Extractions in orthodontics: aligners, braces, microimplants, transpalatal arches

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Детали

9 уроков (10ч 48мин)

10 CE Credits

10 CE Credits

Английский

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Описание

To extract or not to extract, that is the question. And we have prepared a comprehensive answer!

 

Analysis from A to Z of extraction methods in orthodontic treatment, selection thinking strategies and clinical cases. With the new course you will learn:


– biomechanics of treatment with extraction
– protocols for serial tooth extraction and germectomy in mixed dentition
– protocol for the treatment of Class 2 with extraction
– aligner therapy with extraction
– features of the use of transpalatal arches (TPA) and their modifications
– lingual orthodontic protocols for space closure.

 

We invite you to study and close this issue, based on the most modern research and protocols!

Урок 1.Extraction VS non-extraction: a reasonable treatment plan

– Decision-making table to guide treatment plan

– Pros and cons of extraction and non-extraction treatment

– Favorable indicators for non-extraction patients with good long-term stability

– Analysis of numerous clinical cases to demonstrate the thinking process

– Practical tips on choosing a treatment method depending on the clinical case

– Open bite, crowding, crossbite, deep bite, class 2: treatment protocols

– Use of skeletal anchorage in non-extraction cases

– Elastics: lifehacks in use in difficult clinical cases

– Long-term results of treatment of cases using extraction and non-extraction methods. Result retention.

 

Recommended for: Orthodontists, General dentists.

Урок 2.Biomechanics of space closure. Аnchorage control

– Biomechanical considerations for controlling tooth movement
– Biomechanics for predictable tooth movement
– Mechanics of space closure:


- Protocols of sliding mechanics
- Protocols of friction-free space closure mechanics.


– Determining the ratio of anterior retraction to posterior protraction
– Choosing between one-step and two-step retraction technique
– Implementing Mini Screw Implants (MSIs) for space closure management
– Step-by-step analysis of space closure cases using the one-step retraction technique
– Step-by-step analysis of space closure cases using the two-step retraction technique
– Step-by-step analysis of space closure cases with the application of miniscrews for maximum anchorage. 

 

Recommended for: Orthodontists, General dentists.

Урок 3.Serial extraction in mixed dentition. Germectomy

– Treatment plan:

 

- Serial extraction

- Expansion

- Leeway.

 

– Ideal cases for serial extraction

– Non-extraction protocol

– Slicing of the deciduous teeth

– Ways of lower anterior crowding prevention

– Appliances for maxilla expansion

– Germectomy: timing, indications and contraindication, surgical treatment options

– Early correction of recession.

 

Recommended for: Orthodontists, General dentists.

Урок 4.Extraction Protocols with Aligners

– When is treatment with extraction a good strategy?

– Indication for extracting premolars, 3rd molars, lower incisors

– Complex crowding cases: expansion, IPRs, extraction of 4 premolars

– Class 2 and class 3 treatment with extraction protocols

– The roller coaster bowing effect

– Extraction cases tips: extraction time, overcorrection, anchorage loss, and space closure

– Extraction staging protocols

– Aligners Limitations in Extractions cases and adjunct therapies to overcome

– Clinical and Biomechanical Tips for Extraction cases with Aligners

– Clinical Cases Brainstorming

– Most common mistakes.


Recommended for: Orthodontists, General dentists.

Урок 5.Extraction of maxillary premolars and space closure

– Choosing the teeth to be extracted according to the malocclusion
– Anchorage
– Biomechanical perspective
– Types of tooth movements
– Biomechanics of space closure
– Types of retractions
– Vertical control
– Class 2 Division 1 corrections clinical cases
– Class 2 Division 2 corrections clinical cases.

 

Recommended for: Orthodontists, General dentists.

Урок 6.Hinge mechanics and TPA mechanics to close spaces

– Biomechanics of space closure
– Hinge mechanics: definition
– How to calculate the hinge position
– How to calculate the amount of the force delivered on the tooth from the appliance
– Transpalatal arch (TPA): indications for use
– Protocols for the use of transpalatal arches and modifications
– Difficulties in working with transpalatal arches
– Springs: manufacturing method in the clinic
– Combined use of microimplants and transpalatal arch
– Protocol for molar mesialization
– Analysis of complex clinical cases of space closure in adult patients.

 

Recommended for: Orthodontists, General dentists.

Урок 7.Orthodontic space closure with lingual fixed appliances

– How to identify cases treated best with extraction of teeth
– Set-up extraction cases with lingual appliances
– Optimum timing for extracting teeth
– Mechanics for closing spaces
– Speed-up safely extraction space closure
– Optimum finishing in extraction cases
– Retention protocols.

 

Recommended for: Orthodontists, General dentists.

Урок 8.Treatment of severe crowding Сlass I cases in orthodontics

– Diagnosis of severe crowding Сlass I (radiographs, clinical examination, model and cephalometric analysis)
– Treatment planning and sequencing: 


- Sequence of extractions
- Orthodontic appliance selection
- Anchorage control
- Torque control during retraction and an estimation of treatment duration based on the severity of crowding and the patient's specific needs.


– Mechanics and orthodontic appliance use: 


- Archwire sequences
- Bracket placement
- Braces-archwires friction and chain elastics force on sliding mechanics.


– Monitoring and adjusting treatment
– Evaluation of treatment outcome: what you should pay attention to
– Retention of treatment results.
 

Recommended for: Orthodontists, General dentists.

Урок 9.Digital protocols in extraction cases treated with the lingual orthodontics applainces

– Lingual orthodontics biomechanics
– How to avoid losing anchorage?
– Torque application and torque control in lingual orthodontic appliances
– Analysis of the different geometry of lingual orthodontic wires
– Robotics in orthodontics. Where we are now?
– Finishing in lingual orthodontics. A hybrid system
– Retention: protocols
– Relapse in the lingual technique.

 

Recommended for: Orthodontists, General dentists.

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Dr. Chris Chang is the founder of Beethoven Orthodontic Center and Newton’s A Inc. in Hsinchu, Taiwan. He received his PhD in Bone Physiology and Certificate in Orthodontics from Indiana University. He is a diplomate of the American Board of Orthodontics and an active member of Angle Society-Midwest. Dr. Chang is the publisher of JDO and has authored and co-authored many orthodontic books, including Orthodontics Vols. 1-6, as well as Words of Wisdom, Jobsology and Trumpology. He is the inventor of OrthoBoneScrews (OBS).
 
Creator of the Marco Rosa appliance. Former President and Active Member of the Angle Society of Europe. Member of the European Board and the Italian Board of Orthodontics. Visiting professor at Insubria University, Italy. Scientific interests: early orthodontic treatment, space closure in case of upper missing incisors.
 
Master Degree in Orthodontics since 2002 (PUCRS Brazil). Guest Faculty at iHDS Houston-USA and UCAM (Spain). Speaker and KOL for Invisalign, DSD and Propel and provided international lectures in several countries such as USA, Mexico, Portugal and Spain about digital orthodontics with Aligners. DSD Planning Center (Madrid-Spain) Orthodontics Clinical Manager since 2019.
 
Specialist in Jaw Functional Orthopedics; Head of the department of Orthodontics and Dentofacial Orthopedics in Modal Faculty in Belo Horizonte; Scientific Advisor of the Ortho Science Journal.
 

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