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Difficulty Keeping Spring Retainer Appliances in Place

Difficulty Keeping Spring Retainer Appliances in Place

The Spring Retainer is a pre-adjusted appliance intended to improve minor anterior rotations. Pressure is built into the appliance for the desired movement, thus requiring little or no adjustment and minimal chair time. Another advantage of the Spring Retainer is that the active appliance can also serve as a post-treatment retainer, thus making this approach more economical for the patient.

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Basic Space Maintenance with Fixed Appliances

Simple space maintainers can prevent adverse mesial movement of molars. The molar position can also be retained to allow use of the leeway space in cases of insufficient arch length. Modifications to the basic space maintainer can allow for minor Simple space maintainers can prevent adverse mesial corrections for molar distilization, or anterior advancement. Retainers can be constructed with lingual removable arch wires for ease of adjustment or for periodic removal and cleaning.

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Protruded Anteriors in the Self-Conscious Adult

“I have an adult patient who is interested in improving protruded anteriors and closing and accompanying diastema. The lower incisors do not interfere with the proposed movement. The patient is a highly visible professional and desires an appliance that is esthetic. What appliance do other doctors prescribe in this situation and what has been their experience with treatment duration?”

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Hayrake Thumb Sucking Habit Appliance

Young patients exhibiting thumb and/or tongue habits can be encouraged to discontinue the habit by using a reminder appliance. The appliance assists in compliance by making the child more aware of a finger habit that has become second nature. Improper posturing of the tongue can be approached by a guard that guides the tongue to the proper position in the vault and protects the anteriors from further malalignment.

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