While I use turbos of all sizes and locations, sometimes using a bite plate is the way to go. Unfortunately, patients don’t seem to like removable bite plates as much as orthodontists like them. So following the lead of my restorative colleagues (“I do fixed everything if possible, nothing removable”), I started doing fixed bite plates quite some time ago.
You start with a Nance button (see my post of October 11, 2014) and then extend the acrylic up on the lingual of the central and lateral incisors. (see the first image)
After curing the acrylic and removing the Nance from the model, you will notice that the underside of the acrylic that touches the central and lateral incisors has the images of those teeth. You need to polish the images of those teeth away. (see the 2nd and 3rd images) If the acrylic does not actually touch the lingual of the upper incisors, you have nothing to worry about as far as decals go. Please note that I did not trim the acrylic on the lingual of the laterals since I had planned to grind away that entire area.
Please make any comments or ask any questions below.
In my next post, I will discuss several different approaches to posterior and anterior turbos.
What is the purpose of trimming away the image of the teeth? Are you trying to create a self cleansing space between the acrylic and teeth to prevent decals from forming?
ReplyDeleteexactly right. it seems that if you have a space between the lingual of the incisors and the acrylic, it is self cleansing
DeleteNice topic you have chosen. I like the way of your explanation and readability.I understand you need to express your thoughts through this article. Braces can straighten misaligned teeth, contribute to healthy gums and teeth. Braces do not change our face shape. I always recommend braces to improve our oral health.
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