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Fixed orthodontic appliances /certified fixed orthodontic courses by Indian dental academy
1. FIXED ORTHODONTIC APPLIANCES
INDIAN DENTAL ACADEMY
Leader in continuing dental education
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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
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- 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.
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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
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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.
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10. Edgewise system
Bodily Movement of teeth can be achieved
In 1971 Andrews
Edgewise system
introduced Preadjusted
-Built in Tip and Torque in Brackets
-Reduction of number of stages
-Esthetically pleasing bracket system
-Excellent finishing and detailing.
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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.
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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.
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16. Class I Malocclusion
Skeletal Class I
-Proclination
-Bimaxillary protrusion
-Crowding
-Spacing
-High labial positioned canines.
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36. Class II cases:
Every growing period
1. Maxillary prognathism
Mandibular Normal
2. Maxillary Normal
Mandibular deficient
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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.
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46. Treatment plan: Functional Appliance
Therapy to advance the mandible:
-Activator
-Twin block
-Bionator
This is followed by fixed appliance therapy.
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57. Class II Combination
•
Prognathic Maxillary
•
Retrognathic mandible
Treatment Plan:
Head and gear and Functional appliance
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58. Class II non growing:
1. Maxillary forward
2. Mandibular back.
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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
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61. Class II Div.
Feature :
a. Usually Mandible / Chin Prominent
b. ‘U’ Shape arches
c. Cetrals retroclined
d. Deep bite.
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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.
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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
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64. RPE to split the sutures and facilitates the
translation of maxilla forward.
After 16 years
Orthognathic Surgery
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65. Growing mandible:
- Chin Cup
- Observe the mandible thought the growth
period.
- May require surgery at end of growth
period.
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