Our Bonded RPE is made with the same Leone RPE, but any of our RPE’s can be used. The appliance is built with a .036 framework around the lingual and buccal of the posterior teeth. We can add debonding arms which are laser welded from the frame into the vestibule creating a leverage point for removal. For Class III correction facemask hooks are laser welded and incorporated into the appliance. With each expansion appliance, we provide a custom swivel key that has an integrated activation recording tool directly on the handle.
The typical rate of activation is one (1) per day. Each RPE requires four (4) activations per 1mm. It is Not uncommon to double up with one turn in the morning and one in the evening. Going too fast may damage periodontal membrane or roots of the teeth. Going too slow may result in producing more dentoalveolar change and less sutural split than normally desired. This appliance should be cleaned every day with toothpaste and a soft toothbrush, morning and night. Encourage the patient to give sufficient time to clean thoroughly around the appliance, gums, teeth, and bands to maintain proper hygiene and prevent inflammation. 3 minutes is recommended.