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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]
A removable appliance is usually used by patients who have high degree of compliance with their orthodontic treatment. Fixed appliances are able to produce very accurate movement in the teeth [1] [2] Both fixed and removable functional appliances can be used to correct a malocclusion in three planes: Anterior-Posterior, Vertical and Transverse.
An Akers' clasp is the classic direct retainer for removable partial dentures. [1] Named after its inventor, Polk E. Akers, this suprabulge clasp consists of a rest, a guide plate, a retentive arm and a reciprocal arm. Akers' clasps, as a rule, face away from an edentulous area. Should they face the edentulous area, they are termed reverse ...
Under Title III of the ADA, all new construction (construction, modification or alterations) after the effective date of the ADA (approximately July 1992) must be fully compliant with the Americans With Disabilities Act Accessibility Guidelines (ADAAG) [13] found in the Code of Federal Regulations at 28 C.F.R., Part 36, Appendix A.
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.
They are also indicated for patients who have experienced a relapse after fixed orthodontic treatment. [ 5 ] Clear-aligner treatment involves an orthodontist or dentist, or with home-based systems, the person themselves, taking a mold of the patient's teeth, which is used to create a digital tooth scan.
Indirect retainer (An example is the little metal piece coming off the "U" at a 90 degree angle near the top of the upper photo, which is a cingulum rest on a canine.) Physical retainer (This is a mesh of metal that allows the pink base material to connect to the metal framework of the RPD.
A resin-retained bridge (also known as resin-bonded-bridge or resin-bonded fixed dental prosthesis (RBFDP)) is a bridge (a fixed dental prosthesis) replacing a missing tooth that relies for its retention on a composite resin cement.