Inclined Bite Plane: Indications And Application
“What is an inclined bite plane in orthodontics?”
Answer. It is designed to produce stress lateral to long axis of teeth. Teeth movement by inclined plane is in labial direction.
Types of Inclined Planes
- Upper anterior inclined planes.
- Lower inclined planes:
- Cemented inclined plane or Catalan’s appliance.
- Removable inclined plane.
“Role of technology in monitoring bite plane progress”
Upper Anterior Inclined Planes
- It appears as a flat anterior bite plane.
- Anterior inclined plane engage lower incisors and leads mandible to slide anteriorly.
- It consists of 45 degree angulation with seating groove for mandibular incisors so that it reduces labial tipping of incisors.
- It can also function as retention appliance aftr completion of functional appliance therapy.
Lower Inclined Plane or Catalan’s Appliance or Cemented Inclined Plane
- This appliance was discovered by Catalan.
- It is indicated in correction of the anterior crossbite.
- It cannot be worn for more than three weeks.
“Understanding the role of inclined bite planes in malocclusion correction”
Method of Fabrication
- Working models should be constructed.
- Design of inclined plane is made at model. Design of inclined plane is such that it include tooth and half the crossbite area over both sides.
- Wax up of inclined plane is carried out.
- It should lie 45° to occlusal plane.
- Posterior extension is such that the patient should be prevented from biting in retruded position.
- Now the incline plane is acrylized.
- At time of insertion, bite should not be more than 4 mm.
- As appliance is fiishes it should be cemented with zinc oxyphosphate luting cement.
- Patient should be recalled after one week
- Correction is accomplished in the time of two weeks.
Inclined Plane Indication
When incisors erupt and overbite is good.
Inclined Plane Contraindication
In cases where overbite is less.
“Importance of inclined bite planes in orthodontic treatment”
Inclined Plane Advantages
- Relapse is absent or is very less.
- Fabrication is easy.
- Crossbite is corrected very fast.
- Trauma to tooth is very less.
Inclined Plane Disadvantages
- Difficulty in speech.
- Patient feels difficulty in eating.
- Alignment of teeth is not precise.
- If appliance remains in mouth for long duration it causes anterior bite.
“Impact of inclined bite planes on facial aesthetics”
Removable Inclined Plane
- Used very frequently.
- It provides good results.
- During its fabrication an inclined plane is attached to removable mandibular Hawley appliance at 45° to occlusal plane.
- For retention clasps are added.
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