In-Office Aligners – Digant Thakkar profitable treatment option for doctors, more effective treatment process for patients

Category: Orthodontics

Instructor(s): Digant Thakkar

Course structure: Lessons: 9 lessons | Duration: 12 h

Course overview

An easy way to start designing and manufacturing aligners on your own! A profitable treatment option for doctors and a more effective treatment process for patients.
The course is designed for:
– Beginners in orthodontics: you will learn the biomechanical aspects of aligners treatment and be able to design as well as manufacture aligners yourself at the very beginning of your career!
– Expert specialists in orthodontics: during the course you will be able to acquire numerous protocols and tips from the lecturer
– Prosthodontist: you will be able to treat mild forms of malocclusions yourself and prepare the patient for prosthetics
– Clinic Managers: you will explore all the equipment's needed to be purchased to begin manufacturing aligners and take your clinic to a whole new level!

Curriculum

Basics of 3D Printing of Aligners: Scanners and Printers

• Lesson program
• – Importance of 3D technologies in orthodontics
• – Parts of Digital Orthodontics
• – Scanners
• – 3D printing simplified
• – Types of 3D printers:
• FDM Printers
• SLA Printers
• Metal/DMLS printings
• DLP/LCD Printers.
• – Build platform in 3D printers
• – LCD module
• – The expensive 3D printers
• – Low cost DLP printer
• – Criteria for choosing a printer
• – Resin 3D printer calibration
• – Supports in 3D printing
• – Saving cost of 3D printing
• – Horizontal and vertical printing
• – Live placement of models and supports in Chitubox software.
• Recommended for: Orthodontists, General dentists.

Aligner modeling

• Lesson program
• – Typical aligner manufacturing steps
• – Scan strategies
• – Intraoral scanning demonstration
• – Bubbles in scan
• – Designing aligners
• – Workflow using ArchForm Software
• – Tips for the design of aligner
• – The art of delegation
• – 3D printer workflow
• – Post process
• – Print check
• – Tips and tricks for 3D printing
• – Thermoformers
• – Types of thermoformers
• – Aligners and attachments sheets specs
• – Trim-check.
• Recommended for: Orthodontists, General dentists.

Case setup using OnyxCeph

• Lesson program
• – Import scans
• – Orient scans
• – Creating digital base
• – Segmentation/digital kesling set-up
• – Defining VTO (Visualised treatment objective)
• – Balance in X-Y-Z axis
• – Attachments planning
• – Building personalized attachments
• – Staging tooth movements
• – Adding 3D objects to the designed aligner treatment plan
• – Pontic creation in extraction cases
• – Exporting models and special features.
• Recommended for: Orthodontists, General dentists.

Case setup using ArchForm

• Lesson program
• – Keyboard shortcuts
• – Import scans
• – Orient scans
• – Trim excess
• – Segmentation/digital kesling setup
• – Defining VTO (Visualised treatment objective)
• – Attachments planning
• – Aligner staging/velocity
• – Movement calibration
• – Sequential staging
• – Attachments
• – Unique features of ArchForm:
• Cutouts
• Pontics
• Bitestops
• Bite shifts
• Auto trimming.
• – Export options
• – Aligner numbering
• – New features of ArchForm 1.9.5.
• Recommended for: Orthodontists, General dentists.

Aligner biomechanics: spacing and crowding cases

• Lesson program
• – Difference between aligners and fixed orthodontics
• – Case selection
• – Attachments:
• Role
• Importance
• Master attachment
• Planning
• Buccal tipping
• Location.
• – Aligner retention
• – Advised initial cases
• – Planning protocol
• – Basic aligner treatment planning for spacing cases
• – Mistakes in spacing cases
• – Aligner biomechanics with crowding
• – Treatment with Invisalign
• – Step by step clinical cases analysis.
• Recommended for: Orthodontists, General dentists.

Aligner biomechanics: deep bite, open bite, and crossbite

• Lesson program
• – Deep bite treatment features
• – Clinical case: deep bite treatment with Invisalign
• – Digital treatment planning of deep bite
• – Clinical case: crowding and deep bite treatment
• – Open bite treatment features
• – Anterior open bite closing
• – Anterior extrusion
• – Posterior intrusion
• – Digital treatment planning of open bite
• – Crossbite treatment features
• – Clinical case:
• Сrowding and crossbite treatment
• Сlass 3 and crossbite treatment
• Single molar crossbite treatment.
• – Bilateral crossbite (sceletal) treatment.
• Recommended for: Orthodontists, General dentists.

Aligner biomechanics: sequential distalization and extractions

• Lesson program
• – Molar distalization:
• Features
• Clinical cases
• 3D treatment planning.
• – Class 2 distalization with elastics usage
• – Non compliant distalization
• – Palatal approach to distalization
• – Extraction with fixed orthodontics:
• Anchorage
• Complications
• Uncontrolled tipping prevention.
• – Extraction space closure: fixed appliances vs aligners
• – Extraction with aligners
• – Reciprocal anchorage
• – G6 protocol of aligners
• – Clinical cases analysis
• – Specific attachments.
• Recommended for: Orthodontists, General dentists.

Manual workflow in aligner fabrication

• Lesson program
• – Typical aligner workflow
• – Scan strategies
• – 3D scanning
• – Arrange models in 3D printers software
• – Stagnent overnight printer
• – Delegation: role of doctor and assistant
• – Recommendations for work process organization
• – 3D printing workflow
• – Post process:
• Step by step video protocol
• Armamentarium.
• – Print check
• – Tips for 3D printing
• – Thermoforming
• – Types of sheets
• – Trimming accessories
• – Trimming with scissors
• – Trimming without scissors and polishing
• – Elastic and button cutout pliers
• – Trim-check
• – Label and packing.
• Recommended for: Orthodontists, General dentists.

Direct metal printed orthodontic appliances and adjuancts of aligners

• Lesson program
• – Band and loop space maintainer
• – Typical workflow of designing of metal printed orthodontic appliances
• – Rapid Palatal Expander (RPE)
• – Maxillary Sceletal Expander (MSE)
• – Miniscrew-Assisted Rapid Palatal Expander (MARPE)
• – Clinical cases:
• Sceletal class 3
• Very narrow palate
• Impacted canine in palate
• Anterior open bite.
• – Combining metal printed orthodontic appliances with aligners
• – Palatal approach to distalization
• – Twin Blocks manufacturing.
• Recommended for: Orthodontists, General dentists.