Most common cause of facial asymmetry
Mandibular CR-CO shift (dental interference)
Appliance for Max constriction
Near adolescents
Adolescents
Preadolescent in primary and mixed dentition
Near adolescents: RPE or SPE (heavy forces)
Adolescents: RPE or SPE (heavy forces)
Preadolescent in primary and mixed dentition: Lingual arch type (W or Quad) (light forces)
RPE vs SPE
RPE: 1-2 turns/day for 2-4 weeks
SPE: 1 turn every other day for 4-8 weeks
Retention time
3 months
Lingual arch type treatment length
3 months
Bilateral maxillary constriction in primary
W-arch
W arch anchorage type
Reciprocal
Orthopedic vs orthodontic forces
Orthopedic is 10X greater
W arch wire
036 SS
Quad helix wire
038 SS