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.

duration: 1 h 27 min

– 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

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

– 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

– 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 8 min

– 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 9 min

– 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

– 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

– 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 8 min

– 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.

duration: 1 h 6 min

– 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

– 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