In the name of God

Screening effect of Buccal Shields and Lip Pads holding off the Buccinator mechanism and Orbicularis Oris pressure

Screening effect of Buccal Shields, holding off the Buccinator mechanism

Counterbalancing effect of the tongue if the dorsum is in contact with the palate

On swallowing, a negative atmospheric pressure is created that sucks the cheeks into the interocclusal space, to help maintain the interocclusal space at postural resting position before the mandible drops at the end of the deglutition cycle

Frankel function regulator

FR I (off the plaster casts)

Vestibular components: Shields, Lip pads, Canine clasps, Labial arch, and Labial arch loop

Palatal bow, Molar occlusal rest

Lingual acrylic pad, lingual wires, and crossover hanger wire

FR I

Contiguity of buccal musculature and tongue to the teeth and supporting structures

The lingual inclination of the mandibular buccal segments is evident. Abnormal perioral muscle function allows the tongue to drop and tips the maxillary buccal segments lingually. Mandibular width is seldom affected, however.

Palatal and lingual Incisor wires are anchored in the embrasures mesial to the permanent first molars and first premolars or deciduous first molars if present.

FR II

Relief of the buccinator mechanism forces on the dentoalveolar area.

The shield extends to the depths of the vestibule, exerting pressure on tissue attachments to the alveolar bone.

In addition to relieving the external pressure, particularly when it is strongest (deglutition), the shields exert an indirect tension on periosteum overlying the bone.

 Experiments have shown that the

mentioned phenomenon enhances osseous proliferation and results in more bodily tooth movement of both erupted and unerupted teeth, with changes in the buccal and lingual bony surfaces.

Resorption

Deposition

Class II, Division 1

3 mm of Mand. Protraction

6 mm of cuspal advancement into a class I buccal segment relationship.

 The dramatic change

produced, provide a visual treatment objective (VTO) for potential Frankel appliance user. If the profile is not improved by this maneuver, some other appliance may be needed.