INTERMAXILLARY ANCHORAGE

Dr. Stella Chaushu Dept. of Orthodontics

ANCHORAGE

INTERMAXILLARY ANCHORAGE example

INTERMAXILLARY ANCHORAGE Example inverted plane

INTERMAXILLARY ANCHORAGE Example S elastics

INTERMAXILLARY ANCHORAGE Example- removable appliance with screen

INTERMAXILLARY ANCHORAGE example

Functional appliances twin block

INTERMAXILLARY ANCHORAGE examples

Functional appliances activator

INTERMAXILLARY ANCHORAGE Example intermaxillary elastics

Class II elastics Class III elastics

INTERMAXILLARY ANCHORAGE advantages

No need for extraoral appliances Easy to manipulate Full time wearing possible Low cost (not including functional appliances)

INTERMAXILLARY ANCHORAGE disadvantages

Loss of anchorage! Dental / skeletal side effects Patient cooperation mandatory

Functional appliances
Skeletal: Acceleration of mandibular growth Restraint of maxillary growth Dental: Backward movement of maxillary teeth Forward movement of mandibular teeth Differential eruption of teeth Clockwise rotation of mandible

Class II elastics dental effects

Sagittal : - Backward movement of maxillary teeth - Forward movement of mandibular teeth Vertical : - Extrusion of lower molars - Extrusion of upper incisors Clockwise rotation of mandible

INTERMAXILLARY ANCHORAGE -how to overcome loss of anchorage-

Anchorage unit: bodily movement of anchorage teeth

INTERMAXILLARY ANCHORAGE -how to overcome loss of anchorage-

Anchorage unit:
increase number of anchorage teeth

INTERMAXILLARY ANCHORAGE -how to overcome loss of anchorage-

Anchorage unit:
preparation of anchorage

INTERMAXILLARY ANCHORAGE -how to overcome loss of anchorage-

Active unit:
subdivision of movement (move teeth one by one)

Two step retraction

INTERMAXILLARY ANCHORAGE -how to overcome loss of anchorage-

Active unit: tipping movement

crown tipping

root movement

EXTRAORAL ANCHORAGE
Angle, 1907

Cervical headgear

Cervical headgear
Sagittal: Backward movement of molars Vertical: Extrusion of molars Open the bite Clockwise rotation of mandible Increase lower facial height

High pull headgear

High pull headgear

Sagittal: Backward movement of molars (less than cervical) Vertical: Intrusion of molars - Close (maintain) the bite - Counterclockwise rotation of mandible - Decrease (maintain) lower facial height

Combination headgear

C-clasps

J-hooks

Headgears incorporated in removable appliances

EXTRAORAL APPLIANCES 1. Reinforce anchorage 2. Teeth movement 3. Orthopedic effect

1. Reinforce anchorage

1. Reinforce anchorage

2. Active teeth movement

3. Orthopedic effect

3. Dentofacial orthopedics

Maxillary orthopedic system (MOPS)

3. Dentofacial orthopedics Class III Face mask

3. Dentofacial orthopedics
Class III Chin cap, Patrick system

EXTRAORAL ANCHORAGE -advantages-

1.Absolute no loss of anchorage!

2. Orthopedic effects

EXTRAORAL ANCHORAGE -disadvantages1. Esthetics!

2. Part time wearing 3. Dental / skeletal side effects 4. Patient cooperation mandatory 5. Safety? 6. Additional cost