[Clinical experiences using modified Schwarz double plates]

The efficiency of supported double plates according to A.M. Schwarz in the treatment of patients with distocclusion is well-known. When using these appliances we prefer the following procedure: First maxillary and mandibular dentition are treated separately with biomechanically active plates. Then the mandible is adjusted to the normal occlusion but not before the eruption of the first premolars. We attach great importance to the motivation of parents as well as patients for a 12-week intensive co-operation. During this period the patient is expected to wear the appliance 16 to 17 hours per day. It is not necessary for the patient to wear the double-plates at school. The modification of our double plates consists in a U-shaped "Vorbissbügel" (a guidance for protrusive occlusion) with an adequate frontal inclined plan at the mandibular plate.