Dok Rama (Functional Appliance)

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R.

Rama Putranto
ORTHODONTIC APPLIANCES

Removable Fixed

Mechanical Functional
Force Force
Removable Appliances

A. Base Plate
B. Component Retentive/ anchorage

C. Component Active/Force
A. Base Palte
1. Supporting others component : claps,
Screw Expantion etc
2. Continue Strenght/forced of the
resulting from claps to anchorages
3. To prevent unwanted moving teeth
4. To protect the spring or claps on palatal /
lingual side
5. To hold and continue biting force
Stability of plate
1. Plate width was made as wide as
possible, depend on treatment needs

2. The plate should be able to


adapt with oral mucosa
3. The plate around moving teeth
must be free
Functional Appliance
Primarily orthopedic tools to influence
the facial skeleton of the growing child

Trasmint, Elliminates, and guide the natural forces


Muscle activity, growth, tooth eruption

Try To create conditions for the


harmonious development of the
stomatognathic system
Function

Corection

Early Class II Malocclusion

Class III Malocclusion


CLASSIFICATION OF
FUNCTIONAL APPLIANCE
Teeth Supported Appliances Ex/
Group A
Inclined plane, giudeing plane, etc
Teeth/Tissue supported
Group B
Activators, Bionator , etc

Vestibular positioned appliances


Group C with isolated support from
teeth/tissue
Frankle Appliance, Lip
bumpers
Removable Appliance

Activators , Bionators, Frankle , etc

Semi-fixed Appliance

Den holtz, Bass Appliances

Fixed Appliances

Herbst, Jasper Jumper, etc


With Concept of Hibridization
by Peter Vig
Classical Functional appliances

Activators, Frankle Appliance, etc

Hybrid Appliances

Double oral Screen, Hybrid Bionators, Bass Appliance


Classification By Profitt
1. Teeth Borne Passive Appliances
Andresen/haulp Activator, activatir, Bionator

2. Tooth Borne Active Appliance


Elastic Open Activator, Modified Bionator
3. Tissue Borne Passive Appliance
Oral Screen, Lip Bumper
4. Tissue Borne Active Appliance
Frankel Appliance

5. Functional Orthopedic Magnetic Applianc


Various Cephalometric Analysis for
Funtional Appliance Therapy for Patient

1. Facial Skeleton
2. Jaw Bases
3. Dentoalveolar relationship
Facial Skeleton

Saddle Angle Articular Angle


Gonial Angle Anterior and
Posterior Face
Height
Jarabaks Ratio

PFH
X 1oo
AFH
Less Than 62 % Vertical Growth Pattern

More Than 65% More Horizontal Pattern


SNA
SNB
Visual Treatment Objective
(VTO)
ACTIVATOR
BY Adreasen and Haupl
Class II Division 1 malocclusion
Class II division 2 Malocclusion
Class III Malocclusion
Class I open bite Malocclusion
Class I Deep Bite malocclusion
For post treatment Retension
Children with Decreased facial Height
Contra Indication
Class I with Crowed Teeth Disharmony BetweenTtooth Size
and Jaw Size
Lower Proclination
Component Activator

1. Labial Bow
2. Jack Screw (Optional)
3. Acrylic Portion
Direction of Coreccted

Sagital Transversal Vertical


Protrusion Retrusion
Vertically/extrusion
Anterior Posterior
Bionator
Principle Bionator
Is not To Activate the Muscle but to Modulate
Muscle Activity,

Enhanceing the Normal Development of the


Growth Patterns

Eliminate Abnormal Environmental


Factors
Bionators
BY Balters 1960
Indication For Bionator Therapy

Functional Retrusion
Well Align Dental Arch
Mild to Modertae skeletal Discrepancy
No Evidence of Labial Tipping
Bionators
Contra Indication For Bionator
Therapy

Class II Relationship Cause by


Maxilarry Prognatism
Vertical Growth Pattern
Labially Tipped Lower Incisors
Frankel
Increase In the Tranverse Sagital
Direction
Increase In Vertical Driection
Muscle Adaptation
Types Of Function Regulators

1. FR I Class I And Class II Division 1


FR Ia Class I, Moderate Crowding and Deep
Bite
FR Ib Class II Division 1 , Overjet Less than 7
mm
FR Ic Class II Division 1, Overjet More than 7
mm
Frankel II
/ FR II
Types Of Function Regulators

2. FR II Class II Div 2 and Div. 1

3. FR III Class III

4. FR IV Open Bite and Bimaxillary


Protrusion
5. FR V FR With Head Gear
FR III
Twin Block

Herbst Appliance

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