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Skeletal Anchorage Indications
in Orthodontics Orthodontic tooth-moving procedures where
maximum stability is required
Introduction Patients in their permanent dentition
Patients where dental fixation is not possible
Anchorage control has always been a difficult and unpre-
(tooth or alveolar loss, trauma)
dictable challenge for orthodontists. Unlike tooth borne
appliances, which rely on patient compliance to achieve
tooth movement, (bone borne) implants provide true
stationary anchorage, allowing treatment to proceed more
rapidly with highly predictable results. Contra-indications
Patients without sufficient bone condition
Cases of abnormal mastication pattern or poor
oral hygiene
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1 Mixed dentition
25-301-02 1 25-301-05 1
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Case 1
15- year old boy is presenting Class II Division 1 Severe teeth crowding in both upper and
malocclusion with permanent dentition. lower jaw and protrusion of the upper lip.
Maxillary first bicuspids extracted.
Dental situation of the maxilla The side view shows clear protrusion of the Patients lateral cephalogram
maxilla.
Intra-Operative approach
Small lateral incision with buccal mucosal The C-tube plate has been adapted and After suturing the eyelet remains in the
flap and periosteal elevation in order to is fixed with 2 Drill-Free screws 1.5 x 5 vestibulum.
place the C-tube plate or 7 mm between the 2 nd premolar and
the 1st molar.
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Initial stage of treatment
The eyelet serves as an anchorage point Occlusal view of the maxilla The C-tube plate fixed between the roots
for the dental arch wire. Elastic rubber with two miniscrews
applied to the cuspid for distal retraction.
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12 months post operative
Final result after 1 year The dental arch is completely formed Frontal view
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The C-palatal plate:
The C-palatal plate is recommended in more severe
cases, where the orthognathic situation has to be
corrected and palatal traction is needed.
The palatal plate is designed to compensate more
complex and multidirectional traction forces.
The basic principle of C-palatal plate fixation: The dotted lines indicate the submucosal position of
The plate is fixed to the hard palate with three the C-palatal plate. Springs are attached to the
or two Drill-Free screws. exposed (red) part of the plate.
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Set Recommendation
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1
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Angled Screwdriver 50-900-00 4
with drill bit 50-920-07
with blade 50-915-15
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International Partners
in Oral, Plastic, and KLS
Craniomaxillofacial Surgery
10.03 . 90-125-02 . Printed in Germany Gebrder Martin GmbH & Co. KG Sales Organisation North America and Canada
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