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The elastic wear is prescribed by an orthodontist or a dentist in an orthodontic treatment. The longevity of the elastic wear may vary from two weeks to several months. The elastic wear can be worn from 12 to 23 hours a day, either during the night or throughout the day depending on the requirements for each malocclusion.
As the elastics are flexible, up to six elastics may be used to provide various forward and sideways forces on the patient's teeth and arch, while still allowing the patient to open and close his or her jaw. Facemask or reverse-pull headgear shows preparation for fitting to a patient with a number of elastic bands into the patients mouth.
Anterior open bite resulted from tongue thrusting in a 24 y.o. patient. Anterior upper teeth are not touching their counterpart. Anterior open bite (AOB) is defined as a condition in which there is no contact and no vertical overlap of the lower incisor crown with the upper incisor crown when the mandible is in full occlusion. [19]
Components such as Palatal Finger Springs, Buccal Canine Retractor, Z-Spring, T-Spring, Coffin Spring, Active Labial Bows (Mill's Bow or Roberts retractor), Screws and Elastics are all considered to be active components of the removable functional appliances. If a spring is moving one tooth it is made of 0.5mm thick stainless steel wire.
One of the earliest uses of anchorage came from Henry Albert Baker for his use of the intermaxillary anchorage or Baker's Anchorage. This type of anchorage involves using elastics from one jaw to the other, in the form of either Class 2 elastics (moving upper teeth back) where lower molar teeth serve as anchors, or Class 3 elastics (moving lower teeth back) where upper molars serve as anchors.
Herbst appliance parts include stainless steel surgical frameworks that are secured onto the teeth by bands (steel rings that go around teeth) or acrylic bites. These are connected by sets of telescoping mechanisms that apply gentle upward and backward force on the upper jaw, and forward force on the lower jaw.
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An open bite malocclusion is when the upper teeth don't overlap the lower teeth. When this malocclusion occurs at the front teeth it is known as anterior open bite. An open bite is difficult to treat due to multifactorial causes, with relapse being a major concern. This is particularly so for an anterior open bite. [58]
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