Podcast
Questions and Answers
What is a key benefit of fixed functional appliances (FFAs)?
What is a key benefit of fixed functional appliances (FFAs)?
- They provide continuous stimulation for mandibular growth. (correct)
- They are easily removable for cleaning.
- They require consistent patient cooperation.
- They are only suitable for children.
Which appliance employs a telescopic mechanism for maintaining the mandible's position?
Which appliance employs a telescopic mechanism for maintaining the mandible's position?
- Herbst appliance (correct)
- Jasper jumper
- MARA appliance
- Forsus appliance
What feature distinguishes the Forsus appliance from other functional appliances?
What feature distinguishes the Forsus appliance from other functional appliances?
- It is specifically designed for Class III malocclusion.
- It is solely a removable device.
- It uses metallic frameworks.
- It incorporates flexible open coil springs. (correct)
Which of the following statements about the MARA appliance is incorrect?
Which of the following statements about the MARA appliance is incorrect?
What determines the choice of functional appliance used for a patient?
What determines the choice of functional appliance used for a patient?
Which of the following is classified as a removable functional appliance?
Which of the following is classified as a removable functional appliance?
What is the primary mechanism of action for removable functional appliances?
What is the primary mechanism of action for removable functional appliances?
What action does the Bionator appliance use to promote dental changes?
What action does the Bionator appliance use to promote dental changes?
Why is force elimination important in the function of removable appliances?
Why is force elimination important in the function of removable appliances?
Which option describes the main focus of the Bionator appliance?
Which option describes the main focus of the Bionator appliance?
In which circumstance would a removable functional appliance likely be ineffective?
In which circumstance would a removable functional appliance likely be ineffective?
How does a functional appliance achieve myodynamic action?
How does a functional appliance achieve myodynamic action?
What is the primary purpose of using a removable functional appliance like the Activator?
What is the primary purpose of using a removable functional appliance like the Activator?
What is the primary mode of action for the Lip Bumper?
What is the primary mode of action for the Lip Bumper?
Which of the following descriptions matches the Bionator appliance?
Which of the following descriptions matches the Bionator appliance?
Which is NOT an indication for using a Lip Bumper?
Which is NOT an indication for using a Lip Bumper?
Which feature distinguishes the Bionator from the Andresen Activator?
Which feature distinguishes the Bionator from the Andresen Activator?
What age group is indicated for Class II functional appliance treatment?
What age group is indicated for Class II functional appliance treatment?
Which effect does the Twin Block Appliance primarily aim to achieve?
Which effect does the Twin Block Appliance primarily aim to achieve?
What should the vertical opening of a wax bite for functional appliances be?
What should the vertical opening of a wax bite for functional appliances be?
In which scenario would the Intrusive Myofunctional Appliance be utilized?
In which scenario would the Intrusive Myofunctional Appliance be utilized?
What characteristic is true for the design of the Open-bite Bionator?
What characteristic is true for the design of the Open-bite Bionator?
What is one primary reason for using removable functional appliances?
What is one primary reason for using removable functional appliances?
Flashcards
Herbst Appliance
Herbst Appliance
A type of functional appliance that helps correct Class II malocclusions by continuously protracting the mandible, encouraging forward growth of the lower jaw.
Forsus Appliance
Forsus Appliance
An FDA-approved flexible functional appliance that uses springs to protract the mandible, allowing for comfortable movement in all directions.
MARA Appliance
MARA Appliance
A fixed functional appliance designed to advance the mandible by using stainless steel crowns and tubing, with elbows guiding forward movement.
Fixed Functional Appliances (FFAs)
Fixed Functional Appliances (FFAs)
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Functional Appliances
Functional Appliances
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What are functional appliances?
What are functional appliances?
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Lip Bumper Appliance
Lip Bumper Appliance
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Bite Registration for Functional Appliances
Bite Registration for Functional Appliances
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How do functional appliances work?
How do functional appliances work?
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Bionator Appliance
Bionator Appliance
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What's the purpose of functional appliances?
What's the purpose of functional appliances?
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How does Proffit classify functional appliances?
How does Proffit classify functional appliances?
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Andresen Activator Appliance
Andresen Activator Appliance
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Twin Block Appliance
Twin Block Appliance
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How are functional appliances classified according to Vig?
How are functional appliances classified according to Vig?
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Class II: Actively Growing Patient (Boys)
Class II: Actively Growing Patient (Boys)
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How does Hunt's classification categorize functional appliances?
How does Hunt's classification categorize functional appliances?
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What is the principle of functional appliance therapy?
What is the principle of functional appliance therapy?
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Class II: Actively Growing Patient (Girls)
Class II: Actively Growing Patient (Girls)
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What are the two principles behind functional appliance therapy?
What are the two principles behind functional appliance therapy?
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Removable Functional Appliances
Removable Functional Appliances
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Anchorage in Orthodontics
Anchorage in Orthodontics
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Myodynamic Passive Appliance
Myodynamic Passive Appliance
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Study Notes
Functional Appliances
- Functional appliances alter the mandible's position, aiming to improve occlusal development or craniofacial skeletal growth.
History
- 1879: Kingsley first used removable appliances to alter bite.
- 1900s: Pierre Robin developed a device for glossoptosis syndrome.
- 1950s: Schwartz introduced a double plate for bite correction.
- 1960s: Balther created the bionator, and Fränkel introduced a Frankel system for various malocclusions.
- 1970s: Clark developed a twin block for Class II malocclusions.
Classification by Retention Mode
- Tooth-borne passive appliances: Achieves antero-posterior or transverse changes through soft tissue and muscle activity.
- Tooth-borne active appliances: Uses screws and springs for internal forces.
- Tissue-borne appliances: Placed in the vestibule, avoiding direct forces on soft tissues, to allow jaw growth.
Classification by Action
- Myotonic action: Produced by muscle mass, causing a passive muscle stretch, with large mandibular movement (8-10 mm).
- Myodynamic action: Stimulates muscle activity with a medium opening (<5mm).
Classification by Calcification (Hunt)
- Fixed appliances: Herbst, Jasper Jumper
- Removable appliances: Bionator, Activator
- Semi-fixed appliances: Lip bumper, Bass appliance
Principle of Functional Appliance Therapy
- Adaptation between form and function is crucial.
- Neuromuscular adaptation allows for form and function adjustment.
- Two main principles:
- Force application: Applied to dentition and basal bone to alter form and shape.
- Force elimination: Prevents abnormal forces on dentition, leading to functional change.
Mechanism of Action
- Redirection of musculature: Alters muscle patterns.
- Lateral pterygoid muscle stimulation: Encourages active muscle participation.
- Decreased biochemical feedback: Encourages condylar growth by inhibiting mitotic stem cell activity.
- Unloading of mandibular condyle: Distraction allows for condyle growth.
- Differential eruption of teeth: Modifies tooth eruption according to treatment needs.
Skeletel Changes
- Changes in the growth and position of the various bones of the face and head are documented using models.
Dentoalveolar Changes
- Changes in the teeth include proclination of lower incisors, retraction of upper incisors, differential eruption, and distalization/mesialization of molars.
Effect on Oropharyngeal Airway
- Mandibular deficiency can reduce airway dimensions and respiratory function.
- Changes in airway dimensions during treatment are measurable.
Full Potential of Functional Appliances
- Patient cooperation, skeletal issue severity, and active growth are key factors.
- Effective growth spurts vary based on the malocclusion type (Class II/III).
Advantages/Disadvantages of Functional Appliances
- Advantages*:
- Early intervention possible.
- Aids normal bone growth.
- Easier to maintain oral hygiene.
- Disadvantages*:
- Not suitable for all patients (adults).
- Patient cooperation needed.
- Cannot correct all dental issues.
Bite Registration for Fabrication of Functional Appliances
- Procedures for registering the mandible's position are documented.
- Different functional appliance types are mentioned.
Removable Functional Appliances
- Information on specific appliance types (lip bumper, bionator, Activator, etc.) details their mode of action, indications, and contraindications.
Fixed Functional Appliances
- Describes the concept of fixed functional appliances (FFAs), their advantages, and examples including Herbst and Forsus appliances (plus MARA).
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