REMOVABLE & FUNCTIONAL

APPLIANCES

Dr.Al-Asiry

INTENdEd LEARNINg OUTCOMES

1. List the components of a removable appliance

2. List the indications for a removable appliance

3. Describe the commonly used removable appliances

4. Define functional appliance

5. Describe the mode of action of functional appliance

6. List the indications for functional appliance use

7. Describe the different types of functional appliances

Dr.Al-Asiry

INdICATIONS FOR THE USE OF

REMOVABLE APPLIANCES

1. Simple movements to correct a mild malocclusion

2. Extra-oral traction

3. Arch expansion

4. Influence development of the buccal segment teeth or to

free the occlusion with the lower arch.

5. Space maintainers

6. Retaining appliances

Dr.Al-Asiry

COMPONENTS OF A REMOVABLE

APPLIANCE

Active component(s)

• Retaining component(s)

• Anchorage

• Baseplate

Dr.Al-Asiry

COMPONENTS OF A REMOVABLE APPLIANCE

Active component(s)

Spring Screw Elastic

Simple tooth movment

Expansion

Dr.Al-Asiry

COMPONENTS OF A REMOVABLE APPLIANCE

Retaining the appliance

Adams clasp Southend clasp Ball-ended clasps Plint clasp Labial bows

Dr.Al-Asiry

COMPONENTS OF A REMOVABLE APPLIANCE

BASEPLATE

Components of a removable appliance are connected by means of an acrylic baseplate, which can be a

passive or active component of the appliance

‫ممكن وممكن‬

‫ممكن تسبب انتروجن او اكستروجن‬

Dr.Al-Asiry

COMMONLy USEd REMOVABLE APPLIANCES

Most common

‫هنا كانت فيه صورة عن االنفزالين‬

Jac

Dr.Al-Asiry
FUNCTIONAL APPLIANCES
 FUNCTIONAL APPLIANCES

Growth modi cation

Functional appliance is one that changes the posture of the mandible, holding it forward
and/or open. Pressures created by stretch of the muscles and soft tissues are transmitted
to the dental and skeletal structures to produce movement of teeth and modifying
growth

Dr. Al-Asiry
 MOdE OF ACTION
Dentoalveolar Changes Changes in mandibular growth

Tipping movement accelerate growth

of the mandible
Eruption guidance

Alveolar bone extra growth

apposition

Changes in maxillary growth Changes in the glenoid fossae

restrict the Remodelling of the

forward and glenoid fossa
downward growth anteriorly
of the maxilla

Dr. Al-Asiry
 INdICATIONS

The patient must still be growing

These appliances only work in patients who are growing, and their
effect is greatest when growth is most rapid

The pattern and direction of facial growth should be favourable

The patient must be well motivated

،٨،٩ ‫ تبدا بدري على عمر‬٣ ‫افضل بكالس‬
٧
١١،١٢،١٣، ‫ونص‬١٠ ‫ تبدا متاخر في القروث سبير‬٢ ‫افضل بكالس‬
Dr. Al-Asiry
 CATEgORIES OF FUNCTIONAL APPLIANCES

Tooth-Borne Appliances Tissue-Borne Appliance

Activator Frankel
appliance
Bionator
forward ‫كلها تعطيك‬

Twin Block

Herbst
Appliance

Dr. Al-Asiry
 CATEgORIES OF FUNCTIONAL APPLIANCES
Constructed from acrylic
with the base plate The Activator
angled flutes in the acrylic were
covering the palate and the used to guide the path of eruption
lingual aspect of the lower of the posterior teeth
ridge with shallow lingual
flanges
The labial bow lies against the
upper incisors

Dr. Al-Asiry
 CATEgORIES OF FUNCTIONAL APPLIANCES
The Bionator

‫الفرق الكفرج‬

a cut-down activator with

eliminated palatal coverage

palatal spring passes distally but

dose not contact palatal mucosa

The labial bow extended distally

to keep the cheeks away and
allow expansion

Less bulky & speech is less

impaired

Dr. Al-Asiry
 CATEgORIES OF FUNCTIONAL APPLIANCES
‫كلها ريمو اال ذا فكسد‬
The Herbst appliance

It is the only fixed functional

appliance

The maxillary and

mandibular arches are
splinted with frameworks
that usually are cemented
or bonded

The upper and lower splints

are connected with a pin-
and-tube device that holds
the mandible forward

Dr. Al-Asiry
 CATEgORIES OF FUNCTIONAL APPLIANCES
The twin block

two parts

inclined planes meet

and cause the mandible
to be postured
forwards on closure

allowing nearly a full

range of mandibular
movement

Well tolerated &

reasonable speech

Dr. Al-Asiry
 CATEgORIES OF FUNCTIONAL APPLIANCES
The Frankel appliance

the only tissue borne functional appliance

Buccal shields Lip pads Labial arch Palatal arch Lingual pads
Dr. Al-Asiry
 CATEgORIES OF FUNCTIONAL APPLIANCES
FR1 FR2 FR3

FR1

For treatment of Class II div. 1 malocclusion

Dr. Al-Asiry
 CATEgORIES OF FUNCTIONAL APPLIANCES
FR2

For treatment of Class II div. 2 malocclusion

Palatal arch

Dr. Al-Asiry
 CATEgORIES OF FUNCTIONAL APPLIANCES
FR3

For treatment of Class III malocclusion

‫صارت فوق‬

Dr. Al-Asiry
 INTENdEd LEARNINg OUTCOMES
1. List the components of a removable appliance
2. List the indications for a removable appliance
3. Describe the commonly used removable appliances
4. Define functional appliance
5. Describe the mode of action of functional appliance
6. List the indications for functional appliance use
7. Describe the different types of functional appliances

Dr.Al-Asiry