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Spring Aligner
Spring Aligned appliances are excellent for improving
minor anterior rotations and require minimal chair time.
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.
Before the appliance is constructed, a model is
prepared by resetting the rotated anteriors
into an ideal arch.
Resetting teeth on the construction model can include one or
more anterior teeth but is usually limited to the
four incisors.

Place your cursor over the image
to see the corrected tooth position.
The appliance is made to fit this
new “perfect arch” with
acrylic contacting both the lingual and labial surfaces of all
anteriors. A wire “spring” connects these strips
of acrylic to the remainder of the appliance and provides the
flexibility needed to allow the appliance to seat properly. For
space on cases of minor crowding, most doctors will slightly
disk or strip the interproximal surfaces. This is usually done
at the time the appliance is inserted to assure optimal use of
the space.
At the outset, slight discomfort and displacement can be expected
for the first week. The appliance should then seat properly.
However, when difficulty persists in seating the appliance or
the appliance is continually displaced, the teeth may be rotated
beyond the ability of the appliance to maintain good anchorage.
To reduce the possibility of displacement, many doctors will
prescribe four clasps on the appliance for superior retention;
usually consisting of ball clasps interproximally between the
bicuspids and adams clasps on both first molars. This is usually
sufficient to overcome retention problems when only one or two
teeth have been reset on the construction model.
When all four incisors have been
reset, the degree to which they can be rotated simultaneously
is limited by how far the
appliance can “stretch” to seat over these malaligned
anteriors. When the amount of rotation is more severe, the four
incisors can be reset only partially on initial construction
allowing for improvement in stages. Once the initial improvement
has been realized, the construction model is modified to reset
the teeth to a final ideal arch. The original appliance can be
refined and then reinserted for additional movement.
Once movement is complete, the appliance
can then be used as a retainer for nine months and is reinserted
approximately once
each month thereafter, as a “check guide” against
relapse, if it is difficult to seat, indefinite nighttime retainer
wear is usually indicated.
If
you have a case you are considering for treatment,
send models for an appliance outline, detailed correspondence
and laboratory cost estimate at no obligation.
Or, call Paul, Toll Free...
1-800-325-3698
Fax:
1-636-825-7015
Click HERE to
send E-mail
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