Modified TPA appliance for severely proclined central incisors

The esthetic appearance of teeth forms a part of an overall picture, interacting closely with facial esthetics. The patient’s esthetic expectations were successfully met through a comprehensive approach of severe proclination by tipping the maxillary central incisors. Here, we are showing a novel approach to bring about uncontrolled tipping to decrease the inclination of severely proclined teeth.
 

Keywords : Transpalatal arch, Uncontrolled tipping, Deep bite