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FIXED FUNCTIONAL
APPLIANCES

INDIAN DENTAL ACADEMY
Leader in continuing dental education
www.indiandentalacademy.com
www.indiandentalacademy.com
The Herbst appliance – generations
Gen. I – Banded and crown Herbst
Gen. II – Herbst directly onto archwires
Gen. III – Cantilever Herbst
Gen. IV – The Ball joint attachments
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RFFA’s : The Ventral Telescope

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RFFA’s : The Magnetic Telescopic device
- Ritto – 1997

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RFFA’s : The Mandibular Protraction
Appliance ( MPA)
-Coelho Filho – 1995,97,98,2001
MPA I

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RFFA’s : The Mandibular Protraction
Appliance ( MPA)
MPA I

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RFFA’s : The Mandibular Protraction
Appliance ( MPA)
MPA II

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RFFA’s : The Mandibular Protraction
Appliance ( MPA)
MPA II

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RFFA’s : The Mandibular Protraction
Appliance ( MPA)
MPA III

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RFFA’s : The Mandibular Protraction
Appliance ( MPA)
MPA IV

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RFFA’s : The Universal Bite Jumper (UBJ)
Xavier Calvez - 1998

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RFFA’s : The Universal Bite Jumper (UBJ)

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RFFA’s : The Universal Bite Jumper (UBJ)

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RFFA’s : The Ritto Appliance
- Koroddi Ritto - 1998

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RFFA’s : The Ritto Appliance

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RFFA’s : The Biopedic - GAC

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RFFA’s : The Intra-oral Snoring Therapy
appliance (IST) - Hinz

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The MARA appliance – Toll and Eckhart

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The MARA appliance – Toll and Eckhart

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The MARA appliance

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Effects due to the Herbst appliance

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Effects due to the Herbst appliance

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Herbst appliance in an adult

a)Dento-alveolar changes
b)Source of anchorage
c)TMJ dysfunction

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Clinical considerations for a fixed
functional appliance
Appliance selection
Archwire selection – Upper + Lower
Initial adaptation of the patient
Stepwise advancement
Considerations of retention
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Clinical considerations for a fixed
functional appliance
Appliance selection
PEA preferable (specially in the lower
arch)– rigid rectangular wire with labial
root torque on anteriors.
Upper appliance dependant on the
malocclusion
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Clinical considerations for a fixed
functional appliance
Archwire selection
Upper archwire – atleast 0.018” SS (Begg)
or 0.017 X 0.025” SS (PEA)
Lower archwire – 0.019 X 0.025” (PEA)
0.021 X .025” (Tip-edge)
0.022 X 0.018” ( Begg)

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Clinical considerations for a fixed
functional appliance
Initial adaptation of the patient
Acrylic splint with mandible postured
forward for muscle adaptation and
training the patient

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www.indiandentalacademy.com
www.indiandentalacademy.com
Clinical considerations for a fixed
functional appliance
Stepwise advancement – Not always
necessary
Considerations of retention - How long
- with what?
www.indiandentalacademy.com
Thank you
www.indiandentalacademy.com
Leader in continuing dental education

www.indiandentalacademy.com

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Fixed functionals Appliance /certified fixed orthodontic courses by Indian dental academy

  • 1. FIXED FUNCTIONAL APPLIANCES INDIAN DENTAL ACADEMY Leader in continuing dental education www.indiandentalacademy.com www.indiandentalacademy.com
  • 2. The Herbst appliance – generations Gen. I – Banded and crown Herbst Gen. II – Herbst directly onto archwires Gen. III – Cantilever Herbst Gen. IV – The Ball joint attachments www.indiandentalacademy.com
  • 3. RFFA’s : The Ventral Telescope www.indiandentalacademy.com
  • 4. RFFA’s : The Magnetic Telescopic device - Ritto – 1997 www.indiandentalacademy.com
  • 5. RFFA’s : The Mandibular Protraction Appliance ( MPA) -Coelho Filho – 1995,97,98,2001 MPA I www.indiandentalacademy.com
  • 6. RFFA’s : The Mandibular Protraction Appliance ( MPA) MPA I www.indiandentalacademy.com
  • 7. RFFA’s : The Mandibular Protraction Appliance ( MPA) MPA II www.indiandentalacademy.com
  • 8. RFFA’s : The Mandibular Protraction Appliance ( MPA) MPA II www.indiandentalacademy.com
  • 9. RFFA’s : The Mandibular Protraction Appliance ( MPA) MPA III www.indiandentalacademy.com
  • 10. RFFA’s : The Mandibular Protraction Appliance ( MPA) MPA IV www.indiandentalacademy.com
  • 11. RFFA’s : The Universal Bite Jumper (UBJ) Xavier Calvez - 1998 www.indiandentalacademy.com
  • 12. RFFA’s : The Universal Bite Jumper (UBJ) www.indiandentalacademy.com
  • 13. RFFA’s : The Universal Bite Jumper (UBJ) www.indiandentalacademy.com
  • 14. RFFA’s : The Ritto Appliance - Koroddi Ritto - 1998 www.indiandentalacademy.com
  • 15. RFFA’s : The Ritto Appliance www.indiandentalacademy.com
  • 16. RFFA’s : The Biopedic - GAC www.indiandentalacademy.com
  • 17. RFFA’s : The Intra-oral Snoring Therapy appliance (IST) - Hinz www.indiandentalacademy.com
  • 18. The MARA appliance – Toll and Eckhart www.indiandentalacademy.com
  • 19. The MARA appliance – Toll and Eckhart www.indiandentalacademy.com
  • 21. Effects due to the Herbst appliance www.indiandentalacademy.com
  • 22. Effects due to the Herbst appliance www.indiandentalacademy.com
  • 23. Herbst appliance in an adult a)Dento-alveolar changes b)Source of anchorage c)TMJ dysfunction www.indiandentalacademy.com
  • 24. Clinical considerations for a fixed functional appliance Appliance selection Archwire selection – Upper + Lower Initial adaptation of the patient Stepwise advancement Considerations of retention www.indiandentalacademy.com
  • 25. Clinical considerations for a fixed functional appliance Appliance selection PEA preferable (specially in the lower arch)– rigid rectangular wire with labial root torque on anteriors. Upper appliance dependant on the malocclusion www.indiandentalacademy.com
  • 26. Clinical considerations for a fixed functional appliance Archwire selection Upper archwire – atleast 0.018” SS (Begg) or 0.017 X 0.025” SS (PEA) Lower archwire – 0.019 X 0.025” (PEA) 0.021 X .025” (Tip-edge) 0.022 X 0.018” ( Begg) www.indiandentalacademy.com
  • 27. Clinical considerations for a fixed functional appliance Initial adaptation of the patient Acrylic splint with mandible postured forward for muscle adaptation and training the patient www.indiandentalacademy.com
  • 30. Clinical considerations for a fixed functional appliance Stepwise advancement – Not always necessary Considerations of retention - How long - with what? www.indiandentalacademy.com
  • 31. Thank you www.indiandentalacademy.com Leader in continuing dental education www.indiandentalacademy.com