Transpalatal Arch and its Modifications
Keywords:
Transpalatal arch,Goshgerian appliance.anchorage,molar distalisation,expansion, scissor bite.
Abstract
Versatility has become key feature for an appliance to be chosen for any orthodontic treatment, one such appliance is transpalatal arch (TPA) which has numerous advantages while using in fixed orthodontic treatment. TPA not only provides additional anchorage but also used for active movement of individual teeth. The aim of this article is to present a broad review of the literature by including various modifications of TPA and their indications, to better assist the clinician for using it in different case
References
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2. Burstone CJ, Manhartsberger C. Precision lingual arches-Passive appiications. J Clin Orthod 1988;22: 444-451.
3. Burstone CJ. Precision lingual arches- Passive Active applications. J Clin Orthod 1989;23:101-109.
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5. Gunduz E, Zachrisson BU, Honigl KD, Crismani AG, Bantleon HP. An improved transpalatal bar design. Part I. Comparison of moments and forces delivered by two bar designs for symmetrical molar derotation. Angle Orthod 2003;73:239-43.
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7. Burstone CJ, Koenig HA. Precision adjustment of the form arch arch: transpalatal lingual computer predetermination. Am J Orthod 1981;79:115-34.
8. Zachrisson, B. U. Important aspects of long-term stability. J ClinOrthod 1997. 31:562–583.
9. Zachrisson BU. Clinical use of custom-made transpalatal arches—why and how. World Journal of Orthodontics 2004; 5(3): 260-267.
10. Deberardinis M, Stretesky T, Sinha P, Nanda RS.Evaluation of the vertical holding appliance in treatment of high-angle patients. American Journal of Orthodontics and Dentofacial Orthopedics 2000; 117(6): 700-705.
11. Wise JB, Magness WB, Powers JM. Maxillary molar vertical control with the use of transpalatal arches. American Journal of Orthodontics and Dentofacial Orthopedics 1994;106(4): 403-408.
12.C. Wallis, N. S. Vasir. A Simplified Method of Attachment for the Quadhelix and Transpalatal Arch. British Journal of Orthodontics. 1998; 25:263–267.
13. J.M. Cobo, B. Diaz, F.de Carlos. Maintaining anchorage with a combination Nance-Goshgariantranspalatal arch. Journal of clinical orthodontics .1998; 32(11):681.
14. Hudson JM. Tongue-friendly transpalatal arches. JClinOrthod 2000, 34(11):671.
15. Massimiliano M, Laura B. Asymmetric Distalization with a TMA Transpalatal Arch. J ClinOrthod, 2001, 35(3):175.
16. Guerra H. A Modified Transpalatal Arch. J ClinOrthod. 2002;36(4):210.
17. A. Keles. An effective and precise method for rapid molar derotation: Keles TPA. World J Orthod 2003; 4(3):1-8.
18. Tsibel G, Kuftinec M. A Bonded Transpalatal Arch. J ClinOrthod. 2004;38(9):513.
19. Park HS. A Miniscrew-Assisted Transpalatal Arch for Use in Lingual Orthodontics. J ClinOrthod. 2006; 40(1):12.
20. V Moutaftchiev, AMoutaftchiev. The Individually Prepared Transpalatal Arch (TPA). OHDMBSC 2009; 8(1):13.
21. Pizzoni L. Fibre reinforced composite transpalatal arch in impacted canine orthodontic treatment. ProgOrthod. 2010;11(1):83-5.
22. Fujisawa, Masato & Komori, Akira. (2011). A modified transpalatal arch with customized bonding base. Orthodontic Waves. 2011; 70. 39-42.
23. V. Reddy R. Parmar R. A Modified Transpalatal Arch for Correction of Scissor Bite. J ClinOrthod. 2012; 46(5):308.
24. Durgekar S, Nagaraj K. Modified Transpalatal Arch For Molar Intrusion. J IndOrthod Soc. 2012; 23(3).
25. Lee J, Miyazawa K, Tabuchi M, Kawaguchi M, Shibata M, Goto S. Midpalatalminiscrews and high-pull headgear for anteroposterior and vertical anchorage control: cephalometric comparisons of treatment changes. Am J OrthodDentofacialOrthop. 2013;144:238–250.
26. Paduano S, Spagnuolo G, BiaseGd, CioffiI.Treatment of a Class II Division 2 Patient with Severe Skeletal Discrepancy by Using a Custom Made TPA Proclination Spring. Open Dent J. 2013; 20;7:109-17.
27. Gupta A, Kannan S, Gupta G, GoyaliyaA,Kaul A, Garg N. A Modified Transpalatal Arch with Sleeve. J IndOrthodSoc 2013; 47(2):112.
28. Nikkerdar A. Butterfly Arch: A Device for Precise Controlling of the Upper Molars in Three Planes of Space. J Dent (Tehran). 2013; 10(3): 221–226.
29. Kumar ND, Krishna BR, Shamnur N, Mithun K. Modified transpalatal arch for molar intrusion. J Int Oral Health 2014;6(6):88-9.
30. Mehta F, Patel R, Kharadi L, Mehta S. A Modified Transpalatal Arch for Correction of Bucally PlacedMaxillary 2nd Molars: Non-Compliant Mechanics. Journal of Dental and Medical Sciences 2014;13(4)24-26.
31. Gupta A, Kannan S, Gupta G, Goyaliya A, Kaul A, Garg N. A Modified Transpaltal Arch With Sleeve. J IndOrthodSoc 2013;47(2):112.
32. ElifGündüz, A. G. Crismani, H. P. Bantleon, Klaus D. Hönigl, and Bjorn U. Zachrisson (2003) An Improved Transpalatal Bar Design. Part II. Clinical Upper Molar Derotation— Case Report. The Angle Orthodontist: June 2003, Vol. 73, No. 3, pp. 244-248.
33. Zablocki HL1, McNamara JA Jr, Franchi L, Baccetti T. Effect of the transpalatal arch during extraction treatment. Am J Orthod Dentofacial Orthop. 2008 Jun;133(6):852- 60. doi: 10.1016/j.ajodo.2006.07.031.
34. Hassan S, Shah MJ. Bilateral Intrusion of Molar using Modified Transpalatal Arch in Mutilated Case. J IndOrthodSoc 2014;48(4):280-281.
35. Riddhi, Prasad S. Molar intrusion with asymmetrical MTPA. International Journal of Oral Health Dentistry, October – December 2015;1(4):190-193.
36. Lyka I, Carlsson GE, Wedel A et al: Dentists' perception of risks for molars without antagonists. A questionnaire study of dentists in Sweden, Swed. Dent. J. 25:67-73, 2001.
37. Tsetsilas M. Konermann AC. Keilig L. Reimann S. Jager A. Bourauel C. Symmetric and asymmetric expansion of molars using a Burstone type transpalatal arch. Biomechanical and chemical analysis.. J OrofacOrthop 2015 Sep;76(5):377-90
38. Miresmaeilia A, Sajedia A, MoghimbeigicA.Farhadiana N. Three-dimensional analysis of the distal movement of maxillary 1st molars in patients fitted with mini-implantaided trans- palatal arches. Korean J Orthod 2015;45(5):236-24429.
39. Kapadia RM. A simple and effective appliance for correction of bilateral molar scissor bite: “The M-shaped palatal arch”.Int J OrthodRehabil 2017;8:125-7.
40. Thomas A, Afshan T, Deru T. Modification of transpalatalarch for expansion. J Indian OrthodSoc 2017;51:289-90
41. Profitt WR. Contemporary Orthoodntics. 4th ed. United States: Mosby; 2007.
42. Graber TM, Vanarsdall RL, Vig KL. Orthodontics current principles and techniques. 4th ed. St. Louis: The CU Mosby Company; 2005.
43. Jain AK, Ganeshkar SV, Revankar A. Modifi ed TPA-supported removable pontic. APOS Trends Orthod 2014;4:76-7.
44. Dahlquist A, Gebauer U, Ingervall B. The effect of a transpalatal arch for the correction of first molar rotation. Eur J Orthod. 1996; 18(3):257–267.
45. Braun S, Kusnoto B, Evans C. The effect of maxillary molar derotation on arch length. Am J OrthodDentofacialOrthop 1997; 112(5):538–44.
46. Liu YH, Liu J, Li Q, Ding WH.An efficacy comparison between mini-screw implant and transpalatal arch on dentofacial morphology in extraction cases. Chinese Jour of Somatology. 2009; 44(8):454-9.
47. Stivaros N, Lowe C, Dandy N, Doherty B, Mandall N. A randomized clinical trial to compare the Goshgarian and Nance palatal arch. Eur J Orthod. 2010; 32(2):171-176.
2. Burstone CJ, Manhartsberger C. Precision lingual arches-Passive appiications. J Clin Orthod 1988;22: 444-451.
3. Burstone CJ. Precision lingual arches- Passive Active applications. J Clin Orthod 1989;23:101-109.
4. McNamara JA Jr, Brudon WL. Orthodontics and dento facial orthopedics. Ann Arbor, Mich: Needham Press; 00202001.
5. Gunduz E, Zachrisson BU, Honigl KD, Crismani AG, Bantleon HP. An improved transpalatal bar design. Part I. Comparison of moments and forces delivered by two bar designs for symmetrical molar derotation. Angle Orthod 2003;73:239-43.
6. Spena R. Nonextraction Treatment: An Atlas on Cetlin Mechanics. Birmingham, AL: GAC International, 2002; pp19- 72.
7. Burstone CJ, Koenig HA. Precision adjustment of the form arch arch: transpalatal lingual computer predetermination. Am J Orthod 1981;79:115-34.
8. Zachrisson, B. U. Important aspects of long-term stability. J ClinOrthod 1997. 31:562–583.
9. Zachrisson BU. Clinical use of custom-made transpalatal arches—why and how. World Journal of Orthodontics 2004; 5(3): 260-267.
10. Deberardinis M, Stretesky T, Sinha P, Nanda RS.Evaluation of the vertical holding appliance in treatment of high-angle patients. American Journal of Orthodontics and Dentofacial Orthopedics 2000; 117(6): 700-705.
11. Wise JB, Magness WB, Powers JM. Maxillary molar vertical control with the use of transpalatal arches. American Journal of Orthodontics and Dentofacial Orthopedics 1994;106(4): 403-408.
12.C. Wallis, N. S. Vasir. A Simplified Method of Attachment for the Quadhelix and Transpalatal Arch. British Journal of Orthodontics. 1998; 25:263–267.
13. J.M. Cobo, B. Diaz, F.de Carlos. Maintaining anchorage with a combination Nance-Goshgariantranspalatal arch. Journal of clinical orthodontics .1998; 32(11):681.
14. Hudson JM. Tongue-friendly transpalatal arches. JClinOrthod 2000, 34(11):671.
15. Massimiliano M, Laura B. Asymmetric Distalization with a TMA Transpalatal Arch. J ClinOrthod, 2001, 35(3):175.
16. Guerra H. A Modified Transpalatal Arch. J ClinOrthod. 2002;36(4):210.
17. A. Keles. An effective and precise method for rapid molar derotation: Keles TPA. World J Orthod 2003; 4(3):1-8.
18. Tsibel G, Kuftinec M. A Bonded Transpalatal Arch. J ClinOrthod. 2004;38(9):513.
19. Park HS. A Miniscrew-Assisted Transpalatal Arch for Use in Lingual Orthodontics. J ClinOrthod. 2006; 40(1):12.
20. V Moutaftchiev, AMoutaftchiev. The Individually Prepared Transpalatal Arch (TPA). OHDMBSC 2009; 8(1):13.
21. Pizzoni L. Fibre reinforced composite transpalatal arch in impacted canine orthodontic treatment. ProgOrthod. 2010;11(1):83-5.
22. Fujisawa, Masato & Komori, Akira. (2011). A modified transpalatal arch with customized bonding base. Orthodontic Waves. 2011; 70. 39-42.
23. V. Reddy R. Parmar R. A Modified Transpalatal Arch for Correction of Scissor Bite. J ClinOrthod. 2012; 46(5):308.
24. Durgekar S, Nagaraj K. Modified Transpalatal Arch For Molar Intrusion. J IndOrthod Soc. 2012; 23(3).
25. Lee J, Miyazawa K, Tabuchi M, Kawaguchi M, Shibata M, Goto S. Midpalatalminiscrews and high-pull headgear for anteroposterior and vertical anchorage control: cephalometric comparisons of treatment changes. Am J OrthodDentofacialOrthop. 2013;144:238–250.
26. Paduano S, Spagnuolo G, BiaseGd, CioffiI.Treatment of a Class II Division 2 Patient with Severe Skeletal Discrepancy by Using a Custom Made TPA Proclination Spring. Open Dent J. 2013; 20;7:109-17.
27. Gupta A, Kannan S, Gupta G, GoyaliyaA,Kaul A, Garg N. A Modified Transpalatal Arch with Sleeve. J IndOrthodSoc 2013; 47(2):112.
28. Nikkerdar A. Butterfly Arch: A Device for Precise Controlling of the Upper Molars in Three Planes of Space. J Dent (Tehran). 2013; 10(3): 221–226.
29. Kumar ND, Krishna BR, Shamnur N, Mithun K. Modified transpalatal arch for molar intrusion. J Int Oral Health 2014;6(6):88-9.
30. Mehta F, Patel R, Kharadi L, Mehta S. A Modified Transpalatal Arch for Correction of Bucally PlacedMaxillary 2nd Molars: Non-Compliant Mechanics. Journal of Dental and Medical Sciences 2014;13(4)24-26.
31. Gupta A, Kannan S, Gupta G, Goyaliya A, Kaul A, Garg N. A Modified Transpaltal Arch With Sleeve. J IndOrthodSoc 2013;47(2):112.
32. ElifGündüz, A. G. Crismani, H. P. Bantleon, Klaus D. Hönigl, and Bjorn U. Zachrisson (2003) An Improved Transpalatal Bar Design. Part II. Clinical Upper Molar Derotation— Case Report. The Angle Orthodontist: June 2003, Vol. 73, No. 3, pp. 244-248.
33. Zablocki HL1, McNamara JA Jr, Franchi L, Baccetti T. Effect of the transpalatal arch during extraction treatment. Am J Orthod Dentofacial Orthop. 2008 Jun;133(6):852- 60. doi: 10.1016/j.ajodo.2006.07.031.
34. Hassan S, Shah MJ. Bilateral Intrusion of Molar using Modified Transpalatal Arch in Mutilated Case. J IndOrthodSoc 2014;48(4):280-281.
35. Riddhi, Prasad S. Molar intrusion with asymmetrical MTPA. International Journal of Oral Health Dentistry, October – December 2015;1(4):190-193.
36. Lyka I, Carlsson GE, Wedel A et al: Dentists' perception of risks for molars without antagonists. A questionnaire study of dentists in Sweden, Swed. Dent. J. 25:67-73, 2001.
37. Tsetsilas M. Konermann AC. Keilig L. Reimann S. Jager A. Bourauel C. Symmetric and asymmetric expansion of molars using a Burstone type transpalatal arch. Biomechanical and chemical analysis.. J OrofacOrthop 2015 Sep;76(5):377-90
38. Miresmaeilia A, Sajedia A, MoghimbeigicA.Farhadiana N. Three-dimensional analysis of the distal movement of maxillary 1st molars in patients fitted with mini-implantaided trans- palatal arches. Korean J Orthod 2015;45(5):236-24429.
39. Kapadia RM. A simple and effective appliance for correction of bilateral molar scissor bite: “The M-shaped palatal arch”.Int J OrthodRehabil 2017;8:125-7.
40. Thomas A, Afshan T, Deru T. Modification of transpalatalarch for expansion. J Indian OrthodSoc 2017;51:289-90
41. Profitt WR. Contemporary Orthoodntics. 4th ed. United States: Mosby; 2007.
42. Graber TM, Vanarsdall RL, Vig KL. Orthodontics current principles and techniques. 4th ed. St. Louis: The CU Mosby Company; 2005.
43. Jain AK, Ganeshkar SV, Revankar A. Modifi ed TPA-supported removable pontic. APOS Trends Orthod 2014;4:76-7.
44. Dahlquist A, Gebauer U, Ingervall B. The effect of a transpalatal arch for the correction of first molar rotation. Eur J Orthod. 1996; 18(3):257–267.
45. Braun S, Kusnoto B, Evans C. The effect of maxillary molar derotation on arch length. Am J OrthodDentofacialOrthop 1997; 112(5):538–44.
46. Liu YH, Liu J, Li Q, Ding WH.An efficacy comparison between mini-screw implant and transpalatal arch on dentofacial morphology in extraction cases. Chinese Jour of Somatology. 2009; 44(8):454-9.
47. Stivaros N, Lowe C, Dandy N, Doherty B, Mandall N. A randomized clinical trial to compare the Goshgarian and Nance palatal arch. Eur J Orthod. 2010; 32(2):171-176.
Published
2022-09-03
How to Cite
Pallavi, P. V., Isha Aggarwal, Mittal, S., Papkit, T., & Merry. (2022). Transpalatal Arch and its Modifications. UNIVERSITY JOURNAL OF DENTAL SCIENCES, 8(4). https://doi.org/10.21276//ujds.2022.8.4.22
Section
Review Article
