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Le MULTI Appareil
Mode d'emploi
Dr. Franco Bruno -- ARONA -- francobruno@me.com
© Dr. Franco Bruno and
1
2
INDEX
Introduction
The Multi Appliances
Multi-S®
Multi-T®
Multi-P®
Multi-TB®
Indication
Contraindications
Diagnostic Tools
Management Tools
© Dr. Franco Bruno and
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INTRODUCTION
Qu'est ce qu'un Multi Appareil ?
© Dr. Franco Bruno and
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Les multi-Appareils
The Multi appliances are pre-formed elastodontic
orthodontic devices made in medical silicon.
They can be used as an elasto removable appliance
for straightening the teeth; or as a functional
appliance for correcting skeletal class 2 problems; or
as a myofunctional appliance for muscles and tongue
education
Obviously it’s possible to make the 3 things in the same
time.
© Dr. Franco Bruno and
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Le Système Multi
The Multi Appliances are an
integrated system of appliances
that allow the orthodontists to
choose the ideal appliance
according to the age and the
malocclusion of the patients
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Multis Caractéristiques principales
Pre-Formed
Monobloc
Protrusion
Oral Shields
Soft Bite Plane
Ramp
Holes
Lip-Bumper
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Préformé
No Impressions Needed
Ready to Use
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Monobloc
Acts on the upper and lower teeth in the same time
The patient has to keep the mouth closed
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Avancée
Open and advanced mandibular position
TMJ Unlocking
Class 2 Correction
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boucliers orales
Perioral muscles stretch
Class 2 correction
Mouth Breathing correction
Habits correction
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Soft Bite-Plane
Self-Adapting
TMJ protection
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Ramp
Tongue Reeducation
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Trous
Breathing
Increase the elasticity in the anterior part of the bite
for a better deepbite correction
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Lip-Bumber
Stabilize the Appliance
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The Multi System
Only 4 Appliances
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The Multi-S
®
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The Multi-S
®
Age: from 4 to 6 y.o.
Teeth Guidance: upper and lover incisors
Soft Silicon
Indications
Deciduous Teeth
Early Mix Dentition
Early Lower Crowding
DeepBite in Deciduous
Thumb Sucking
© Dr. Franco Bruno and
1 SIZE
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The Multi-T
®
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The Multi-T
®
Age: from 6 to 9 y.o.
Teeth Guidance: upper and lover incisors + canines
Indications
Early and Late Mix Dentition
Lower Crowding
DeepBite
Class 2
Thumb Sucking
Tongue Reeducation
© Dr. Franco Bruno and
1 SIZE
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The Multi-P
®
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The Multi-P
®
Age: from 9 to 14 y.o.
Teeth Guidance: upper and lower incisors, canines,
first premolar
Indications
Late Mix Dentition
Permanent Teeth
Class 2
DeepBite
OpenBite
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2 Volumes
2 Lengths
Sizes
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Multi-P Volume Faible
®
Normofacial Patients
Brachifacial Patients
13 Sizes
2 length: short and long
© Dr. Franco Bruno and
Short
ECXPLS10
ECXPLS15
ECXPLS20
ECXPLS25
ECXPLS30
ECXPLS35
ECXPLS40
ECXPLS45
ECXPLS50
ECXPLS55
ECXPLS60
ECXPLS65
ECXPLS70
Size
10
15
20
25
30
35
40
45
50
55
60
65
70
Long
ECXPLL40
ECXPLL45
ECXPLL50
ECXPLL55
ECXPLL60
ECXPLL65
ECXPLL70
Size
40
45
50
55
60
65
70
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Multi-P Volume Elevé
®
Normofacial Patients
Dolichofacial Patients
11Sizes
2 length: short and long
© Dr. Franco Bruno and
Short
ECXPHS20
ECXPHS25
ECXPHS30
ECXPHS35
ECXPHS40
ECXPHS45
ECXPHS50
ECXPHS55
ECXPHS60
ECXPHS65
ECXPHS70
Size
20
25
30
35
40
45
50
55
60
65
70
Long
ECXPHL45
ECXPHL50
ECXPHL55
ECXPHL60
ECXPHL65
ECXPHL70
Size
45
50
55
60
65
70
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Règle spéciale
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Comment utiliser la règle
Measures the perimeter of the upper incisors
Indicates the corresponding size
In case of crowding use 1 or 2 size more
In case of diastemas use 1 size smaller
Adaptez le Multi-P au patient et vérifiez que les
dents sont placées correctement dans les guides
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Multi-P Selection
®
Placez le marqueur élevée entre l'incisive maxillaire latérale gauche et la canine.
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Multi-P Selection
®
Lire l'échelle entre l'incisive latérale droite et la surface mésiale de la canine
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Multi-P Usage
®
Si vous n'avez pas besoin de distaliser les forces: le point canin doit rester au milieu de la fente
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Multi-P Usage
®
En cas d'entassement: le point canin doit être ½ mm mésiale pour le pousser distalement
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Multi-P Usage
®
Si la canine est hors du guide, l'appareil ne conduit pas les dents proprement
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The Multi-TB
®
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The Multi-TB
®
Use with Braces
Teeth Guidance: NO
Indications
Deep Bite
Tongue Trust
Class 2
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1 SIZE
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Indications
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Durée de traitement
From 9 to 18 months
Crowding: 8 – 10 months
Deep-Bite: 8 – 12 months
Class 2: 12 – 18 months
Minimum wear: night-time plus 2 hours / day
Ideal wear: 14 hours / day
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Indications
Multi Appliances corrects overbite around of 0.5 mm/
month
Multi-S corrects overjet around 0.3 mm/month
®
Multi-T and Multi-P corrects overjet around 0.5 mm/
month
®
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®
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inconvénients
Are not recommended for patients with a history of
severe TMJ problems
Multi-T / Multi-P : are not recommended for cases with
undeveloped root apices in the incisal segments (use
Multi-S)
®
®
Are not recommended in cases of congenitally
missing incisors, extra or impacted permanent teeth
Are not recommended in cases with more than 4 mm.
of incisal diastema of the upper incisors
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Inconvénients
Are not recommended in cases with severely tapered
or square shaped arch forms or super large archform
(ovoid)
Are not recommended if there is less than 3 mm of
free protrusion starting from the teeth to teeth position
Are not recommended in cases with forward condile
position
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Points et Astuces
Utilisation clinique
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Arche d'Extension
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Arche d'Extension
0.036
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Boutons
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bouton poussoir
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bouton poussoir avec contrôle de la
racine
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Bouton De Rotation
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Bouton de basculement
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Torque Button
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Comment modifier l'appareil
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Suggestion de forage
BIOPERM : ECS3226
POLYFIX :
© Dr. Franco Bruno and
ECS3371
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Suggestion de forage
bouchon de broyage : ECM1003
© Dr. Franco Bruno and