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PURPOSE
to prevent your lower molars from moving. used to preserve and create space in the mandibular arch and to aid in uprighting of the molars designed for space management and rotation of molars if needed.
Fabrication
(a laboratory processed appliance soldered to a molar band that requires two visits by the patient) Bands are adapted to the most posterior tooth remaining on the arch (first permanent molar or second primary molar)
Fabrication
The appliance is fabricated in a laboratory. A 0.036 stainless steel wire is soldered to the bands. This wire must be 1.5 mm away from the soft tissues for gingival health. This wire should rest on the cingula of the incisors. Cementation with appropriate cements (described earlier).
Indications:
Loss of second primary molar in the mandible Bilateral loss of primary teeth in the mandibular arch during transitional dentition. Maintenance of arch perimeter and incisor positions. Contraindicated in primary dentition.
Modification of LLA with omega loops. Activation of loops help flare anteriors with some distalising of permanent molars.
Contraindications
Permanent mandibular incisors not yet erupted.
If food is not effectively removed from the lingual arch, it can cause dental decay and gum problems
Tilt your toothbrush on a 45 angle on the gum line, underneath the bands on your lower first molar teeth Rotate your toothbrush ten times on both the left and right sides, inside and outside of the bands
A dental floss threader will be provided so that you are able to floss around the lingual arch
Instructions:
No hard or sticky foods (corn chips, hard candy, caramel, gum, taffy, peanuts, etc.) 3-4 carbonated drinks (coke, root beer, 7-up etc.) per week
Proper Care
Brush teeth at least 3 times daily. Use a water pick or floss, to remove food caught underneath the appliance. Watch diet and contact office if bands come loose or anything breaks or wire gets bent. Warm salt water rinses for sores. 'Rescue' wax for bands until cheeks get used to new appliance
Advantages: Disadvantages:
Maintains the First permanent tooth space and molars may be the leeway susceptible to space decalcification to prevent your may be prone to lower molars from breakage unless moving the patient is well-informed on maintenance
Prices
As of June 1, 2012 by Ortho Dent Laboratory Inc. LLHA - 1361.26Php LLHA with loops 1536.06Php