Fixed Appliances

Transpalatal Arch

Available as both a fixed and fixed/removable appliance the TPA is used to maintain expansion in the molars. An omega loop is typically included making the appliance useful in rotating and widening the molars. Also available as a fixed or fixed/removable appliance the lingual arch can be used as a holding appliance or to assist in active treatment. It can be bent in an ideal arch form or it can be contoured to the existing arch. Adjustment loops can be added for activation.

Nance palatal button

Placed to prevent mesial drift of the molars, the Nance uses an acrylic button in the palatal vault to provide anchorage. A .036 wire is embedded in the button and extends back to the molars where it is soldered to bands.
Fixed anterior bite plane