R.

Rama Putranto
 ORTHODONTIC APPLIANCES

Removable Fixed

Mechanical Functional
Force Force
 Removable Appliances

A. Base Plate
B. Component Retentive/ anchorage

C. Component Active/Force
 A. Base Palte
1. Supporting others component : claps,
Screw Expantion etc
2. Continue Strenght/forced of the
resulting from claps to anchorages
3. To prevent unwanted moving teeth
4. To protect the spring or claps on palatal /
lingual side
5. To hold and continue biting force
 Stability of plate
1. Plate width was made as wide as
possible, depend on treatment needs

2. The plate should be able to

adapt with oral mucosa
3. The plate around moving teeth
must be free
 Functional Appliance
Primarily orthopedic tools to influence
the facial skeleton of the growing child

Trasmint, Elliminates, and guide the natural forces

Muscle activity, growth, tooth eruption

Try To create conditions for the

harmonious development of the
stomatognathic system
 Function

Corection

Early Class II Malocclusion

Class III Malocclusion

 CLASSIFICATION OF
FUNCTIONAL APPLIANCE
Teeth Supported Appliances Ex/
Group A
Inclined plane, giudeing plane, etc
Teeth/Tissue supported
Group B
Activators, Bionator , etc

Vestibular positioned appliances

Group C with isolated support from
teeth/tissue
Frankle Appliance, Lip
bumpers
 Removable Appliance

Activators , Bionators, Frankle , etc

Semi-fixed Appliance

Den holtz, Bass Appliances

Fixed Appliances

Herbst, Jasper Jumper, etc

With Concept of Hibridization
by Peter Vig
Classical Functional appliances

Activators, Frankle Appliance, etc

Hybrid Appliances

Double oral Screen, Hybrid Bionators, Bass Appliance

 Classification By Profitt
1. Teeth Borne Passive Appliances
Andresen/haulp Activator, activatir, Bionator

2. Tooth Borne Active Appliance

Elastic Open Activator, Modified Bionator
3. Tissue Borne Passive Appliance
Oral Screen, Lip Bumper
4. Tissue Borne Active Appliance
Frankel Appliance

5. Functional Orthopedic Magnetic Applianc

 Various Cephalometric Analysis for
Funtional Appliance Therapy for Patient

1. Facial Skeleton
2. Jaw Bases
3. Dentoalveolar relationship
 Facial Skeleton

Saddle Angle Articular Angle

Gonial Angle Anterior and
Posterior Face
Height
 Jarabaks Ratio

PFH
X 1oo
AFH
Less Than 62 % Vertical Growth Pattern

More Than 65% More Horizontal Pattern

SNA
SNB
Visual Treatment Objective
(VTO)
 ACTIVATOR
BY Adreasen and Haupl
Class II Division 1 malocclusion
Class II division 2 Malocclusion
Class III Malocclusion
Class I open bite Malocclusion
Class I Deep Bite malocclusion
For post treatment Retension
Children with Decreased facial Height
 Contra Indication
Class I with Crowed Teeth Disharmony BetweenTtooth Size
and Jaw Size
Lower Proclination
 Component Activator

1. Labial Bow
2. Jack Screw (Optional)
3. Acrylic Portion
 Direction of Coreccted

Sagital Transversal Vertical

Protrusion Retrusion
 Vertically/extrusion
Anterior Posterior
 Bionator
Principle Bionator
Is not To Activate the Muscle but to Modulate
Muscle Activity,

Enhanceing the Normal Development of the

Growth Patterns

Eliminate Abnormal Environmental

Factors
 Bionators
BY Balters 1960
Indication For Bionator Therapy

Functional Retrusion
Well Align Dental Arch
Mild to Modertae skeletal Discrepancy
No Evidence of Labial Tipping
 Bionators
Contra Indication For Bionator
Therapy

Class II Relationship Cause by

Maxilarry Prognatism
Vertical Growth Pattern
Labially Tipped Lower Incisors
 Frankel
Increase In the Tranverse Sagital
Direction
Increase In Vertical Driection
Muscle Adaptation
 Types Of Function Regulators

1. FR I Class I And Class II Division 1

FR Ia Class I, Moderate Crowding and Deep
Bite
FR Ib Class II Division 1 , Overjet Less than 7
mm
FR Ic Class II Division 1, Overjet More than 7
mm
Frankel II
/ FR II
 Types Of Function Regulators

2. FR II Class II Div 2 and Div. 1

3. FR III Class III

4. FR IV Open Bite and Bimaxillary

Protrusion
5. FR V FR With Head Gear
FR III
 Twin Block

Herbst Appliance