Reverse Pull Headgear Application Reverse Pull Headgear Application

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MK1

Your patient consists of upper and lower teeth and an upper and lower
bony base of the arch . What can we really influence and how ?
Distal Mesial
CHG, hphg, zyg.lig. Upper bony base RHG
Reverse Pull Headgear Application CHG,hphg, coils Upper Teeth RHG,elastics,coils,chain
Coil (skeletal anchorage) Lower Teeth RHG, elastics, coil, chain
0 Lower bony base 0

Note : we´re good in controlling upper+ lower teeth and the upper bony
base, but we don´t have predictable/reliable tools for the lower bony base

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Courtesy of Dr Mike Krennrich

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Diapositiva 2

MK1 Michael Krennrich; 28/10/2018


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Courtesy of Dr Mike Krennrich

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Courtesy of Dr Mike Krennrich

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**RULE:
TPA follows RPE as retainer for a
minimum of 3-4 years

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Myofunctional therapy for tongue thrust

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Skeletal effects of early treatment of Class III malocclusion with maxillary expansion and face-mask therapy.
Baccetti T1, McGill JS, Franchi L, McNamara JA Jr, Tollaro I
Am J Orthod Dentofacial Orthop. 1998 Mar;113(3):333-43.

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Long-term effects of Class III treatment with rapid maxillary expansion and
facemask therapy followed by fixed appliances
Patricia Vetlesen Westwood, DDS, MS,a James A. McNamara, Jr, DDS, PhD,b Tiziano
Baccetti, DDS, PhD,c
Lorenzo Franchi, DDS, PhD,d and David M. Sarver, DMD, MSe
Ann Arbor, Mich, San Diego, Calif, Florence, Italy, and Vestavia Hills, Ala
(Am J Orthod Dentofacial Orthop 2003;123:306-20)

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