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The Inclined Plane (IP) – a helpful non-compliance device (a case presentation)

American Association of Orthodontists 112th Annual Session Honolulu, Hawaii – May 4-8, 2012. The Inclined Plane (IP) – a helpful non-compliance device (a case presentation). American Association of Orthodontists 112th Annual Session Honolulu, Hawaii – May 4-8, 2012. Authors:

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The Inclined Plane (IP) – a helpful non-compliance device (a case presentation)

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  1. American Association of Orthodontists 112th Annual Session Honolulu, Hawaii – May 4-8, 2012 The Inclined Plane (IP)– a helpful non-compliance device(a case presentation)

  2. American Association of Orthodontists 112th Annual Session Honolulu, Hawaii – May 4-8, 2012 Authors: Raphael Hoehr Werner Noeke – private office, Meschede, Germany Tim Noeke – University of Muenster, Germany Kathrin Weyer – University of Frankfurt, Germany

  3. 14.09.2011 14.09.2011 14.09.2011 Purpose: Persistency of deciduous upper incisors or primary shortage of space can lead to an reclination of permanent teeth or to pseudoprognathism with a class III relationship of the front teeth.

  4. 30.05.2011 30.05.2011 30.05.2011 Patient: Fabian S., 7 years, reclination of 11, pseudoprognathism

  5. 14.09.2011 14.09.2011 14.09.2011 Material/Methods: The acrylic inclined plane is easy to produce and fixed on the lower incisors with GIC as a semi-permanent non-compliance device. The retrusive and inclined upper incisor gets in contact to the IP when the patient starts the chewing process and slides down and forward. The angle of the inclined plane should be about 65° - 75 ° to the occlusal plane. Due to the protrusion of the incisor, the upper edge of the plane has to be adjusted when it gets in contact to the palatal tissue.

  6. 28.09.2011 14 days after incooperation, tooth 11 is unlocked. 28.09.2011 28.09.2011

  7. 28.09.2011 Directly after removing the inclined plane. 28.09.2011 28.09.2011

  8. 06.10.2011 For retention a removable retainer with protrusion springs for the upper incisors and Eschler-arch for the lower incisors is used. 06.10.2011 06.10.2011

  9. 30.01.2012 4 months later: The result has improved. 30.01.2012 30.01.2012

  10. 14.09.11 14.09.11 30.01.12 Results: Generally a malocclusion is unlocked in an average treatment time of 1-3 weeks. In this case the treatment time was 14 days and there was e.g. a significant change of SNA, upper incisor-angle and upper lip profile. For retention a removable retainer with protrusion springs for the upper incisors and Eschler-arch for the lower incisors is used.

  11. 30.05.11 30.01.12 Upper lip profile has improved Initial findings Final findings

  12. 30.01.2012 30.01.2012 30.01.2012 Conclusion: These malocclusions can be corrected speedily in an easy way. Using the IP in early treatment is a very save, quick, cheap, robust and intermediate device without any wires, braces or occlusal bite-planes. The IP causes no trauma and is usually well accepted by the young patient.

  13. For more Information:Werner Noeke, Raphael HoehrOesterweg 5 59872 Meschede, Germanyphone: +49 291 7098www.drwernernoeke.dee-mail: info@drwernernoeke.de This presentation is kindly supported by: Scheu Dental, Iserlohn Germany, www.scheu-dental.comKaniedenta, Herford Germany, www.kaniedenta.de

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