Introduction
The Farrell BENT WIRE System™ (BWS™) was developed in
response to the need for combined myofunctional treatment and arch
development. The BWS™ was also designed for use with the TRAINER
System™.
Although there are numerous appliances, fixed and removable, that
can be used for arch expansion, few are suitable to use with the
TRAINER System™.
The Pre-Orthodontic TRAINER™ (T4K™) is effective in obtaining arch
development -particularly in the early mixed dentition by correcting
tongue position, function and mode of breathing. This can be
insufficient, particularly if treatment has not commenced until the late
mixed or early permanent dentition with the TRAINER for Alignment™
(T4A™). There is a need to more rapidly and actively expand the
maxilla and restore the lower anterior arch form.
A study of the appliances used for this purpose reveals they are
mostly detrimental to correct function and encroach on tongue space.
This is just one reason why poor results have been documented
with arch expansion/non-extraction techniques in the past. Multibanded
appliances are also poor tools in obtaining significant arch
development. Extraction of permanent teeth is often, therefore, the
only consideration, although research shows the results are actually
no more stable.
The TRAINER philosophy is to detect and treat soft tissue dysfunction
as the first priority and to align the dentition as a final consideration
of underlying myofunctional habits that are the cause of many
orthodontic problems. The BWS™ allows arch development and
anterior dental alignment to be combined without encroaching on the
natural position of the tongue. Therefore the force of the tongue can be
used in the treatment allowing the BWS™ to use very light forces.
The additional requirement was being able to easily and cost
effectively fabricate the BWS™ in the clinic without the need for
laboratory construction, special skills, materials or equipment.
THE BWS™ combines arch development with simultaneous
myofunctional training in the late mixed or permanent dentition.
The TRAINER System™ combined with the Farrell BENT WIRE
System™ are used for simultaneous arch development and treatment
of myofunctional habits. It can totally replace existing Phase I
treatment. This dual treatment approach gives substantial arch
development with very light forces from a simple and inexpensive
fixed appliance.
No palatal bar is needed, eliminating the speech and functional
problems of the common acrylic and quad helix appliances. The
aesthetic appeal of a completely lingual appliance and no speech
problems makes the BWS™ an easy favourite with patients. Because
the BWS™ is a fixed appliance, the compliance problems of phase
one-type appliances are eliminated. The patient enjoys normal speech
and no visible appliance during the day. As the BWS™ can also be
integrated with multi-banded appliances, it is a cost effective solution
to phase I treatment.
Stability is greatly improved due to the use of the TRAINER to
correct tongue position and function, plus mode of breathing. In fact
the technique depends on the use of the TRAINER System™ for its
effectiveness.
There’s no need for laboratory construction of the BWS™ - it can
be performed entirely “in office” without need for a laboratory
technician. Each appliance takes less than five minutes to make and
the components are inexpensive and readily available. Breakages can
be rapidly repaired at the same visit.
The BENT WIRE System™ can be combined with fixed brackets and
the T4B™ (TRAINER for BRACES™) or T4CII™ allowing a seamless
integration from arch development, class II correction full fixed
brackets, while continuing the all important myofunctional training.
Seamless Integration with Multi-banded appliances
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