Shows
orthodontics In summaryOrthodontics In Interview: CHRIS LASPOS Can you really treat complex cases with aligners?Can you really treat complex cases with aligners?“We’ve done a study of myextraction cases... when you do one or two sets of additional aligners, thenyou will be able to get everything to ideal” “I will never try to bring17 and 18 mesial to close space” “The staging that eachcompany does, it does make a difference. If your technician doesn’t understandhow to move the teeth in the right stages… it’s never going to happen” “If I have a patient whois not wearing the Class II elastics, then y...2025-07-1639 min
orthodontics In summaryInterproximal Reduction, When, Why, and How | 9 MINUTE SUMMARYInterproximal Reduction, When, Why, and How | 9 MINUTE SUMMARY In this episode, I dive into the fundamentals of interproximal reduction(IPR) when to use it, why it matters, and how to do it effectively.We’ll cover how much IPR can safely be carried out, compare differentclinical protocols and their pros and cons, and take a critical look at howaligner software plans IPR (and where it may fall short).This summary is based on Dr. Flavia Artese’s insightful lecture at therecent American Association of Orthodontists Annual Session in Philadelphia,along with insig...2025-06-2510 min
orthodontics In summaryOrthodontics In Interview: Aligners, Limited or Just Misunderstood? TOMMASO CASTROFLORIOOrthodontics In Interview: Aligners, Limited or Just Misunderstood? tommaso castroflorio “The biggest difference in overcoming the limitation (of aligners) is to understand how to control aligner deformation” “We need to improve the available knowledge about aligners, because we need to control the companies, we do not need companies controlling us” “I think you can treat also complex cases, in my practice I treat extraction cases” “There are limitations in every technique, I think that the good orthodontist understands how to manage the limitation and how to overcom...2025-04-0258 min
Bitcoin Magazine PodcastBitcoin In The UAE - The Bull Market Hasn’t Started Yet w/ Emmanuel Montero and Farooq AhmedDive into an enlightening discussion with Emmanuel Montero of Terahash Solutions and Farooq Ahmed as they explore Bitcoin's growing influence in the MENA region. From Dubai's emergence as a global Bitcoin hub to Pakistan's grassroots adoption movement, discover how Islamic finance principles are shaping the future of digital currency.
Speakers: Farooq Ahmed, Emmanuel Montero
Host: Allen Helm
#Bitcoin #IslamicFinance #UAEBitcoin #DubaiBitcoin #CryptoMENA #BitcoinMining #PakistanBitcoin #IslamicCrypto #BitcoinAdoption #StrategicReserve #BitcoinHalal #CryptoDubai #UAECrypto #BitcoinMENA #RemittanceSolutions #CryptoRegulation #BitcoinMining #IslamicMoney #BitcoinInnovation #MENCrypto
2024-11-0950 min
orthodontics In summaryWhat is Lightforce, will it change orthodontics? 6 MINUTE SUMMARY
Join me for a look into a recent digital innovation within
orthodontics, Lightforce. I explore how the 3D printed
labial bracket system works, the features and what the proposed advantages. Recent
research
exploring the advantages of Lightforce is discussed as well as my comparison to
other digital innovations within orthodontic appliances.
What is Lightforce
·
Manufacturing: 3D printed brackets Cad/Cam
·
Material: ceramic polycrystalline labial
·
Planning: Digital planning using Lightplan,
visualisation of the outcome, alter both tooth position and bracket position,
individualise prescription per bracket as a result of planne...2024-09-1107 min
orthodontics In summaryCan we grow mandibles with bone-anchored plates for class 2 correction? 6 MINUTE SUMMARYJoin me for a summary exploring an innovation of the use of bone-anchored plates in class 2 correction. This was a clinically novel idea presented by Hugo De Clerck, who has been an innovator in the use of bone-anchored plates and has published seminal papers on the topic for class 3 treatment.
Hugo explores the use of bone-anchored plates in the mandible, combined with a Herbst appliance. He presents his data of 90 patients treated in Brussels by his research team.
PROTOCOL
Customised bone anchored plates in lower anterior mandible – digitally designed per patient with surgical guide
Transmucosal between lower canine and 1st...2024-07-0306 min
orthodontics In summaryHow to extrude, intrude and expand with aligners reliably 8 MINUTE SUMMARY
Join me for a summary looking into
difficult movements with aligners, why they are difficult, and a protocol
derived from research on how to manage tooth movements with aligners. This
lecture was given by Bill Layman at this year’s AAO, where he describes maxillary
incisor extrusion, posterior intrusion, and controlled expansion.
Introduction
·
Rate of refinement: 2.5 per
patient Kravitz 2022
·
41% of aligner cases 3
refinements +
·
Switch to fixed appliances from
aligners 1 in 6 Kravitz 2022
Staging and synergistic movements can reduce
refinement rates
Incisor extrusion
Why is Incisor extrusion di...2024-06-1909 minorthodontics In summaryDirect to Print Aligners, are they really different to normal aligners? 8 MINUTE SUMMARY Simon Graf
Join me for a summary
of direct to print aligners. This lecture explores the application of a relatively
new resin material which can be used for aligner fabrication, without the need
of a 3D printed model. The lecture was given by Simon Graf who expertly
compared the differences between conventional and direct to print aligners, as
well as the clinical application of specific features of direct to print
aligners.
Limitations of
current aligner material:
1.
Only small
undercuts
2.
Limited
aligner thickness to sheet thickness / no selective thickness
3.
Durin...2024-02-0708 minorthodontics In summaryThird permanent molars, what should orthodontists do?
Join me for a podcast summary looking at the grey topic of
lower third molar management. The podcast explores the different guidelines of removal,
factors for consideration for removal as well as the effect orthodontics can
have on third molar pathology. The lecture was given by Flavia Artese at this
year’s British Orthodontic Conference in my city London.
Flavia Artese began with asking the clincal question we
face, what would you do with an impacted 3rd molar?
Difference in international practice
·
UK NICE guideli...2023-10-2507 minorthodontics In summaryOrthodontics In Interview: RICHARD COUSLEYOrthodontics In Interview: RICHARD COUSLEY
Digital orthodontics, miniscrews and aligners
“Aligner set ups need to be orthodontically checked to make sure it is realistic, and an accurate representation of what you are trying to achieve”
Richard describes his journey into digital orthodontics, what led him to create his own successful miniscrew system, and why he has continued to innovate in orthodontic with 3D printing.
Richard describes what he thinks stifles innovation in orthodontics, as well as how CBCTs have improved his miniscrew success rates.
Please like and subscribe if you find it useful!
To book Dr Richard Cousley’s 3D orth...2023-09-2838 minorthodontics In summaryMouth Breathing and Paediatric Obstructive Sleep ApnoeaJoin me for a summary of two lectures from this year’s international orthodontic symposium (IOF), looking at mouth breathing and paediatric obstructive sleep apnoea, by Hong He and Carlos Flores Mir. The lectures explore this controversial area in both medicine and orthodontics and review the current understanding of the topic, the relationship with facial features and current recommendations for orthodontists.
OSA is defined disruption to breathing American Academy of Sleep Medicine
Adult > 5 apnoea/hour & 10 seconds
Child apnoea for duration of 2 breaths 1
Defining mouth breathing at airflow over 25% through the mouth
...2023-08-1606 minorthodontics In summaryOrthodontics In Interview: AUDREY YOONOrthodontics and the airway
“Lots of patients are struggling with the symptoms (of obstructive sleep apnoea) when a little kid doesn't sleep it's not just the child's problem, their parents and other family member who also become sleep deprived”
Audrey describes her motivation in the young field of dental sleep medicine, the role of orthodontics in the management of paediatric obstructive sleep apnoea, the patient’s orthodontic treatment is appropriate in managing OSA, as well as those patients it is inappropriate for. Audrey explains her thoughts on why the field...2023-07-1236 minorthodontics In summaryBuccal Miniscrews: Ramesh SabhlokJoin me for a summary of a lecture by Ramesh Sabhlok,
looking at one of the most popular sites for TAD placement, the maxillary buccal
interradicular site.
The most common site in maxilla for implant placement
is between 2nd premolar and 1st molar in the keratinized gingiva.
Two factors
1.
Buccal bone thickness
2.
Inter radicular distance
Bone thickness:
·
Greatest bone width of bone is
between 2nd premolar and 1st molar, and considered ‘safe
zone’ thickness of bucco-palatal bone 10.2-11.4mm ( Pogio 2006 Angle
orthodontics )
Inter-radicular distance
·...2023-04-2606 minorthodontics In summaryAccelerated OrthodonticsJoin me for a summary looking at accelerating orthodontic tooth movement, this podcast is a summary of two lectures from the AAO, by Ali Darendelier and Peter Buschang. Mechanical acceleration through vibration, photobiomodulation, minisurgery (Peizocision and Micro-Osteoperforation MOP) and Distraction.
Vibrational mechanical
Low magnitude / high frequency, used for 20 minutes per day 25g at 30Hz/ 50 Hz,
Canine retraction: 30Hz NS, 50Hz 15% quicker, Significant but not clinically
No increase in root resorption - split mouth study, except for 50Hz, reduced RRRR Tan 2011, Yilmaz 2021
Photobiomodulation (PBM)
Low level laser therapy...2023-03-2907 minorthodontics In summaryOrthodontics In Interview: PROFESSOR BENEDICT WILMESJoin me for the next interview in orthodontics with Benedict Wilmes
“Find a balance between clinical tips and evidence, if we only look at evidence there will be no innovation, if we only look at clinical tips we will make lots of clinical mistakes”
Benedict describes his journey into mini-screws and what keeps him motivated to continue innovation in orthodontics. He describes his passion for sports and how he adopts these lessons in his work.
We get to hear of Benedict’s thoughts on the future of orthodontics.
Benedict is the pionee...2023-03-1532 minorthodontics In summaryDigital bonding and in-house alignersJoin me for a summary of Oliver Liebl’s lecture looking at digital orthodontics, through both digital indirect bonding and in-house aligners. The workflow Oliver described was through Onyxceph in a step by step process, however the modules used are similar to other available software modules.
Oliver described the ‘digital orthodontist’ who uses
1. Digital bracket positioning with Indirect Bonding Trays IDB
2. Finishing with in-house aligners
Digital bracket positioning
Advantages
· Automatic placement of different heights, MBT, Andrews etc
· Virtual simulation = visualise effects of changes
Digital...2023-02-2407 minorthodontics In summaryOrthodontics In Interview: DR LUIS CARRIÈREJoin me for the next interview in orthodontics with Luis Carrière
“The Carrière Motion Appliance is a story of simplicity, but not simplism”
Luis describes how he conceived the Carrière Motion Appliance, and addresses in his own words addresses claims regarding changes to the occlusion, TMJ and airway. He describes the limited research regarding the appliance, as well as why he does not conduct the research himself.
We get to hear of Luis thoughts on what he sees as the future of orthodontics.
Click on the link below to view...2023-01-1145 minorthodontics In summaryAI and Imaging. Podcast Topic Summary AAO 2022Join me for a summary of this years American Association Meeting from the summer looking at AI and imaging. The topics covered at CBCT the facts, use in transverse and incidental findings. Other topics of facial imaging or 4D as a diagnostic tool. Finally looking at AI, its application currently and potential use of blockchain technology in orthodontics.
CBCT Shaza Mardini
Myths
It is new developed 1990s, used 2001
Dose is too high – now just over the dosage of cephalogram and OPG, as low as 46uSv Buckley 2018 – 5 hour flight
Children sensitive due to growth
ALARA, ALAD...2022-09-2111 minorthodontics In summaryAligner Evidence Nikhilesh Vaid IOFJoin me for a summary of Dr Nikhilesh Vaid’s lecture entitled More Than Meets The EYE! Aligner Evidence Through Clinicians Eye It was part of the first International Orthodontic Foundation online symposium, with Ravi Nanda and co.
Evidence available
There are about 7000 papers available on clear aligner therapy
39 are prospective clinical trials
20 are systematic reviews
What do the systematic review and meta-analysis conclude?
Overall we don’t have sufficient good quality trials and there is a need of more such trials
In addition to that ratio of prospective trials to systematic review...2022-08-1007 min
You Know The Drill59. Orthodontics with Dr Farooq AhmedThis episode focuses on the speciality of Orthodontics! Who better to join us than the amazing Dr Farooq Ahmed - consultant orthodontist at Guy's Hospital in London.
As we learn, orthodontics is such a vast and expansive field - Dr Ahmed kindly breaks everything down for us, including the training pathways to become a specialist, his own journey to becoming a specialist in the field, and his tips for anyone thinking of becoming a specialist orthodontist.
Make sure to check out Dr Ahmed's Instagram page (https://bit.ly/3d2hBXu) to keep up with his a...2022-08-0136 min
orthodontics In summaryMARPE - SARPE: Sense and NON-sense Björn LudwigJoin me for a summary of Björn Ludwig’s lecture exploring Miniscrew Assisted Rapid Palatal Expansion (MARPE) and Surgically Assisted Rapid Palatal Expansion (SARPE). Björn described how MARPE works, aspects of design and his clinical process.
Effects of MARPE
Parallel opening of suture 2mm greater at 6 region than RME (S/R Krusi 2019)
Facial changes
Widens Zygoma
Nasal base expands
Changes to the orbit – no significant but beware Brutally evasive!
No periodontal side effects with MARPE (limited evidence) S/R Vidalon 2021
RME Vs bone borne, hybrid = bone borne no dental side effects: Canan 2017
Age
...2022-04-0608 minorthodontics In summaryMaxillary skeletal expansion using MARPE: Akram AlhuwaiziJoin me for a summary of Akram Alhuwaizi’s lecture on MARPE – Miniscrew assisted rapid palatal expansion. This summary explores MARPE from a clinical aspect, assessing the advantages and disadvantages, followed by a case discussion of success and failure, a discussion of MSE and lessons learned for designing MARPE.
The full lecture is available on Akram’s youtube channel:
Maxillary Skeletal Expansion using MARPE from A to Z (Updated) - YouTube
Introduction
Purpose of expansion
Correction of crossbite
Creating space
Pre myofunctional treatment
Widening smiles
Methods available
Removable appliance
Quad Helix
Rapid Maxillary Expander RME
Surgically assisted Rapid Palatal Expansion SARPE
E...2022-03-1607 minorthodontics In summaryOrthodontics In Interview: PROFESSOR RAVI NANDAJoin me for the next interview in orthodontics with Ravi Nanda
Ravi is an authority in orthodontics, having authored 10 textbooks and published over 200 peer review publications, he is also the current editor-in-chief of Progress in Orthodontics
We get to hear of Ravi’s story of how he came in to orthodontics, his drive to ask research questions and how he has achieved so much. Ravi describes his mentors, and explains why he has never stopped learning, and why no orthodontist should either.
Facebook: @ravi.nanda.35
Instagram: @ravinanda
...2022-03-0225 minorthodontics In summaryAligner biomechanics: The hidden truths. Madhur UpadhyayJoin me for a summary of Madhur’s lecture on the biomechanics and aligners, where he describes the fundamentals biomechanics of aligners, explains the reason for the shortcomings of aligners and his tips to reduce them.
How do aligner work?
Two approaches
Shape moulding effect – shape driven
Move position of teeth to ideal
Invisalign 80% through shape moulding
Attachments
20% force delivery
Perpendicular surface with Invisalign
When shape moulding is considered 2g/mm2 of stress, with attachments 20g/mm2, higher stress to aligner, which is a downside
How to aligners treat malocclusions
Deep bite...2022-02-0908 minorthodontics In summaryThe Art of Disarticulation in Orthodontic Therapy Dalia El-BokleJoin me for a summary of Dalia El-Bokle’s lecture looking at disarticulation, and how they can be utilised to correct malocclusions in 3 planes of space. In this summary a novel use of disarticulation is described for class 2 and class 3 correction. This lecture follows Dalia’s publication in the AJODO 2020.
Definition:
disocclusion by using bite turbos or so the teeth has freedom to move in the three planes of space
Indications:
Vertical
1. Deep bite: Anterior bite block to enable posterior eruption
2. AOB: Posterior bite blocks to enable post...2022-01-2608 minorthodontics In summaryOrthodontics In Interview: SIMON GRAF SWITZERLANDJoin me for the next interview in orthodontic, with video!
Simon is an orthodontic innovator and contributor of research, based in private practice in Bern with a commitment to digital technology in orthodontics, having lectured 61 times on the topic.
We get to hear of Simons’ story of how he came across digital technology in orthodontics and what drives him to continue to innovate in orthodontics. Simon describes his mentors, what he took for them and how he applies these principles to his decision making. We discuss expansion in orthodontics and how Simon uses a skiing ha...2022-01-1223 minorthodontics In summaryCanine substitution Neal KravitzJoin me for Neal Kravitz’s lecture on canine substitution and the clinical management of it. Focusing on bracket selection and canine recontouring
Case selection
· 2 key factors
o Profile
o Mandibular crowding
Bracket selection
· Goal:
o Canine substitution:
§ Reduce canine root prominence
o Premolar substitution:
§ Hide palatal cusp
o Molar interdigitation:
§ class 2 cases
4 bracket choices for canine
· UR1 (+17 tq, + 4 tip)
· Achieves ideal torque
· Requires flattening of canine labial fac...2021-12-1606 minorthodontics In summaryOrthodontics In Interview: JAMES ANDREWS AUSTRALIAJoin me for the next interview in orthodontic, with video!
James is a private orthodontist from Perth Australia, a clinician with a passion to share, teach and learn. James has authored a chapter on 3D diagnosis and treatment planning and has 22,000 followers on Instagram with 625 posts relating to orthodontics on a variety of topics including biomechanics, TADs, orthodontics and restorative / periodontal management
We get to hear of James’ thoughts on social media Vs conventional orthodontic education, his thoughts on biomechanics, and advice for orthodontists.
Facebook: @jamesandrewsortho
Instagram: @dr.jamesandrews
Yo...2021-12-0121 minorthodontics In summaryIndications and application of minimum anchorage mechanics Vishnu RajIndications and application of minimum anchorage mechanics Vishnu Raj
VIDEO NOW AVAILABLE : https://youtu.be/UMFlDdPCopY
Join me for a summary of Vishnu Raj’s lecture looking at minimum anchorage mechanics, with a focus on utilising Burstone’s Geometries for a simple and effective way to manage anchorage, a well explained lecture with useful tips.
Indications
Classification
· Group C minimum anchorage
o 75% or greater posterior movement into the extraction space
o Incisor movement minimal
Indications
· Mild a...2021-11-2406 minorthodontics In summaryOrthodontics In Interview: MAZYAR MOSHIRI USAJoin me for the next interview in orthodontic,
Maz is a private practice orthodontist from Saint Louis, a Diplomate of the American Board of Orthodontics and a Key Opinion Leader for Align Technology
We get to hear of Maz’s interest in aligners, his thoughts on aligners Vs fixed appliances, and on key opinion leaders in orthodontics.
@mazmoshiri
To watch the video click below
Dr Maz Moshiri interview video
Please do subscribe to catch the next episode and see the website for more episodes
www.or...2021-11-1030 minorthodontics In summaryOrthodontic treatment in stage IV periodontitis patients. Spyridon Papageorgiou. EFP Euro seriesOrthodontic treatment in stage IV periodontitis patients. Spyridon Papageorgiou. EFP Euro series
Join me for a summary of the EFP’s lectures on periodontitis and orthodontic treatment. The orthodontic lecture was by Spyridon Papageorgiou and two lectures from periodontists, The topic explored related to stage IV periodontitis and orthodontics
Stage IV – new classification from world workshop Papapanou 2017
· Clinical attachment loss 5mm+
· Bone loss extend to mid third of root
· Malocclusion / masticatory dysfunction
o Bite collapse: Loss of posterior support resulting in tooth movement in the direction of force –...2021-10-2707 minorthodontics In summaryBritish Orthodontic Conference 2021 DAY 3ORTHODONTICS IN CONFERENCE
Join me for DAY THREE of the BOC 2021. Day 3 covers 4 lectures; the lectures covered the following topics; Research, Chapman Prize 2021, Timing of functional appliances and Clinical Pearls
· Searching for a needle in a haystack Kevin O’Brien
· Chapman Prize 2021 - Orthodontic trials: Are we measuring the right things? Aliki Tsichlaki
· Functional appliance treatment: Do long waiting lists really matter? A multicentre RCT. Nicky Mandall
· Clinical Pearls session: Preetpal Bhogal, Ian Murphy, Mohammed Al -Muzian, Safoora Keshtgar, Megan Hatfield
Individual lecture podcasts are available in the de...2021-10-0618 minorthodontics In summaryBritish Orthodontic Conference 2021 DAY 2Join me for day TWO of the BOS 2021. Day 2 covers 5 lectures; Trauma and the orthodontic patient, periodontal management, impacted canines, orthognathic surgery, 2021 Northcroft lecture,
Speakers: Susan Kindelan, Claire Rooney, Ian Dunn, John Scholey, Lucy Davenport-Jones, Johnathan Sandler
Lectures covered
1. Paeds/trauma - what I wish I'd known Susan Kindelan, Claire Rooney
2. Are we heading into a recession - periodontal considerations in orthodontic management Ian Dunn
3. Canines - what I wish I'd known John Scholey
4. What I Orthognathic surgery - what I wish I'd known Lucy Davenport-Jones
2021-09-2926 minorthodontics In summaryBritish Orthodontic Conference 2021 Day 1Join me for day one of the BOS 2021. Day one covers 5 lectures; research presentations, the Chapman prize looking at full or part-time functional appliances, retention and what’s new, paediatric orthodontic management and lingual appliances
Speakers: Pratik Sharma Padhraig Fleming, Simon Littlewood, Sarah Good, Esfandiar Modjahedpour
Individual lecture podcasts are available in the description from the website www.orthoinsummary.com
Lectures covered
1. Research presentation: University Teachers Group
2. Chapman Prize 2020: Prescription of full or part-time Twin Block wear: A randomised controlled trial and qualitative evaluation Pratik Sharma Pa...2021-09-2237 minorthodontics In summaryBonding for an Exquisite Finish Part III. All You Need to Know About Digital Indirect Bonding. Dalia-ElBokle / George AntonopoulosJoin me for a summary of Dalia El Bokle’s lecture exploring finishing in orthodontics. Part 3 focuses on digital indirect bonding, from scan to tray production
Introduction
Straight wire appliance – based on bracket placement will correct tooth in 3 planes of space
· Not true – evidenced by finishing bends
Ideal bracket placement through indirect bonding IDB
· Level marginal ridges posteriorly
· Constant smile arc anteriorly
Digital indirect bonding time saving
· Brackets placed Layman 2019
o Time saving
§ 21 minutes – digital indirect bonding Vs manual direct bondin...2021-09-0806 minorthodontics In summaryBonding for an exquisite finish. A step by step guide to Indirect Bonding Technique Dalia El-Bokle Part 2Join me for a summary of Dalia El Bokle’s lecture exploring finishing in orthodontics. Part 2 focuses on indirect bonding, a step by step process from model analysis to clinical delivery
Mark position on models
Intersection of horizontal and vertical lines
· Posterior teeth
o Vertical line: Long axis using OPG buccal, occlusal and lingual
o Horizontal line x 2
§ 1/ Marginal ridge line (outcome of treatment)
§ 2/ Slot line (position of bracket, depending on bracket system 2mm from marginal ridge line
§ Start with 1st molar
§ Me...2021-09-0107 minorthodontics In summaryBonding for an exquisite Finish/ Part I: Concepts of Bracket Bonding Dalia El-BokleJoin me for a summary of Dalia El Bokle’s lecture exploring finishing in orthodontics. Part 1 focuses on bracket positioning concepts and Dalia’s own take to achieve more predictable ideal outcomes
Current bracket positioning technique
1. Middle middle – middle vertically and horizontally (FA point)
o Challenges
§ Accuracy = measure each tooth
§ If gingival swelling / not fully erupted = inaccuracy
2. Bracket charts – use of bracket gauges
o Accurate and reproducible, introduced in 1994
§ Typical chart
· Upper incisor 4-4.5mm from invasive edge
· Lateral 0.5mm incisal th...2021-08-2508 minorthodontics In summaryComprehensive orthodontic approach of the excessive gingival smile Mona GhoussoubJoin me as I summarise Mona Ghoussoub’s lecture looking at the excessive gingival display (EGD).
Mona looked at the diagnosis and treatment of EGD, with a focus on aetiology leading to treatment method, effect of age, and input of multidisciplinary care for appropriate cases.
Definition Kokich 1999, Machado 2014
· Negative effects = 4mm + gingival display
Treatment approach
Early treatment
o Medical ENT allergology
o Excessive gingival show age 7-8 years
o Nasal obstruction causes decrease in lip closing force Sabashi 2011
o De...2021-08-1209 minorthodontics In summaryOrthodontics In Interview: GRANT ISHERWOODJoin me for the next interview in orthodontic, with video!
‘One to watch for 2022’
Grant Isherwood is a recently qualified orthodontist from 2019, Liverpool UK. He is a member of the Royal College of Surgeons of Edinburgh and qualified as a dentist in 2011. Grant has published some exceptionally high quality clinical cases on social media @dr.grant.isherwood. Grant and has been working in both the public national health service and in the private sector as an orthodontist.
We get to hear of Grant’s experiences following qualification, how he navigated the pandemic as a new...2021-08-0426 minorthodontics In summaryAAO Virtual Annual Session June 2021 Day 3Join me for the summary of key lectures from the final day of this year’s American Association of Orthodontics Summer Meeting
10 key lectures are covered in this podcast from day 3 of the AAO meeting, on the topic of TADs, Carriere, Orthognathic surgery first, Skeletal TAD expansion, orthodontic uncertainty
Speakers:Jay Bowman, Kevin O’Brien, Luis Carriere, Bjorn Ludwig, Maschos Papadopoulos, Beom Kim, Jungi Sugawara
Individual lecture podcasts are available in the description from the website www.orthoinsummary.com
Lectures titles:
1. TADs- Keeping it simple while being successful Sebastian Baum...2021-07-1447 minorthodontics In summaryAAO Virtual Annual Session June 2021 Day 2AAO Virtual Annual Session June 2021 Day 2
Join me for the summary of key lectures from this year’s American Association of Orthodontics Summer Meeting
14 key lectures are covered in this podcast from day 2 of the AAO meeting, on the topic of Maxillary Skeletal Expansion, TADs, Bone plates, Carriere appliance, Digital Orthodontics, Phase 1 treatment, Facemask, Aligners,
Speakers: Hugo De Clerck, Jonathan Nicozisis , Carlos Flores-Mir, Jason Cope, James McNamara, Peter Ngan, Benedict Wilmes, Stella Chaushu, Brandon Owen, Juan Fernando Aristizabal, Roberta Lione, Tung Nguyen
Individual lecture podcasts are available in the description from the...2021-07-0759 minorthodontics In summaryAAO Virtual Annual Session June 2021 Day 1Join me for the summary of key lectures from this year’s American Association of Orthodontics Summer Meeting
13 key lectures are covered in this podcast from day 1 of the AAO meeting, on the topic of Aligners, TADs, Miniscrew assisted expansion MSE, Biomechanics, AOB, 3D Metal printing, aging dentition, Forsus
Speakers: Chris Chang, Won Moon, Ravi Nanda, Daniela Garib, Brent Larson, Maz Moshiri, Lorenzo Franchi, Lorenzo Franchi, Kenji Ojima, William Dayan, Simon Graf, Lisa Alvetro, Flavia Artese, Jae Hyun Park
Individual lecture podcasts are available in the description from the website www.orthoinsummary.com...2021-06-301h 02orthodontics In summaryEarly orthodontic, non-appliance and appliance treatment: Ute Schneider part 1Join me as I summarise Ute Schneider’s lecture exploring early interceptive treatment. Part 1 explores signs of patients appropriate for interceptive treatment, the treatment options available with a focus on an adaptation of serial extractions which Ute is a proponent of.
Signs of hereditary tooth size jaw discrepancy in the younger patient
· Premature exfoliation of one or more deciduous lateral incisors
· Gingival recession on a prominent lower incisor
· Splaying of the maxillary or mandibular lateral incisors
· Ectopic eruption of U6, with premature exfoliation of E
· Impacted L7s
2021-06-1605 minorthodontics In summaryInvisalign: Virtual Orthodontic Summit 2021Invisalign: Virtual Orthodontic Summit 2021
Join me for the summary of key lectures from this year’s Invisalign UK Virtual Orthodontic Summit meeting
4 lectures are covered in this podcast on the topic of biomechanics and aligners, using tuberosity TADs and troubleshooting with aligners
Speakers: John Morton, Willy Dayan, Susana Palma, Graham Gardner
Individual lecture podcasts are available in the description from the website www.orthoinsummary.com
Lectures titles:
1. Biomechanics of the Invisalign system 2021 John Morton
2. Treating complex aligner biomechanics. Willy Dayan
3. Overcoming difficulties in cl...2021-06-0219 minorthodontics In summaryOrthodontics In Interview: KLEBER MEIRELESJoin me for the next interview in orthodontic.
Kleber Meireles is a Professor in Orthodontics at the Instituto Prime Cursos, Salvador Brazil, he studied orthodontics at the HRAC/Centrinho University Sao Paulo Brazil. He is a visual educator in orthodontics with 500 + videos in orthodontics
We get to hear of Kleber’s commitment to education leading him to produced dynamic videos in orthodontics. I explore his treatment approach and his role models, as well as his one piece of advice to all orthodontists
Please find the link to Kleber’s Instagram and youtube where his...2021-05-2022 minorthodontics In summaryMyofunctionals & airways – separating myth from reality: Peter MilesJoin me as I summarise Pater Miles lecture exploring myofunctional appliances and the literature of the appliance
Claims by some manufacturers of myofunctional appliances:
· incorrect breathing from 2 years of age
· Incompetent lips & mouth breathing – aesthetic effects
· Crooked teeth
· Long face
· Behavioural changes, tired / hyperactive
Claimed effects of appliances treatment
· Improve facial growth
· Skeletal growth
· Better alignment
· Stable
Myofunctional Appliances what are they?
Design – off the shelf design
· Monob...2021-04-2106 minorthodontics In summaryFuture Concepts in Orthodontics. European Orthodontic Society. 3 lecture seriesJoin me as I summaries 3 lectures from the mini-series by the EOS from 3 eminent professors in orthodontics. Topics covered include Aligners, TADs, Lingual appliances, trends in orthodontics.
Ravindra Nanda talking on the: Current clinical trends and evidence
Dirk Wiechmann talking on: Go east or go west- Non-surgical class 2 correction in adult patients
Theodore Eliades talking on: The future of Orthodontics going backwards with a fancy vehicle
Notes available from the website in the description2021-04-0819 minorthodontics In summaryOrthodontics In Interview: ADITH VENUGOPALJoin me for the second interview of 2021
Adith is a Consultant and Assistant Professor in Orthodontics at the University of Puthisastra South Korea, adjunct faculty Professor Chennai India, Co-editor of Kieferorthopaedie journal (International Orthodontics).
We get to hear of Adith’s journey into using TADs, his one piece of advice to all orthodontists and what questions Adith hopes will be answered in orthodontics, as well as Hollywood Vs Bollywood!
Please find the link to Adith’s up coming editorial in the AJODO entitled: ‘The Quagmire of Collegiality Vs. Competitiveness’
We hear of Adith’s...2021-03-2420 minorthodontics In summaryLower incisor extraction a contemporary treatment option or an orthodontic no-go Jassin ArnoldJoin me as I describe Jassin Arnold’s lecture describing lower incisor extraction, its indications and management
Why should we use it?
o Reduces anchorage demand, entact posterior segments
o Improve dental occlusion in a shorter time frame
o Profile improves in mandibular protrusion cases Levin 1964
When should we use it? Systematic review Zhylich 2011
o Mild-moderate class 3
o Edge to edge anterior occlusion
o Crossbite with mild anterior mandibulae excess
o 4.5mm tooth size discrepancy of lower to upper Matsumoto 2010
...2021-03-1005 minorthodontics In summaryRules in orthodontic practice Mohammed Al Muzian Part 2Join me for part 2 where we explore Mohammed’s rules on which teeth to extract, anchorage assessment and management, Bonding 2nd permanent molars, elastics and treatment planning adults Vs children
Which to extract 4 or 5
o CAT-V principle
§ C: Clinical condition of the teeth
§ A: Anterior crowding: 8mm + extract the 4s, 8mm – 5s or 4s
§ T: Transverse: Lower 5 will help narrow the arch
§ V: Vertical: Extraction of 5s for high angle cases will improve the overbite
Molar outcomes in treatment planning
o Non-extraction or extracti...2021-02-1706 minorthodontics In summaryMy rules in Orthodontics Mohammed AlMuzianJoin me for Mohammed Al Muzian’s rules in orthodontic practice
Part 1 we will cover half of the 32 tips the following topics: Knowledge Vs confidence, space requirements and creation, IPR, expansion, inclination changes and treatment planning
Knowledge Vs confidence
· We tend to be overconfident at the beginning of our careers, and under-confident in the middle. Kruger’s curve
Space assessment
Calculate space requirements in the lower arch Use T-SCOTAR
o Torque
o Spee curve
o Crowding
o O...2021-02-1006 min
The Anita Posch Show: A Bitcoin Only PodcastFarooq Ahmed: Bitcoin in PakistanMy guest is Farooq Ahmed, President of the Bitcoin Association Pakistan. Pakistan is a country of over 200 million people, between Afghanistan and India. I recently released interviews with Fereshteh Forough and Sunny Ray about those countries as well. Bitcoin and cryptocurrency trading is banned in Pakistan at the moment, nonetheless the use of Bitcoin and Bitcoin mining is rising.We discuss:Farooq Ahmed’s personal Bitcoin storyThe situation in PakistanBitcoin’s legal statusTrading and holding bitcoinBitcoin miningBitcoin Association PakistanSubscribe to my weekly newsletter to (L)ea...2021-02-0433 minorthodontics In summaryUse of intermaxillary elastics in orthodontic practice, easy, cheap and effective. Kleber MeirelesJoin me as I summaries Kleber’s lecture on the use of intermaxillary elastics in orthodontics, topics of force magnitude, side effects and how to counter them, use of a sliding jig and stability are described.
Force magnitude more important than the size of the elastics
· Large variation forces used by orthodontists in Kurol 1996
· Use a gauge on every patient
· Excessive = damage to PDL and RR
· Force required
o Retraction of upper incisors = 250g each side Oesterle 2012 / 350 g Proffit
o Individual
Class 2 elastics effect...2021-01-2104 minorthodontics In summaryOrthodontics in Interview DANIELA STORINOJoin me as I interview Daniela Storino. Dainiela is dual trained in both pedodontics and orthodontics and has been in private practice for 21 years. She is a guest Professor at Vienna School (VieSID) and studied under Professor Sadao Sato and Dr. Rudolf Slavicek. She is an expert in craniofacial medicine and occlusal medicine.
We get to hear Daniela’s one piece of advice to all orthodontists and where she hopes orthodontics is going in the future, as well as more about Daniela's thoughts on extractions and IPR.
Want to know more, please se...2021-01-0715 minorthodontics In summary2nd Saudi Orthodontic Clear Aligner meeting: Day 3Join me as I summarise day 3 of the Saudi Orthodontic Clear Aligner meeting, where class 2, class 3, Invisalign first and SLX aligners are discussed.
NOTES FOR EACH LECTURE ARE AVAILABLE FROM THE DESCRIPTION ON THE WEBSITE WWW.ORTHOINSUMMARY.COM
The following lectures are covered:
1. Biomechanical protocols and strategies for the correction of sagittal malocclusions part 1 and part 2 Juan Carlos Rivero Lesmes
2. Invisalign First - after 50 cases. Pedro Costa-Moneiro
3. The Keys of Sagittal Treatment with Aligners Flores Allen
4. How to plan the perfect clincheck. Pedro Costa-Monterio Isabel Flores Allen2020-12-2119 minorthodontics In summary2nd Saudi Orthodontic Clear Aligner meeting: Day 2Join me as I summarise day 2 of the Saudi Orthodontic Clear Aligner meeting, where basic biomechanics, in house aligners and aligner research is discussed.
NOTES FOR EACH LECTURE ARE AVAILABLE FROM THE DESCRIPTION ON THE WEBSITE WWW.ORTHOINSUMMARY.COM
The following lectures are covered:
1. Aligner orthodontics. from basic research to clinical application. Tommaso Castroflorio
2. Aligner orthodontics. in growing patients. a research based approach. Tommaso Castroflorio
3. Overcoming aligner limitations by using palatal mini-implants. Benedict Wilmes
4. Important pearls for in house aligners. Renato Martins
5. Clear aligner therapy...2020-12-1730 minorthodontics In summary2nd Saudi Orthodontic Clear Aligner meeting: Day 1Join me as I summarise the 1st day of the Saudi Orthodontic Clear Aligner meeting, where Mazyar Moshiri delivered a masterclass on biomechanics with aligners.
Conclusions:
· Attachment design: perpendicular to resultant force
· Rotations: Place oblique attachment to counter intrusive force of aligner
· Overcorrect torque, add mesial crown tip due to wagon wheel effect
· Deep bite: synergistic movements: proclinatiion and extrusion
· AOB: synergistic movements: retroclination and extrusion
Concepts
Intrusion attachment
1. Intrusion on aligners
a. No intrusion attachment
o Requi...2020-12-1012 minorthodontics In summaryClass II treatment the last word? Kevin O’BrienJoin me as I summarise Kevin O’Brien’s lecture looking at class 2 treatment, and answering the question of early Vs late treatment and fixed Vs removable appliances.
Kevin answered 3 main questions looking at systematic reviews:
1. Early Vs late treatment
2. Fixed Vs removable treatment
3. Patient relevant outcomes of Class 2 treatment
1. Early treatment (8-10 years) Vs late treatment (2-phase Vs 1-phase)
Cochrane Review: Orthodontic treatment for Class 2 Batista 2018
o No difference OJ ANB, PAR, Self concept Small order overjet 0.21mm
o No benefit to earl...2020-12-0205 minorthodontics In summaryTransposition: accept, extract or correct? Roberto CiarlantiniJoin me as I summarise Roberto’s lecture looking at transpositions.
Roberto describes 2 cases of true transpositions, treatment options, mechanics and methods of camouflage.
Transposition: defined an anomaly in which 2 adjacent teeth have interchanged their position in the arch Peck 1993
Classification: 1995 by Peck and Peck
1. True transposition: root and crown
2. False transposition: crown only
Up to 2003 the majority of orthodontists accept transposition and this figure changed as currently most orthodontist tend to correct transpositions.
Case 1 Maxillary canine-premolar transposition - camouflage
Treatment:
1. In...2020-11-2505 minorthodontics In summaryVertical changes in orthodontics and their importance. Adith Venugopal. Part 2Join me for part 2 of Adith’s lecture looking at the vertical dimension in orthodontics and its management.
Part 2 looks at 6 cases with vertical management of impacted canines, the use of TADs including buccal shelf and infrazygomatic TADs.
4th case impacted canine
· Avoid continuous archwire as it can cause:
o Iatrogenic root resorption
o If stubborn canine = greater occlusal side effects
· Resolution: TAD opposing arch
o Traction hook bonded to canine
o 150g elastic from lower TAD to traction hook on up...2020-11-1804 minorthodontics In summaryVertical changes in orthodontics and their importance. Adith Venugopal. Part 1Join me for part 1 of Adith’s lecture looking at the vertical dimension in orthodontics and its management.
Part 1 looks at 3 cases with vertical management through TADs, TPAs and a re-visit of the management of the Curve of Spee.
1st case TADs for extraction of 4s case
· Without TADs can result in ‘bowing effect’ – extrusion of incisors and molars.
· TAD placed between the upper 5- 6 root
o Direct retraction of the labial segment to the TAD
o Ligature wire from TAD to archwir...2020-11-1105 minorthodontics In summaryOrthodontics In Interview: MOHAMMED ALMUZIAN. UKJoin me as I interview Mohammed Almuzian, who has had over 35 scientific publications, 300,000+ downloads of his orthodontic notes, MOrth / board exam gold medalist , creator of Ortho PAR app.
Mohammed discusses what led him to freely publish his orthodontic notes, what led him to carry out research into orthodontic expansion and Alt RAMEC.
We get to hear Mo’s one piece of advice to all orthodontists about a career in orthodontics.2020-11-0419 minorthodontics In summaryTreatment without retainers? Madness or innovation? Simon LittlewoodSimon described the concept of ‘no retention’, the methodology and literature on the topic, with his expert option included.
Conclusion
· Controversial to not wear retainers
· Simon still asks patients to wear retainers
· Interproximal reduction helps but we don’t know why
Classic study
Riedel and Little
· 10 years out of retention
· 70% relapse – require retreatment, 30% no retainers and no treatment needed
· No identifiable factors – therefore to keep teeth straight require retainers
Treatment protocol and retrospective study of no retainers
Aasen EJO 20052020-10-3005 minorthodontics In summary9th International Orthodontic Congress WFO Day 3Join me for a summary of the day 3 lectures from this year’s virtual IOC.
10 lectures covering: aligners, miniplates, root resorption, occlusion and bruxism.
Speakers: Benedict Wilmes, Hugo J.J. De Clerck, Anne Marie Kuijpers Jagtman, Ali H. Hassan, Zhihe Zhao, Carlalberta Verna, Glenn Sameshima, Ambra Michelotti, Shouichi Miyawaki, Mauro Farella
Individual lecture summaries will be available soon from the website www.orthoinsummary.com
Lectures titles:
1. Improving The Predictability Of Clear Aligner Therapy With Mini Implants Benedict Wilmes
2. The Defects, Risks And Countermeasures Of Clear Aligner Zhihe Zh...2020-10-1250 minorthodontics In summary9th International Orthodontic Congress WFO Day 2Join me for a summary of the day 2 lectures from this year’s virtual IOC.
9 lectures covering: Retention, accelerated tooth movement, Airway, OSA, Patient expectations
Speakers: Padhraig Fleming, Martyn T. Cobourne, Carlos Flores Mir, Leslie A. Will, Won Moon, Juan M. Palomo, Seung Hak Baek, Steven j. Lindauer, Susan J. Cunningham
Individual lecture summaries will be available at the end of the week, with written notes on each lecture!
Lectures titles:
Adjuncts To Orthodontic Tooth Movement Are They Really Worth The Bother Martyn T. Cobourne
Orthodontic Retention Not Letting Go Pad...2020-10-0844 minorthodontics In summaryORTHODONTICS IN CONFERENCE 9th International Orthodontic Congress 2020 WFO Day 1Join me for a summary of the day 1 lectures from this year’s virtual IOC.
14 lectures covering: TADs, Facial aesthetics, Biomechanics, Class 2, Early treatment, Expansion, Impacted teeth, Self ligating brackets, Periodonics
Speakers: Chris Chang, David Sarver, James Mcnamara, Ravindra Nanda, Junji Sugawara, Noriaki Yoshida, Lorenzo Franchi, Peter Ngan, Sylvain Chamberland, Ewa M. Czochrowska, Yves G. Bolender, Chun-Hsi Chung, Dimitrios kloukos, Mitsuru Motoyoshi
Lectures titles:
1. Biomechanics Smart And Visible Biomechanics - Optimizing Treatment Mechanics Based On Prediction Strategy For Long-Term Tooth Movement Noriaki Yoshida
2. Relevancy Of Biomechanics In Clinical Orthodontics In...2020-10-0652 minorthodontics In summaryVertical Control with TADs. Etiology and Treatment Modalities of Anterior Open Bite and Relapse Jae Park. Part 2Join me for part 2, where Jae Park describes how to plan either extrusion or intrusion movements, the key evidence around AOB closure and TADs, aligners and orthognathic surgery.
Conclusion
Resting tongue position is the main soft tissue factor.
For increased LAFH, posterior intrusion with tads is indicated.
Invisalign for mild AOBs, correction is achieved with incisor extrusion mainly.
TADs for intrusion should be placed in the palate should be as distal as possible.
If intruding upper molars with TADs, lower molars will erupt unless an appliance is used.
80% of vertical relapse with posterior intrusion occurs in 1...2020-10-0105 minorthodontics In summaryVertical Control with TADs. Etiology and Treatment Modalities of Anterior Open Bite and Relapse Jae Park. Part 1Join me as I summarise Jay Park’s lecture looking at the anterior openbites and their management, with a focus on TADs, the good and the bad.
Part 1
Soft tissue aetiology and controversy
Dental-alveolar correction focus on posterior intrusion
Theories of tongue aetiology and AOB
· Tongue thrust = persistent visceral swallowing pattern for AOB Subtelny 1965
· Resting anterior tongue posture main factor Proffit 1993
Correct theory relates to resting tongue position:
· Anterior resting tongue position remains in between incisors many hours of the day...2020-09-2405 minorthodontics In summaryOrthodontics in Interview NEAL KRAVITZOrthodontics In Interview: NEAL KRAVITZ. USA
Join me as I interview Neal Kravitz, who is the associate editor for the Journal of Clinical Orthodontics, Edward Angle Society member NA and diplomate of the American Board of Orthodontics.
Neal Kravitz is an international speaker, he has published landmark papers, including a recent publication on the efficacy of aligners in the AJODO https://www.ajodo.org/article/S0889-5406(20)30303-6/
Neal discusses how his interest in aligners began, his thoughts on direct to consumer devices as well as more about Neal and his life.
2020-09-1623 minorthodontics In summaryAligners with TADs Chris ChangChris Chang describes the use of aligners (Invisalign), and how to resolve common aligner issues and incorporate TADs to achieve predictable outcomes.
Aligners work as a pushing appliance:
· Pushing surface (active surface) should be at 90 degrees to the direction of tooth movement.
· Pulling movements can be achieved through combining with TADs.
Reduced aligner predictability:
1. Distalisation
2. Expansion
3. Extraction
4. Incisor intrusion
5. Deep bites
The details below describe how to resolve the reduced predictability of aligners.
1. Distalisation
· Aligners cannot distalise teeth en-mass, and require sequential distalisation but with incorporating TADs it is possible, for example:
o Distalisation in the lower arch:
§ Buccal shelf TAD...2020-09-0904 minorthodontics In summaryClass 2 and growth modulation. So near yet so far. Nikhilesh Vaid. Part 2Part 2: Nikhilesh explores the use of class 2 elastics, myobraces, growth and success.
Conclusions from part 1 and 2
o No advantage of early treatment
o No difference in self esteem with early treatment
o 20% failure of removable class 2 appliances
o Patients prefer fixed functional appliances
Question 9 Dento-alveolar correction worth it?
· If the results are stable = yes
· Drop outs for removable appliances 19%
Question 10 Use of class 2 elastics?
· Duration to achieve overjet correction
o 6.8/12 Vs Forsus 4.5/12 Arora 2018
o Side eff...2020-09-0204 minorthodontics In summarySummary of webinar: Class 2 and growth modulation. So near yet so far. Nikhilesh Vaid.Part 1 explores key themes around the effectiveness of class 2 correction, how they work, different times, the role of headgear and fixed functional appliances.
Q1 & 2 Do we have the evidence, and is it effective?
Phase 1
o Phase 1 there is no advantage, no difference in clinical outcomes: Cochrane review Harrison 2007.
o 9-10% of patients benefit from phase 1 through a reduction in trauma, Gianelly 1995.
o “Just because we can doesn’t mean we should” Jay Bowman
Trauma
· Increased OJ greater than 3mm = 2 x risk of trauma Nguyen 1999
Quest...2020-08-2606 minorthodontics In summarySummary of Webinar: Thinking outside the box. Non conventional treatment for non-conventional patients. Nelson Leon VenezuelaNelson describes 4 cases of alternative approaches to conventional orthognathic surgery processes.
1. Facial asymmetry due to condylar hypoplasia:
a. Genioplasty Propella
i. 2 cuts, 1 horizontal, 1 angular and rotate the middle component
2. Class 2 due to retrognathic mandible
a. Corrected by 4 stages
i. Genioplasty
ii. Start anterior subapical osteotomy
iii. BSSO advancement
iv. Complete subapical and inferior repositioning = prevent lateral openbites
3. Class 3 due to maxillary hypoplasia AP and vertical.
a. 3 Stage process with segmental maxillary osteotomy
i. Maxillary advancement2020-08-2004 minorthodontics In summaryOrthodontics in Interview: KEVIN O'BRIEN UKJoin me as I interview Kevin O’Brien, who has over 110 publications, the Emeritus Professor at the University of Manchester, has received the Turpin and Jarabak awards as well as being the first to deliver the Proffit lecture at the AAO.
Professor Kevin Obrien is one of the leading experts in research in orthodontics, , having published landmark clinical trials and Cochrane reviews.
Kevin discusses his blog, his opinion on key opinion leaders, as well as describing those who influenced his career.
We get to hear Kevin’s one piece of advice to all orth...2020-08-1115 minorthodontics In summaryMissing teeth and bony deficiencies. Exploring Dilemmas and Dogma. SOS. Mark Wertheimar. Part 2Part 2: Mark describes the clinical factors of space closure and an method of maintaining bone in space opening using miniscrews
Space closure aesthetic challenges
1. Gingival height: Canine’s height is superior to lateral incisor’s
2. Torque: Canine is of buccal root torque, and a lateral is palatal root torque
3. Morphology: Canine is wider and thicker than a lateral incisor.
1. Gingival height solution:
a. Bracket placement
· Canine bracket placed gingical = extrude gingival margin
· Premolar / bicuspid bracket placed incisal = ,intrude gingival margin
...2020-08-0405 minorthodontics In summaryMissing teeth and bony deficiencies. Exploring Dilemmas and Dogma. SOS. Mark Wertheimar. Part 1Part 1
Mark explains the dilemmas and dogmas behind hypodontia management.
Dogma / idea influence opening vs closing
1. Canine guidance
o Dogma: Canine guidance better than group function
§ Only evidence of negative affects relate to canine inclination, when tucked in = greater muscular activity, seems to relate to degree of freedom in occlusion Sugimoto 2011
o Dogma: Proprioception from canine essential / special
§ Some have considered the proprioception of canines to be essential in the reflex arc of chewing.
§ However the ‘special’ proprioc...2020-07-3006 minorthodontics In summarySummary of webinar. How to align lower incisors with 2D lingual appliances. Nicolas SalesseDr Nicolas Salesse talks us through 2D lingual appliances in the lower arch for alignment, how the appliances work, the application as well as his protocol.
Advantages:
2d Vs 3d
· Direct bonding
· Unlikely to debond, due to low profile
· No complex bonding required (same as conventional labial brackets)
· 0 prescription bracket – no torque treatment conducted round wires round wires only
Cost
· Headway 2 dollars
· forestadent 2d 10-20 dollars per bracket
Disadvantages:
· Metal bracket can deform on opening / closing
· Compl...2020-07-2107 minorthodontics In summaryOrthodontics in Interview- JAY BOWMANOrthodontics In Interview: Jay Bowman USA
Join me as I interview Jay Bowman, who has over 150 publications, is an Angle Society member. World Federation of Orthodontists member. A university faculty member and reviewer for AJODO.
Jay Bowman is an expert of orthodontics, having innervated several products and appliances as well as having published 5 textbooks.
Jay discusses his journey into publishing on miniscrews and his interests.
We get to hear Jay’s one piece of advice to all orthodontists about a career in orthodontics.2020-07-1408 minorthodontics In summarySummary of webinar. Open Bite, are we treating the right causes. Power2Reason. Flavia Artese. BrazilDr Flavia Artese describes one of the main causes of anterior open bites, tongue position, and the use of tongue cribs and spurs.
Conclusion:
Use of palatal cribs and tongue spurs are effective at managing AOBs, where the aetiology is anterior tongue position. however stability is related to resting tongue position long term.
Aetiology
Anterior tongue position at rest, not in swallowing, as low intensity and duration.
What is normal tongue posture?
The tongue should be behind the upper incisors, in both a AP and vertical plane.
Treatment for anterior tongue position involves changing the AP and vertical position
Correct...2020-07-0706 minorthodontics In summarySummary of Webinar- Asymmetric Class II Malocclusions. Cesare Luzi. Italy. Episode 17. June 30.2020I summarise Cesare's lecture looking at Class 2 subdivision cases with treatment options
classification:
· Type 1: Mandibular midline deviated from facial midline, Maxillary correct: 56-62%
· Type 2: Maxillary midline deviated facial midline, Mandibular correct 29% Cassidy 2014
Aetiology
· Type 1 subdivision: shorter mandible on affected side: Sanders 2010
Interceptive management
· RME = improved mandibular asymmetry by a mandibular rotation: Evangelista 2020:
Treatment:
Non extraction:
1. Asymmetric Class 2 corrector / functional appliance
o Type 1 case (mandibular asymm...2020-06-3004 minorthodontics In summaryOrthodontics in Interview MARK WERTHEIMEROrthodontics in Interview: Mark Wertheimer
Join me as i interview Mark Wertheimer and discuss his journey into interdisciplinary care,
Mark describes his bug bears and we find out more about Mark the cyclist and football fanatic.
We get to hear Mark's one piece of advise to all orthodontists about a career in orthodontics.2020-06-2614 minorthodontics In summaryTreatment of Class II in permanent dentition (the Bioprogressive approach) Sergio Sambataro ItalyDr Sergio Sambataro describes the bioprogressive approach to managing the class 2 case
Class 2 aetiology: Sato 2008
· Upper molars less erupted
· Lower molars more erupted
Occlusal objective for class 2 in bioprogressive technique:
· Lower the posterior occlusal plane
Unlocking of growth:
· Decompression theory
o Increased interarticular space = vertical growth at the condyle
· = mandible grows forwards
· = counterclockwise rotation of mandbile
Principles of treatment:
· Extrude upper molars – correct steep posterior occlusal plane
o = Decompress condyle through cre...2020-06-2205 minorthodontics In summaryOrthodontics in Interview FLAVIA ARTESE: BRAZILOrthodontics in interview!
Listen and enjoy the story of Flavia Artese: Associate Professor in orthodontics and editor-in-chief of Dental Press Journal of Orthodontics.
She describes her journey which led to a career in orthodontics and an interest in anterior open bites.
Flavia speaks of her role models and pet peeves.
Flavia is looking forward to welcoming all to the 2025 WFO (World Federation of Orthodontics) 10th International Orthodontic Congress in Brazil
https://www.wfo.org/2020-06-1612 minorthodontics In summarySummary of Webinar: Simplified Orthodontic Biomechanics with Double Slot Bracket - Thaer Hamid BrazilSummary of Webinar: Simplified Orthodontic Biomechanics with Double Slot Bracket - Thaer Hamid Brazil
Conclusion
New bracket concept, could reduce anchorage demand for specific mechanics
What is it?
· Metal bracket with 2 conventional slots (1 passive, 1 active ligating) in a vertical arrangement
How does it work?
Passive incisal slot 022 x 028
· More liberty between archwire and slot
· Greater force (when compared to 018x025 slot)
Active gingival slot 018x030
· Better rotational control
· Quicker torque expression
Advantage in an...2020-06-0804 minorthodontics In summarySummary of webinar- Power2Reason - Orthodontics in periodontally compromised patients- Morten LaursenSummary of webinar: Power2Reason - Orthodontics in periodontally compromised patients: Morten Laursen
Conclusion
orthodontic treatment can achieve:
Greater cleansability through alignment
Potential reduced periodontal pocketing through long junctional epithelium formation
Rehabilitation through idealising tooth position for their eventual loss and prosthetic replacement in ideal position
Risk of not factoring in periodontal disease
1. Increased force = root resorption
2. Increased force = loss of anchorage
3. Active disease = increase loss of periodontal tissue
1/ Treatment protocol: Anterior intrusion with...2020-06-0406 minorthodontics In summaryOrthodontics in Interview SIMON LITTLEWOODSimon Littlewood tells his story of orthodontics in his charismatic way.
Simon walks us through his achievement of the Cochrane Systematic Review on retention, what ideas led to the large body of work (link below).
Simon led the British Orthodontic Society's 'Hold that smile' campaign, and describes the process of how he did this, and also why he did it (link below).
We learn who Simon admires in orthodontics and outside the field.
We ask Simon your question on...2020-06-0417 minorthodontics In summarySummary of webinar- Invisalign European Scientific Symposium Part 4- Data mining and new innervationsInvisalign European Scientific Symposium Part 4- Data mining and new innervations
Data and Science Based & Introducing the New Product Innovations Dr Mitra Derakhshan & John Morton
How does Invisalign work?
Force driven system: Contact in certain location, another force for root movement
1. Smart force
· Allows controlled force to the tooth through:
o Changes shape of the tooth (attachments)
o Changes shape of aligner (power ridges , pressure areas)
2. Smart track
· Highly elastic material with high working range – LIKE NITI
3. Sm...2020-05-2705 minorthodontics In summarySummary of webinar: Invisalign European scientific symposium part 3: ExpansionSummary of studies looking at expansion of aligners using invisalign First
Overall conclusions
· Greater expansion anteriorly
· Greater predictability of expansion anteriorly Vs posteriorly
· Greater predictability of expansion buccally, unpredictable palatally
Summary of webinar: Invisalign European scientific symposium part 3: Expansion
Arch expansion pattern using clear aligners: a three-dimensional retrospective study in paediatric subjects with posterior crossbite. Dr. Silvia Caruso
WHAT’S THE QUESTION?
How effective is the Invisalign system at expansion
Previous papers: not predicable but change in material to sm...2020-05-2604 minorthodontics In summarySummary of webinar: Invisalign European scientific symposium part 2 class IICONCLUSIONS FROM DISTALISATION (AND CLASS 2 ELASTICS) AND MANDIBULAR ADVANCEMENT (MA)
No significant changes in inclination upper or lower
Mandibular growth enhanced 3-4mm
No adverse vertical changes
CRITIQUE:
No controls
No reporting on buccal segment movements
Skeletal and dentoalveolar effects produced by Aligners and Elastics in Class II growing patients Federico Migliori
WHO
· 14 pts 13.6 years old
· Co-Go-Me 125 – hypodivergent
· Cervical spine C3
WHAT DID THEY DO IT
· Invisalign protocols for distalisation
o Sequential distalisation, ½ distalised, following tooth distalised - anchorage...2020-05-2305 minorthodontics In summarySummary of webinar: Invisalign European scientific symposium part 1 deepbitesSummary of the Invisalign European Scientific Symposium, with Dr Alessandro Mario and Dr Dieter Brothag presenting their studies
Alessandro Mario
Aligners resolve deep bites by
· Anterior bite turbos - allow posterior extrusion, and progressively move incisal
· Anterior intrusion
· Pressure areas - force through indentations into the aligner
WHO
· N = 44 with complete OB of 7mm+
· hypodivergient SnGoGn less 25
WHAT DID THEY DO IT
· Prospective follow up
· Treatment protocol
o Anterior bite ramps, lingual pressure areas, class 2 / vertical ela...2020-05-2304 minorthodontics In summarySummary of webinar- What I Wish I Knew Sooner AAO. Neal KravitzDr Neal Kravitz gives the audience at the AAO advise from his clinical and professional mistakes
Clinical advise
1. 2 phase / early treatment - AVOID
a. It builds expectations of non-extraction treatment
2. All treatments none- extract - AVOID
a. If avoid due to patient pressures, can result in proclination, relapse, but most significantly impacted second molars
b. He extracts in 50% of adolescent cases
3. Inconsistent records - AVOID
a. Take photos every other visit
b. It will give opportunity for reflection on treatment
2020-05-1703 minorthodontics In summarySummary of webinar AAO: Use of technology in orthodontics - Quest of the perfect smile. Claudia Cruz & Roberto StadiDr Claudia Cruz and Roberto Stadi describe the predicability of aligners, indirect bonding for labial and lingual appliances
Summary
Aligners
Factors which reduce the predictability of aligners
· Manufacturing process: 0.1mm
· Force delivery
o Thermoforming force decay
o Inconsistent thickness of aligner
· Anatomy of teeth: Rounded teeth (Canines and Premolars / Bicuspids)
How to improve predictability
Clinical:
· Increase attachment size, alter attachment orientation, stage movements
Technological – not achieved yet!
· Use actual root informa...2020-05-1505 minorthodontics In summarySummary of webinar- Solving the Catch-22 of the Agenesis 12-22- AAO Elie AmmSummary of Dr Elie's research regarding space closure mechanics for missing upper lateral incisors
· Patients with missing upper lateral incisors usually have hypoplastic maxilla
· Clinical trial investigating mechanics to advance maxilla and close space
P: Class 1 / class 3 cases, non-extraction lower arch
I: Fixed appliances to close space in the upper arch
C: Nil
O: Maxillary advancement and inclination change in the upper arch
Method
· TADs in lower 3-4 region
· Clas...2020-05-1203 minorthodontics In summarySummary of webinar: Expanding the Lower Arch Is it Really a Forbidden Frontier AAO: Flavia ArteseSummary of webinar from the AAO, looking at lower incisor change and orthodontics
Expanding the Lower Arch Is it Really a Forbidden Frontier: Flavia Artese
· 4 indications to change lower incisor position:
1. Good profile with arch length discrepancy
2. Level lower arch curve of Spee
3. Class 3 dentoalveolar decompensation
4. Class 2 compensation
· 3 Factors which determine gingival recession for orthodontic patients
o Visible plaque – most important
o Amount of proclination – least understood
o Periodontal biotype / phenotype – can be altered
· 3 biotypes2020-05-1005 minorthodontics In summarySummary of webinar: Important Considerations to Achieve Predictable Outcomes (with aligners): AAO Mazyar Moshiri Mazyar Moshiri;s lecture from the AAO describes how to modify aligners and clinical pearls.
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Modifications to consider to aligner
o Change attachment – changes tooth shape
o Change aligner shape – e.g. power ridge
o Change sequence of tooth movement
· Aligner force should be directed perpendicular to the resultant tooth movement required
· Vertical control is key
o if not can result in heavy anterior contact – curve of spee due to lo...2020-05-0705 minorthodontics In summarySummary of webinar: The clinical side of two-phase treatments: AAO 2020. Dr Silvia AllegriniSummary of webinar looking at 2 phase treatment
Functional shift
· Should be treated early
· Use of RME, bonded to Es
· More stable expansion in younger patients
Crowding (mandibular arch)
· Should be treated in up to 5mm of crowding and patient concerns
· Use of leeway space
· Tool: Lingual arch
Overjet
· Treat if patients have concerns
· Preferred method 1 phase for growth and reduced treatment times
Class 3
· Treat if maxillary deficiency only
· Protraction...2020-05-0604 minorthodontics In summarySummary of webinar: CLoud and Clear: Nikhilesh VaidSummary of Nikhilesh Vaid's lecture at the AAO 2020 looking at technology in orthodontics.
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#farooqahmed2020-05-0402 minorthodontics In summarySummary of webinar: TAD mechanics for fixed appliances and aligner: Chris ChanSummary of Chris Chan's lecture at the AAO, looking at TADs and their use.
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@farooqahmed2020-05-0303 min
orthodontics In summarySummary of webinar: True Etiology of Malocclusions: Daniela StornioSummary of the webinar exploring the role of the occlusal plane and the aetiology of the malocclusion
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#farooq2020-05-0310 minorthodontics In summaryorthodontics In summary (Trailer)2020-05-0200 min