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The Rapid Molar Distalizer
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Band upper first molars and first bicuspids when second molars are not erupted
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Screws are parallel to buccal line angle of alveolar process
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Band second molars and second bicuspids when second molars are erupted
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Screws can be moved to anterior for easier patient access of activation
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Large Nance button for displacement of force
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Transverse Expansion added to Appliance
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Transverse expansion with buttons on lingual to aid in second bicuspid retraction.
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Transverse Expansion with RES™ Ratcheting Expansion Screw. This screw clicks and locks activation.
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Lower transverse expansion. Anchor to molars with Bands or Crowns.
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Space Closing Appliances
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Space closing appliances for congenitally missing bicuspids or extracted teeth.
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Space Closing on lower with Herbst appliance for anchorage.
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Herbst holds lower anteriors in position while molars are closed with activation screw
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Actual cases-Unilateral distalization
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Unilateral to open space
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Place screw just below gingival and parallel to buccal line angle
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Clinical Procedure
• Insert upper or lower appliance
•Add bracket to upper or lower anteriors for added support and control
•TAD’s can be used for anchorage
•Activate appliance 2 times a week
•Activate and relax process allows molars to stay upright
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Insert upper appliance
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Progress of appliance
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Predictable results
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Anchorage is maintained when activated properly
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Unilateral design
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Overjet was not increased after full activation
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From initial cementation to full distalization
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Distalization is so predictable we can make a Nance when RMD is made. Just let us know distalization amount
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Activation Schedule
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Models before and after
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Appliance anchored to second molar. First Molars drifts with distalization.
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Distalization is determined by the activations.
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First and second molars can be distalized simultaneously
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TPA or Nance is used for anchorage after distalization
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The Rapid Molar Distalizer
•Predictable Results
•Molars stay upright
• Intermediate force
•Can be used on lower arch
•Easy to insert due to flexibility
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This doctor activates the appliances every other day. This causes mesial movement of the bicuspids.
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True bodily movement of the bicuspids.
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Up to 12 millimeters of distalization is available.
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Appliance works well with unilateral distalization.
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It is recommended that the second molars be distalized first to prevent anterior movement.
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Questions regarding the RMD-Rapid Molar Distalizer?
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Tad Appliances
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“T” Tube used with TAD
• The “T” Tube allows you direct force to open space.
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Double sliding tube
• The double sliding tube offsets the tube buccal to prevent any interferences with bracket wings. This tube allow intrusion and extrusion with the TAD.
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AOB-Appliance-Uses TAD’s and occlusal coverage to intrude posteriors
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AOB with ROC crowns
• This appliance utilizes ROC crowns and occlusal tabs for composite bonds instead of occlusal acrylic
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Rapid Molars Distalizer with TAD’s
• TADS are used as primary anchorage for RMD
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Horseshoe Jet
• TAD will supply direct anchorage for distal jet
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New TAD Pendulum
• Utilizes two TAD anchors to support Pendulum spring for distalization. Parts are premanufactured and sold as pairs.
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Space Closing-TAD’s improve anchorage
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Anterior Anchorage with TAD’s
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Anterior Advancement with TAD’s
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Once advancement is achieved the posterior wire is removed and anterior wire is placed.
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Accessory TAD tubes
• Double sliding parallel tubes and “T” tubes are sold in packs of 10. These tubes offer versatile forces for TAD anchorage.
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First Bicuspid area is most popular area for TAD placement Currently
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Thank You!