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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
www.indiandentalacademy.com
RFFA’s : The Ventral Telescope

www.indiandentalacademy.com
RFFA’s : The Magnetic Telescopic device
- Ritto – 1997

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

www.indiandentalacademy.com
RFFA’s : The Mandibular Protraction
Appliance ( MPA)
MPA I

www.indiandentalacademy.com
RFFA’s : The Mandibular Protraction
Appliance ( MPA)
MPA II

www.indiandentalacademy.com
RFFA’s : The Mandibular Protraction
Appliance ( MPA)
MPA II

www.indiandentalacademy.com
RFFA’s : The Mandibular Protraction
Appliance ( MPA)
MPA III

www.indiandentalacademy.com
RFFA’s : The Mandibular Protraction
Appliance ( MPA)
MPA IV

www.indiandentalacademy.com
RFFA’s : The Universal Bite Jumper (UBJ)
Xavier Calvez - 1998

www.indiandentalacademy.com
RFFA’s : The Universal Bite Jumper (UBJ)

www.indiandentalacademy.com
RFFA’s : The Universal Bite Jumper (UBJ)

www.indiandentalacademy.com
RFFA’s : The Ritto Appliance
- Koroddi Ritto - 1998

www.indiandentalacademy.com
RFFA’s : The Ritto Appliance

www.indiandentalacademy.com
RFFA’s : The Biopedic - GAC

www.indiandentalacademy.com
RFFA’s : The Intra-oral Snoring Therapy
appliance (IST) - Hinz

www.indiandentalacademy.com
The MARA appliance – Toll and Eckhart

www.indiandentalacademy.com
The MARA appliance – Toll and Eckhart

www.indiandentalacademy.com
The MARA appliance

www.indiandentalacademy.com
Effects due to the Herbst appliance

www.indiandentalacademy.com
Effects due to the Herbst appliance

www.indiandentalacademy.com
Herbst appliance in an adult

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

www.indiandentalacademy.com
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
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
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
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
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