Hybrid Orthodontic Treatment: Combining Aligners Therapy with Fixed Appliances

Hybrid Orthodontic Treatment: Combining Aligners Therapy with Fixed Appliances

Category: Orthodontics

Instructor(s): Ingrid Müller Ledra, Tarek El-Bialy, Stephen Chang

Course structure: Lessons: 6 lessons | Duration: 5 h 41 min

Course overview

All the solutions and biomechanics to overcome unpredictable movements and treat complex malocclusions with clear aligners!

The hybrid approach is designed to combine the best of both worlds — clear aligners and fixed appliances — to address complex orthodontic challenges.

Course lessons

Lesson 1: Aligners and Brackets: Clinical Decisions in Hybrid Mechanics

• Defining clinical cases for hybrid mechanics
• Strategic advantages of hybrid mechanics for complex malocclusions and anchorage
• Treatment planning of hybrid mechanics cases
• Integrating both brackets and aligners in different stages of treatment
• Predictable tooth mobility and controlled treatment outcomes.

Lesson 2: Hybrid Mechanics in Orthodontics: Case Selection, Treatment Strategies, and Challenges

• Case selection criteria for hybrid approaches
• Clinical scenarios that benefit from hybrid mechanics, including factors such as patient compliance, biomechanics, and treatment goals
• Challenges in hybrid mechanics and troubleshooting issues
• Minimizing treatment time with hybrid mechanics
• Patient expectations and treatment fees in hybrid treatments.

Lesson 3: Hybrid Mechanics for Greater Efficiency with Aligners

• Protocols for integrating auxiliary mechanics to enhance complex movements in aligner treatments
• The biomechanics behind hybrid approaches to aligner therapy
• Approaches to significantly reduce treatment time using flexible hybrid methods for precision
• Protocols for integrating TADs to improve control and achieve difficult movements
• Approaches to increase predictability and control by combining aligners with braces and fixed appliances.

Lesson 4: Optimizing Hybrid Orthodontic Treatments: Protocols and Approaches

• Limitations of clear aligners and fixed appliances: Challenges and how to address them in complex cases
• Key tools to accurately assess and plan hybrid orthodontic treatments
• Protocols for deciding whether fixed appliances or aligners should come first in complex cases
• Approaches for achieving predictable movements with aligners and fixed appliances
• Protocols for effective space closure with hybrid treatments
• Protocols for bodily movement of second molars using both braces and aligners.

Lesson 5: Simplifying Complex Orthodontic Cases with Wilson 3-D Appliance and Clear Aligners

• Protocols for using the Wilson 3D appliance as a phase I tool to expand arches and align teeth prior to clear aligner treatment
• Approach to managing impacted teeth with the Wilson 3D appliance to facilitate their movement before aligner use
• Protocols for using the Wilson 3D multiaction palatal appliance to relieve upper arch crowding before aligners
• Approach to correcting posterior crossbite with the Wilson 3D multiaction palatal appliance prior to aligner therapy
• Application of the Wilson 3D palatal appliance to expand the upper arch and correct class II malocclusion before clear aligners
• Protocols for aligning lower incisors using the Wilson 3D lower lingual appliance before clear aligners.

Lesson 6: The Hybrid Aligner-TADs-Wire Approach (HTAWA) for Class III Malocclusion Treatment

• Why use hybrid aligner-wire techniques?
• The biomechanics of Class III malocclusion treatment with a hybrid aligner approach
• Non-extraction protocol in Class III camouflage treatment with clear aligner therapy using hybrid protocols
• Extraction protocol in Class III camouflage treatment with clear aligner therapy using hybrid protocols
• Finishing and detailing aligner therapy.

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.