Fixed functionals 2
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The document provides an overview of fixed functional appliances in dentistry, detailing various appliances such as the Herbst, Mandibular Protraction Appliance (MPA), and Universal Bite Jumper (UBJ), along with their generations and clinical considerations. It discusses the effects of the Herbst appliance, including dento-alveolar changes and TMJ dysfunction, and outlines recommendations for appliance and archwire selection. Additionally, it emphasizes patient adaptation, retention considerations, and the importance of initial training.
Fixed functionals 2
- 1. FIXED FUNCTIONAL APPLIANCESFIXED FUNCTIONAL APPLIANCES - AN APPRAISAL- AN APPRAISAL www.indiandentalacademy.comwww.indiandentalacademy.com
- 2. The Herbst appliance – generations Gen. I – Banded and crown Herbst Gen. II – Herbst directly onto archwires Gen. III – Cantilever Herbst Gen. IV – The Ball joint attachments www.indiandentalacademy.comwww.indiandentalacademy.com
- 3. RFFA’s : The Ventral Telescope www.indiandentalacademy.comwww.indiandentalacademy.com
- 4. RFFA’s : The Magnetic Telescopic device - Ritto – 1997 www.indiandentalacademy.comwww.indiandentalacademy.com
- 5. RFFA’s : The Mandibular Protraction Appliance ( MPA) -Coelho Filho – 1995,97,98,2001 MPA I www.indiandentalacademy.comwww.indiandentalacademy.com
- 6. RFFA’s : The Mandibular Protraction Appliance ( MPA) MPA I www.indiandentalacademy.comwww.indiandentalacademy.com
- 7. RFFA’s : The Mandibular Protraction Appliance ( MPA) MPA II www.indiandentalacademy.comwww.indiandentalacademy.com
- 8. RFFA’s : The Mandibular Protraction Appliance ( MPA) MPA II www.indiandentalacademy.comwww.indiandentalacademy.com
- 9. RFFA’s : The Mandibular Protraction Appliance ( MPA) MPA III www.indiandentalacademy.comwww.indiandentalacademy.com
- 10. RFFA’s : The Mandibular Protraction Appliance ( MPA) MPA IV www.indiandentalacademy.comwww.indiandentalacademy.com
- 11. RFFA’s : The Universal Bite Jumper (UBJ) Xavier Calvez - 1998 www.indiandentalacademy.comwww.indiandentalacademy.com
- 12. RFFA’s : The Universal Bite Jumper (UBJ) www.indiandentalacademy.comwww.indiandentalacademy.com
- 13. RFFA’s : The Universal Bite Jumper (UBJ) www.indiandentalacademy.comwww.indiandentalacademy.com
- 14. RFFA’s : The Ritto Appliance - Koroddi Ritto - 1998 www.indiandentalacademy.comwww.indiandentalacademy.com
- 15. RFFA’s : The Ritto Appliance www.indiandentalacademy.comwww.indiandentalacademy.com
- 16. RFFA’s : The Biopedic - GAC www.indiandentalacademy.comwww.indiandentalacademy.com
- 17. RFFA’s : The Intra-oral Snoring Therapy appliance (IST) - Hinz www.indiandentalacademy.comwww.indiandentalacademy.com
- 18. The MARA appliance – Toll and EckhartThe MARA appliance – Toll and Eckhart www.indiandentalacademy.comwww.indiandentalacademy.com
- 19. The MARA appliance – Toll and EckhartThe MARA appliance – Toll and Eckhart www.indiandentalacademy.comwww.indiandentalacademy.com
- 20. The MARA applianceThe MARA appliance www.indiandentalacademy.comwww.indiandentalacademy.com
- 21. Effects due to the Herbst appliance www.indiandentalacademy.comwww.indiandentalacademy.com
- 22. Effects due to the Herbst appliance www.indiandentalacademy.comwww.indiandentalacademy.com
- 23. Herbst appliance in an adult a)Dento-alveolar changes b)Source of anchorage c)TMJ dysfunction www.indiandentalacademy.comwww.indiandentalacademy.com
- 24. Clinical considerations for a fixed functional appliance Appliance selection Archwire selection – Upper + Lower Initial adaptation of the patient Stepwise advancement Considerations of retentionwww.indiandentalacademy.comwww.indiandentalacademy.com
- 25. Clinical considerations for a fixed functional appliance Appliance selection PEA preferable (specially in the lower arch)– rigid rectangular wire with labial root torque on anteriors. Upper appliance dependant on the malocclusion www.indiandentalacademy.comwww.indiandentalacademy.com
- 26. Clinical considerations for a fixed functional appliance Archwire selection Upper archwire – atleast 0.018” SS (Begg) or 0.017 X 0.025” SS (PEA) Lower archwire – 0.019 X 0.025” (PEA) 0.021 X .025” (Tip-edge) 0.022 X 0.018” ( Begg) www.indiandentalacademy.comwww.indiandentalacademy.com
- 27. Clinical considerations for a fixed functional appliance Initial adaptation of the patient Acrylic splint with mandible postured forward for muscle adaptation and training the patient www.indiandentalacademy.comwww.indiandentalacademy.com
- 30. Clinical considerations for a fixed functional appliance Stepwise advancement – Not always necessary Considerations of retention - How long - with what? www.indiandentalacademy.comwww.indiandentalacademy.com