PMC9249510_01
Design of a bar-tube system of the Denari prosthesis.
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The cast models of the patient's mouth, together with a bite registration, were sent to the dental technician along with the design of a bar-tube system (Figure 1).
Rehabilitation procedures. (a) Cementation of device. (b) Photopolymerization.
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Simultaneously, the preparation of the prosthetic element was carried out with the placement of silane (Monobond Plus, Ivoclar Vivadent) for 60 seconds, followed by drying and impregnation of the adhesive system, with its subsequent photopolymerization, in the retainers of the metal skeleton of the Denari prosthesis (Figure 2).
Three-month control appointment.
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Recommendations were provided to the parents for maintenance, care, and control appointments every three months for one year to monitor and evaluate the transverse growth of the maxilla (Figure 3).
One-year control appointment. (b) clearly shows an increase in the interincisal spacing that was the resultant of transverse maxillary growth, which is the rationale of using this appliance type.
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Any change in the occlusion is only given by the normal maxillofacial growth of the patient (Figure 4).