When it comes to correct a CLII malocclusion with braces, even though elastics represent an easy option, I rather prefer to use the Forsus pushrod appliance.
My opinion as a broad user of the Forsus is that is really fast and effective into correcting CLII, and I also had the chance to perform clinical research to measure its effectiveness.*,**
By the way as far as it’s effective, it’s also a not that easy to use appliance. In fact, its use is prone to produce minor and major injuries / accidents.
By extensively using it in almost every CLII malocclusion I experienced personally every kind of injury that could happen. As it has never been about giving up using the Forsus, I was forced to learn how to manage, and where possible how to prevent all the kind of injuries/accidents that one can encounter when using the Forsus.
I decided to condensate this experience into a clinical paper that was published on the Nepal Journal of Orthodontics
For those who doesn’t want to read it entirely, here are the two most useful clinical tips:
1 – Let’s give to the patient quite a bunch of soft dental pads (they are perfect as they are very soft and they gain volume by absorbing saliva) or cotton rolls to prevent rubbing of the spring vs the cheek mucosa.This simple tip would allow you to prevent any sort of irritation and will reduce to zero soft tissues problem
2 – To prevent debonding of upper 6 (in case you do not use a band) or lower 4, do not wait a debonding for a “re-bonding on the wire” procedure. Apply a thin layer of flowable composite around the bracket base to reinforce the adhesion, before to apply the Forsus. This simple reinforcement will help in diminishing the number of emergencies linked to debonding.
If you want to discover other clinical tips don’t hesitate to read the paper.
Forsus rules, CLII drools
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