined d. Deep bite.
- 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.
- 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
- 64. RPE to split the sutures and facilitates the translation of maxilla forward. After 16 years Orthognathic Surgery
- 65. Growing mandible: - Chin Cup - Observe the mandible thought the growth period. - May require surgery at end of growth period.