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Oral Screen Appliance & Modification

Introduction Myofunctional appliance introduced by Newel in the year 1912.
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• It is a sheet of acrylic base material positioned into the buccal or labial vestibule of the mouth.
• It produces its effect by redirecting the pressure of the muscles and soft tissues- lips and cheek.

FABRICATION: MECHANISM OF ACTION:

1.protrusive bite is taken for Class II
division1 malocclusion. 1.Primarily acts on the dentition.
2.Wax up 2.Forces from the tongue- expansion of arches
3.Incisal third of anterior teeth is not 3.Pressure- directed to incisors from lips
covered with wax. 4. Retroclination of maxillary incisors
4.Posterior segment- keeps the 5.Forward movement of Lower Jaw
appliance away from the tissues. 6.Hypotonic lips are activated
5.The buccal surface of teeth and 7. Improved Tonicity of the lips
alveolar process covered with two 8. Possible intrusion of maxillary incisors and
layers of wax up to the distal aspect differential eruption of molars.
of first permanent molar in permanent 9.Passive expansion of apical base.
dentition.
6. Extends to the vestibular depth.
Extension
7.deciduous dentition- distal of second
deciduous molar. Edges are made less
thicker than the buccal vestibular MODIFICATIONS:
sulcus depth. 1. Hotz Modification
8.Notches – to accommodate labial and
buccal frenum.
9.Processed with either heat-cure or
The screen prevents forces of buccinator
self-cure acrylic
10.trimmed and polished. mechanism from acting on the dentition.

2. Oral Screen with Breathing Holes

1. mandibular advancement
Wax up for oral screen
2. Improves the tonicity of upper and lower lip
3. Pressure from lip is transmitted to incisors
4. Intrusion of maxillary incisors
INDICATIONS: 5. Screen prevents muscle force from acting on
dentition 3. Double Oral Screen by Krauss
6. Differential eruption of molars and opening of
bite
4. Modification of Rehak