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    Anchorage in Orthodontics

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    Javariya Ashraf
    This document discusses orthodontic anchorage, including definitions, types, classification, reinforcement, and factors to consider. It defines anchorage as resistance to displacement and notes different types including simple, stationary, reciprocal, intra-maxillary, inter-maxillary, intra-oral, and extra-oral anchorage. Anchorage can be classified based on force application, jaw involved, site, number of units, space available, and amount of loss. Principles include larger root surface area and restricted tipping providing greater value. Reinforcement incorporates multiple teeth, reduces moving units, uses anchorage bends, and optimal forces. Anchorage planning must consider movement in antero-posterior, vertical, and transverse planes.

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    Anchorage in Orthodontics

    Uploaded by

    Javariya Ashraf
    153 views25 pages
    This document discusses orthodontic anchorage, including definitions, types, classification, reinforcement, and factors to consider. It defines anchorage as resistance to displacement and notes different types including simple, stationary, reciprocal, intra-maxillary, inter-maxillary, intra-oral, and extra-oral anchorage. Anchorage can be classified based on force application, jaw involved, site, number of units, space available, and amount of loss. Principles include larger root surface area and restricted tipping providing greater value. Reinforcement incorporates multiple teeth, reduces moving units, uses anchorage bends, and optimal forces. Anchorage planning must consider movement in antero-posterior, vertical, and transverse planes.

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    This document discusses orthodontic anchorage, including definitions, types, classification, reinforcement, and factors to consider. It defines anchorage as resistance to displacement and notes different types including simple, stationary, reciprocal, intra-maxillary, inter-maxillary, intra-oral, and extra-oral anchorage. Anchorage can be classified based on force application, jaw involved, site, number of units, space available, and amount of loss. Principles include larger root surface area and restricted tipping providing greater value. Reinforcement incorporates multiple teeth, reduces moving units, uses anchorage bends, and optimal forces. Anchorage planning must consider movement in antero-posterior, vertical, and transverse planes.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    153 views25 pages

    Anchorage in Orthodontics

    Uploaded by

    Javariya Ashraf
    This document discusses orthodontic anchorage, including definitions, types, classification, reinforcement, and factors to consider. It defines anchorage as resistance to displacement and notes different types including simple, stationary, reciprocal, intra-maxillary, inter-maxillary, intra-oral, and extra-oral anchorage. Anchorage can be classified based on force application, jaw involved, site, number of units, space available, and amount of loss. Principles include larger root surface area and restricted tipping providing greater value. Reinforcement incorporates multiple teeth, reduces moving units, uses anchorage bends, and optimal forces. Anchorage planning must consider movement in antero-posterior, vertical, and transverse planes.

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    of 25

    ANCHORAGE IN

    ORTHODONTICS

    Prof. Dr. Naseer Ahmad Chaudhry


    BDS (Hons), MCPS (Oral Surgery), MCPS ,FCPS (Orthodontics),
    PGD(Bioethics), HPE-MCPS(Medical Education),
    MPH(Western University, Canada)
    Head / Supervisor Orthodontic Department
    FMH College of Medicine & Dentistry
    DEFINITION

    Resistance to Displacement

    It obeys Newton's Third Law of Motion


    “To every action there is an equal & opposite reaction”
    Each orthodontic appliance consists
    of two elements

    1) Anchor Unit
    2) Active / Moving Unit
    Types of Anchorage

    {
    Single

    { [
    Compound
    Simple Anchorage
    Intra-maxillary Stationary Anchorage
    Reinforced

    Intra-oral Reciprocal Anchorage


    Inter-maxillary

    {
    Cervical

    Extra-oral Occipital
    Cranial
    Facial Minimum Anchorage

    {
    Moderate Anchorage

    Space Availability Maximum Anchorage


    Absolute Anchorage
    Classification of Anchorage
    • Manner of Force Application

     Simple Anchorage
    Resistance to tipping

     Stationary Anchorage
    Resistance to bodily movement

     Reciprocal Anchorage
    Two or more teeth moving in opposite direction (Resistance to
    each other is equal and opposite)
    • According to Jaw Involved
    Intra-maxillary (Anchorage established in same jaw
    e.g. Intra-maxillary elastics, TPA)

    Inter-maxillary (Anchorage distributed to both jaws


    e.g. Inter-maxillary elastics)

    • According to Site Involved


    Intra-oral (Anchorage established within mouth e.g. TPA)

    Extra-oral (anchorage obtained from outside mouth)


    Cervical Low pull Head gear
    Occipital Medial pull Head gear
    Cranial High pull Head gear
    Facial Chin cup, Face mask
    Muscular Vestibular Shields
    Transpalatal Arch
    Lingual Arch
    Lip Bumper
    Lip Bumper
    High Pull Headgear
    Straight Pull Headgear
    Cervical headgear
    Face Mask
    Intermaxillary elastics
    • According to Number of Units

    Single or Primary Anchorage


    (Anchorage involving one teeth)

    Compound Anchorage
    (Anchorage involving two or more teeth)

    Reinforced Anchorage
    (Addition of non-dental anchorage)
    Implants
    • According to Space Available

    Minimum Anchorage
    (66% or 2/3rd space utilized by the movement of anchor unit)

    Moderate Anchorage
    (50% or 1/2 space utilized by the movement of anchor unit & remaining
    1/2 by the movement of moving unit)

    Maximum Anchorage
    (33% or 1/3rd space utilized by the movement of anchor unit)

    Absolute Anchorage
    (Absolutely no movement of anchor unit e.g. Implants)
    • Anchorage Loss
    Unintentional movement of anchor unit

    • Anchorage Burn
    Intentional movement of anchor unit
    Principals of Anchorage

    1st Principal of Orthodontic Anchorage

    A tooth with a large root surface area has a greater anchorage


    value than with a small root surface area

    2nd Principal of Orthodontic Anchorage

    Tooth which is free to tip has less anchorage value than a tooth
    which is restricted in tipping by the application of a force
    couple
    Anchorage Value

    Basics Determinants of Anchorage Value

    Force Magnitude
    Pressure Distribution in PDL
    Root Morphology
    Space Available
    Neighboring Structures
    Reinforcement of Anchorage
    Anchorage value can be improved
    • Incorporate as many teeth as possible in
    anchorage unit

    • Reduce number of teeth in moving unit

    • Use of anchorage bends

    • Reduce the force applied to the optimal for


    producing the required tooth movement
    Reinforcement of Anchorage
    • Reinforce intra-oral anchorage with extra-oral
    anchorage, headgear

    • Use of palatal or lingual arch

    • Use of intra/inter maxillary elastics

    • Use of lip bumper------anchorage from


    musculature

    • Use cortical anchorage, tip the tooth distal


    Anchorage to be Considered

    • In Antero-posterior plane
    (Anchorage loss appears in the form of movement of anchor unit
    in antero-posterior plane e.g. bodily mov. or tipping)
    • In Vertical plane
    (Anchorage loss appears in the form of extrusion of molars or Tip
    back of molars so care must be taken when planning to treat
    High angle cases)
    • In transverse plane
    (anchorage loss in the form of buccal flaring)
    Conclusion

    • Anchorage Planning IN 3D

    • Anchorage Management

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