Turning the screw lead to the maxillary arch to move anteriorly and a back thrust of the mandible
2.
If the patient suffers with a constricted maxillary arch, a palatal expander would need to be used.
3.
This allows maximal distal translation of the erupting canines . it is rarely indicated in the maxillary arch.
4.
A feature of this appliance is Coffin Spring which is used in the maxillary arch which may help with expansion of the upper arch.
5.
The activator is bonded to the maxillary arch and the forward guidance of the mandible can happen due to the lingual flanges of the appliance.
6.
Followed by Class II in both maxillary and mandibular arch with an average of 16.3 % in maxillary arch and14.8 % in the mandibular arch.
7.
Distalization in the maxillary arch is easier than the mandibular arch because maxillary bone has more trabecular bone than the mandible, which has higher percentage of cortical bone.
8.
Thus if, for example, a maxillary arch is missing teeth # 1, 3, 7-10 and 16, the RPD would be Kennedy Class III mod 1.
9.
For this reason, the maxillary arch is usually anesthetized locally for dental work by inserting the needle beneath the oral mucosa surrounding the teeth so as to anesthetize the smaller branches.
10.
The results of a study conducted in Saudi Arabia, showed that the occurrence of Kennedy Class III partial edentulism was 67.2 % in the maxillary arch and 64.1 % in the mandibular arch.
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