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The most common type of tissue-borne expander is known as the Haas Appliance. This appliance was popularized by Andrew Haas in 1961. This appliance involves bands placed on maxillary first premolar and first molars on each side.
A removable appliance is usually used by patients who have high degree of compliance with their orthodontic treatment. Fixed appliances are able to produce very accurate movement in the teeth [1] [2] Both fixed and removable functional appliances can be used to correct a malocclusion in three planes: Anterior-Posterior, Vertical and Transverse.
Palatal expander in mixed dentition. Rapid palatal expansion (RPE) or Rapid Maxillary Expansion (RME) is an expansion technique where expansion of 0.5 mm to 1 mm is achieved each day until the posterior crossbite is relieved. The expander works by turning a key inside the center of the expander.
SARPE is performed to address the transverse dimension changes in a patient. Sometimes this surgery is followed by Le Fort 1 in a second surgery to address the vertical and the anterior-posterior changes. Between the two surgeries, a patient's constricted maxillary arch is expanded with the rapid maxillary expander device placed in the maxilla.
The original bite-jumping appliance (Herbst appliance) was designed by Dr. Emil Herbst and reintroduced by Dr. Hans Pancherz using maxillary and mandibular first molars and first bicuspids. The bands were connected with heavy wire soldered to each band and carried a tube and piston assembly that allowed mandibular movement but permanently ...
However, many other studies have showed that TPA cannot provide absolute anchorage to prevent mesial movement of the posterior molars. Baccetti et al. (2011) showed that the TPA could be used in the absence of Rapid Maxillary Expander. In these cases, the patients have palatally displaced canine teeth which do not require expansion. [3]
Frankel appliance or Frankel Functional Regulator is an orthodontic functional appliance which was developed by Rolf Fränkel in 1950s for treatment to patients of all ages (more so for adults In Orthotropics). This appliance primarily focused on the modulation of neuromuscular activity in order to produce changes in jaw and teeth.
ACCO or Acrylic Cervical Occipital Anchorage is an appliance in field of orthodontics which is used for molar distalization of maxillary molars. This appliance is a removable type of appliance which was developed by Herbert I. Margolis. This appliance is intended to be worn 24 hours a day except during meals.
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