Functional Orthopedic Appliances: Complete Laboratory Guidelines from A to Z
Functional Orthopedic Appliances: Complete Laboratory Guidelines from A to Z
Course overview
Online practical training for manufacturing functional orthopedic appliances (FOA) with Dr. Orlando Santiago Júnior — A renowned specialist in South America on working with FOA!
During the practical training, orthodontic technicians will have the opportunity to learn how to fabricate various types of functional orthopedic appliances, including:
Bimler type A and type C
Simões Network models of functional orthopedic appliances
Orlando Santiago Systems for functional orthopedic appliances
Indirect Planas Track to guide mandibular posture change.
This comprehensive step-by-step manual for manufacturing functional orthopedic appliances is also essential for orthodontists, as it enables them to understand the fundamentals and the details required to manufacture functional orthopedic appliances, ensuring that the appliance is fabricated according to the desired specifications!
Course lessons
Lesson 1. Basics For Constructing Functional Orthopedic Appliances (FOA)
Dental casts: printed or in plaster
Impression taking techniques: digital impressions vs analogical impressions
Pliers selection: bird beak, straight plier, half round plier, etc
Wires selection (0.7mm/0.0028, 0.8mm/0.0032, 0.9mm/0.0036)
Minimum prerequisite of casts to construct functional appliances
Protocols of wire bending. Basic wire bends:
"U" turn
Bend by 90°.
Force application.The contact point of the appliance with the tooth:
Bodily movement
Inclination.
Designing and positioning of the expansion screw on the functional orthopedic appliance
Fabrication of Coffin spring
Dealing with acrylic materials
Grinding and polishing of acrylic.
Lesson 2. Therapeutic Mandibular Posture Change (TMPC) with Planas Functional Orthopedic Appliances. Indications and Clinical Scenarios
Biomechanics of the TMJ
TMPC for retrognathia with positive overbite. TMPC in pro translation: parameters, limitations and laboratory construction
TMPC for retrognathia with an open bite. TMPC in pro rotation: parameters, limitations and laboratory construction
TMPC for unilateral posterior crossbite. TMPC with frontal blockage: parameters, limitations and laboratory construction
TMPC for functional anterior crossbite. TMPC in retro translation: parameters, limitations and laboratory construction
TMPC for prognathia. TMPC in retro translation without apparent rotation: parameters, limitations and laboratory construction
TMPC for open bite. TMPC in rotation or wheel: parameters, limitations and laboratory construction
TMPC for stimulation of arch development and occlusal plane maturation. TMPC with total freedom: parameters, limitations and laboratory construction
TMPC for stimulation of asymmetrical development of the mandible. TMPC with partial freedom: parameters, limitations and laboratory construction
Clinical and laboratorial parameters to conduct the mandible to the optimum stimulation for each malocclusion correction. Clinical cases analysis.
Lesson 3. Bimler-A Functional Orthopedic Appliance. Full Laboratory Protocols
Indication for Bimler-A application
Therapeutic mandibular posture change (TMPC) in cases of pro translation and application of Bimler-A FOA for the treatment of Class 2 cases
Step-by-step constructing Bimpler-A FOA. Wire bending, frontiers and positions:
Tie and shield
Dorsal Arches
Superior vestibular arch
Frontal springs (frontal resorts).
Acrylization: adaptation and retention of the dorsal arch
The acrylic part of the appliance: grinding and polishing.
Lesson 4. Bimler-C Functional Orthopedic Appliance. Full Laboratory Protocols
Indication for Bimler-C functional orthopedic appliance
Therapeutic mandibular posture change (TMPC) and application of Bimler-C FOA for the treatment of Class 3 cases
Step-by-step constructing Bimler-C FOA. Wire bending, frontiers and positions:
Wave bars
Dorsal Arches
Superior progeny arch,
Frontal springs
Posterior lift and posterior bite raisers.
The acrylic part of the appliance: grinding and polishing.
Lesson 5. Indirect Simple Planas Tracks (ISPT). Full Laboratory Protocols
Indications for Indirect Simple Planas Tracks (ISPT)
Therapeutic mandibular posture change (TMPC) and application of Indirect Simple Planas Tracks (ISPT)
Step-by-step constructing Indirect Simple Planas Tracks (ISPT) appliance. Wire bending, frontiers and positions:
Occlusal support
Making and preparing the "H" form of the appliance
Planas' Tracks inclination. The anterior and posterior reference.
Acrylization: adaptation and retention of the wire arches
The acrylic part of the appliance: grinding and polishing.
Lesson 6. Indirect Planas Compound Tracks (IPCT). Full Laboratory Protocols
Advantages of Indirect Planas Compound Tracks (IPCT)
Indications for Indirect Planas Compound Tracks (IPCT)
Therapeutic mandibular posture change (TMPC) and application of Indirect Planas Compound Tracks (IPCT)
Wire bending:
Creation of occlusal support
Creation of dorsal Arches
Utilizing of telescopic tubes.
Constructing and positioning Planas Tracks. Step-by-step demonstration of the laboratory procedures.
Lesson 7. Constructing Indirect Compound Planas Tracks with Equiplan
Indications for application of Indirect Compound Planas Tracks (ICPT) with Equiplan
The function of the Equiplan
Step-by-step construction of Indirect Compound Planas Tracks (ICPT) with Equiplan:
Positioning and dimensioning the Equiplan
Application of the the telescopic tubes
Constructing and positioning Planas Tracks
Construction of the dorsal arches.
Lesson 8. Simões Network 1 (SN1). The Slide Light Model
Background review of the SN models
Overview of the SN1 model
Therapeutic Mandibular Posture Change (TMPC): pro translation and partial freedom
Laboratory steps of constructing the SN1 model:
Сonstructing the mandibular posture change path
Wire bending, frontiers and positioning
Application of telescopic tubes
Fabrication of dorsal Arches.
Advantages and limitations of the SN1 model.
Lesson 9. Simões Network 2 (SN2). The Tongue Maintainer Model
Overview, clinical, and laboratory features of the SN2 model
Constructing a therapeutic mandibular posture change (TMPC) with the SN2 model in a pro rotation
Laboratory step to fabrication of the SN2 model
Step-by-step fabrication of the dorsal arches for the SN2 model.
Lesson 10. Simões Network 3 (SN3). The Lower Winglet Model
Overview of the SN3 model
Indication for treatment with the SN3 model
Constructing a therapeutic mandibular posture change (TMPC) with the SN3 model
The inferior anterior element of the appliance. The wave bar
Constructing an appliance with one-wave vs two-wave bar
Superior anterior elements: the wave bar and frontal springs
Construction of the dorsal arches
Step-by-step laboratory procedures for constructing the SN3 model.
Lesson 11. Simões Network 3 (SN3). The Lower Winglet Model with Equiplan and Progeny Arch
Overview and features of the SN3 model
Indication for working with the SN3 model
Constructing a therapeutic mandibular posture change (TMPC) with the SN3 model with Equiplan and progeny arch
Fabrication of the inferior anterior elements and the wave bar
Fabrication of the superior anterior elements:
Wave bar
Frontal springs
Progeny arch
Equiplan
The dorsal arches.
Advantages and limitations of the SN3 model with Equiplan and progeny arch.
Lesson 12. Simões Network 4 (SN4) and Simões Network 5 (SN5) Functional Orthopedic Appliance Models
Laboratory steps to the fabrication of the SN4 shield-pad model
The superior frontal shield: limits, positioning and geometry
The superior lateral shield: limits, positioning and geometry
Clinical application of the frankel buccal shield
Constructing frontal and lateral frankel shields and connecting them to functional orthopedic appliances
Constructing the SN5 model. Fabrication of dorsal arches for aesthetic reasons.
Lesson 13. Simões Network 6 (SN6). The Special Pad Model
Overview of structural components of the SN6 model
Construction of a therapeutic mandibular posture change (TMPC) with the SN6 model
Fabrication of the inferior elements of the SN6 model
Formation of the minor curve for the SN6 model
Indications to the fabrication of wave bars
Fabrication of the superior elements of the SN6 model:
Wave bars
Frontal springs
Dorsal arches.
Tips on the laboratory protocols for the construction of the SN6 model of functional orthopedic appliances.
Lesson 14. Simões Network 7 (SN7). The Clasp Model
Specification of the SN7 model functional orthopedic appliance
Construction of a therapeutic mandibular posture change (TMPC) with the SN7 model. The retro translation without rotation
Wire bending:
Сonstructing the arch of progeny
Fabrication of the inferior vestibular arch
Fabrication of occlusal support.
The hawley's arch. Fabrication and clinical function
Constructing and positioning Planas Tracks
Limitation and advantages of the SN7 model.
Lesson 15. Simões Network 10 (SN10). The Pad Tie Model
Clinical indications for working with the SN10 model
Overview, specification, and features of the SN10 model
Construction of a therapeutic mandibular posture change (TMPC) with the SN10 model
Protocols on measuring the maximum extent of protrusive movement
Steps-by-step demonstration for manufacturing of the appliance
Wire bending:
Fabrication of the anterior curve and minor curve
Fabrication of the tie, dorsal arches, and the pad.
Lesson 16. Simões Network 11 (SN11). The Vertical Descending Winglet Model
Overview, specification, and features of the SN11 model
Repositioning the mandible. Clinical and complementary exams
Construction of a therapeutic mandibular posture change (TMPC) with the SN11 model
Wire being and occlusal support
Construction and fabrication of Planas Track
Fabrication of vertical descending winglet model.
Lesson 17. Orlando Santiago System 1 (OSS1). The Day Use Model
Indications for using the OSS1 model
Indication for using the OSS1 model in cases with deep bite
Construction of a therapeutic mandibular posture change (TMPC) with the OSS1 model. Retro translation
Wire bending and stabilization of clamps
Equiplan and its clinical significance. Application and integration in the OSS1 appliance
Fabrication of the winglet for OSS1 model
Step-by-step laboratory demonstration for fabrication of the OSS1 model.
Lesson 18. Orlando Santiago System 2 (OSS2). Model With An Upper Wave Bar
Indications for the clinical application of OSS2 model
Construction of a therapeutic mandibular posture change (TMPC) with the OSS2 model. Pro translation
Wire bending: frontal springs and stabilization clamps
Fabrication of the Equiplan with the OSS2 model
Application of the anterior wave bar for mandibular posture change
Step-by-step laboratory demonstration for fabrication of the OSS2 model.
Lesson 19. Orlando Santiago System 3 (OSS). The Inferior Winglet Model
Indications for the clinical application of OSS3 model
Construction of a therapeutic mandibular posture change (TMPC) with the OSS3 model. Pro translation and partial freedom
Wire bending: stabilizing the clamps and fabrication of dorsal arches
Fabrication of the Equiplan with the OSS3 model
Step-by-step laboratory demonstration for fabrication of the OSS3 model.
Lesson 20. Orlando Santiago System 4 (OSS4). The Indirect Planas Tracks and The Inferior Wave Bar Model
Laboratory and clinical features of the OSS4 model
Indications for the clinical application of OSS4 model
Construction of a therapeutic mandibular posture change (TMPC) with the OSS4 model
Wire bending and fabrication of:
Occlusal support
The inferior wave bar
The inferior vestibular arch.
Construction and positioning of Planas Tracks on the OSS4 model.
