Professional Documents
Culture Documents
Contents
Introduction
Arch dimensional changes with age
Need for arch expansion
Changes possible with orthodontic/orthopedic
treatment
Maxillary expansion
Mandibular expansion
Conclusion
References
Introduction
Arch expansion and frequency of extraction
have very close but inverse relationship with
each other.
3. Passive: When the muscle forces (buccal & labial) are shielded away
from the dentition, a widening of dental arches occurs. This
expansion is a result of intrinsic forces produced by tongue.
Ex. F.R. Appliance, Lip Bumper
Rapid maxillary expansion
HISTORICAL BACKGROUND
Fixed appliances:
Fixed tooth & tissue borne appliances
- Derischsweiler type
- Haas type
Fixed tooth borne appliances
- Isaacson type
- Hyrax appliance
Removable plates
These appliances usually consist
of an expansion jack screw with
palatal coverage & claps for
retention of appliance.
Isaacson type:
This appliance uses a special spring loaded
screw called Minne expander.
Disadvantage of minne
expander is poor oral Minne expander
hygiene.
Hyrax appliance.
(hygienic rapid
palatal expander)
In adults (non growing patients) two turns each day for first two
days, one turn per day for the next 5-7 days and one turn every
other day till desired expansion is achieved.
Timms:
1. Up to 15 yrs : 90 rotation once in the morning & once in the
evening
For the next four days, the screw is activated two quarter-
turns in the morning and two quarter-turns in the
evening.