Despite being around for almost a century, in the last two decades (the plastic “revolution”) the routine use of plastic aligner-based orthodontic tooth movement for orthodontic correction of malocclusion has found its way into the mainstream of our specialty. Notwithstanding, it is only until recent years (the plastic “re-evolution”), thanks to a surge in research initiatives that shed light on the biological and biomechanical grounds that support aligner orthodontics, that predictable clinical results are being seen. This presentation explores the lecturer’s view of considerations that may be determinant to the future of aligner orthodontics.
Learning Objectives:
Orthodontic Appliances are no longer just brackets and wires. Technology has ushered in an era of integrated appliance systems,on both vestibular & lingual surfaces as well as removable aligners,that are slowly gaining global acceptance. Integrated systems however, are marketed by corporations that have financial considerations that sometimes take precedence over science and clinical commonsense. This presentation will present a comparative analysis and an experimental clinical audit of contemporary appliance systems and adjuncts from an independent evidence based perspective.
Learning Objectives:
Tooth impaction is a common problem in our clinical practice. Eruption and management of impacted teeth require carefully designed surgical procedures and orthodontic biomechanics. Inspired by the periodontal surgical technique, vestibular incision subperiosteal tunnel access(VISTA), this adapted surgery allows for minimally invasive access to the impacted tooth. Together with simplified mechanics, consisted of TADs and a 3D lever arm, an independent force system from the main archwire, has proven to be an efficient and effective protocol to uncover and upright impactions in challenging scenarios, such as deep horizontal maxillary impaction and beyond.
Learning Objectives:
You “practice” orthodontics because every day offers a learning experience and an opportunity to grow, learn and improve. Dr. Thomas Graber often said you possibly learn more from your failures than your successes. This presentation offers examples of important lessons from 42 years of “practice.” The majority of this presentation consists of case presentations with appropriate literature/evidence to highlight key points.
Learning Objectives: