Adjustment of the Chin Cup The chin cup has been ... - Adenta

Treatment Objectives
The Vertical Pull Headgear with chin cup has been
designed specifically to correct vertical and a wide
range of facial myofunctional problems, such as
open bites. As soon as therapy begins, the Vertical
Pull Headgear with chin cup holds the mouth
closed continuously, reducing interdental habits
and tongue protrusion. This appliance can also
quickly change habitual mouth breathing to nose
breathing.
This headgear also helps to intrude the molars. An
intrusion of 1 mm in the molar region causes a
closing of the frontal open bite by 2 mm. In this
case, the Vertical Pull Headgear with chin cup provides
excellent support in addition to other treat
ments and helps removal or removable and nonremovable
appliances perform to their peak. It
ideally combines with occlusal bite plates and/
or incisal spurs (spikes).
VERTICAL PULL
h e a d g e a r & c h i n c u p
Congratulations, you have just purchased a very effective and innovative product from adenta. In
order to obtain the maximum results, please read the following instructions carefully before starting
adjustments with your patient.
Adjustment of the Vertical Pull Headcap
Tighten the middle band and the two side bands
carefully. The two side bands should be under the
cranial crown of the head in order to ensure a tight
fit. The middle band should be tightened over the
head and should be fixed at the back between the
two side bands with the Velcro. Take care that the
front band of the head cap is not too deep in the
forehead. After testing if the vertical pull head cap
fits correctly and is capable of holding approximately
two pounds of force in the front, you can
open one of the side bands. Now you may remove
the head cap from the patient’s head and staple
the remaining side band and the middle band together
(Fig. 2). The patient is able to open and
close the vertical head cap with the remaining side
band without changing the adjustment and the fit
once defined by the orthodontist.
Side bands
Latches for the V
Pull Modules
Rivet Holes for
the Mono HG
Module
Fig 1
Variable
Velcro
Headband
Velcro
Fig 2
Staple here
Adjustment of the Chin Cup
Headgear
Safety Module
Chin Cup
The chin cup has been designed with extra long
metal arms, specifically for the Vertical Pull Headgear.
These arms should be shortened to run to
the middle of the cheek. From this level, you can
connect the safety modules with the chin cup. The
force applied by the chin cup can be up to 1000
grams or more. In conjunction with this perfect fit
and the construction of the vertical pull head cap
you will be able to apply force to the chin, and the
head cap will still hold in place comfortably. The
metal arms should be bent away from the face so
that the latches of the modules will not touch the
skin. In order to make the chin cup more comfortable
to wear, insert the cotton pad provided or you
may use your own cosmetic pad in the chin cup.

VERTICAL PULL
h e a d g e a r & c h i n c u p
opac technology
Optimized Pressure and Air Conditioned
early treatment concept
University of Graz, Austria
If you are using your own cosmetic pad, it is important
that you fold the pad and cut out a round hole
in the center, approximately 2 cm, or 8/10 of an
inch. This hole will create the effect of a cushioning
ring that keeps the point of the chn away from
the chin cap.
b e f o r e
This ring shaped cotton pad distributes pressure onto
a surface five times larger that the regular pressure
zone at the point of the chin, and prevents uncomfortable
side effects, such as skin itching and bacterial
infections. If one pad is not enough, use two or
more. Now the Vertical Pull Headgear and chin cup
is comfortable enough to be worn all day long.
• Vertical Correction
• More than 500 grams of closing force
• Intrude Molars
NOTE: In order to prevent abrasion of the teeth
you may use a bite plate during treatment with the
Vertical Pull Headgear with chin cup. Very often
the combination of the Vertical Pull chin cup and
palatal spikes (bonded or banded to the palatal
side of the upper front teeth) is used because the
Vertical Pull chin cup keeps the mouth closed and
the spikes can work more effectively.
The early treatment concept of 25 patients Class III
(University of Graz, Austria) was developed as a result
of a long term study that early start of treatment at an
age of 3-6 Years is very important. The Vertical Pull
Headgear and chin cup should be worn 24 hours/day
until a little Class II overcorrection is reached. Depending
on the growth of the bone later on, it could
be necessary that the appliance must be worn for a
further period of time. The results of the long-term
study over the ETC shows that a significant reduction
of the Gonion-angle was reached compared to the
non-treated Class I referring group. The reduction
was in average 9.3° from 129.8° to 120.5°.
If you have patients with long hair, it is important to
suggest that they wear their hair over the headgear
(pigtails or braids) as opposed to putting their hair
under the headgear. This is crucial to the holding
power of the Vertical Pull Headgear Cap.
phone: 1-215-942-2070 - Toll free: 1-888-942-2070
email: info@adentausa.com - website: www.adentausa.com