Extreme in orthodontics: treatment of complex cases

Extreme in orthodontics: treatment of complex cases

Category: Orthodontics

Instructor(s): Daniel Souza Pinto Ramos, Benedict Wilmes, Armando Dias Da Silva, Kee-Joon Lee

Course structure: Lessons: 7 lessons | Duration: 10 h 22 min

Course overview

Extreme in orthodontics, or how to treat complex clinical cases!

An online course in which famous lecturers will share protocols of:

Course lessons

Lesson 1: Total arch intrusion in hyperdivergent Class 2 face: a replacement therapy for orthopedic treatment

• Difficulties faced by clinicians in the treatment of hyperdivergent Class 2 face
• Cephalometric analysis of hyperdivergent Class 2 patients
• Facial profile analysis of hyperdivergent Class 2 patients
• Facial profile vs. occlusion. Does occlusion reflect on the facial profile?
• Normodivergent, hypodivergent, and hyperdivergent facial type
• Central of resistance and arbitrary rotation of occlusal plane
• Biomechanics for treatment of patients with hyperdivergent face
• Protocols for the use of skeletal anchorage in the treatment of hyperdivergent Class 2 face
• How to diagnose vertical problem from soft tissue profile
• Total arch intrusion protocols for the treatment of hyperdivergent Class 2 face
• How to determine miniscrew positions and apply correct biomechanics
• Analysis of various clinical cases.

Lesson 2: Non-surgical Treatment Approach of Hyperdivergent Class 2 with Retroclined Incisors

• Diagnosis and treatment planning:
• Facial profile analysis
• Radiological analysis
• Treatment options analysis.
• Biomechanics behind treatment of hyperdivergent Class 2 with retroclined incisors:
• Occlusal plane rotation
• Space closure protocols when treating with extraction.
• Evaluation of the incisors position in hyperdivergent Class 2
• Total arch intrusion protocols for the treatment of hyperdivergent Class 2 cases
• Analysis of various clinical cases.

Lesson 3: Working with MARPE and BAME devices. Using tomographic transversal analysis

• Why using the transverse tomographic analysis?
• Surgical assisted rapid palatal expansion (SARPE)
• Main anatomic resistance
• Transverse tomographic diagnosis:
• Importance
• Measurements
• Features in children
• Indications.
• Midpalatal suture classification
• Maxilla expansion in adults
• MARPE device:
• History
• Types
• Work protocol.
• BAME device:
• Indications
• Digital planning
• Work protocol.
• DS expander: step-by-step work protocol
• Greater palatine artery anatomic variations
• Naso-palatine canal variations
• Clinical cases:
• Posterior crossbite
• Open bite
• Class 3
• Class 2
• Impacted canines.

Lesson 4: Aligners Biomechanics Rules for Complex Cases

• The 6 steps to create better Digital Ortho Plannings for Aligner
• The ideal strategy in the software
• The magnitude of force aligner therapy
• Overcorrection protocols in aligner therapy
• Diastema and space closure with aligner therapy or aligners and resto therapy
• Diastema closure tips with aligners
• Crowding treatment concept with aligners
• Interproximal reduction in aligners therapy
• Upper and lower jaw expansion biomechanics: crossbite treatment
• Extraction treatment with Aligners
• Open bite treatment protocol with aligners
• Deep bite treatment protocol with aligners
• The ideal strategy in the ClinCheck software:
• creating the force system
• attachment selection.
• Class 2 biomechanical protocols with aligners
• Class 3 biomechanical protocols with aligners
• The key factors to improve predictability
• Understanding the limits of aligners' plastic
• Step-by-step protocol for creating accurate digital planning.

Lesson 5: Skeletal Anchorage with Aligners

• Skeletal Anchorage in your Ortho Routine: indications and advantages
• The success rate of Temporary Anchorage Devices (TADs)
• Ortho treatment planning guided by DSD: DSD tool within Clincheck
• DSD and TAD analysis
• The digital workflow for guided insertion of TADs
• Extra-alveolar TADs: infra-zygomatic crest (IZC) and buccal shelf (BS)
• Distalization and mesialization with TADs
• The success rate of infra-zygomatic crest miniscrews
• Step-by-step demonstration of IZC and buccal shelf TADs placement
• TADs biomechanics with Aligners
• Clinical Cases.

Lesson 6: Ortho-Orthognathic Cases with Aligners

• Decision making algorithms and treatment planning of skeletal Class 2 and Class 3
• Step-by-step protocols of digital diagnosis
• CBCT and cephalogram evaluation and analysis
• Indications for Orthognathic approach
• Clinical and biomechanical tips for orthognathic cases with aligners
• The importance of the facially driven digital planning for ortho-orthognathic cases
• Class 2 ortho-orthognathic cases. From treatment planning to postoperative evaluation
• Class 3 ortho-orthognathic cases. From treatment planning to postoperative evaluation
• Clinical cases analysis.

Lesson 7: 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.

Who is this course for?

This online course is designed for dentists and dental professionals interested in orthodontics, clinical decision-making and evidence-informed dental practice.