1. American Association of Orthodontists 112th Annual Session Honolulu, Hawaii – May 4-8, 2012
Forsus™-RME Combination (FRC) - a non-compliance-multifunctional-onephase device

2. American Association of Orthodontists 112th Annual Session Honolulu, Hawaii – May 4-8, 2012
Authors:
Werner Noeke
Raphael Hoehr – private office, Meschede, Germany
Tim Noeke – University of Muenster, Germany
Kathrin Weyer – University of Frankfurt, Germany

3. Purpose:
For an improved patients and orthodontists comfort the Forsus™-Spring can be used in place of the Herbst Device in combination with the RME. Compared to the stiffness of the Herbst, the main advantage is its flexible construction and the quick incorporation.

4. Material:
The FRC-appliance consists of RME-screw, solded lingual archwire, Forsus™-Spring and vestibular sectional arch. The FRC has the advantage of less breakage, less tissue-irritation and lab/chair-time, no screws, comfortable wearing and adjustment. In comparison to the Herbst Device, only palatal and lingual solding is necessary.

5.
Patient:
Rob W., male 15 y old, overjet 7mm, Cl.II,2 Combined with RME, the Forsus™ Device EZ is very robust and leads to a quick result using well-defined continuous forces. Adding a full-arch multibraces system is easy e.g. needed in class II,2. Therefore all 8 bands of the FRC may remain in place.

6. RME/lingual arch/MB upper jaw to unlock
Initial findings
Treatment plan:
RME/lingual arch/MB upper jaw to unlock
Forsus spring
MB lower jaw
Retention

7. At first the RME device and the lingual archwire were attachted.
At first the RME device and the lingual archwire were attachted.

8.
Situation after 2 weeks, the Hyrax Screw was fixed after succesful Maxillary Expansion – a Diastema is shown and the archwire is fixed.

9.
10 weeks later the upper jaw was aligned and the upper incisors were proclinated to unlock the lower jaw. The Forsus Spring was attachted.

10.
After 4 months a Cl. I relationship at the canine has been established, so the forsus spring could be removed.

11.
While the Hyrax screw also been removed the bands of the FRC may remain in place.

12.
(The multibraces device will be removed within the next weeks.)
Results/Conclusion:
The Treatment time with the FRC to Cl.I correction took 7 months. The whole treatment time is about months.
The FRC gives an exceptional advantage combining a non-compliance class II correction in one-phase treatment with multibraces which leads to a short treatment time.

13. For more Information: Werner Noeke, Raphael Hoehr Oesterweg Meschede, Germany phone:
This presentation is kindly supported by:
3M Unitek, Landberg, Germany,