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The Rapid Molar Distalizer

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Page 1: The Rapid Molar Distalizer - Specialty AppliancesThe Rapid Molar Distalizer •Predictable Results •Molars stay upright •Intermediate force •Can be used on lower arch •Easy

The Rapid Molar Distalizer

Page 2: The Rapid Molar Distalizer - Specialty AppliancesThe Rapid Molar Distalizer •Predictable Results •Molars stay upright •Intermediate force •Can be used on lower arch •Easy

Band upper first molars and first bicuspids when second molars are not erupted

Page 3: The Rapid Molar Distalizer - Specialty AppliancesThe Rapid Molar Distalizer •Predictable Results •Molars stay upright •Intermediate force •Can be used on lower arch •Easy

Screws are parallel to buccal line angle of alveolar process

Page 4: The Rapid Molar Distalizer - Specialty AppliancesThe Rapid Molar Distalizer •Predictable Results •Molars stay upright •Intermediate force •Can be used on lower arch •Easy

Band second molars and second bicuspids when second molars are erupted

Page 5: The Rapid Molar Distalizer - Specialty AppliancesThe Rapid Molar Distalizer •Predictable Results •Molars stay upright •Intermediate force •Can be used on lower arch •Easy

Screws can be moved to anterior for easier patient access of activation

Page 6: The Rapid Molar Distalizer - Specialty AppliancesThe Rapid Molar Distalizer •Predictable Results •Molars stay upright •Intermediate force •Can be used on lower arch •Easy

Large Nance button for displacement of force

Page 7: The Rapid Molar Distalizer - Specialty AppliancesThe Rapid Molar Distalizer •Predictable Results •Molars stay upright •Intermediate force •Can be used on lower arch •Easy

Transverse Expansion added to Appliance

Page 8: The Rapid Molar Distalizer - Specialty AppliancesThe Rapid Molar Distalizer •Predictable Results •Molars stay upright •Intermediate force •Can be used on lower arch •Easy

Transverse expansion with buttons on lingual to aid in second bicuspid retraction.

Page 9: The Rapid Molar Distalizer - Specialty AppliancesThe Rapid Molar Distalizer •Predictable Results •Molars stay upright •Intermediate force •Can be used on lower arch •Easy

Transverse Expansion with RES™ Ratcheting Expansion Screw. This screw clicks and locks activation.

Page 10: The Rapid Molar Distalizer - Specialty AppliancesThe Rapid Molar Distalizer •Predictable Results •Molars stay upright •Intermediate force •Can be used on lower arch •Easy

Lower transverse expansion. Anchor to molars with Bands or Crowns.

Page 11: The Rapid Molar Distalizer - Specialty AppliancesThe Rapid Molar Distalizer •Predictable Results •Molars stay upright •Intermediate force •Can be used on lower arch •Easy

Space Closing Appliances

Page 12: The Rapid Molar Distalizer - Specialty AppliancesThe Rapid Molar Distalizer •Predictable Results •Molars stay upright •Intermediate force •Can be used on lower arch •Easy

Space closing appliances for congenitally missing bicuspids or extracted teeth.

Page 13: The Rapid Molar Distalizer - Specialty AppliancesThe Rapid Molar Distalizer •Predictable Results •Molars stay upright •Intermediate force •Can be used on lower arch •Easy

Space Closing on lower with Herbst appliance for anchorage.

Page 14: The Rapid Molar Distalizer - Specialty AppliancesThe Rapid Molar Distalizer •Predictable Results •Molars stay upright •Intermediate force •Can be used on lower arch •Easy

Herbst holds lower anteriors in position while molars are closed with activation screw

Page 15: The Rapid Molar Distalizer - Specialty AppliancesThe Rapid Molar Distalizer •Predictable Results •Molars stay upright •Intermediate force •Can be used on lower arch •Easy

Actual cases-Unilateral distalization

Page 16: The Rapid Molar Distalizer - Specialty AppliancesThe Rapid Molar Distalizer •Predictable Results •Molars stay upright •Intermediate force •Can be used on lower arch •Easy

Unilateral to open space

Page 17: The Rapid Molar Distalizer - Specialty AppliancesThe Rapid Molar Distalizer •Predictable Results •Molars stay upright •Intermediate force •Can be used on lower arch •Easy

Place screw just below gingival and parallel to buccal line angle

Page 18: The Rapid Molar Distalizer - Specialty AppliancesThe Rapid Molar Distalizer •Predictable Results •Molars stay upright •Intermediate force •Can be used on lower arch •Easy

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

Page 19: The Rapid Molar Distalizer - Specialty AppliancesThe Rapid Molar Distalizer •Predictable Results •Molars stay upright •Intermediate force •Can be used on lower arch •Easy

Insert upper appliance

Page 20: The Rapid Molar Distalizer - Specialty AppliancesThe Rapid Molar Distalizer •Predictable Results •Molars stay upright •Intermediate force •Can be used on lower arch •Easy
Page 21: The Rapid Molar Distalizer - Specialty AppliancesThe Rapid Molar Distalizer •Predictable Results •Molars stay upright •Intermediate force •Can be used on lower arch •Easy

Progress of appliance

Page 22: The Rapid Molar Distalizer - Specialty AppliancesThe Rapid Molar Distalizer •Predictable Results •Molars stay upright •Intermediate force •Can be used on lower arch •Easy
Page 23: The Rapid Molar Distalizer - Specialty AppliancesThe Rapid Molar Distalizer •Predictable Results •Molars stay upright •Intermediate force •Can be used on lower arch •Easy
Page 24: The Rapid Molar Distalizer - Specialty AppliancesThe Rapid Molar Distalizer •Predictable Results •Molars stay upright •Intermediate force •Can be used on lower arch •Easy
Page 25: The Rapid Molar Distalizer - Specialty AppliancesThe Rapid Molar Distalizer •Predictable Results •Molars stay upright •Intermediate force •Can be used on lower arch •Easy
Page 26: The Rapid Molar Distalizer - Specialty AppliancesThe Rapid Molar Distalizer •Predictable Results •Molars stay upright •Intermediate force •Can be used on lower arch •Easy
Page 27: The Rapid Molar Distalizer - Specialty AppliancesThe Rapid Molar Distalizer •Predictable Results •Molars stay upright •Intermediate force •Can be used on lower arch •Easy
Page 28: The Rapid Molar Distalizer - Specialty AppliancesThe Rapid Molar Distalizer •Predictable Results •Molars stay upright •Intermediate force •Can be used on lower arch •Easy

Predictable results

Page 29: The Rapid Molar Distalizer - Specialty AppliancesThe Rapid Molar Distalizer •Predictable Results •Molars stay upright •Intermediate force •Can be used on lower arch •Easy

Anchorage is maintained when activated properly

Page 30: The Rapid Molar Distalizer - Specialty AppliancesThe Rapid Molar Distalizer •Predictable Results •Molars stay upright •Intermediate force •Can be used on lower arch •Easy

Unilateral design

Page 31: The Rapid Molar Distalizer - Specialty AppliancesThe Rapid Molar Distalizer •Predictable Results •Molars stay upright •Intermediate force •Can be used on lower arch •Easy

Overjet was not increased after full activation

Page 32: The Rapid Molar Distalizer - Specialty AppliancesThe Rapid Molar Distalizer •Predictable Results •Molars stay upright •Intermediate force •Can be used on lower arch •Easy

From initial cementation to full distalization

Page 33: The Rapid Molar Distalizer - Specialty AppliancesThe Rapid Molar Distalizer •Predictable Results •Molars stay upright •Intermediate force •Can be used on lower arch •Easy

Distalization is so predictable we can make a Nance when RMD is made. Just let us know distalization amount

Page 34: The Rapid Molar Distalizer - Specialty AppliancesThe Rapid Molar Distalizer •Predictable Results •Molars stay upright •Intermediate force •Can be used on lower arch •Easy

Activation Schedule

Page 35: The Rapid Molar Distalizer - Specialty AppliancesThe Rapid Molar Distalizer •Predictable Results •Molars stay upright •Intermediate force •Can be used on lower arch •Easy

Models before and after

Page 36: The Rapid Molar Distalizer - Specialty AppliancesThe Rapid Molar Distalizer •Predictable Results •Molars stay upright •Intermediate force •Can be used on lower arch •Easy

Appliance anchored to second molar. First Molars drifts with distalization.

Page 37: The Rapid Molar Distalizer - Specialty AppliancesThe Rapid Molar Distalizer •Predictable Results •Molars stay upright •Intermediate force •Can be used on lower arch •Easy
Page 38: The Rapid Molar Distalizer - Specialty AppliancesThe Rapid Molar Distalizer •Predictable Results •Molars stay upright •Intermediate force •Can be used on lower arch •Easy
Page 39: The Rapid Molar Distalizer - Specialty AppliancesThe Rapid Molar Distalizer •Predictable Results •Molars stay upright •Intermediate force •Can be used on lower arch •Easy

Distalization is determined by the activations.

Page 40: The Rapid Molar Distalizer - Specialty AppliancesThe Rapid Molar Distalizer •Predictable Results •Molars stay upright •Intermediate force •Can be used on lower arch •Easy

First and second molars can be distalized simultaneously

Page 41: The Rapid Molar Distalizer - Specialty AppliancesThe Rapid Molar Distalizer •Predictable Results •Molars stay upright •Intermediate force •Can be used on lower arch •Easy

TPA or Nance is used for anchorage after distalization

Page 42: The Rapid Molar Distalizer - Specialty AppliancesThe Rapid Molar Distalizer •Predictable Results •Molars stay upright •Intermediate force •Can be used on lower arch •Easy

The Rapid Molar Distalizer

•Predictable Results

•Molars stay upright

• Intermediate force

•Can be used on lower arch

•Easy to insert due to flexibility

Page 43: The Rapid Molar Distalizer - Specialty AppliancesThe Rapid Molar Distalizer •Predictable Results •Molars stay upright •Intermediate force •Can be used on lower arch •Easy

This doctor activates the appliances every other day. This causes mesial movement of the bicuspids.

Page 44: The Rapid Molar Distalizer - Specialty AppliancesThe Rapid Molar Distalizer •Predictable Results •Molars stay upright •Intermediate force •Can be used on lower arch •Easy

True bodily movement of the bicuspids.

Page 45: The Rapid Molar Distalizer - Specialty AppliancesThe Rapid Molar Distalizer •Predictable Results •Molars stay upright •Intermediate force •Can be used on lower arch •Easy

Up to 12 millimeters of distalization is available.

Page 46: The Rapid Molar Distalizer - Specialty AppliancesThe Rapid Molar Distalizer •Predictable Results •Molars stay upright •Intermediate force •Can be used on lower arch •Easy

Appliance works well with unilateral distalization.

Page 47: The Rapid Molar Distalizer - Specialty AppliancesThe Rapid Molar Distalizer •Predictable Results •Molars stay upright •Intermediate force •Can be used on lower arch •Easy

It is recommended that the second molars be distalized first to prevent anterior movement.

Page 48: The Rapid Molar Distalizer - Specialty AppliancesThe Rapid Molar Distalizer •Predictable Results •Molars stay upright •Intermediate force •Can be used on lower arch •Easy

Questions regarding the RMD-Rapid Molar Distalizer?

Page 49: The Rapid Molar Distalizer - Specialty AppliancesThe Rapid Molar Distalizer •Predictable Results •Molars stay upright •Intermediate force •Can be used on lower arch •Easy

Tad Appliances

Page 50: The Rapid Molar Distalizer - Specialty AppliancesThe Rapid Molar Distalizer •Predictable Results •Molars stay upright •Intermediate force •Can be used on lower arch •Easy

“T” Tube used with TAD

• The “T” Tube allows you direct force to open space.

Page 51: The Rapid Molar Distalizer - Specialty AppliancesThe Rapid Molar Distalizer •Predictable Results •Molars stay upright •Intermediate force •Can be used on lower arch •Easy

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.

Page 52: The Rapid Molar Distalizer - Specialty AppliancesThe Rapid Molar Distalizer •Predictable Results •Molars stay upright •Intermediate force •Can be used on lower arch •Easy

AOB-Appliance-Uses TAD’s and occlusal coverage to intrude posteriors

Page 53: The Rapid Molar Distalizer - Specialty AppliancesThe Rapid Molar Distalizer •Predictable Results •Molars stay upright •Intermediate force •Can be used on lower arch •Easy

AOB with ROC crowns

• This appliance utilizes ROC crowns and occlusal tabs for composite bonds instead of occlusal acrylic

Page 54: The Rapid Molar Distalizer - Specialty AppliancesThe Rapid Molar Distalizer •Predictable Results •Molars stay upright •Intermediate force •Can be used on lower arch •Easy

Rapid Molars Distalizer with TAD’s

• TADS are used as primary anchorage for RMD

Page 55: The Rapid Molar Distalizer - Specialty AppliancesThe Rapid Molar Distalizer •Predictable Results •Molars stay upright •Intermediate force •Can be used on lower arch •Easy

Horseshoe Jet

• TAD will supply direct anchorage for distal jet

Page 56: The Rapid Molar Distalizer - Specialty AppliancesThe Rapid Molar Distalizer •Predictable Results •Molars stay upright •Intermediate force •Can be used on lower arch •Easy

New TAD Pendulum

• Utilizes two TAD anchors to support Pendulum spring for distalization. Parts are premanufactured and sold as pairs.

Page 57: The Rapid Molar Distalizer - Specialty AppliancesThe Rapid Molar Distalizer •Predictable Results •Molars stay upright •Intermediate force •Can be used on lower arch •Easy

Space Closing-TAD’s improve anchorage

Page 58: The Rapid Molar Distalizer - Specialty AppliancesThe Rapid Molar Distalizer •Predictable Results •Molars stay upright •Intermediate force •Can be used on lower arch •Easy

Anterior Anchorage with TAD’s

Page 59: The Rapid Molar Distalizer - Specialty AppliancesThe Rapid Molar Distalizer •Predictable Results •Molars stay upright •Intermediate force •Can be used on lower arch •Easy

Anterior Advancement with TAD’s

Page 60: The Rapid Molar Distalizer - Specialty AppliancesThe Rapid Molar Distalizer •Predictable Results •Molars stay upright •Intermediate force •Can be used on lower arch •Easy

Once advancement is achieved the posterior wire is removed and anterior wire is placed.

Page 61: The Rapid Molar Distalizer - Specialty AppliancesThe Rapid Molar Distalizer •Predictable Results •Molars stay upright •Intermediate force •Can be used on lower arch •Easy

Accessory TAD tubes

• Double sliding parallel tubes and “T” tubes are sold in packs of 10. These tubes offer versatile forces for TAD anchorage.

Page 62: The Rapid Molar Distalizer - Specialty AppliancesThe Rapid Molar Distalizer •Predictable Results •Molars stay upright •Intermediate force •Can be used on lower arch •Easy

First Bicuspid area is most popular area for TAD placement Currently

Page 63: The Rapid Molar Distalizer - Specialty AppliancesThe Rapid Molar Distalizer •Predictable Results •Molars stay upright •Intermediate force •Can be used on lower arch •Easy

Thank You!