lower lingual holding arch

7/28/2019 Lower Lingual Holding Arch

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LOWER LINGUAL

HOLDING ARCH

(LLHA)Quinto, Jasmine

Regalado, Liel Marie

Salazar, Stefanie

Vasquez, Czarina Alyssa


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LOWER LINGUAL HOLDING ARCH

(LLHA)

DESCRIPTION:

a space maintaining appliance

is comprised of stainless steel rings (bands)around posterior teeth (usually molars)

a stainless steel wire that passivelycontacts the lingual surfaces of the teeth.

is designed to maintain the position of thelower molars as the baby teeth are lost.


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PURPOSEto prevent your lower molars frommoving.

used to preserve and create space

in the mandibular arch and to aid in

uprighting of the molars

designed for space management

and rotation of molars if needed.


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Lower Lingual Holding Arch

Procedure

Place seperators for sufficient time

Band 26,36

Weld lingual sheaths Lingualy.

Take impressions with bands in place.

Transfer the band to the impression.

Pour cast and send it to the lab.

When lower lingual holding Arch is used as a space

maintainer the entire assembly can be fabricated inthe lab itself. Only a clean stone impression is needed.

But when it is used along with fixed appliance systems

the procedure mentioned earlier important.


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Fabrication(a laboratory processed appliance soldered to a molarband that requires two visits by the patient) Bands are adapted to the most posterior toothremaining on the arch (first permanent molaror second primary molar) A pick up alginate impression is taken.


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Fabrication The appliance is fabricated in alaboratory. A 0.036 stainless steel wire is

soldered to the bands. This wire must be1.5 mm away from the soft tissues forgingival health. This wire should rest onthe cingula of the incisors.

Cementation with appropriate cements(described earlier).


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Indications: Loss of second primary molarin the

mandible

Bilateral loss of primary teeth in the

mandibular arch during transitionaldentition.

Maintenance of arch perimeter

and incisor positions.

Contraindicated in primarydentition.


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Modification of LLA withomega loops.

Activation of loops help

flare anteriors with somedistalising of permanentmolars.


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Contraindications Permanent mandibularincisors not yet erupted.


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How Do We Fit The Lingual

Arch?1. If required, separators are placed between

your back teeth to create space for the

bands

2. The separators are removed approximately

one week lateror at the band fitting

appointment.

3. Bands are chosen to specifically fit your

teeth


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How Do We Fit The Lingual

Arch?5. Once the bands have been fitted, an

impression is taken to have the lingual

arch constructed

6. Once the lingual arch has been

constructed, an appointment will bescheduled to have the lingual archinserted into your mouth


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How Do I Clean My Lingual

Arch?


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How Do I Clean My Lingual

Arch? If food is not effectively removed from the lingual arch, it

can cause dental decay and gum problems

Tilt your toothbrush on a 45 angle on the gum line,

underneath the bands on your lower first molar teeth

Rotate your toothbrush ten times on both the left and

right sides, inside and outside of the bands

A dental floss threaderwill be provided so that you are

able to floss around the lingual arch


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Proper Care

Brush teeth at least 3 times daily.

Use a water pick or floss, to remove food caught

underneath the appliance.

Watch diet and contact office if bands come looseor anything breaks or wire gets bent.

Warm salt waterrinses for sores.

'Rescue' wax for bands until cheeks get used tonew appliance


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Advantages: Maintains the

tooth space andthe leewayspace

to prevent your

lower molars frommoving

Disadvantages: First permanent

molars may besusceptible todecalcification

may be prone to

breakage unlessthe patient iswell-informed on

maintenance


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Prices

As of June 1, 2012 by

Ortho Dent Laboratory

Inc.

LLHA - 1361.26Php

LLHA with loops -

1536.06Php


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lower lingual holding arch

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