崇愛牙醫診所(資料重建中,歡迎新舊朋友)

VAC(VERTICAL  ADJUSTABLE CORRECTOR)垂直向調整改正器 

(點選可放大)

(from:http://www.eurekaortho.com/vac.html)

VAC在處理長臉型(dolicofacial)與垂直向高度的控制有其療效,從上圖的點擊可以看到治療前後的牙齦露出量的減少,很顯然它對垂直向的咬合控制,有著顯著的改進效果

●eureka spring (官方網站)

●EUREKA SPRING的使用戴入步驟  EUREKA SPRING的使用步驟 (CL II
)

●EUREKA SPRING的使用戴入步驟 EUREKA SPRING的使用步驟 (CL III)

●EUREKA SPRING的使用戴入步驟 EUREKA SPRING的QUICK-RELEASE步驟

●EUREKA SPRING的適應症(INDICATIONS)

1. Non-compliant class II and class III patients. (不需要病人配合戴用的二或三類錯咬病人) 

2. Class II correction in dolicofacial patterns. (改正二類長臉型的病人) 
    
3. Unilateral class II or class III correction. (單側二類或三類的錯咬病人)  
4. Congenitally missing cuspids or bicuspids and complete space closure is desired. (In these situations, the Eureka Spring provides anterior mandibular anchorage against which to mesialize the posterior dentition, utilizing
   concurrent Class I force.)             
   (先天犬牙或第一小臼齒缺失,而需要完全的空間關閉,在此種情況下,EURAKA SPRING    提 供下顎前方的支抗以對抗下後方向近心的推進力,在使用一類牽引力的情況下)

     5.    To obtain final maximum posterior intercuspation just before debanding. (為了獲取後方最大的對咬尖窩關係,在拆除帶環前)

     6.  Post orthognatic surgery in which additional class II or class III dental correction is  desired. (在正顎手術施行後,必需做二或三類錯咬的改正) 

    7.   To correct A-P discrepancies when the anterior teeth are well aligned and patient reluctant to wear appliances on anterior teeth. (Use in conjunction with vacuum formed retainers). (為了改正前後的不足差異,在前齒已經排列良好,但是病人反抗再戴用前方的裝置,(例如用真空成型的維持器)

●eureka
spring的使用禁忌症(Contraindications)
Patients with the following conditions would probably be better or more simply treated with therapies other than Eureka
Spring:

1. Class III with anterior open-bite. (有三類錯咬且前方開咬的案例)

    

2. Low angle (brachiofacial) skeletal form in which downward and backward mandibular rotation would be desirable. (骨架是短臉型,下顎是向下,向後旋轉生長的)

    

3. Procumbent lower incisors where additional anterior movement of these teeth would be undesirable (when using class II ES).
   (平伏的下前牙切齒,當須要額外的前方移動且使用cl II 橡皮筋時) 

A Cephalometric Study of the Class II Correction Effects of the Eureka Spring