A Novel Combined SplintOrthodontic Removable Appliance to Correct a Posterior Forced Bite

Prof. Dr. Dr. Ralf J. Radlanski

A Novel Combined Splint Orthodontic Removable Appliance to Correct a Posterior Forced Bite

Patients with a posterior forced bite often show a retro-inclined angulation of the upper front teeth, very frequently combined with an elongation of the upper and lower anterior dentition. 

In these patients, the effect of a splint can be rendered questionable, when the mandible should come forward further, but is hindered by the incisor teeth. As a consequence, in many cases, the splints are 

fabricated with a very high vertical dimension. There are a number of patients, who do not tolerate this vertical dimension of the splints, and thus they are not worn as frequently as they should. And with a 

splint alone, maybe the symptoms could be reduced, however, no improvement of the malocclusion could be expected on the long run. Even worse: a mandible, that wanted to come forward under the splint will be forced backwards again, as soon as the splint has been removed. Therefore, we combine a splint with an active removable orthodontic appliance. A selection of cases will illustrate the approach and the success that has been achieved using this novel device.

Source: IOS Congress