Disadvantages of Removable Appliances

• Heavily dependent
upon patient
Principles of Removable Appliances compliance
• Affect speech
• Unable to perform
Margaret C. Park, DMD, MPH complex tooth
June 4, 2004 movements

Indications Appliance Design

• Growth modification during mixed dentition • Considerations

stage (functional appliances) • What movement
• Limited tooth movement (tipping) is desired
• Correction of individual tooth malposition • Acceptability of
• Arch expansion the appliance to
• Retention after comprehensive orthodontic the patient
treatment (braces) • Cost
• KISS rule

Advantages of Removable Appliances Laboratory Projects

• Removable for socially sensitive occasions 1) Anterior Bite Plane Appliance

• Uncompromised oral hygiene
• Short chair time 2) Removable appliance to correct an
anterior crossbite

1
 Anterior Bite Plane Appliance Anterior Bite Plane Appliance

• Indications • Adams clasp

– Deep overbite – .028 stainless steel round wire
– Most useful clasp
– Provides excellent retention
– Engages in the mesiobuccal and distobuccal
undercuts of individual posterior teeth

Anterior Bite Plane Appliance Anterior Bite Plane Appliance

• Components
– Hawley type labial bow • Circumferential clasp
– Clasps on maxillary first molars
– .030 stainless steel round wire
• Adams clasp
• Reverse circumferential – More of a supporting role than a retentive role
clasp (C-clasp) – Keeps clear of occlusal contact
– Palatal coverage and
anterior bite plane
• Triad

Removable appliance to correct

Anterior Bite Plane Appliance an anterior crossbite
• Hawley labial bow • Indications
– .030 stainless steel
round wire
– Canine to canine with
adjustment loops
– Purpose
• Retract flared
incisors
• Provide anterior
stabilization
• Control position of
incisor teeth

2
 Removable appliance to correct Laboratory Prescription for
an anterior crossbite Anterior Bite Plane
• Components
– 4 ball clasps
• Mesial and distal to the primary second molars
– Lingual finger spring
– Posterior bite planes
– Palatal plate

Removable appliance to correct Laboratory Prescription for a removable

an anterior crossbite appliance to correct an anterior crossbite
• Ball Clasp
– Extends over the embrasure between
adjacent teeth and uses undercuts on the
buccal surface

Removable appliance to correct

Clinical Adjustments
an anterior crossbite
• Finger spring • Patients should be seen every 4 to 6 weeks for
• .020 stainless steel wire adjustments
• Tighten clasps (for better retention)
• Activate springs
– Activate to produce approx. 1 mm of
• Posterior bite plane movement
• To raise the bite so that the maxillary incisor that is
in crossbite can move labially without occlusal
• Remove/clear material from the baseplate (when
interferences and trauma a tooth is being moved lingually, not labially)