Removable appliances

Uses
y Still the appliance of choice for selected cases y Can b used in combination with fixed appliances. y Space maintainers y Retainers

Removable appliance depend on spontaneous tooth movements

y Eruption guidance

in late mixed dentition stage appropriate extraction allow an enhanced path of eruption for crowded out teeth

Spontaneous uprighting of the canines.

Labio lingual movements

Mesial migration

y When patient is growing y most rapid during pubertal growth spurt.

Active movement of teeth using removable appliances.

y y y y y

Tipping. Mesio distal tipping Labio lingual tipping. Rotation Extrusion Relative intrusion of group of teeth.

Types of tooth movements

Force couple

Tipping Movement

Labio lingual movement

Occlusal movement (Extrusion)

Relative intrusion of a group of teeth.

Fulcrum / Axis of rotation

Finger spring Effect of change of point of contact.

Point of contact

Effect of force magnitude.

appliances.

1. 2. 3. 4.

Active components Retentive components Base plate Anchorage

Active components
y Springs y Bows y Screws y Elastics

Springs
y Made of 18/8 stainless steel. y Cantilever springs

Supported at one end.

Mechanics of a cantilever spring depend on

y Deflection y Cross sectional area of the wire y Length of the wire. y F=R4 /L3

Cantilever spring

Stability of the spring

Placement of the coil

Activation of finger spring.

Palatal canine retractor

Adjustment of the guard wire.

Palatal movement of a premolar

Buccal springs

Reverse loop retractor

Cranked cantilever spring

Double cantilever spring

Labial bows
y U loop labial bow y Split labial bow y Reversed loop labial bow y Extended labial bow y Roberts Retractor.

U loop labial bow

Labial bow

Split labial bow

Reversed loop labial bow

Extended labial bow (flexible labial bow)

Apron Spring

Roberts Retractor

Screws

Retentive components
y Adams Clasp y C Clasp y Ball Clasp y Fitted labial bow y Southend clasp

Adams clasp

C clasp and Ball clasp

Southend clasp

Fitted labial bow

Base plate
y Modifications y Anterior bite plane y Posterior bite plane y Anterior inclined plane y Tongue guard

Base plate

Anterior bite plane

Posterior bite plane