Opening Deep Bite Open Activator Different Orthodontic Appliances
Is treatment with functional braces always successful?
Not necessarily. Obviously, treatment will not work if the
appliance is not worn sufficiently well. In addition, there are a
group of patients who do not respond particularly well to
functional braces. Unfortunately, it is very difficult to predict
which patients will respond to treatment. Functional appliances are
believed to be most successful prior to or during the adolescent
growth spurt. This typically occurs between the ages of 11 and 14
in boys and 10 to 13 in girls. Nevertheless, treatment may be
suggested at an earlier or later stage in certain circumstances.
If treatment is unsuccessful, how can the problem be addressed?
Class II problems may be treated in a variety of ways. If Class II
correction fails, a variety of options exist. Consideration may be
given to using an alternative device or approach to correct the
Class II including:
The indications for these approaches vary and is based on the
specific problem. In certain instances it may be advisable to
accept the residual problem before considering treatment if desired
at a later date. Jaw surgery is generally deferred until 17 years
Is there any benefit in using functional appliances before the age
of 10 years?
Treatment in this age group is regarded as ‘early treatment’ in the
U.K. although this practice is routine in many countries. Research
has demonstrated that functional appliance therapy commenced at an
early stage is no more effective but is less efficient than
treatment commenced at 10 to 14 years. In certain circumstances,
however, particularly if children are the subject of teasing in
relation to dental appearance, early treatment may be recommended.