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A tongue crib is a removable appliance placed in the maxillary arch to stop the tongue thrusting habit. This appliance may be used in patients with mixed dentition or permanent dentition. The tongue crib is attached through a bar to two bands placed on the upper 1st molars. The crib is shaped like a horseshoe with metal bars that prevent thrusting.
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.
Tongue thrusting is a type of orofacial myofunctional disorder, which is defined as habitual resting or thrusting the tongue forward and/or sideways against or between the teeth while swallowing, chewing, resting, or speaking. Abnormal swallowing patterns push the upper teeth forward and away from the upper alveolar processes and cause open bites.
Tongue thrusting is an adaptive means of closing an open (or incompetent) lip state, caused by a unique combination of anatomical reasons, or; Tongue thrusting is the cause or potentiator of an open or incompetent lip state, which resists efforts at behavioural change or clinical attempt at remedy. In generality, tongue thrusting is poorly ...
Ill-fitting dental fillings, crowns, appliances, retainers, or braces as well as misalignment of jaw fractures after a severe injury are also known to cause crowding. [26] Tumors of the mouth and jaw, thumb sucking, tongue thrusting, pacifier use beyond age three, and prolonged use of a bottle have also been identified. [26]
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The appliance includes a jackscrew in the middle for patients to turn for expansion purposes. This appliance also has rigid wires extending from appliance to premolars and molars. It is important to note that the tooth-borne expanders can be divided into the Bonded vs. Banded Type of expanders. Hyrax appliance falls under the banded type appliance.
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