Angle Appliance And Fixed Ortho Flashcards
Angle appliance definition
🔸Device fixed to teeth and applies forces by archwires or auxiliaries
Angle appliance effect
Any type of tooth movement in any occlusion
Angle appliance elements
Bands with vestibular tubes and vestibular archwire
Angle appliance requirements for individual made ring with tube
🔸Do not reach gingival sulcus
🔸Be open occlusal
🔸The tube must be parallel to occlusal plane
🔸First molar separated from adjacent teeth
Angle appliance Archwires
🔸For expansion
🔸For retrusion
Angle Archwires for expansion
🔸Increase the size of the dental arch
🔸Have U shaped curves
Angle Archwires for retrusion
🔸Reduce size of dental arch
🔸Have medial opened hooks soldered in canine region
Angle appliance ligatures
Single and double spring
Angle appliance effects
🔸Leveling teeth in the arch
🔸Arch expansion
🔸Incisors protrusion
🔸Incisors retrusion
🔸Good occlusion
Angle appliance disadvantages
🔸 Flared teeth
🔸Overloaded teeth
🔸Traumatized periodontal
🔸Displaced only crown of teeth
was designed to allow the orthodontist to place the teeth into Angles concept of the ‘line’ of occlusion’
Edgewise system
first appliance developed by angle that employed a bracket and used bands on most of teeth
Pin and tube system
Edgewise system - angle- 1925-1928
- Affects every tooth in three planes
- Controls the position of each dental arch segment or the entire
dental arch - Allows adjusting the ratios of jaws, which can lead to a change in the proportions of the jaw bases and jaw growth
Begg appliance
Uses concept of differential force and tipping of teeth, rather than bodily movement
Indications for use of fixed appliances
🔹Mild to moderate skeletal discrepancies
🔹Intrusion/Extrusion of teeth
🔹Correction of rotations
🔹Overbite reduction
🔹Closure of extraction spaces
Treatment with fixed appliances should only be given to patients with
🔹Good oral hygiene
🔹Good diet/avoidance of sticky foods
🔹Regular attendance
Components of fixed appliances
🔹Brackets
🔹Bands
🔹Archwires
🔹Ligatures
🔹Auxiliaries
Auxiliaries include
tubes, springs, retractors, lock pin, buttons, hooks
Steps in orthodontic bonding
🔹Cleaning
🔹Moisture control
🔹Enamel conditioning- 15-30 secs/ wash and drying
🔹Sealant application to bracket base
Advantages of orthodontic bonding
🔹More aesthetic
🔹Easier oral hygiene maintenance.
🔹 Partially erupted teeth can also be bonded
🔹Risk of caries is eliminated.
🔹 Proximal stripping is possible.
🔹 Less chair side time.
🔹 Proximal areas are available for restoration
Disadvantages of orthodontic bonding
🔹It is a weak attachment
🔹Risk of enamel demineralization
🔹 Enamel fracture can occur during debonding
🔹More bonding failure
requires placing the bracket at different heights on each tooth to compensate for differing crown lengths
Edgewise standard