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Article: Volume 8 Number 3 Page 92 - July 2015

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  Orthodontic Update 31: 92-100

Orthodontics:  Transpalatal, Nance and Lingual Arch Appliances: Clinical Tips and Applications

CPD:  CPD  1:20   (closed)      Self assess

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Abstract: Transpalatal arches (TPAs) are widely used in clinical orthodontics. The versatility of the TPA makes it an extremely useful adjunct to both conventional and contemporary fixed appliance treatment. This paper describes the history, the variety of designs and the clinical steps and laboratory methods for TPA construction. The range of clinical applications of the TPA are presented using a series of cases.

Clinical relevance: The TPA is widely used in clinical orthodontics but published information is scarce with no review article having been published to date.

Author notes: Mohammed Almuzian, BDS(Hons), MFDS RCS(Edin), MFD RCS(Irel), MJDF RCS(Eng), MSc(Orth), MScHA(USA), DClinDent(Orth) (Glasg), MOrth RCS(Edin), MRCDS Ortho(Aus), IMOrth RCS(Eng)/RCPS(Glasg), Specialist Orthodontist, ASOD Centre, Dubai, Fahad Alharbi, Orthodontic PhD student, Dundee Dental Hospital and School, Teaching Assistant at Prince Sattam Bin Abdulaziz University, Saudi Arabia, Lucy Lai-King Chung, BSc, BDS, FDS RCPS(Glasg), MSc, MOrth RCS(Edin), FDS(Orth) RCPS(Glasg), Consultant Orthodontist, Glasgow Dental Hospital and School, 378 Sauchiehall Street, Glasgow, G2 3JZ and Grant McIntyre, BDS, FDS RCPS(Glasg), MOrth RCS(Edin), PhD, FDS(Orth) RCPS(Glasg), FDS RCS(Edin), FHEA, Consultant/Honorary Reader in Orthodontics, Dundee Dental Hospital and School, 2 Park Place, Dundee, DD1 4HR, UK.

Objective: To increase the knowledge of the specialist orthodontist and primary care practitioner about the transpalatal arch as an adjunct to fixed appliance orthodontic treatment.

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