FIXED APPLIANCES/fixed orthodontic courses by Indian dental academy

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Fixed Appliences:

Fixed Appliences INDIAN DENTAL ACADEMY Leader in continuing dental education www.indiandentalacademy.com www.indiandentalacademy.com

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Evaluation of Fixed Appliances in Brief Dr.Edward Angel - 1926. Father of Modern Orthodontics School of Orthodontics Edgewise Appliance 1 st bracket, Band Classification of mal-occlusion Proponent of non extraction treatment. www.indiandentalacademy.com

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Edgewise Slot Bracket Rectangular slot www.indiandentalacademy.com

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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. www.indiandentalacademy.com

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Begg Technique Light wire technique, Round Wire technique. Tooth movement is sequential and divided in to three stages. 1 st stage- Alignment, decrowding correction of deep bite bite and over jet. 2 nd Stage- Retraction of teeth and closure of all the spaces. 3 rd Stage - Root uprighting and torquing. 4 th Stage - Finishing and detailing www.indiandentalacademy.com

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Features of Begg technique 1 st and 2 nd stages mainly include tipping of teeth In the 3 rd stage tooth uprighting is done and torque is done. Connection of root inclination in Labio lingual direction is called as torquing of roots. www.indiandentalacademy.com

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Uncontrolled tipping Control Tipping www.indiandentalacademy.com

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Edgewise system Bodily Movement of teeth can be achieved In 1971 Andrews introduced Preadjusted Edgewise system Built in Tip and Torque in Brackets Reduction of number of stages Esthetically pleasing bracket system Excellent finishing and detailing. www.indiandentalacademy.com

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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. www.indiandentalacademy.com

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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. www.indiandentalacademy.com

Orthodontic Treatment Planning:

Orthodontic Treatment Planning www.indiandentalacademy.com

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Class I Malocclusion Skeletal Class I Proclination Bimaxillary protrusion Crowding Spacing High labial positioned canines. www.indiandentalacademy.com

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Proclination: With space Without spacing www.indiandentalacademy.com

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Pre treatment profile, Age:15yrs www.indiandentalacademy.com

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Crowding Mild - 2-3mm Moderate - 3-6mm Severe - 6 and above www.indiandentalacademy.com

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Class II cases: Every growing period Maxillary prognathism Mandibular Normal 2. Maxillary Normal Mandibular deficient Vertical growing Horizontal growing www.indiandentalacademy.com

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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. www.indiandentalacademy.com

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Vertical maxillary excess long face, incompetent lips, proclined incisors, infantile swallowing pattern www.indiandentalacademy.com

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Skeletal open bite with long face syndrome www.indiandentalacademy.com

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Maxillary intrusion splint, with habit breaker, with headgear. www.indiandentalacademy.com

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Post orthopedic appliance www.indiandentalacademy.com

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Maxillary Normal Mandibular deficient www.indiandentalacademy.com

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Treatment plan: Functional Appliance Therapy to advance the mandible: Activator Twin block Bionator This is followed by fixed appliance therapy. www.indiandentalacademy.com

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Prognathic Maxillary Retrognathic mandible Treatment Plan: Head and gear and Functional appliance Class II Combination www.indiandentalacademy.com

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Class II non growing: Maxillary forward Mandibular back. www.indiandentalacademy.com

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Orthodontics Caumafluege Upper extraction only 4 4 4 4 2. 4 4 4 4 4 4 5 5 4. Non Extraction www.indiandentalacademy.com

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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 www.indiandentalacademy.com

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Class II Div. Feature : a. Usually Mandible / Chin Prominent b. ‘U’ Shape arches c. Cetrals retroclined d. Deep bite. www.indiandentalacademy.com

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Treatment Plan: Alignment of incisors Intrusion of incisors and correction of deep bite Some times mandibular relocation takes place in to class I Growth Modulation through functional appliance if no relocation. www.indiandentalacademy.com

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Class III Growing Retraguathic Maxilla Normal Mandible 6-9 years : Face mask, reverse pull head gear 9-13 years: Facemask with rapid palatal expander www.indiandentalacademy.com

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RPE to split the sutures and facilitates the translation of maxilla forward. After 16 years Orthognathic Surgery www.indiandentalacademy.com

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Growing mandible: Chin Cup Observe the mandible thought the growth period. May require surgery at end of growth period. www.indiandentalacademy.com

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Thank you For more details please visit www.indiandentalacademy.com www.indiandentalacademy.com

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