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[Clinical experiences using modified Schwarz double plates].

A M Reuter, G Sterzik

    Praktische Kieferorthopadie
    |May 1, 1991
    PubMed
    Summary
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    This study details a modified A.M. Schwarz double plate technique for treating distocclusion. The enhanced appliance and intensive patient cooperation achieve normal mandibular occlusion effectively.

    Area of Science:

    • Orthodontics
    • Dentofacial Orthopedics

    Background:

    • Distocclusion, a common dental malocclusion, requires effective treatment strategies.
    • A.M. Schwarz supported double plates are recognized for their efficacy in treating distocclusion.

    Observation:

    • The protocol involves separate treatment of maxillary and mandibular dentition with biomechanically active plates.
    • Mandibular adjustment to normal occlusion is initiated after the eruption of the first premolars.
    • High patient and parental motivation for a 12-week intensive co-operation period is crucial, requiring 16-17 hours of daily appliance wear.

    Findings:

    • A modified double plate design features a U-shaped 'Vorbissbügel' (protrusive occlusion guidance).
    • This modification includes an adequate frontal inclined plane on the mandibular plate.

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    Implications:

    • This modified appliance and protocol may enhance the efficiency of distocclusion treatment.
    • The approach highlights the importance of patient compliance and specific appliance design in orthodontic outcomes.