Functional Appliances Flashcards
(9 cards)
two types of facial bone formation
intra-membranous
endochondral
skeletal effects of a functional appliance
forward displacement of mandible
backwards displacement of maxillary arch
accelertes condylar growth
redirects condylar growth
dentoalveolar effects of functional appliance
retracts upper teeth
proclines lower teeth
how does a functional appliance work
stretches the muscles of mastication
posture mandible
differential tooth eruption
functional appliance definition
appliance that utilises or redirects the masticatory muscles or produce or permit tooth movement and may modify facial growth
indications for a functional appliance
motivated
pre-adolescent
skeletal discrepancy mild or moderate
increased overjet (if class II)
proclined maxillary incisors (if class II)
well aligned arches
contraindications of functional appliance
poor motivation
over 14 years old
poor dental health
condylar disease - juvenile rheumatoid arthritis
proclined lower incisors
advatnages of functional appliance
removable
may avoid extractions
accelerates skeletal growth
less damage to tooth tissue
less root resorption
less chance of decalcification
less effect on bone levels
disadvantages of functional appliances
compliance- bulky, speech, soft tissue trauma
lack of detailed tooth movements
candidosis with removable appliances