Modified Occlusal Settling Appliance in Twin Block Therapy
Published: September 1, 2016 | DOI: https://doi.org/10.7860/JCDR/2016/20028.8467
Harpreet Singh, Rajkumar Maurya, Pranav Kapoor, Poonam Sharma
1. Dental Officer and Orthodontist, Department of Orthodontics, Corps Dental Unit, Bhopal, Madhya Pradesh, India.
2. Assistant Professor, Department of Orthodontics, ESI Dental College and Hospital, New Delhi, India.
3. Associate Professor, Department of Orthodontics, ESI Dental College and Hospital, New Delhi, India.
4. Professor, Department of Orthodontics, ESI Dental College and Hospital, New Delhi, India.
Correspondence
Dr. Raj Kumar Maurya,
P8 Khulna Marg, Corps Dental Unit, S I Lines Military Station, Bhopal, Madhya Pradesh, India.
E-mail: bracedbyraj@gmail.com
Early treatment with the Twin-block appliance is effective in reducing overjet and severity of malocclusion in Class II division 1 malocclusions with functional mandibular retrusion. Appearance of bilateral severe posterior open bite in some cases subsequent to completion of active phase of Twin block therapy poses a challenge to an orthodontist. Closure of posterior open bites of large magnitude is difficult to achieve with conventional upper anterior inclined plane used during support phase of Twin-block therapy. A simple yet effective modification of upper anterior inclined plane is proposed, which is an effective and invaluable adjunctive aid in correction of posterior open bite.
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