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Methods of gaining space - Coggle Diagram
Methods of gaining space
Proclination of the incisors
Maintaining of Leeway space
Derotation of molars and
premolars
Expansion
Ex
Removable expander
Dental, slow
Quad helix
More dental
HAAS
tooth tissue borne
Implant supported
skeletal
Hyrax
Tooth, rapid, skeletal
Types
according to
Appliance
fixed
Removable
Effect
skeletal
dental
Support
tooth tissue borne
Implant supported
Tooth borne
Mode
Slow
Rapid
Distalization
Method
Intraoral
interarch
in opposite arch
Intrarch
in same arch
implant supported
Extraoral applicanes
Ex
Headgear
When
mesial shift of first molar
mild class II cases
mild crowding cases
Extraction
Tooth
Second premolar
Severely carious
Questionable stability
severely malpositioned
First
premolars
common choice
can be replaced by
second premolar
Center of the arch
First molar
Wedging effect
in open bite cases
Severely carious
Second Molar
In moderate class II or III
If mesial drifting of first molar
Canines
severely malpositioned
Incisors
Man
Canines class I and it is
the only tooth out of arch
Caution
Over-eruption of maxillary anterior teeth
resulting in bite deepening
Black triangle
Increased curve of Spee
Periodontally involved
Max
Lateral
Severely malposition
Severe root resorption
Severely malshaped
Central
severely fractured
Consideration
Position of the teeth
Degree and position
of the crowding
Condition of the teeth
Serial exo
Contraindications
Congenitally missing second premolars
Extensive carious first permanent molars
Class I cases with minimum arch length
discrepancy
Cleft lip and palate
Deep overbite
Spaced dentition
Skeletal class II or class III
Methods
Dewel Method CD4
Exo of D
accelerate the eruption of the first premolars
Exo of 4
Allow canine to take correct position
Exo of C
improvement position lateral
Nance methods D4C
Tweed Method DC4
Indications
Abnormal eruption
Unilateral deciduous canine loss
Flaring or fanning of incisors
Lingual eruption of lateral
Ectopic eruption
Tooth size arch length discrepancy
Canines erupting mesially
Premature loss of deciduous
Advantages
Lesser retention period with more stable results
Reduces the cost of treatment
Better oral hygiene
Reduces the severity of malocclusion
reduces the period of future appliance therapy
No loss of alveolar bone
Physiologic tooth movement
Ideal conditions
Class I malocclusion
Minimal overjet and overbite
Straight facial pattern
true hereditary tooth size arch length discrepancy
Disadvantages
Lingual tipping of mandibular incisors
Patient co-operation is required
canine can erupt ahead
appliance therapy
mesial drifting and space loss
Ditching between the canine and second premolar can occur
Longer duration
tongue thrust
not be tolerated by children
Rationale
tooth size arch length discrepancy
tooth size arch length discrepancy
Indication
to correct antero-posterior
dental arch relationships
to improve facial
esthetics
to relieve crowding
Interproximal stripping
Methods
Manual
Mechanical
Contraindicated
poor oral hygiene
high caries risk patient