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Vanderveken et al (2008) researched prescription custom-made splints head-to-head with thermoplastic over-the-counter splints: "Our results suggest that the thermoplastic device cannot be recommended as a therapeutic option nor can it be used as a screening tool to find good candidates for mandibular advancement therapy."
Fixed retainers are used in situations where instability is more likely, such as severe rotations, periodontal disease and median diastemas. Occasionally the patient will require a removable retainer as well. Fixed bonded retainers can be designed with a smooth wire or flexible spiral wire which is also known as multi-strand wire. [15]
The fixed functional appliances have to be bonded to the teeth by an orthodontist. A removable functional appliance does not need to be bonded on the teeth and can be removed by the patient. A removable appliance is usually used by patients who have high degree of compliance with their orthodontic treatment.
An orthodontist may recommend headgear for a patient if their bite is more severely out of alignment. The device typically transfers the force to the teeth via a facebow or J hooks to the patient's dental braces or a palatal expander that aids in correcting more severe bite problems or is used in retention of the teeth and jaws of the patient.
It is a general rule to expand the maxilla to a point where the lingual cusp of maxillary molar teeth touch the buccal cusp of mandibular molar teeth. Studies done decades ago by Krebs [ 14 ] (1964), Stockfisch [ 15 ] (1969) and Linder Aronson [ 16 ] (1979) showed that about one-third to one-half of the expansion was lost before the expansion ...
Before you start shopping for over-the-counter teeth whitening products, American Dental Association (ADA) spokesperson Matt Messina, DDS, recommends scheduling an appointment with your dentist ...