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GENERAL GUIDELINES FOR EXPANSION SCREW ACTIVATION Please note that different manufacturers may have specific instructions - Consult your vendor as needed IT TAKES BETWEEN 4-12 ¼-TURN ACTIVATIONS SINGLE MIDLINE EXPANSION SCREW TO IN A PRODUCE 1MM OF LINEAR CHANGE. REMOVABLE APPLIANCE • Typical rate of activation is one (1) ¼ turn every 5-7 days. • Most screws we use in mid-palate applications require five (5) activations per 1mm. • There is no down side to going slower, rather than taking longer to get the job done. • It is not uncommon to go twice as fast, but you must watch out for the appliance outpacing the patient’s physiological potential for change. • If compliance lags or the body is a little too slow to respond, the appliance will be fitting progressively worse as the activation is continued. • Going too fast will hinder retention. ONE TOOTH EXPANSION SCREW • Typical rate of activation is two (2) ¼ turns every 5-7 days. • Most screws we use in one tooth applications require 12 activations per 1mm. • The same slower vs. faster rationale applies. FIXED SUTURAL EXPANDERS • Typical rate of activation is one (1) per day. Digital Orthodontic Lab Services • Requires four (4) activations per 1mm. • Not uncommon to fo twice as fast or half as fast. • Going too fast may damage periodontal membrane or roots of the teeth. • Going too slow may result in producing more dento-alveolar change and less sutural split than normally desired. FIXED EXPANDERS ON THE MANDIBLE • Typical rate of activation is one (1) every 5-7 days. • Requires four (4) activations per 1mm. • Not uncommon to go twice as fast or half as fast. • Going too fast may damage periodontal membrane or roots of the teeth. • No down side in going too slowly other than longer treatment. FAN TYPE FIXED EXPANDERS ON THE MAXILLA • The same considerations as for Fixed Sutural Expanders generally apply. However, additional consideration must be given to the activation rate predicated on the hinge location. • Activation of 2-3 times per week is reasonable. • Greater anterior-posterior distance between the front of the appliance and the hinge will produce a dramatically greater expansion at the front of the appliance versus the mid or posterior portion. MICRO SCREW • Typical rate of activation is one (1) full rotation every 5-7 days or two (2) turns per week. • One complete revolution of the screw equals 0.6mm of activation. • Requires a small screw driver (eye glass style) to activate - available for additional fee. • Available with 4mm (standard), 6mm, or 8mm spring-loaded inserts. Larger size inserts provided for additional movement. • Over activation of the screw could hinder retention. CONTACT LAB CUSTOMER SERVICE 716.871.1161 FOR MORE INFORMATION