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TPA ( trans-palatal arch) #ortho #orthodontics #orthodontist #orthocircle
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𝓣𝓻𝓪𝓷𝓼-𝓹𝓪𝓵𝓪𝓽𝓪𝓵 𝓐𝓻𝓬𝓱 ,TPA alone should not be recommended for providing maximum anchorage during anterior teeth retraction in extraction cases. Temporary anchorage devices (TADs) were found to be more effective in anchorage control compared to TPA.TPA + headgear and TPA + utility arch also showed better anchorage control than TPA alone. Clinical Considerations: While TPA can be used as an anchorage appliance in extraction cases with minimal to moderate anchorage requirements, it is not advised for cases requiring maximum anchorage. For maximum anchorage situations, TPA may need to be supplemented. In summary, TPA has limitations, and its use as a primary anchorage device for maximum anchorage during anterior teeth retraction is not recommended. 😊🦷