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1.

ANDERSEN

Is a resine plaque which is composed by:


1. Inclinated anterior plan: from superior to inferior and from in front to the back. This plan
moves the mandible in the front. Have a direct action to the anterior lower teeth and
indirect action for the lower jaw.
2. Lateral plans: cover the oclusal and lingual surfaces and have an espansion function for
jaws
3. Metallic vestibulary arch: starts between canine and 1pm and goes to the third part of
the crown. The arch incline the upper teeth to the back.
The dispositive falling when the patient open the mouth stimulate the contraction of the elevator
muscles of the mandible and the propulsory muscle are activated and make a bite in advanced
position.

Indications: subiecti meziodivergenti si hipodivergenti


ll cls cu prima si a doua diviziune
cls l si lll
nu la subiectii hiperdivergenti

Ausiliary components:
- Key for maxillary espansion
- Springs and key for alignament of a single teeth
- Inferior vestibulary arch for lower incisors retraction for 3 class
Construction bite:
- For 2 cls: it is take to create a normal occlusion
- For 1 cls: for increase vertical hight
- For 3 cls: for distal positione

2. BIMLER

It is composed by 2 parts, one superior and another inferior that are united by each
other.
The superior part:
- is composed by 2 acrilical parts which follow the lingual contour of superior teeth from
M1 to C
- acrilical wings are connected to the inferior part with a steal wire
- koffin spring has its origin in acrilical wings. Koffing spring goes to the oclusal surfaces
and then goes posterior, low and anterior in superior vestibulary arch.
- There are 2 lingual wire behind central incisors.

The inferior part:


- Vestibulary arch which goes to the ocl surfaces with 2 wires in the space between 1 and
2 premolar. The arch goes lingual, make a rotation of 180* with lower direction,then goes
posterior into the resine part.
- Resine bites at incisors level

There are 3 types of Bimler:


1. Type A standard, for cls 2 div 2 correction, incisival protrusion
2. Type B cls 2 div 2 correction, incisal retrusion
3. Type c cls 3 correction for inversion or cross bite anterior
Have an action on mandibulary advance and transversal espansion of dental arch (from
pterigoidian internal muscle)
Another action in vertical movements

3.Regolatore di Frankel

FR 1 is indicated in cls ll div1 in retrognatic . Trying to correct the distal occlusion with an
advanced mandible.
The appliance is use for:
- Determine sagittal growing of mandibula
- Sagittal stopping growth of the maxilary
- Reduction overbite
- Growing of the inferior level of the face
General components are:
- 2 lateral shields
- Vestibulary superior arch
- Vestibulary inferior arch with retrolabial botttons
- Lingual mandibular arch
- Canine loop
- Palatal bow
- Cross over wires
- Vestibular wires
The vestibulary arch superior and inferior runs from one vestibulary shield to another and have
an active or passive action on third medial of the incisors crown.

FR2- indicated in 1 and 2-nd class hipodiverge\nt and overbite


- The difference between FR1 and FR2 is the addition of upper lingual wire and the canine
loop modification
- The upper lingual wire runs between maxillary C and PM1
- Correct the vestibulary inclination of the maxillary and the lingual inclination of the
mandible
- The overbite is reduced and the third level of the face is higher

FR 3a- indicated in 3 cls retro and hipomaxilary with deep bite and cross bite anterior
Additional components are:
- Protrusional spring for upper frontal group
- Occlusion stop for M1 inf
- Lateral higher occlusion in resin

FR 3b- indicated in 3 cls retro and hipomaxilary without deep bite and cross bite anterior
The difference between FR 3a and FR3b is the absence of lateral higher occlusion and a
wire on superior molars.

FR4- indicated in skeletrical open bite and biprotrusion


- Absence of canine loop and protrusion springs
- Palatal bow with Oclusal stops on M1 and PM superior

Instructions:
- First 2-3 h/ day ->> 12h/day in 15 days. CLOSED LIPS
- Till the end of the month 20h/zi
4.SANDER APPLIANCE

Sander improves the antioral growing, by activating izometrical contraction of the


elevatory muscles.
Indications: - hiperdivergent growing and skeletal cross bite
Cranio-mandibular disorders with articular compression problems
Condylar fracture
Postoperatory rehabilitation

This dispositive is composed by 2 plaques:


1. Mandibular espansion plaque witch has a retroincisal inclination plan with 55-56* and
has wire ritentions
2. Maxillary espansion plaque with retention wire and metallic wire and a key for central
espansion.

5.TEUCHER APPLIANCE

It is indicated in cls 2 div 1, with maxillary protrusion and mandibular retrusion. It


is efficient in vertical growing because there is no post rotation of the occlusal plan.
Components:
- Resine plaque and palatal bow with wire activation
- Oclusal plan with construction bite in sagittal advance
- 4 springs torque under superior incisors
- Extraoral arch insert in 2 molars loop

Extraoral traction is 300-400 g for each part for complete block of maxillary growing and
800-1000 g for maxillary retrusion.
It is used 12 h/ day in the night.

6.THE DOUBLE PLATE ACORDING TO PLANAS

Function: this double plate appliance serves to increase the vertical growing.
In the upper jaw, there is only a labial bow and two continuous claps.
The lower plate is stabilized throw thorns between the canins and lateral incisors and
other thorns at the distal part of the first molar.
Both plates can be modified using trasversal screws.
The lower plate has 2 horizontally laying bite blocks which are located in the lingual molar area.
The upper plate has the same bite blocks which in height are adapted in relation with the lower
ones in such a way that they adapt exactly and produce a vertical opening.
It is very important to achieve a good fitting of the bite blocks.
THERAPY OF MALOCLUSSION OF 3RD CLASS

The teleradiography classifie the 3rd class in 5 types, one dento-alveolar with normal
skeletal components and 4 skeletal. Those skeletal are:
Type 1: hipermandibular, where the maxilla is in a correct position to the cranial base
and the manbile is long= mandibular prognathism
Type 2: maxillary retrognatism
Type 3: combinations between superior retrognatism and inferior prognatism
Type 4: combinations between superior retrognatism and inferior prognatism with open
bite and laterognatism
We can use:
- Fast expansion and Delaire mask
- Complementar myotherapy for correction
- Lingual elevators and 3 rd clss activators ( frecuently frankel 3rd cls)

- Crozat din 3rd cls


- Dhan activator for 3rd cls
- Bionator for 3rd cls
- Bimler
- Functional plaque Cervera
- Wunderer activator

For 3th class dento-alveolar, indications:


- We have to stop the vestibular inclination of the lower incisors when the distalisation
process it happen for the lower molars
- Mezialization of upper teeths for closing the spaces of the upper jow

Il riposizionamento del primo molare superiore con i dispositivi distalizzanti.

Tipi di dispositivo
Distalix di Langlade Jones jig Grum-rax di Grummons
Distalizzatore di Veltri Placca di Cetlin Distal jet
Attivatore distalizzante asimmetrico (ADA) First class Fast back
Arco bimetrico labiale di Wilson Pendulum e Pend-X di Hilgers

DISTALIZATION OF FIRST UPPER MOLAR

The orthodontic device should lead to a molar distalization with a body-movement,


because the force passes as close as possible to the center of the resistance, with minimum
presence of tiping and the wedge effect, for not creating an occlusan instability.

Indications:
- Cls 2 with protrusion of maxilla
- The messialization of first molar in cls 2
- Cls 3 casses with uncooperative patients

DISTAL JET:
- Each of the distalizing components is made of nichel-titaniu . the spring and a cylinder
which slides on the tube with internal diameter of 0.36 is anchored to the connections on
the molar bands.
- Whole things are connected to a resin plate named: nance button, assembled in a
palatal position and parallel to the occlusal plane where the distalizig force passes
through the center of the resistance of the upper M1.
- Once a month, the distal jet is activated by the total compression of the spring and when
distalizzation will be completed, the device will be modified and used as the device for
anchorage of the obtained result.
- The trans premolar bar must be passive with no activation
- Once the distalizing process is over, the connections with premolars are cutted and the
lingual attachments to the molar are compressed to turn into a restraining device.
- The springs used in mixed dentition= 180 g
- While the second molars are already= 240 gr

TREATMENT OF TRANSVERSAL DEFICIENCY

- Arch expansion
Indications:
- Dental baseline discrepancy for skeletal defect
- Bilateral cross from hipermandibular
- Monolateral cross
- Mismatching arch

Orthopedic expansion: is not interresed only the median palatine suture but also the
periostal membrane whitch stimulate the growing of the alveolar bone.
Deficit of discrepancy > 4 mm

Orthodontic expansion: interested only the dental structures which implies a lot of
inclinations of the teeth
Deficit of discrepancy < 4 mm

Guiding criteria:
- Age of the patient
- Type of the appliance
- Desired width expansion
- The intensity of the applied force

At the level of the teeth the applied force is direct and the teeths are moving
lateral so it is resulting an open space anterior between IC upper = diastema. This place
will close when the expansion is completed and the teeths comes to their position.

The pain is normal in the initial fase of the expansion of the palat but the pain will
disappear when the 2 maxilary bones are almost separate and this in the sign of the
right separation.
An advice for stopping the expansion is the moment that palatinal cuspid of the
upper molars are at the same high with vestibular cuspid of the lower teeth.

Stages for the treatment:


a. Active fase which have a duration for 15 days
b. Fixed Retention fase with blocked circuit breaker- for 2-3 months
c. Stabilization fase with a mobile device for 5-6 months