Professional Documents
Culture Documents
Myofunctional Appliances
Submitted To :
Dept. of Orthodontics
Dental Unit
Rajshahi Medical College
Prepared By :
Md. Tauhid Hossain
Batch: 21st BDS
Roll No : 32
Session: 2009-10
Definition
Funtional appliances are passive appliances
which harness natural forces of the oro-facial
musculature that are transmitted to the teeth
and alveolar bone in a predetermined
direction.
Muscular Action
Function
Muscular Action
TREATMENT PRINCIPLES
FORCE APPLICATION
Compressive stress and strain act on the structures involved and
result in a primary alteration in form with a secondary adaptation in
function.
FORCE ELIMINATION
The principle involves the elimination of abnormal and restrictive
environmental influences on the dentition thereby allowing
optimum development thus function is rehabilitated with a
secondary change in form.
Dento-alveolar Changes
1. They can bring about changes in sagittal, transverse and vertical directions.
2. Most of them allow upper anteriors to tip palatally and lowers to tip labially.
3. In tranverse direction they can bring about expansion of the dental arches by
incorporating screws in them.
4. In vertical plane they allow selective eruption of teeth.
Muscular Changes
Functional appliance can improve tonicity of the oro-facial musculature.
When???
Basic Classification
Functional Appliances
Removable
Functional
Appliances.
Eg. Activator,
Frankel etc.
Fixed Functional
Appliances.
Eg. Jasper jumper
Semi-fixed
Functional
Appliances.
Eg. Den holtz, Bass
appliance etc.
Classification by Proffit
1. Tooth borne passive appliance
Andersen activator
Harvold activator
Bionator
Modified activator
Expansion activator
Orthopaedic corrector
Stockli headgear activator
Oral Screen
Consists of vestibular
shields which holds the lip
away from all teeth except
upper incisors
aids patient with digit
sucking
Deep bite
Cuspal interferences
Pain associated with Temporo-mandibular joint disturbances.
As a diagnostic splint- TMJ pain cases.
Decrease lower facial height.
Low(FMA) angle case
Uses
Guiding mandible forward
Proclination of retroclined
lower anteriors
Reduction of overbite.
Andresen Activator
Other Names
Mono-block
As upper and lower plates appear joined together.
Activator
Due to its ability to activate muscles.
Norwegian appliance
Indications
1.
2.
3.
4.
5.
Class II div-1
Class II div-2
Class III
Class I openbite
Class I deep bite
A cross palatal
stabilizing wire on
the maxillary arch.
Acrylic
Bite Block
FUNCTIONAL REGULATOR
FR I
a. Class I
b. Class II div 1 <5mm
c. Class II div 1 >7mm
FR II
Class II div 2
FR III Class III
FR IV
Open bite & mild bimax
BIBLIOGRAPHY
Orthodontics ,The art and science
by S.I Bhalajhi