Journal of South Asian Association of Pediatric Dentistry

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VOLUME 6 , ISSUE 1 ( January-April, 2023 ) > List of Articles

CASE REPORT

2 × 4 Appliance as a Sectional Intervention in Contrary to Conventional Correction of Malocclusions: A Series of Case Reports

Swapnika Vegi, Veena Arali, Harika Rapala, Sritha Kolluri, Sasidhar Vajrala, Padma Praveena Mavuri

Keywords : 2 x 4 appliance, Malocclusion, Maxillary anteriors

Citation Information : Vegi S, Arali V, Rapala H, Kolluri S, Vajrala S, Mavuri PP. 2 × 4 Appliance as a Sectional Intervention in Contrary to Conventional Correction of Malocclusions: A Series of Case Reports. J South Asian Assoc Pediatr Dent 2023; 6 (1):35-40.

DOI: 10.5005/jp-journals-10077-3252

License: CC BY-NC 4.0

Published Online: 22-04-2023

Copyright Statement:  Copyright © 2023; The Author(s).


Abstract

Introduction: The 2 x 4 appliance is a simple and uncomplicated appliance that comprises the first permanent maxillary molars with bands, the maxillary incisors with bondable brackets, and an archwire that is continuously placed into the buccal tubes of the molar bands. Case details: We report three different case scenarios where 2 x 4 appliance was used to treat various developing malocclusions. Discussion: The 2 x 4 appliance offers many advantages over conventional techniques as it provides complete control of tooth movement in all three dimensions, allows accurate and rapid positioning of the teeth, extremely well tolerated, requires no adjustment by the patient. It is a versatile appliance which is well tolerated by the patients and their parents as well.


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  1. Mckeown HF, Sandler J. The two by four appliance: a versatile appliance. Dent Update 2001;28(10):496–500. DOI: 10.12968/denu.2001.28.10.496
  2. Rohilla M, Bodh M, Kumar A, et al. Early interception using 2 x 4 appliance: a case series. Int J Adv Case Reports 2017;4(7):226–229. DOI: 10.21276/ijacr.2017.4.7.1
  3. Quinzi V, Ferro R, Rizzo FA, et al. The two by four appliance: a nationwide cross-sectional survey. Eur J Paediatr Dent 2018;19(2):145–150. DOI: 10.23804/ejpd.2018.19.02.09
  4. Mavropoulos A, Bresin A, Kiliaridis S. Morphometric analysis of the mandible in growing rats with different masticatory functional demands: adaptation to an upper posterior bite block. Eur J Oral Sci 2004;112(3):259–266. DOI: 10.1111/j.1600-0722.2004.00129.x
  5. Stellzig A, Steegmayer-Gilde G, Basdra EK. Elastic activator for treatment of open bite. Br J Orthod 1999:26(2):89–89. DOI: 10.1093/ortho/26.2.89
  6. Bell RA, Dean JA, McDonald RE, et al. Management of the developing occlusion. McDonald and Avery's dentistry for the child and adolescent. 9th ed. Maryland Heights: Mosby Elsevier 2011:550–613.
  7. Profitt. William R, Fields W Henry, et al. 1986. Contemporary Orthodontics 5th Edition 391–394.
  8. Sockalingam SNMP, Khan KAM, et al. Interceptive correction of anterior crossbite using short-span wire-fixed orthodontic appliance: a report of three cases. Case Rep Dent 2018;2018:4323945. DOI: 10.1155/2018/4323945
  9. Solanki PJ, Choudhari RS, Vaghela CM, et al. Use of two by four appliance: a treatment modality for the correction of malaligned maxillary anterior teeth during mixed dentition period. Int J Dev Res 2017;7(12):17729–17732.
  10. Dowsing P, Sandler PJ. How to effectively use a 2 x 4 appliance. J Orthod 2004;31(3):248–258. DOI: 10.1179/146531204225020541
  11. Gawali P, Jadhav G, Shigli A, et al. 2 x 4 appliance: effective treatment modality for anterior crossbite. Ann Int Med Den Res 2019;5(5): DE01–DE02. DOI: 10.21276/aimdr.2019.5.5.DE1
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