Aligners: From Beginner To Expert

Lesson 1. THE DIGITAL ORTHODONTICS DIAGNOSIS ROCKS AND PRINCIPLES FOR IDEAL SMILESINTRO: 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, TM
• Js, Airway, Occlusion and Dental-Skeletal concepts
• The 5 fundamental principles of biomechanics
• Live Case Evaluation and Planning.

Duration: 1 h 27 min

Lesson 2. ALIGNERS BIOMECHANICS TIPS: ATTACHMENTS & STAGING

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.

Duration: 1 h 25 min

Lesson 3. ALIGNERS BIOMECHANICS TIPS: ELASTICS, RAMPS AND ADDITIONAL TOOLS

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.

Duration: 1 h 27 min

Lesson 4. ALIGNERS BIOMECHANICS TIPS PREDICTABILITY & OVERCORRECTION

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.

Duration: 1 h 14 min

Lesson 5. CROWDING PROTOCOLS WITH ALIGNERS

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

• Class 1 malocclusion classification: Diastemas, crowding, and posterior crossbite
• Diastema treatment protocols: ortho, ortho-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.

Duration: 1 h 08 min

Lesson 6. CLASS 2 PROTOCOLS WITH ALIGNERS

• 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.

Duration: 1 h 09 min

Lesson 7. CLASS 3 PROTOCOLS WITH ALIGNERS

• 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 class 3
• Most common mistakes.

Duration: 1 h 16 min

Lesson 8. OPEN BITE PROTOCOLS WITH ALIGNERS

• Open Bite concept and diagnsis
• 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.

Duration: 1 h 12 min

Lesson 9. DEEP BITE PROTOCOLS WITH ALIGNERS

• 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.

Duration: 1 h 08 min

Lesson 10. EXTRACTION PROTOCOLS WITH ALIGNERS

• When is treatment with extraction a good strategy?
• Indication for extracting premolars, 3rd molars, lower incisors
• Complex crowding cases: expansion, IP
• Rs, 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.

Duration: 1 h 06 min

Lesson 11. TREATING GROWING PATIENTS WITH ALIGNERS

• 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.

Duration: 1 h 17 min

Lesson 12. ADJUNCT THERAPIES FOR COMPLEX CASES WITH ALIGNERS

• 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.

Duration: 1 h 16 min