Publication

Abstract : Anchorage is very critical in orthodontic therapy, especially in Group A anchorage where the extraction spaces are required for alignment and retraction of the anterior dentition. Headgears, soldered Trans Palatal Arch (TPA) and implants are usually used to reinforce anchorage. In patients were oral prophylaxis is difficult and periodontal disease is present its best to avoid banding of molars. In these patients bonded molar tubes are usually used. But soldered TPA cannot be used in such patients therefore compromising anchorage. Here we describe the construction of a custom made bondable TPA which can be used along with bondable tubes. Advantages are that anchorage can be maintained and temporary anchorage devices (TAD) which are costly can be avoided in fairly simple cases.