Aligners: from beginner to expert
Aligners: from beginner to expert
Course overview
A must have training modules on working with aligners: from biomechanics to the treatment protocols of complex clinical cases.
In the first block you will learn the principles of planning the ideal smile and biomechanic basics of working with aligners.
In the second block you will receive step-by-step aligner treatment protocols of:
teeth crowding
class 2
class 3
open bite
deep bite
complex clinical cases.
Course lessons
Lesson 1. The Digital Orthodontics Diagnosis Rocks and Principles for Ideal Smiles
INTRO: Why Aligners?
Aligners vs. Brackets
Understanding the needs of the patient
Basics concepts of tooth movement applied to Aligners
The biology of tooth movement:
Direct theory
Indirect theory
Biphasic theory.
Digital Diagnosing guided by the Face, TMJs, Airway, Occlusion and Dental-Skeletal concepts
The 5 fundamental principles of biomechanics
Live Case Evaluation and Planning.
Lesson 2. Aligners Biomechanics Tips: Attachments & Staging
History of modern orthodontics
The biomechanical tree - Attachments:
The concept of attachments
The function of attachments
The 2 types of attachments
The classification of conventional attachments - what is the best type for each situation and when is it mandatory to use
Attachments ideal positioning
Clinical tips on attachment debonding
Attachments Mistakes: prevention and correction.
The biomechanical tree - Aligners staging:
Concept
Types of Staging
How to plan an ideal staging for each case
When to perfrom sequential movements
Staging Mistakes: prevention and correction.
Lesson 3. Aligners Biomechanics Tips: Elastics, Ramps and additional tools
The biomechanical tree - Auxiliary ressources:
Bite ramps
The concept and indications
Types of ramps and their applications
Techniques for when and how to place bite ramps.
Elastics:
The concept and indications
Buttons: indication, function, and ideal positioning
Hook cuts: indication, function, and ideal positioning
Clinical prescription of elastics for different malocclusions.
Additional Tools:
Fake Attachments: indication, function, and ideal positioning
Pressure bumps: indication, function, and ideal positioning
Rotation bumps: indication, function, and ideal positioning
Retention bumps: indication, function, and ideal positioning
Torque bumps: indication, function, and ideal positioning
Lingual Spurs: indication, function, and ideal positioning.
Lesson 4. Aligners Biomechanics Tips: Predictability & Overcorrection
Aligners predictability:
The concept and literature review
Tips to improve predictability with aligners
Aligners troubleshooting:why do we lose tracking of aligners treatment?
How to proceed when you lose track of aligners treatment?
Overcorrection:
The concept and literature review
What kind of orthodontic movements need overcorrection?
How to apply the concept of overcorrection with aligners.
Simulating biological response Nonsurgically:
Indication for using High Frequency Vibration (HFV)
HFV during active treatment
HFV during retention
High Frequency Vibration biological effect.
Simulating biological response Surgically:
Indications
The goal of bone stimulation
Corticotomy: indications and techniques
Guided corticotomy: indications and techniques
Micro-osteoperforations (MOP): indications and techniques
Enhancing aligners treatment with MOP.
Lesson 5. Crowding Protocols with Aligners
Braces vs. Aligners: Can we treat all cases with Aligners?
Class 1 malocclusion classification: Diastemas, crowding, and posterior crossbite
Diastema treatment protocols: ortho, orth-restorative, restorative
Crowing treatment protocols: simple and Severe crowding cases
The IPR strategy
Posterior crossbite treatment protocols: expansion, root and crown analysis
Extraction and aligner therapy: when to extract teeth?
Clinical case analysis
Analysis of the most common mistakes.
Lesson 6. Class 2 Protocols with Aligners
Class 2 concept and diagnose
Step by step features of digital diagnosing
Class 2 treatment protocols: an overview
Aligners Limitations and adjunct therapies to overcome
Sequential staging of class 2: ordering sequential distalization
Protocols of Class 2 treatment in growing patients
Mandibular advancement with aligners
Ortho-orthognathic cases
Clinical and Biomechanical Tips for Class 2
Clinical Cases Brainstorming
Most common mistakes.
Lesson 7. Class 3 Protocols with Aligners
Class 3 concept and diagnose
Class 3 treatment protocols: intermaxillary elastics and sequential distalization
Aligners Limitations and adjunct therapies to overcome
CBCT evaluation of bone tissue of the lower jaw
Decision making process for Class 3 treatment
Clinical and Biomechanical Tips for Class 3 cases with aligners
Fake attachments. How to place them on posterior teeth?
Clinical Cases Brainstorming
Orthognathic surgery for Сlass 3
Most common mistakes.
Lesson 8. Open Bite Protocols with Aligners
Open Bite concept and diagnosis
Dental and skeletal open bite characteristics
Etiology of open bite: hereditary and non-hereditary factors
Ortho treatment planning guided by DSD: DSD tool within Clincheck
Pathways to correct and properly stabilize Open Bites with Aligners
Clinical and Biomechanical Tips for Open Bites correction
Lingual spurs: indications and how to place them?
Treatment of skeletal open bite in adults: plan A and plan B
Clinical Cases Brainstorming
Most common mistakes.
Lesson 9. Deep Bite Protocols with Aligners
Deep bite concept and diagnosis
Deep bite treatment planning guided by DSD
Attachment selection and positioning for deep bite treatment
Bite ramps: indications and positioning
Pathways to correct and properly stabilize Deep Bites with Aligners
Clinical and Biomechanical Tips for Deep Bites correction
Clinical Cases Brainstorming
Most common mistakes.
Lesson 10. 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.
Lesson 11. Treating Growing Patients with Aligners
Variables that interfere in the predictability with aligners
Advantages and Disadvantages of using clear aligners in young patients
Diagnosing and Planning for Growth Patients with Aligners
The ideal indications and limitations
Clinical and Biomechanical Tips for Growth Patient cases with Aligners:
Open bite
Anterior and posterior cross bite
Class 2: mandibular advancement
Space management
Controlling growth discrepancies
Midline deviation
Correcting parafunctional habits.
Clinical Cases Brainstorming
Most common mistakes.
Lesson 12. Adjunct Therapies for Complex Cases with Aligners
The limitations of aligners therapy and how to overcome them
Skeletal anchorage with aligners
How to improve the success rate of TAD's and what are the risk factors?
DSD and TAD's: analysis and planning
TAD guide design
DSD Live Treatment Planning (LTP)
DSD and Clincheck Treatment Planning Session (TPS)
Surgical and non-surgical methods to stimulate the biological response to orthodontic forces:
High Frequency Vibration (HFV)
SFOT (Surgical Facilitaed Orthodontic Therapy): corticotomy and bone graft
MOP's (Micro-osteo Perforations).
DSD for SFOT guide design
Clinical cases.
