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References

Goshgarian RA: United States Government Patent Office; 1972
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Harris M, Reynolds IRPhiladelphia: WB Saunders Company; 1991
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Ingervall B, Göllner P, Gebauer U, Fröhlich K A clinical investigation of the correction of unilateral first molar crossbite with a transpalatal arch. Am J Orthod Dentofac Orthop. 1995; 107:418-425
Rebellato JElsevier: Seminars in Orthodontics; 1995
Ten Hoeve A Palatal bar and lip bumper in nonextraction treatment. J Clin Orthod. 1985; 19:272-291
Cooke MS, Wreakes G Molar derotation with a modified palatal arch: an improved technique. Br J Orthod. 1978; 5:201-203
Dahlquist A, Gebauer U, Ingervall B The effect of a transpalatal arch for the correction of first molar rotation. Eur J Orthod. 1996; 18:257-267
Hilgers JJ The pendulum appliance for Class II non-compliance therapy. J Clin Orthod. 1992; 26:706-714
Carano A, Testa M, Bowman S The distal jet simplified and updated. J Clin Orthod. 2002; 36:586-590
Carano A, Testa M, Siciliani G The Distal Jet for uprighting lower molars. J Clin Orthod. 1996; 30:707-710
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Patel MP, Janson G, Henriques JFC, de Almeida RR, de Freitas MR, Pinzan A Comparative distalization effects of Jones jig and pendulum appliances. Am J Orthod Dentofac Orthop. 2009; 135:336-342
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Transpalatal, nance and lingual arch appliances: clinical tips and applications

From Volume 8, Issue 3, July 2015 | Pages 92-100

Authors

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

Articles by Lucy Lai-King Chung

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.

Article

The transpalatal arch (TPA) is a stainless steel wire connecting the maxillary molars during fixed appliance orthodontic treatment to assist with anchorage reinforcement. Although, in most countries, the term lingual arch is reserved for the lower arch, in North America, auxiliary arches used for both the lower and upper dentition are termed lingual arches.

The TPA was originally described by Robert Goshgarian.1 It is constructed from 0.9 or 1.25 mm stainless steel wire and crosses the palate to connect one molar or premolar to a contralateral tooth. This connection can be fixed by welding/soldering or be removable by insertion into a lingual sheath on the molar bands. These molar band sheaths are known as Wilson tubes2 or Mershon attachments.2,3 A modification of the attachment involves bonding the palatal wire directly to the lingual surface of the molars.2

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