Twin Block appliance. Part II

The main purpose of the Twin Block is to advance the mandible and to correct moderate to severe overjets. When the first molars are encouraged to erupt, the Twin Block also results in a partial correction of the overbite. The Rick-A-Nator or Rick-A-Nator 2 Appliances are utilized to hold the mandible in a forward position and also to help erupt the bicuspids to complete the orthopedic correction of the overbite. It is vital that the total treatment time for the active phase with the Twin Block and the support phase with the Rick-A-Nator be a minimum of 15 to 18 months to allow for permanent muscular, skeletal and dental changes to be accomplished.