appliance for impacted teeth, the EASY-WAY-COIL Spring System

Successful treatment of multiple bilateral impactions - case report

Abstract Background:
Successful treatment of patients with multiple bilateral impactions can be an orthodontic challenge, but few reports on treatment planning and execution exist.

Case presentation: In this case report, we describe the successful orthodontic treatment of a 16.3-year old female patient without systemic or genetic disease with initially nine persisting deciduous and nine impacted permanent teeth with complete root formation and closed apices in both jaws. After extraction of the deciduous and surgical exposure of the impacted permanent teeth, the Easy-Way-Coil™ system was used in conjunction with a skeletal anchorage (maxilla, BENEfit™ system) to guide the eruption of all impacted teeth. After a total treatment time of only 22.8 months all impacted teeth could be aligned successfully and a stable and functional class I occlusion was achieved. In addition, there were no adverse treatment effects such as anchorage loss, root resorptions or periodontal problems and an esthetic result could be achieved.

Conclusions: The presented treatment approach thus proved to be highly effective in cases with multiple bilateral impactions with minimal side effects and considerably reduced treatment time. Keywords: Case report, Diagnosis and treatment planning, Impaction, Guided eruption
             
Schubert et al. Head & Face Medicine (2016) 12:24 DOI 10.1186/s13005-016-0122-0
               

EASY-WAY-COIL® Spring System
A proven technique for effective alignment of impacted incisors, canines and premolars

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• Zero inflammatory reactions recorded
• Zero loosening of bonded attachment
• Zero breakages recorded

Many different traction appliance options are available for the task of aligning the ectopic or impacted tooth. The forces in some of these appliances are generated by elastics. The quality of this elastic material, elastic chains and elastic rubber thread, makes frequent replacement necessary for the purpose of re-activation. Lever designs are highly elastic and supply effective force for a relatively long period of time, but they are easily damaged, rather uncomfortable for patients, and make oral hygiene more difficult.

The EASY-WAY-COIL SYSTEM® consists of a stainless steel tension spring which is pivot-mounted to a lingual button with a bonding base. The appliance is activated by systematically shortening the spring. It is reliable and demonstrates a constant application of force throughout the treatment procedure, including stable maximum anchorage. 
"Choosing the right force minimizes root damages and reduces treatment time!"

Dr. M. Schubert, inventor & orthodontist , Germany