Extractions in orthodontics: aligners, braces, microimplants, transpalatal arches
Extractions in orthodontics: aligners, braces, microimplants, transpalatal arches
Course overview
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!
Course lessons
Lesson 1. 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.
Lesson 2. 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.
Lesson 3. 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.
Lesson 4. 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.
Lesson 5. 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.
Lesson 6. 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.
Lesson 7. 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.