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Expanders

Max Expansion plate Max Expansion plate

A. Maxillary / Mandibular Slow Expansion (Schwartz Type) plates:

This appliance is intended to create space in a crowded dentition in order to allow more room to align the teeth. This is accomplished by utilizing a screw embedded inthe acrylic plate.
Max Ant Expansion Max Ant Expansion Plate

B. Max Ant (AP)Expansion/Cross Bite correction plates

When one/or more maxillary incisors are positioned lingual to the mandibular incisors it is in cross bite situation. To treat this condition with a removable appliance, the patient’s bite must be opened enough for the misaligned tooth to “jump” the cross bite, and a force must be applied tothe lingual side of the tooth topush it in the right direction.The Cross -Bite Appliance uses acrylic coverage on the patient’s posterior teeth to open the bite and applies pressure to the Misaligned tooth with a small ‘Z’ spring(s) or screws embedded in acrylic that push the incisors labially.
All Wire Soldered RPE

C. Fixed Expanders - with Bands

i. Standard All Wire Banded RPE- Soldered to Two / Four bands

The Standard Rapid Palatal Expander uses a metal screw soldered to bands. It is opened at a rate of ½ mm per day using a wire key. The screw opens laterally causing the palatal plates to push apart. The patient is instructed to open the screw ¼ turn twice a day until the desired amount of expansion is achieved. The appliance is then worn passively to act as a stabilizing device until new bone has formed along the suture. RPE as routine tool in the skeletal expansions of the maxilla. The initial designs of RPE were just basic metal framework with RPE screw soldered to 2 or 4 bands on teeth.
Compact Mini RPE

ii. Compact Two Band –Mini RPE

This screw addresses the comfort issues some patients experience with a standard RPE design by greatly reducing the bulk of the screw itself. Some clinicians feel that this design’s effectiveness is limited to dental expansion only.
Haas Expander

iii. Haas Expander- Two or Four Bands with Screw embedded in Acrylic

The design of this expander allows it to apply lateral force to both the teeth and the walls of the palate (tissue borne anchorage). This is achieved by using an acrylic borne screw embedded in an acrylic plate. A split in the acrylic along the patient’s midline widens as the screw is turned. Heavy wires embedded in the plate are soldered to bands and run along the lingual surfaces of the patient’s posterior teeth. Some clinicians feel that the acrylic plate aids in achieving more true lateral expansion rather than the outward tipping of the posterior teeth sometimes associated with expanders that only push against the teeth.Further it was perceived as tooth borne as well as tissue borne anchorage. All that expected of this appliance was delivered; especially the expansions were more parallel at the skeletal level.
Quad Helix Expander

iv. Quad Helix –All metal with Two bands

The Quad Helix is used to expand the maxillary arch and de-rotate the first molars by selectively making use of the four helical springs built into the design. The helical springs can be activated in unison or individually to achieve the desired results. It is capable of applying forces in numerous directions depending on how it is activated.
Splint Type RPE Splint Type RPE/ in situ
Splint Type RPE

v. Splint type Bonded RPE

This expander uses the same type of screw as the Standard RPE, but is bonded to the posterior teeth with an acrylic shell rather than soldered to bands. Majority of clinicians prefer this design because they feel the acrylic shell distributes the lateral force of the screw more evenly across the posterior teeth. The shell acts as a posterior bite plate which unlocks the patient’s occlusion allowing the screw to work with less resistance. RPE additionally gave the effect of post bite platform that cleared the bite, for ease of expansion.


vi. Splint Type – Pressure molded and Thermoformed (PMT)

This is Mini Star* fabricated with Biocryl* (*Scheu dental, Germany) to make RPE’s buccal segment acrylic occlusal cover very thin, yet very strong –with virtually no occlusal trimming needed. This thin occlusal cover brings about the right amount of discclusion needed to clear the bite. Biggest advantage is that the appliance ismuch more hygienic, as well as the fitting the same in the mouth is stress-free chore. It works on all situations-both dental as well as skeletal expansions, works well even with Face masks hooked on to them.

MARPE- Appliance

vii. Mini-screw Assisted RPE (MARPE)

It is Mini-screw Assisted RPE, which is very akin to Surgical ARPE, in terms of usage and indications. Well the only difference is that no surgical intervention in MARPE... It is specifically used in the post adolescent age group -16 to 25 years, where stand-alone RPE is not feasible or effective. Adding 2 or 4 mini screws on either side of the mid-line, attached by loops soldered to the screw body will augment the force and rigidity of the appliance, for better and more parallel splitting of more or less fused mid palatine sutures. Since the appliance uses MORE tissue-borne anchorage it is devoid of any patient discomfort. This appliance therapy increases the age envelope for application of RPE.

Retainers

LBR’s for Direct Bonding LBR’s for Direct Bonding
LBR’s for Direct Bonding LBR -All teeth / Direct bonding
LBR-Bonded to Terminal teeth

Fixed Retainers

Max & Mand Lingually Bonded Retainers(LBR’s)-For Direct Bonding

1. 3 to 3, 2 to 2, 1 to 1, / Any Other Combination
2. Bonded to all Teeth, Selected Teeth Only
3. Wires to used- Flat Braided(.010x.028), Round (018), Rectangular (16x22) Edgewise

Maxillary & Mandibular LBR’s-For Two Step-Inner Soft & Outer Hard-Indirect Bonding

1. 3 to 3, 2 to 2, 1 to 1, / Any Other Combination
2. Bonded to all Teeth, Selected Teeth Only
3. Wires to used, Flat Braided(.010x.028), Round (018), Rectangular (16x22) Edgewise

LBR- For Two Layered Indirect Bonding Tray-Method
Max Hawley Max Hawley
Max SLB* Mand Hawley
Max Hawley

Removable Retainers

Maxillary Hawley

Hawley retainers are the original retainer design and are still quite popular today. Doctors like the design because it is easy to adjust and the labial bow wire is rather rigid. This keeps the patient from deforming it in the process of putting the retainer in and taking it out. The labial bow can be flattened as shown in this example. The idea of flat wire is more surface contact /equals better retention.

Maxillary SLB- The Soldered Labial Bow (SLB)*

Retainer is a variation of the Hawley retainer. The labial bow is extended back to the first molars and soldered to Adams clasps. This gives the appliance greater ability to hold the position of the posterior teeth.

Max Hawley- with Wraparound Labial Bow Max Hawley- with Wraparound Labial Bow
Max Hawley- with Wraparound Labial Bow

Maxillary & Mandibular Wraparound

The Wraparound Retainer is also a variation of the Hawley design. The Wraparound or Circumferential retainer extends the labial bow along the buccal side of the posterior teeth and wraps around the contours of the terminal molars before entering the acrylic plate. This is desirable because not only can the retainer hold the position of the posterior teeth, it also has no wires running across the teeth to interfere with the patient’s occlusion.
Modified Spring Aligner Modified Spring Aligner
Modified Spring Aligner

Modified Spring Retainer

The Modified Spring Retainer uses a spring mechanism on the lingual of the anterior and a bow with labial acrylic toapply force in the desired areas. This design is relatively rigid and is only capable of very minor corrections.
*Made with Sprinkle Acrylic methodor Pressure Molded-Thermoformed (PMT) with Biocryl* in Mini Star* machine

Invisible Retainers

i. Essix Type made of Transparent Duran*

Pressure Molded Thermoformed (PMT) in Mini Star* machines –Thickness available, 0.60, 0.70, 1.00, 1.5, 2.0, 2.5 mm thickness

Removable Appliances

Adams Clasps C-Clasps
Ball-Clasps Arrow Clasps

A. Clasp Options

i. Adams Clasps,
ii. C-Clasps
iii. Ball-Clasps
iv. Arrow Clasps
‘Z’-Spring Z-Spring w/Helix
Finger Spring w/Helix T–Spring

B. Spring Options

i. ‘Z’ -spring
ii. Z -spring w/Helix
iii. Finger spring w/Helix
iv. T –spring
Hawley’s Labial bow Labial bow with Acrylic mask
Flat labial bow Hawley’s Labial bow

C. Labial Bow Options

i. Hawley’s Labial bow,
ii. Labial bow with Acrylic mask
iii. Flat labial bow
Anterior Bite Plate Posterior Bite Plate

D. Bite Plates

i. Anterior Bite Plate
ii. Posterior Bite Plate

Anchorage /Holding Appliances

Lingual Arch Lingual Arch w/loop
TPA Nance appliance
Nance: Spikes-Inserted Nance: Spikes-Bonded
A. Mandibular Lingual Arch Bonded /Soldered to Bands 6 to 6
B. Mandibular Lingual Arch with Loops, Bonded /Soldered to Bands 6 to 6
C. Max Nance Holding Appliance with/without Tongue Spikes
D. TPA-Soldered to Bands or Bondable Custom made on models supplied
E. Pre-formed TPA’s with loop, 3 Sizes-Large, Medium & Small- Heat Treated ready to be inserted in Molar Sheaths or Mesh backed pad to Bond directly on Molars

Space Maintainers/ Habit Breakers

Fixed Band & Loop Space Maintainer Fixed Band & Loop Space Maintainer
Tongue Habit Breaker Bonded Nance+ Spikes

A. Fixed Band and Loop Appliance

B. Tongue Habit Breaking Appliance

  i. All metal Crib
  ii. Nance Type – Acrylic & Spikes

C. Thumb Habit Breaking Appliance

D. Lip Bumpers

Functional Appliances

Basic Activator Bionator I
Bionator II-for Open Bite Twin Block Appliance
Twin Block Appliance

A. Basic Activator – All acrylic with/or without lower incisor capping and labial bow

B. Bionator - Conventional for Correction of Class II

C. Twin Block Appliance

The Twin Block Appliance differs from other functional appliances in that it is actually two separate appliances (maxillary and mandibular) working together to maintain an advanced mandibular position. This is achieved by incorporating acrylic blocks into the occlusal surface of the appliances which interface with each other in the bicuspid region at a 70 degree angle.

This interface prevents the mandible from sliding back into its accustomed position.

Splints

Occlusal Coverage Splints Occlusal Coverage Splints
Occlusal Coverage Splints Occlusal Coverage Splints
Occlusal Coverage Splints

Splints

A. Hard

Full Hard Occlusal Coverage

B. Hard and Soft

Full Hard Occlusal Coverage + Pliable Soft inner layer in contact with Teeth for needed protection

C. Added Bite platforms

Security - Athletic Mouth Guards

Athletic Mouth Guards Athletic Mouth Guards
Athletic Mouth Guards Athletic Mouth Guards
Athletic Mouth Guards

Security - Athletic Mouth Guards

A mouth guard is a protective device for the mouth that covers the teeth and gums to prevent and reduce injury to the teeth, arches,lips, and gums. Laboratory processed professional grade mouth guards are prescribed for both professional and amateur athletes, because they offer the highest level of protection. They are custom fitted to the maxillary arch, generally 3 to 4 mm thick and much more comfortable than generic mouth guards. The mouth-guard maintains its form because of the heat and pressure laminating process. The tensile strength is excellent due to the two layers of laminate while the density is maintained during the pressure laminated process for controlled, uniformed shape. Overall, the risk of injuries is lessened by about 90% when wearing a custom-made mouthguard.

Other benefits include:
• Increased oxygen intake for maximum performance and endurance
• Improved speech for clear communication on the field
• Natural comfort with a secure fit
• Maximum impact dispersion and protection against tooth damage
• Custom fit for any size mouth
• Multiple color options to meet the needs of your patients

Miscellaneous

A. Bleaching Trays

B. Study Models Trimming/ Finishing

Study Models Trimming & Finishing Service
All Orthodontic Models trimmed to –AAO specified Requirements- in super white high grade plaster with different Types of Finish and Polish...

Study Models Trimming & Finishing Service
All Orthodontic Models trimmed to –AAO specified Requirements- in super white high grade plaster with different Types of Finish and Polish...

Types of Finish Offered:
1. Rough Finish, No Polishing
2. One layer French Chalk Finish
3. High gloss, model glaze /Soap Finish

C. Fluoride Application/ Bleaching Tray

D. 'Pendex' and 'Pendulum' Appliances

Pendulum and Pendex (with expansion screw) are intra oral Molar Distalizing Appliances. When you need concurrent palate expansions, in additions to distalization one should use Pendex. You have the choice of asking standard expansion screw or an RPE screw incorporated in the appliance.

The appliance uses both Teeth and Tissue borne anchorage for efficient bodily molar distalization. This is possible because of the added springiness of distalizing springs being wound with 0.032" TMA wires.