A one year program on aligner therapy

Category: Orthodontics

Instructor(s): Benedict Wilmes, Olga Yemelyanova, Jay Bowman, Pedro Costa-Monteiro, Vincenzo D'Anto, Tommaso Castroflorio, Waddah Sabouni, Heloisa Filipe Alves, Alessandro Mario Greco, Isabel Flores Allen, Francesco Garino, John K. Kaku, Simonetta Meuli, Matthias Peper, Maria Zaitova

Course structure: Lessons: 19 lessons | Duration: 32 h 49 min

Course overview

The most complete and detailed information on working with aligners is presented in the course “A one year program on aligner therapy”!
4 training modules await you (from simple to complex):
– Biomechanics, diagnosis and treatment planning
– Early orthodontic treatment using aligners
– Combining aligners with other orthodontic tools
– Complex clinical cases: treatment with aligners.

This is the training that will solve any questions about working with aligners for the coming years!

Curriculum

Lesson 1. Aligner biomechanics: from basic research to clinical application

• – Relevance of the use of aligners
• – Aligners: reliability and predictability of tooth movement
• – Advantages and disadvantages of aligner therapy
• – Control of the tooth movement
• – Biomechanical aspects when working with aligners
• – Intermittent forces vs continuous forces
• – Failures in the treatment of aligners
• – The effect of deformation of the dental arch
• – Limitations of aligner therapy
• – Protocols for the use of aligners in the case of:
• Periodontal diseases
• Class 2
• Open bite
• Reversal of teeth.
• Recommended for: Orthodontist, General dentist.

Lesson 2. Occlusion and аligners

• – Phenotypes and evolution of the cranio-mandibular system
• – Correction of an anterior-posterior discrepancy: methods
• – Occlusion, craniomandibular system and posture: relationship
• – The concept of biological boundaries in occlusive medicine
• – Four-dimensional concept of occlusal treatment
• – Principles of occlusive medicine
• – Vertical control and restoration of the occlusal plane
• – Errors when working with aligners.
• Recommended for: Orthodontist, General dentist.

Lesson 3. From clincheck to aligner treatment clinical reality

• – Treatment planning: clincheck, recommendations and tips
• – Correction of canine spread using aligners
• – Technique for overjet correction
• – Features of the use of elastics: recommendations
• – Use of mini-implants: indications
• – Treatment planning in patients with TMJ diseases
• – Mandible unlocking: technique
• – Power ridges: indications and advantages
• – Additional aligners: indications for use
• – Protocols G5 and G8: Characteristics, Comparison and Clinical tips
• – Periodontal restrictions: recommendations for work
• – Communication between patient-orthodontist-prosthodontist.
• Recommended for: Orthodontist, General dentist.

Lesson 4. Aligner therapy protocols depending on the patient’s growth stage

• – Treatment of growing patients: the main criteria for successful treatment
• – Optimal timing for the start of orthodontic treatment
• – Improving the quality of cooperation with the patient: factors and recommendations
• – Identification of the bone age and growth potential of the patient
• – Slow and rapid expansion of maxilla by aligners in early childhood
• – Correction of class 2: the protocol of extension of mandible
• – Protocol of posterior rotation of the mandible.
• Recommended for: Orthodontist, General dentist.

Lesson 5. Class 2 malocclusions: the hybrid option in kids, teenagers and adults

• – Predictability factors in the treatment of aligners
• – Appliance for use in combination with aligners
• – Motion 3D: application aspects
• – Elastic protocols:
• Standart
• Protocol with dystopian canines
• Protocol in adults
• Mixed dentition protocol with deciduous canine.
• – Buttons: application methodology
• – Sources of anchorage
• – Appliance selection criteria
• – Treatment sequence
• – Strategy for integrating Motion 3D and aligners:
• Treatment of adolescents
• Adult treatment
• Treatment of patients with early bite.
• Recommended for: Orthodontists, General dentists.

Lesson 6. Aligner treatment in early dentition: management of the three dimensions

• – Aligners: features, characteristic, advantages
• – Work in the three dimensions:
• Transversal
• Sagittal
• Vertical.
• – Maxillary expansion in early treatment
• – Early treatment vs Treatment in one phase
• – Guidelines in treatment timing with aligners in early dentition
• – The proper technical and clinical tips
• – The virtual process within the treatment workflow
• – Mandibular advancement in patients with class 2:
• Indications
• Timing selecting
• Diagnostic
• Treatment protocol.
• – Clinical cases:
• Cross bite
• Class 2
• Crowding
• Deep bite.
• Recommended for: Orthodontist, General dentist.

Lesson 7. How to use Aligners from 6 years old to 18 years old?

• – Stage 1 of treatment: differences in the treatment of children and adults
• – The optimal age to start treatment
• – The problem of treatment planning on aligners
• – Clear aligners: advantages and tactics for treatment of young patients
• – Indications and conditions for starting work with aligners
• – Creating the perfect Clincheck: tricks and tips
• – Diastema: braces vs aligners
• – Smart Force function: life hacks when using attachments in children
• – Eruption compensation: ways to support eruption of permanent teeth
• – Interproximal reduction of enamel in children: pros and cons
• – Expansion of maxilla on aligners: errors and their prevention
• – Aligners in childhood: clinical tips and recommendations.
• Recommended for: Orthodontist, General dentist.

Lesson 8. Early intervention to make non extraction orthodontics possible for aligner treatment

• – Invisalign: advantages of the system
• – Protocol for the treatment of a growing patient
• – The algorithm of the first appointment: diagnostics and documentation
• – Treatment of pathology in class 3: protocol
• – Control of the position of the incisors using ClinCheck
• – The use of functional appliances: effectiveness in growing patients
• – Treatment protocol for an adult patient
• – Stages of maturation of the cervical vertebrae: its significance for orthodontic treatment
• – Treatment protocol without intermaxillary elastics
• – Complex cases of orthodontic treatment: partial adentia
• – Indications for microperforation of the jaw
• – Early treatment: indications and benefits
• – Expansion in the transversal plane: disadvantages of the method
• – Invisalign First: treatment protocol
• – Distalization of teeth: the technique
• – Scanning in young patients.
• Recommended for: Orthodontist, General dentist.

Lesson 9. Clinically predictable ClinChecks® for advanced Precision Wing treatments

• – Principles of creating an ideal individual treatment plan
• – Professional ClinCheck protocols:
• Movement of single teeth
• Sequential movement protocol
• Retroclination protocol.
• – The complexities of MA ClinCheck programming
• – Properties of precision wings
• – The 3 phases in ClinCheck
• – Creating ClinCheck: errors at the technical stage
• – Specifying treatment: tips.
• Recommended for: Orthodontist, General dentist.

Lesson 10. Digital protocol and digital tools for diagnostics, planning and treatment of children and teenagers with Invisalign

• – Advantages of digital treatment planning
• – Features of treatment of growing patients with aligners: plan and strategy
• – iTero Element Scanner: diagnostics, treatment monitoring, analysis of treatment results
• – Planning the treatment of a young patient
• – Progressive treatment protocol on aligners
• – Treatment with Invisalign of cases with severe crowding and protrusion
• – Invisalign First treatment strategies and protocols for young patients
• – Determination of the optimal age to start treatment: stages of maturation of the cervical vertebrae
• – Secrets of effective communication with parents
• – Presentation of the treatment plan: advantages of digital visualization
• – The concept of DSD: planning the correction of the "gingival smile".
• Recommended for: Orthodontist, General dentist.

Lesson 11. Diagnostic and therapeutic approach with aligners in growing subjects (Invisalign First and Teen)

• – The concept and goals of intercepting orthodontics
• – Early orthodontic treatment: advantages and indications
• – Development of occlusion and interaction with craniofacial growth
• – Protocol for the treatment of cross bite
• – Deep bite: treatment protocol and tips
• – Blocked occlusion: correction methods
• – Clinical tips and recommendations for the treatment of aligners
• – Features of the treatment of class 2
• – The use of intermaxillary elastics: the rule of 3
• – Assessment of the stage of maturation of the vertebrae
• – Correction of the forced position of the lower jaw: a clinical cases.
• Recommended for: Orthodontist, General dentist.

Lesson 12. Tools for improving predictability in the treatment of aligners

• – Tooth movement by aligners: assessment of the predictability of treatment
• – The problem of rotation of the upper incisors
• – Aligners vs braces: comparison of treatment effectiveness
• – Tools to increase the effectiveness of aligners: Chewies, Clear Collection tools
• – Treatment of class 2 in growing patients
• – The use of aligners in combination with Horseshoe jet
• – Lag in the movement of teeth: mechanics "button-to-button"
• – Protocols for the treatment of crowding teeth: tricks and tips
• – Treatment of open bite: aligners and screws
• – Hypercorrection and individualization of aligners
• – Relapse prevention: Apex revolution spring retainer.
• Recommended for: Orthodontist, General dentist.

Lesson 13. Impacted Canine: aligner treatment protocol

• – Impacted canines: prevalence, causes, algorithm of actions
• – Treatment methods: from the traditional approach to the digital one
• – The concept of anchorage management
• – Methods of direct, indirect and combined anchorage: advantages and disadvantages
• – When a microimplant is needed: classification
• – Assessment of the position of the canine: methods
• – Infra-crystal teething: Pros and cons
• – Creating traction: recommendations
• – Combined anchorage on aligners and implants: protocol and recommendations
• – Aligner as a retainer: application methodology
• – Simple and complex situations of canine impaction: a sequence of actions
• – Aligner system and mini-implants: advantages, application experience
• – Digital and logical planning: rules and recommendation.
• Recommended for: Orthodontist, General dentist.

Lesson 14. Difficult cases treatment: aligners + mini-implants

• – 2-steps difficult cases treatment protocol
• – Rapid maxillary expansion: appliance and techniques
• – Class 3 early orthodontic treatment
• – BMX-expander the use protocol
• – MARPE treatment protocol in adult patients
• – Premolar and molar intrusion protocol
• – Anterior teeth intrusion and retraction
• – Occlusion plane correction with aligners
• – Retention treatment: aligners+mini-implants.
• Recommended for: Orthodontists.

Lesson 15. Variants of using aligners depending on clinical cases

• – Basic principles of aligners treatment
• – Virtual treatment planning
• – Principles of working with virtual treatment planning software
• – From simple cases to complex
• – Selection of aligners treatment clinical cases
• – Combination of aligners with orthodontic appliances
• – Features of the use of aligners in the treatment of patients with sagittal occlusal anomalies
• – Features of the use of aligners in the treatment of patients with vertical occlusal anomalies.
• Recommended for: Orthodontist, General dentist.

Lesson 16. Keys to aligner treatment for challenging cases

• – Reasonable diagnosis and treatment plan for aligner treatment
• – The use of CBCT in the treatment of complex orthodontic cases
• – Writing and revising Clincheck plans
• – The use of aligners and TADs: detailed protocol. Сlinical cases
• – Lifehacks in using attachments
• – Using elastics. An extraordinary approach
• – Treatment malocclusion and TMJ dysfunction with aligners
• – Correction common mistakes during aligner treatment
• – Treatment strategies for complex clinical cases before using aligners
• – The use of TADs, segmental braces, minor surgeries and bite plate
• – 12 keys for working with aligners.
• Recommended for: Orthodontist, General Dentist.

Lesson 17. Class 2 malocclusion camouflage in adult patients using clear aligners

• – Problems of predictability of tooth movement using aligners
• – Protocols for the treatment of class 2 in adults:
• Using of attachments
• By sequentially distalization the teeth
• By the method of interproximal reduction of enamel
• Without tooth extraction
• Using of elastics in class 2.
• – Tactics regarding wisdom teeth
• – Treatment of asymmetric cases of class 2
• – Failures in planning and treatment by aligners.
• Recommended for: Orthodontist, General dentist.

Lesson 18. Distalization and space closure with aligners

• – Bodily movement with aligners
• – Combined use of microimplants and aligners
• – Installation of microimplants in the palate: indications, tools, installation features
• – 2-steps distalization and mesialization protocols: TADs+aligners
• – Non-extraction distalization
• – Clinical tips for the use of aligners and microimplants
• – Asymmetry treatment protocol
• – Molar distalization with Beneslider
• – Long-term results of tooth distalization using aligners
• – Molar mesialization with Mesiaslider
• – Using Surgical Guides to MI installation.
• Recommended for: Orthodontists.

Lesson 19. Surgical and non-surgical approach in treating deep bite cases by using clear aligner orthodontics treatment

• – Evolution of orthodontic treatment
• – History of the use of transparent aligners
• – Biomechanical predictability of treatment on aligners: scientific justification
• – Protocols for the treatment of deep bite:
• Tactics and basic principles
• With and without tooth extraction
• Surgical approach
• In adult patients
• In growing patients.
• – G5 function of the Invisalign for the treatment of adult patients
• – Failures in the treatment with aligners and ways to eliminate them
• – Protocol of orthodontic preparation for orthognathic surgery.
• Recommended for: Orthodontist, General dentist.