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ORTHODONTIC LECTURE 7
REMOVABLE APPLIANCE DESIGN
Introduction
Removable appliances are best used in simple malocclusions where only tipping of teeth is
required, or as an adjunct to fixed appliance therapy. They are relatively easy to use, but
cannot be used routinely in the lower arch because they encroach on tongue space and
retention is poor.
Design Elements
Force (Activation)
Retention (Fixation)
Anchorage
Baseplate (including bite planes)
Force Activation
i)
ii)
)
)
)
)
)
)
)
Screws
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Bulky
Intermittent force
Rely on patient for activation
Useful for moving blocks of teeth
Pitch 0.2mm per turn
Retention Fixation
Required both posteriorly and anteriorly.
A)
Posterior
Adams clasps can be placed on 6s, premolars, or even deciduous molars.
0.7mm S/S.
They engage mesio-buccal and disto-buccal undercuts.
The number needed depends upon the force applied: More needed for screw appliances
and incisor proclination, due to larger displacing forces.
Tubes for headgear can be soldered onto bridge.
B)
Anterior
ii)
iii)
3
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Hawley Retainer
Fitted bow 3-3
Cribs 6|6
2.
Expand Crossbite
Cribs 64|46
Midline screw
Molar capping
3.
4.
4
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Rev:2013