Einführung in die Kieferorthopädische Frühbehandlung mit transparenten Clear Alignern.

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Einführung in die Kieferorthopaedische Frühbehandlung mit transparenten Clear Alignern.

Phase 1, vom 5. bis zum 11. Lebensjahr

Phase 1, vom 11. bis zum 18. Lebensjahr

Early Interceptive Orthodontics with Clear Aligners with a holistic approach including breathing, chewing, swallowing and function & occlusion.

Clear Aligners are firmly established in orthodontics and the treatment options have greatly expanded. Unfortunately, most of the growing patients is still treated with classic approaches like fixed braces in teenage years. Early interceptive orthodontics with clear aligners however is hardly being used at all which means that opportunities are being missed to treat the problems when the arise. Prevention is better than cure! Today, this orthodontic treatment with clear aligners can be usefully integrated into any dental practice and could increase revenue drastically.
The key question in orthodontics is: why are the malocclusions developing? Where can and should the teeth be moved to? This question will be answered in detail in the course series and all aspects important for this will be highlighted.

The necessary advanced knowledge in orthodontics, new findings from paediatric sleeping disorders including diagnostic and treatment of tongue ties, RNO Principle after Pedro Planas, occlusion & function and aesthetics are taught in the course.

Especially the findings from sleep medicine, in particular sleep-related paediatric breathing disorders show that the tongue position, the tongue space and the tongue area are of great importance during the growth and development phase and in every phase of life.

This has decisively changed diagnostics and therapy in orthodontics.

Strong attention has been given to myofunctional therapy and the functional matrix, which plays a key role in training the muscles and tongue both in the growth/developmental phase.

The key to success treating growing patients is to understand how all the above-mentioned topics are linked and to find out what could have caused the teeth to move in specified positions thinking of growth & development, Functional Matrix, Function & Occlusion and Breathing & Chewing & Swallowing. If you can treat the source of the problem, you not only will create a beautiful smile without the need for teeth extractions but as well eventually change and improve a child’s life.

The goal of the course series:

• Learn how to start diagnosing the minute you see a child.
• You will learn which findings are required for successful aligner therapy.
• They can use these findings to determine a diagnosis and a priority list, from that, treatment options that should be considered.
• You will learn to define exact staging patterns for your treatment platform independent from the clear aligner system you use.
• You will learn to evaluate and correct your treatment plan using 3D tools.
• You will learn how to transition from phase 1 and 2 and how to treat teenage patients.
• You will learn how to manage complex growing patients using 3D metal printed devices, palatal miniscrews and facemasks.

Course content

• An advanced knowledge from orthodontics.
• Growth and Development focused on importance for clear aligner therapy.
• Patient Assessment and Risk Management
• Clear Aligner Introduction and understanding of differences between different systems.
• Biomechanics of tooth movement
• Sleep analysis findings and its integration into treatment planning with aligner therapy.
• Function and Occlusion
• The digital workflow and consultation protocols.
• The importance of myofunctional therapy and the RNO (Neuro occlusal rehabilitation) Concept and its implementation.
• Indication: When to start? When aligners? When 3D printed devices?
• Implementation of aligner therapy with attachments, possible approximal enamel reduction and retention.
• Case Discussion, Selection and planning
  • Class 1, Class 2, Class 2 Div 1, Class 2 Div 2, Class 3
  • Leeway Space and Crowding
  • Crossbite
  • Open Bite
  • Autism
  • Agenesis
  • Impacted teeth.
  • Palatal expansion with and without 3D printed devices.
  • Hybrid cases (Combination of 3D printed devices and aligners)
  • RME, Hybrid RME, Palatal Miniscrews

Module 1

• Growth and Development
  • How does growth occur
  • At what do developments occur
  • Different philosophies on growth
• Patient Assessment and Risk Management
  • Medical
  • Dental
  • Fairest assessment
  • Myofunction and breathing
  • Tooth anomalies
  • Difference between Dental malocclusion and skeletal malocclusion

• Consultation- Digital workflow
• Clear Aligner Introduction
  • What can be treated with clear aligners.
  • When can aligner therapy begin.
• Features of Clear aligners
  • Trim lines
  • Attachments
  • Mandibular advancement
  • Buttons
  • Tongue guides
  • Tongue grips
• Use of AI technologies to improve efficiency and case conversions.
  • Remote monitoring with hands-on
  • Smile simulations
  • Treatment outcome simulations
• Introduction into case presentation of Dr Decker cases
• Q&A

Module 2 & Module 3

• Biomechanics of tooth movement
  • Simple
    • Understanding biology of tooth movement
    • Intrusion
    • Extrusion
    • Tipping
    • Translation
    • Torque
  • Advanced
    • Staging
    • Anchorage control with and without accessories
    • Sequential distalisation
    • Extrusion of impacted teeth
  • Staging – difference between permanent and mixed dentition
• Understanding the biomechanics and the staging with demonstrations on Dr Decker’s cases
• Introduction in Function and Occlusion in growing patients joint and

Module 4 Functional Occlusion      

• Dental History and assessment
  • Joint and muscle test
  • Discussion of malocclusions and how they may have been avoided by Early intervention treatments.
  • ICP, excursions and chewing patterns

• Diagnosing occlusal problems
  • Use of Splint therapy in the diagnosis of occlusal problems
  • Occlusal diagnoses.
• Treatment planning considerations in Orthodontics based on occlusal diagnosis.
• Face bow and articulator
• 3D Printing of a Kois deprogrammer
• Interdisciplinary treatment planning

Module 5 – 3D printed devices and hand on

• Introduction in the use of 3D metal printed devices
  • Rapid Maxillary expanders
  • Hybrid maxillary expanders
  • Mento plates in correction of class 3 skeletal cases
  • Delair mask
• When to use 3D printed devices
• Treatment of malocclusions with a skeletal origin
• Insertion of palatal miniscrews on typodonts
• Fitting of a Rapid Palatal Expander on typodonts.

Throughout the course reference will be made to the following occlusions

• • Class 1, Class 2, Class 2 Div 1, Class 2 Div 2, Class 3
  • Leeway Space and Crowding
  • Crossbite
  • Open Bite
  • Agenesis- missing teeth and hypodontia
  • Impacted teeth.
  • Palatal expansion with and without 3D printed devices.
  • Hybrid cases (Combination of 3D printed devices and aligners)
  • RME, Hybrid RME, Palatal Miniscrews