Como Instalar

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CLIQUE NA IMAGEM E SIGA OS PASSOS PARA A INSTALAÇÃO.

A- trava mandibular (0,019x0,025" ss)
B- haste mandibular (Ø 1mm ss)
C- tubo maxilar (Ø 1 mm ss)
D- trava maxilar (Ø 0,8 mm ss)

Como protocolo para o uso do PMA, o paciente deverá possuir tubos triplos nos molares superiores e duplos retangulares nos molares inferiores, arcos de nivelamento superior e inferior com fios 0,019x0,025" ss, ômega justo e amarrado aos primeiros molares, torque lingual resistente na região de incisivos inferiores, barra palatina e arco lingual instalados.

Trava Mandibular

Encaixar a extremidade livre da Trava Mandibular no tubo auxiliar do primeiro molar e adaptar a alça anterior no fio de nivelamento, entre caninos e pré molares.

Haste Mandibular

Adaptar a Haste Mandibular na virola anterior da Trava Mandibular, no sentido vestibular.

Tubo Maxilar

Encaixar e estabilizar provisoriamente a Trava Maxilar pela mesial do tubo molar superior para obter o comprimento do aparelho após o avanço postural da mandíbula. A marcação do avanço é feita no tubo maxilar, na região da virola anterior da Trava Mandibular. Remover e cortar o excesso do Tubo Maxilar Mandibular com disco.

Instalação do Protrator Mandibular Arqueado

Remover e cortar o excesso da Haste Mandibular no tamanho proporcional ao comprimento obtido no Tubo Maxilar. Adaptar novamente a Haste Mandibular e encaixar o Tubo Maxilar.

Instalação do Protrator Mandibular Arqueado

Com o paciente de boca aberta, direcionar a trava maxilar para o tubo molar.

Instalação do Protrator Mandibular Arqueado

Adaptar o conjunto por mesial ao tubo molar superior.

Instalação do Protrator Mandibular Arqueado

Fixar o sistema com ligadura metálica no gancho do tubo molar. Observe que existe uma ranhura na Trava Maxilar para esta finalidade.

Ativação

Ajustar o refinamento do avanço mandibular para o correto posicionamento das linhas médias superior e inferior, dobrando no sentido cervical a extremidade distal da trava mandibular com um condutor de amarrilho para estabilizar o sistema mecânico. Esta operação poderá ser facilmente repetida para a reativação do avanço mandibular, se necessário.

Protrator Mandibular Arqueado Instalado

Observe forma arqueada do sistema mecânico evitando interferências na oclusão.

Sistema de Forças

O PROTRATOR MANDIBULAR ARQUEADO libera quando ativado a força de distalização Fd com sua componente intrusiva +Fy e distal -Fx, e a força de mesialização Fm com sua componente intrusiva -Fy e mesial +Fx.