Aligners: from beginner to expert

– INTRO: Why Aligners?

– Aligners vs. Brackets

– Understanding the needs of the patient

– Basics concepts of tooth movement applied to Aligners

– The biology of tooth movement: 

- Direct theory

- Indirect theory

- Biphasic theory.

– Digital Diagnosing guided by the Face, TMJs, Airway, Occlusion and Dental-Skeletal concepts

– The 5 fundamental principles of biomechanics

– Live Case Evaluation and Planning.

Recommended for: Orthodontists, General dentists.

– History of modern orthodontics 

– The biomechanical tree - Attachments:

- The concept of attachments

- The function of attachments

- The 2 types of attachments

- The classification of conventional attachments - what is the best type for each situation and when is it mandatory to use

- Attachments ideal positioning

- Clinical tips on attachment debonding

- Attachments Mistakes: prevention and correction. 

– The biomechanical tree - Aligners staging:  

- Concept

- Types of Staging

- How to plan an ideal staging for each case

- When to perfrom sequential movements

- Staging Mistakes: prevention and correction. 

Recommended for: Orthodontists, General dentists.

– The biomechanical tree - Auxiliary ressources: 

- Bite ramps 

- The concept and indications 

- Types of ramps and their applications

- Techniques for when and how to place bite ramps.

– Elastics:

- The concept and indications 

- Buttons: indication, function, and ideal positioning

- Hook cuts: indication, function, and ideal positioning

- Clinical prescription of elastics for different malocclusions.

– Additional Tools:

- Fake Attachments: indication, function, and ideal positioning

- Pressure bumps: indication, function, and ideal positioning

- Rotation bumps: indication, function, and ideal positioning

- Retention bumps: indication, function, and ideal positioning

- Torque bumps: indication, function, and ideal positioning

- Lingual Spurs: indication, function, and ideal positioning.

Recommended for: Orthodontists, General dentists.

– Aligners predictability:

- The concept and literature review

- Tips to improve predictability with aligners

- Aligners troubleshooting:why do we lose tracking of aligners treatment? 

- How to proceed when you lose track of aligners treatment?

– Overcorrection:

- The concept and literature review

- What kind of orthodontic movements need overcorrection?

- How to apply the concept of overcorrection with aligners.

– Simulating biological response Nonsurgically:

- Indication for using High Frequency Vibration (HFV)

- HFV during active treatment

- HFV during retention

- High Frequency Vibration biological effect.

– Simulating biological response Surgically: 

- Indications

- The goal of bone stimulation

- Corticotomy: indications and techniques

- Guided corticotomy: indications and techniques

- Micro-osteoperforations (MOP): indications and techniques

- Enhancing aligners treatment with MOP. 

Recommended for: Orthodontists, General dentists.

– Braces vs. Aligners: Can we treat all cases with Aligners? 

– Class 1 malocclusion classification: Diastemas, crowding, and posterior crossbite 

– Diastema treatment protocols: ortho, orth-restorative, restorative

– Crowing treatment protocols: simple and Severe crowding cases

– The IPR strategy 

– Posterior crossbite treatment protocols: expansion, root and crown analysis

– Extraction and aligner therapy: when to extract teeth? 

– Clinical case analysis

– Analysis of the most common mistakes. 

Recommended for: Orthodontists, General dentists.

– Class 2 concept and diagnose

– Step by step features of digital diagnosing

– Class 2 treatment protocols: an overview

– Aligners Limitations and adjunct therapies to overcome

– Sequential staging of class 2: ordering sequential distalization

– Protocols of Class 2 treatment in growing patients

– Mandibular advancement with aligners

– Ortho-orthognathic cases

– Clinical and Biomechanical Tips for Class 2

– Clinical Cases Brainstorming

– Most common mistakes.

Recommended for: Orthodontists, General dentists.

– Class 3 concept and diagnose

– Class 3 treatment protocols: intermaxillary elastics and sequential distalization 

– Aligners Limitations and adjunct therapies to overcome

– CBCT evaluation of bone tissue of the lower jaw

– Decision making process for Class 3 treatment 

– Clinical and Biomechanical Tips for Class 3 cases with aligners

– Fake attachments. How to place them on posterior teeth?

– Clinical Cases Brainstorming

– Orthognathic surgery for Сlass 3 

– Most common mistakes.

Recommended for: Orthodontists, General dentists.

– Open Bite concept and diagnosis

– Dental and skeletal open bite characteristics

– Etiology of open bite: hereditary and non-hereditary factors

– Ortho treatment planning guided by DSD: DSD tool within Clincheck 

– Pathways to correct and properly stabilize Open Bites with Aligners

– Clinical and Biomechanical Tips for Open Bites correction

– Lingual spurs: indications and how to place them? 

– Treatment of skeletal open bite in adults: plan A and plan B

– Clinical Cases Brainstorming

– Most common mistakes.

Recommended for: Orthodontists, General dentists.

– Deep bite concept and diagnosis

– Deep bite treatment planning guided by DSD

– Attachment selection and positioning for deep bite treatment

– Bite ramps: indications and positioning

– Pathways to correct and properly stabilize Deep Bites with Aligners

– Clinical and Biomechanical Tips for Deep Bites correction

– Clinical Cases Brainstorming

– Most common mistakes.

Recommended for: Orthodontists, General dentists.

– When is treatment with extraction a good strategy?

– Indication for extracting premolars, 3rd molars, lower incisors

– Complex crowding cases: expansion, IPRs, extraction of 4 premolars

– Class 2 and class 3 treatment with extraction protocols

– The roller coaster bowing effect

– Extraction cases tips: extraction time, overcorrection, anchorage loss, and space closure

– Extraction staging protocols

– Aligners Limitations in Extractions cases and adjunct therapies to overcome

– Clinical and Biomechanical Tips for Extraction cases with Aligners

– Clinical Cases Brainstorming

– Most common mistakes.

Recommended for: Orthodontists, General dentists.

– Variables that interfere in the predictability with aligners

– Advantages and Disadvantages of using clear aligners in young patients

– Diagnosing and Planning for Growth Patients with Aligners

– The ideal indications and limitations

– Clinical and Biomechanical Tips for Growth Patient cases with Aligners:

- Open bite

- Anterior and posterior cross bite

- Class 2: mandibular advancement

- Space management

- Controlling growth discrepancies

- Midline deviation

- Correcting parafunctional habits.

– Clinical Cases Brainstorming

– Most common mistakes.

Recommended for: Orthodontists, General dentists.

– The limitations of aligners therapy and how to overcome them

– Skeletal anchorage with aligners

– How to improve the success rate of TAD's and what are the risk factors?

– DSD and TAD's: analysis and planning

– TAD guide design

– DSD Live Treatment Planning (LTP)

– DSD and Clincheck Treatment Planning Session (TPS)

– Surgical and non-surgical methods to stimulate the biological response to orthodontic forces: 

- High Frequency Vibration (HFV)

- SFOT (Surgical Facilitaed Orthodontic Therapy): corticotomy and bone graft

- MOP's (Micro-osteo Perforations).

– DSD for SFOT guide design

– Clinical cases. 

Recommended for: Orthodontists, General dentists.