amda® - compliance-free treatment (advanced molar distalization appliance)
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- čas přidán 7. 09. 2024
- Together with the tomas® system, amda® offers a safe system for the distalization of upper molars. As a skeletal anchorage device it can be used both for the bi- or unilateral distalization or mesialization of upper molars and for the retraction of the upper anterior teeth depending on how it is fitted.
amda® is more than merely a distalization appliance. amda® is the modern alternative to extractions in the case of class II anomalies.
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#orthodontics #amda #compliancefree
the print remains on the tongue?
What is the difference between/ advantages of this procedure and other distalizers on adult patients? My orthodontist wants me to get it but I'm scared of possible complications (MRSA). It is an implant after all and in the mouth of all places.
Whether the appliance is suitable for your treatment or not can of course only be judged by a specialist doctor.
Advantages are:
No cooperation on your part is required.
It works 24 hours, so normally the treatment can be completed swiftly.
It is hygienic and comfortable for the patient in comparison to other treatment solutions.
Also it is comparatively easy to fit and easy to remove.
How many mm of distalization can be achieved using the amda appliance?
Very nice presentation
What is the source of the force?
Thank you. Inside the amda® telescope is a spring which is the source of the force.
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it can be used for adults too?
Yes, it can!
I have something like this for almost 2 weeks and my tongue suffers, and yeah, it looks cut. Will it always look like this while I have it? Eating is painful too. Is it normal?
Hello,
Please ask your orthodontist for advice on this matter. It is probably an appliance with sharp spots that causes that discomfort. These spots can be covered with adhesive or wax and that can help tremendously with discomfort.
@@DENTAURUM-Company Thank you!
She tried to cover some small hooks with composite, but it still penetrated my tongue too much. The solution was to cut the hooks on one arm of the device (for those who read the comments).the problem is that one side arm is more distant from the palatine bone than the other one.. so yes, it's not normal to be so painful. Now it's better.
@@elenar48 We are glad to hear that your orthodontist could help you!
Could this device be used to mesialize 1 st molars? And then subsequently mesiliaze 2nd molars and 3rd molars?
Yes.
The amda® is a skeletal anchorage device for bi- or unilateral distalization
and / or mesialization of upper molars, depending on how it is mounted.
The telescope has an internal stainless steel spring, which has to be fully compressed (closed), when all molar teeth are to be moved.
With the fully closed spring the maximum spring travel is 4 mm and the maximum spring force is 4.7 N (approx. 470 g).
Please also see our instructions for use on our homepage.
@@DENTAURUM-Company thanks for answer. Could the device also be used to mesialize the molars by using less force? How does one use it to move a molar more than 4 mm?
Will the device retract the maxilla as there would be an opposing force from the screws attached in the maxilliary bone?
@@stefanstolt3100 Could the device also be used to mesialize the molars by using less force?
The force can be determined by the distance the inner spring is compressed. Usually a higher force is required to move the molars.
But by moving only one molar after the other less force can be used as to move 2 molars.
How does one use it to move a molar more than 4 mm?
When the maximum movement has been achieved the appliance can be reactivated by moving the telescope accordingly and reactivating the spring as described in the instructions for use. Please take care that the amda arms are kept long enough and not be cut too short, because the length is required
5.4.2 Mesialization with amda®
amda® was designed for distalization. However, the appliance can also
be used for bi- or unilateral mesialization (Fig. 8). In addition, amda® can
be used to distalize one jaw side and mesialize the other side.
For mesialization, turn the amda® telescope 180° and place it on the
amda® palatal arch again. The stop screw with the thinner telescope
tube is then on the posterior end. The right amda® connector must be
replaced by the left connector and vice versa. Follow the same steps to
adapt, incorporate, monitor, and remove amda® as above. To activate
mesialization, tighten the posterior stop screw after activating it and
loosen the anterior stop screw (now on the larger telescopic tube).
Will the device retract the maxilla as there would be an opposing force from the screws attached in the maxilliary bone?
The opposing force does not come into action as it is prevented through the anchorage achieved by the mini-pins.
This luks so painful
Inserting a tomas®-pin in the palate is a quick and nearly painless procedure. Naturally, the amda® appliance has to exert certain forces to achieve the desired dental movement.
This takes time and can feel uncomfortable - as do most other teeth straightening options.
Don´t worry though, the final result will make it worth it!
yeah i have this. actually hurt my tongue
@@akngungor1047 how much does it hurt on a scale of 1-10?
@@akngungor1047 is you tongue cut?
@@akngungor1047 how bad does it hurt cuz im getting them soon
এটা করলে ব্যাথা লাগবে না তো 😭