{"id":22280,"date":"2015-11-27T00:00:00","date_gmt":"2015-11-27T00:00:00","guid":{"rendered":"https:\/\/sylvainchamberland.com\/fixed-functional-appliances\/"},"modified":"2023-08-21T13:46:03","modified_gmt":"2023-08-21T13:46:03","slug":"fixed-functional-appliances","status":"publish","type":"post","link":"https:\/\/www.sylvainchamberland.com\/en\/fixed-functional-appliances\/","title":{"rendered":"Fixed functional appliances"},"content":{"rendered":"<h2>Fixed functional appliances<\/h2>\n<p>There are plenty of fixed functional appliances. They are an evolution of removable functional appliances, such as bionator, Fr\u00e4nkel and Twin Block.<\/p>\n<p>The following is a list of a few of them and we will dedicate a page for those that are mostly used.<\/p>\n<h3>SUS<sup>2<\/sup> correctors<\/h3>\n<p><a href=\"https:\/\/sylvainchamberland.com\/wp-content\/uploads\/2023\/04\/Eho-Em-iod-31-10-2013-Bielles-SUS-2-class-II-corrector-device-Chamberland-Orthodontiste-a-Quebec_eng.jpg\" target=\"_blank\" rel=\"noopener\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft  wp-image-8232\" src=\"https:\/\/sylvainchamberland.com\/wp-content\/uploads\/2023\/04\/Eho-Em-iod-31-10-2013-Bielles-SUS-2-class-II-corrector-device-Chamberland-Orthodontiste-a-Quebec_eng.jpg\" title=\"SUS2 correctors-Dr Chamberland orthodontist in Quebec City\" alt=\"SUS2 correctors-Dr Chamberland orthodontist in Quebec City\" width=\"370\" height=\"230\"><\/a>.<\/p>\n<p>.<\/p>\n<p>.<\/p>\n<p>.<\/p>\n<p>.<\/p>\n<p>.<\/p>\n<p>.<\/p>\n<p>&nbsp;<\/p>\n<h3>Forsus\u2122 Class II correctors<\/h3>\n<p><a href=\"https:\/\/sylvainchamberland.com\/wp-content\/uploads\/2023\/04\/AlHun-Bielles-Forsus-Chamberland-Orthodontiste-a-Quebec.jpg\" target=\"_blank\" rel=\"noopener\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft  wp-image-8569\" src=\"https:\/\/sylvainchamberland.com\/wp-content\/uploads\/2023\/04\/AlHun-Bielles-Forsus-Chamberland-Orthodontiste-a-Quebec.jpg\" title=\"Forsus Class II correctors-Dr Chamberland orthodontist in Quebec City\" alt=\"Forsus Class II correctors-Dr Chamberland orthodontist in Quebec City\" width=\"370\" height=\"183\"><\/a>.<\/p>\n<p>.<\/p>\n<p>.<\/p>\n<p>.<\/p>\n<p>.<\/p>\n<p>.<\/p>\n<p>&nbsp;<\/p>\n<h3>Twin Force<sup>\u00ae<\/sup> Bite Corrector (TFBC) devices<\/h3>\n<p><a href=\"https:\/\/sylvainchamberland.com\/wp-content\/uploads\/2023\/04\/Twin-Force-Bite-Corrector-SaAl-Chamberland-Orthodontiste-a-Quebec.jpg\" target=\"_blank\" rel=\"noopener\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft wp-image-8568 \" src=\"https:\/\/sylvainchamberland.com\/wp-content\/uploads\/2023\/04\/Twin-Force-Bite-Corrector-SaAl-Chamberland-Orthodontiste-a-Quebec.jpg\" title=\"Twin Force Bite Corrector devices-Dr Chamberland orthodontist in Quebec City\" alt=\"Twin Force Bite Corrector devices-Dr Chamberland orthodontist in Quebec City\" width=\"370\" height=\"194\"><\/a>.<\/p>\n<p>.<\/p>\n<p>.<\/p>\n<p>.<\/p>\n<p>.<\/p>\n<p>.<\/p>\n<p>&nbsp;<\/p>\n<h3>Xbow<sup>\u00ae<\/sup> (crossbow) appliance<\/h3>\n<div id=\"attachment_8518\" style=\"width: 395px\" class=\"wp-caption alignleft\"><a href=\"https:\/\/sylvainchamberland.com\/wp-content\/uploads\/2023\/04\/CrossBow-XBow-Class-II-correction-device-Chamberland-Orthodontiste-a-Quebec_eng.jpg\" target=\"_blank\" rel=\"noopener\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-8518\" class=\" wp-image-8518\" src=\"https:\/\/sylvainchamberland.com\/wp-content\/uploads\/2023\/04\/CrossBow-XBow-Class-II-correction-device-Chamberland-Orthodontiste-a-Quebec_eng.jpg\" title=\"Xbow (crossbow) appliance for the correction of Class II malocclusions-Dr Chamberland orthodontist in Quebec City\" alt=\"Xbow (crossbow) appliance for the correction of Class II malocclusions-Dr Chamberland orthodontist in Quebec City\" width=\"385\" height=\"232\"><\/a><p id=\"caption-attachment-8518\" class=\"wp-caption-text\">Xbow<sup>\u00ae<\/sup> (crossbow) appliance for the correction of Class II malocclusions.<\/p><\/div>\n<p>The Xbow<sup>\u00ae<\/sup> appliance is composed of an Hyrax expansion device in the maxilla, lower labial and lingual arches with occlusal rests onto the lower premolars and Forsus\u2122 Class II correctors. The Xbow<sup>\u00ae<\/sup> appliance is used early in the treatment before the fixed appliances (braces) are installed.<\/p>\n<p>This appliance efficiently corrects Class II malocclusions, but it offers a poor control of the lower teeth during the corrective phase with Forsus\u2122 Class II correctors.<\/p>\n<p>.<\/p>\n<p>.<\/p>\n<p>.<\/p>\n<p>.<\/p>\n<p>.<\/p>\n<h3>Cantilever Bite Jumper<\/h3>\n<p><a href=\"https:\/\/sylvainchamberland.com\/wp-content\/uploads\/2023\/04\/MaDro-cantilever-bite-jumper-CBJ-Chamberland-Orthodontiste-a-Quebec_eng.jpg\" target=\"_blank\" rel=\"noopener\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft  wp-image-8572\" src=\"https:\/\/sylvainchamberland.com\/wp-content\/uploads\/2023\/04\/MaDro-cantilever-bite-jumper-CBJ-Chamberland-Orthodontiste-a-Quebec_eng.jpg\" title=\"Cantilever bite jumper CBJ-Dr Chamberland orthodontist in Quebec City\" alt=\"Cantilever bite jumper CBJ-Dr Chamberland orthodontist in Quebec City\" width=\"401\" height=\"247\"><\/a>The <strong>Cantilever Bite Jumper<\/strong> (CBJ) is an evolution of the <strong>Herbst<\/strong> appliance. It is composed of stainless steel crowns (SS crowns) cemented onto molars. In the maxilla, the SS crowns can be incorporated to an Hyrax expansion device as seen on this picture.<\/p>\n<p>In the mandibular arch, the SS crowns are joined by a rigid lingual arch with occlusal rest on the first premolars and a long cantilever armspring soldered to the buccal side of the lower SS crown and extending up to the first premolar. The end of this cantilever armspring is augmented by a rectangular tube in which a segmented orthodontic archwire can be inserted to consolidate the anterior lower teeth from canine to canine.<\/p>\n<p><strong>Rigid devices<\/strong> with adjustable length depending on the correction required for each case maintain the lower jaw in an advanced position.<\/p>\n<p>This mechanism is spring free and it is harder to adapt to.<\/p>\n<p>The Cantilever Bite Jumper is now obsolete with spring devices (Forsus\u2122, TFBC and SUS<sup>2<\/sup>) now available on the market.<\/p>\n<p>&nbsp;<\/p>\n<h2>Removable functional appliances<\/h2>\n<p>The bionator, Fr\u00e4nkel and Twin Block appliances are examples of removable functional appliances. They are less and less used since they are voluminous and bulky in the mouth. They require a great cooperation from the patient.<\/p>\n<h3>Twin Block<\/h3>\n<div id=\"attachment_7253\" style=\"width: 429px\" class=\"wp-caption alignleft\"><a href=\"https:\/\/sylvainchamberland.com\/wp-content\/uploads\/2023\/04\/Twin-Block-occh-et-b-Chamberland-Orthodontiste-a-Quebec_eng.jpg\" target=\"_blank\" rel=\"noopener\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-7253\" class=\"wp-image-7253\" src=\"https:\/\/sylvainchamberland.com\/wp-content\/uploads\/2023\/04\/Twin-Block-occh-et-b-Chamberland-Orthodontiste-a-Quebec_eng.jpg\" title=\"Twin Block-Dr Chamberland orthodontist in Quebec City\" alt=\"Twin Block-Dr Chamberland orthodontist in Quebec City\" width=\"419\" height=\"155\"><\/a><p id=\"caption-attachment-7253\" class=\"wp-caption-text\">Twin Block<\/p><\/div>\n<p>Example of a Twin Block appliance. It is composed of 2 acrylic parts: a maxillary and a mandibular one, from where the name Twin Block was given.<\/p>\n<p>.<\/p>\n<p>.<\/p>\n<p>.<\/p>\n<p>.<\/p>\n<p>&nbsp;<\/p>\n<h3>Bionator<\/h3>\n<div id=\"attachment_8523\" style=\"width: 428px\" class=\"wp-caption alignleft\"><a href=\"https:\/\/sylvainchamberland.com\/wp-content\/uploads\/2023\/04\/Bionator-Chamberland-Orthodontiste-a-Quebec.jpg\" target=\"_blank\" rel=\"noopener\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-8523\" class=\" wp-image-8523\" src=\"https:\/\/sylvainchamberland.com\/wp-content\/uploads\/2023\/04\/Bionator-Chamberland-Orthodontiste-a-Quebec.jpg\" title=\"Bionator-Dr Chamberland orthodontist in Quebec City\" alt=\"Bionator-Dr Chamberland orthodontist in Quebec City\" width=\"418\" height=\"144\"><\/a><p id=\"caption-attachment-8523\" class=\"wp-caption-text\">Bionator<\/p><\/div>\n<p>Bionator is a removable functional appliance with the acrylic components on the tongue side. A labial arch and an acrylic index guide the teeth in edge to edge. The patient must maintain this appliance between the teeth 22 hours per day.<\/p>\n<p>.<\/p>\n<p>.<\/p>\n<p>.<\/p>\n<p>.<\/p>\n<p>..<\/p>\n<h3>Fr\u00e4nkel<\/h3>\n<div id=\"attachment_8524\" style=\"width: 440px\" class=\"wp-caption alignleft\"><a href=\"https:\/\/sylvainchamberland.com\/wp-content\/uploads\/2023\/04\/Frankel-Chamberland-Orthodontiste-a-Quebec.jpg\" target=\"_blank\" rel=\"noopener\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-8524\" class=\" wp-image-8524\" src=\"https:\/\/sylvainchamberland.com\/wp-content\/uploads\/2023\/04\/Frankel-Chamberland-Orthodontiste-a-Quebec.jpg\" title=\"Fr\u00e4nkel function regulator-Dr Chamberland orthodontist in Quebec City\" alt=\"Fr\u00e4nkel function regulator-Dr Chamberland orthodontist in Quebec City\" width=\"430\" height=\"289\"><\/a><p id=\"caption-attachment-8524\" class=\"wp-caption-text\">Fr\u00e4nkel function regulator<\/p><\/div>\n<p>The Fr\u00e4nkel appliance was designed by Rolf Fr\u00e4nkel and popularized in the United States in the 1970s by Dr John McNamara.<\/p>\n<p>It is characterized by acrylic shields between the cheeks and the teeth that do not take over the space for the tongue. It allows the expansion of the dental arches.<\/p>\n<p>&nbsp;<\/p>\n<p>.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Fixed functional appliances There are plenty of fixed functional appliances. They are an evolution of removable functional appliances, such as bionator, Fr\u00e4nkel and Twin Block. The following is a list of a few of them and we will dedicate a page for those that are mostly used. SUS2 correctors . . . . . . [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":13608,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"inline_featured_image":false,"footnotes":""},"categories":[744],"tags":[684,718,717,720,682,712,719,715,716,683,713],"class_list":["post-22280","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-fonctionnels-fixes-en-appliances","tag-appareils-fonctionnels-en","tag-bielles-sus2-en","tag-bionator-en","tag-cantilever-bite-jumper-en","tag-cout-orthodontie-en","tag-forsus-en","tag-frankel-en","tag-tfbc-en","tag-twin-force-bite-corrector-en","tag-twin-block-en","tag-xbow-en"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v23.9 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Fixed functional appliances - Dr. Sylvain Chamberland, Orthodontist<\/title>\n<meta name=\"description\" content=\"Enhance Your Smile with Fixed Functional Appliances: Discover how these orthodontic devices can correct bite and alignment issues for a healthier, more confident smile.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.sylvainchamberland.com\/en\/fixed-functional-appliances\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Fixed functional appliances - 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