Expanding The Horizons Of Aligner Therapy With TADs

Transcription

Expanding the Horizons of Aligner Therapywith TADsDr. Benedict WilmesUniversity of Düsseldorf, Germany

AlignerDifficult Tasks:- Bodily movementsDistalization

AlignerDifficult Tasks:- Bodily movementsDistalizationMesialization

AlignerDifficult Tasks:- Bodily movementsDistalizationMesialization- Molar Intrusion

AlignerDifficult Tasks:- Bodily movementsDistalizationMesialization- Molar Intrusionà Can TAD s help us?

Aligner and TAD sPhase 1:TAD Appliance- Bodily movementsDistalizationMesialization- Molar IntrusionPhase 2:Finishing with Aligners

Aligner and TAD sDifficult CaseEasy CaseFinishing

Aligner and TAD sMolar DistalizationEspeciallyin the maxillaPendulum BBenesliderMolar id HyraxMolarIntrusionForced Eruption of impacted Front TeethMolars

Beneslider & AlignerWilmes B, Nienkemper M, Ludwig B, KauCH, Pauls A, Drescher D. Esthetic Class IITreatment with the Beneslider andAligners. J Clin Orthod. 2012

Beneslider & AlignerStep 1:DistalizationActive BenesliderImpressionScanStep 2:AlignmentPassive Beneslider Aligner

Beneslider & AlignerIs itpossiblewithoutextraction?

Beneslider & Aligner

Beneslider & Aligner

Beneslider & Aligner

Beneslider & Aligner

Beneslider & Aligner1y retention

Beneslider & Aligner

Beneslider & Aligner

Beneslider & Aligner

Beneslider & Aligner

Beneslider & Aligner7 months

Beneslider & Aligner

Beneslider & Aligner

Beneslider & Aligner

Beneslider & Aligner

Beneslider & AlignerProblem:à Band may bea problem for theAligner fitting

Beneslider & AlignerBeneTubeDr.Banach

Beneslider and Aligner

Beneslider and Aligner

Beneslider and AlignerConnecting areais cut outRemove springConnecting area is coveredOR:LigatureActive device à Passive device (molar anchorage)

ClincheckTooth by tooth retraction36 AlignerDue to skeletal anchorage:à Simultaneous retraction of all teeth20 Aligner

gSpringActivationLockBenetubeActivationLock

Mesialslider and Aligner

Mesialslider and Aligner

Mesialslider and Aligner

Mesialslider and Aligner

Mesialslider and Aligner

Mesialslider and Aligner

Mesial-DistalsliderWilmes B, Nanda R, Nienkemper M, Ludwig B, Drescher D. Correction of upper-archasymmetries using the Mesial-Distalslider. J Clin Orthod. 2013 ;47:648-55

Mesial-Distalslider

TADs in combination with AlignersDifficult caseEasy caseFinishing

Mesial-Distalslider

TAD s and AlignerDifficult Tasks:- Bodily movementsDistalizationMesialization- Molar Intrusion

Molar IntrusionBeneplate with 0.8 mm wireà Control and adjust amount of forceà Control and adjust line of force:Upright tipped molarsTPACRTPA

Molar IntrusionMousetrap mechanics7 months

TakeHomemessage

Benefit System and Aligner– a good team!DistalizationSpace ClosureMolar IntrusionExpanding the Horizons for Aligners

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Clincheck . Due to skeletal anchorage: . Paper Download . Title: Kein Folientitel