A wire is contoured to the lingual surfaces of the teeth and soldered to bands on the first molars. Spurs may be soldered distal of the laterals to prevent loss of space in the arch while waiting for eruption of posterior teeth. Adjustment loops are used in the bicuspid area for activation.
Clean the lower lingual holding arch appliance 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.