The typical rate of activation is one (1) per day. Each RPE requires four (4) activations per 1mm. It is Not uncommon to double up with one turn in the morning and one in the evening. Going too fast may damage periodontal membrane or roots of the teeth. Going too slow may result in producing more dentoalveolar change and less sutural split than normally desired.
This appliance should be cleaned every day with toothpaste and a soft toothbrush, morning and night. Encourage the patient to give sufficient time to clean thoroughly around the appliance, gums, teeth, and bands to maintain proper hygiene and prevent inflammation. 3 minutes is recommended.
1) Brush Reliance plastic conditioner on the underside of the appliance, and let dry.
2) Etch around the circumference of the teeth, NOT the occlusal surface.
3) If the appliance will be covering any primary teeth, paint Reliance Assure on etched areas then dry.
4) Use Reliance Ultra Band Lock and inject into the underside of the appliance….cover the buccal, lingual and occlusal surfaces with paste, be careful not to have any voids, this can cause decalcification in those areas.
5) Seat the appliance and clean off any excess material, then light cure through the acrylic onto the tooth surface, about 10 seconds per tooth.
The addition of facemask hooks to a traditional RPE allows for the simultaneous treatment of maxillary expansion and Class III malocclusion by using a facemask to pull the maxilla forward. This combined approach was first used in the mid-20th century and has since been refined to improve patient comfort and treatment outcomes.
We’re driven by hard-work and a relentless passion for dental excellence. It’s simple. ODL’s highly skilled lab technicians utilize the finest materials available to achieve ideal results for you and your patients. We stand by our craftsmanship and strive to exceed your expectations with every appliance.
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