10.

5005/jp-journals-10021-1141
CLINICAL INNOVATION
Sridhar Kannan et al

A Modified Transpalatal Arch with Sleeve

1
Ashish Gupta, 2Sridhar Kannan, 3Gaurav Gupta, 4Abhishek Goyaliya, 5Ankur Kaul, 6Naseem Garg

ABSTRACT

Conventionally fabricated transpalatal arches often create deep grooves on the tongue causing discomfort to the patients. To ovecome this
situation a modification has been devised which requires only a few minutes of lab time, thus enhancing patient's compliance toward treatment.
Keywords: Transpalatal arch, Sleeve, Lingual sheath.

How to cite this article: Gupta A, Kannan S, Gupta G, Goyaliya A, Kaul A, Garg N. A Modified Transpalatal Arch with Sleeve. J Ind Orthod Soc
2013;47(2):112.

Low-placed transpalatal arch (TPA) usually indicated in cases

requiring molar intrusion often lead to indentations of the U
loop on the dorsum of tongue, thus causing discomfort and
irritation to the patient.1 A simple modification using archwire
sleeve over the loop of the TPA can eliminate these problems.2
It can be fabricated by using the following techniques:
1. An archwire sleeve of 1 inch length with 0.31" (internal
diameter) was passed over the 0.9 mm wire before
fabrication of TPA loop (Fig. 1).

Fig. 2: Occlusal photograph of TPA with archwire sleeve

2. The TPA was then ligated into the lingual sheath of the
molar bands (Fig. 2).

REFERENCES

1. Hudson JM. Tongue- friendly transpalatal arches. J Clin Orthod

2000;34(11):671.
Fig. 1: Extraoral photograph on plaster cast model of TPA with 2. Chibber A, Mogra S, Singh G, Kaul A. Soft-tissue protection with
archwire sleeve lip-bumper tubing. J Clin Orthod 2009;43(5):324.

1,4,5
Reader, 2Professor, 3Senior Lecturer, 6Postgraduate Student
1-6
Department of Orthodontics, Sudha Rustagi Dental College and
Research Center, Faridabad, Haryana, India

Corresponding Author: Sridhar Kannan, Professor, Department of

Orthodontics, Sudha Rustagi Dental College and Research Center
Faridabad, Haryana, India, e-mail: sridharkannan_in@yahoo.com

Received on: 2/4/12

Accepted after Revision: 4/9/12

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