Functional Orthopedic Appliances: Complete Laboratory Guidelines from A to Z
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Online practical training for manufacturing functional orthopedic appliances (FOA) with Dr. Orlando Santiago Júnior — A renowned specialist in South America on working with FOA!
During the practical training, orthodontic technicians will have the opportunity to learn how to fabricate various types of functional orthopedic appliances, including:
– Bimler type A and type C
– Simões Network models of functional orthopedic appliances
– Orlando Santiago Systems for functional orthopedic appliances
– Indirect Planas Track to guide mandibular posture change.
This comprehensive step-by-step manual for manufacturing functional orthopedic appliances is also essential for orthodontists, as it enables them to understand the fundamentals and the details required to manufacture functional orthopedic appliances, ensuring that the appliance is fabricated according to the desired specifications!
Lezione 1.Basics For Constructing Functional Orthopedic Appliances (FOA)
– Dental casts: printed or in plaster
– Impression taking techniques: digital impressions vs analogical impressions
– Pliers selection: bird beak, straight plier, half round plier, etc
– Wires selection (0.7mm/0.0028, 0.8mm/0.0032, 0.9mm/0.0036)
– Minimum prerequisite of casts to construct functional appliances
– Protocols of wire bending. Basic wire bends:
- "U" turn
- Bend by 90°.
– Force application.The contact point of the appliance with the tooth:
- Bodily movement
- Inclination.
– Designing and positioning of the expansion screw on the functional orthopedic appliance
– Fabrication of Coffin spring
– Dealing with acrylic materials
– Grinding and polishing of acrylic.
Recommended for: Orthodontists, Dental technicians, General dentists.
Lezione 2.Therapeutic Mandibular Posture Change (TMPC) with Planas Functional Orthopedic Appliances. Indications and Clinical Scenarios
– Biomechanics of the TMJ
– TMPC for retrognathia with positive overbite. TMPC in pro translation: parameters, limitations and laboratory construction
– TMPC for retrognathia with an open bite. TMPC in pro rotation: parameters, limitations and laboratory construction
– TMPC for unilateral posterior crossbite. TMPC with frontal blockage: parameters, limitations and laboratory construction
– TMPC for functional anterior crossbite. TMPC in retro translation: parameters, limitations and laboratory construction
– TMPC for prognathia. TMPC in retro translation without apparent rotation: parameters, limitations and laboratory construction
– TMPC for open bite. TMPC in rotation or wheel: parameters, limitations and laboratory construction
– TMPC for stimulation of arch development and occlusal plane maturation. TMPC with total freedom: parameters, limitations and laboratory construction
– TMPC for stimulation of asymmetrical development of the mandible. TMPC with partial freedom: parameters, limitations and laboratory construction
– Clinical and laboratorial parameters to conduct the mandible to the optimum stimulation for each malocclusion correction. Clinical cases analysis.
Recommended for: Orthodontists, Dental technicians, General dentists.
Lezione 3.Bimler-A Functional Orthopedic Appliance. Full Laboratory Protocols
– Indication for Bimler-A application
– Therapeutic mandibular posture change (TMPC) in cases of pro translation and application of Bimler-A FOA for the treatment of Class 2 cases
– Step-by-step constructing Bimpler-A FOA. Wire bending, frontiers and positions:
- Tie and shield
- Dorsal Arches
- Superior vestibular arch
- Frontal springs (frontal resorts).
– Acrylization: adaptation and retention of the dorsal arch
– The acrylic part of the appliance: grinding and polishing.
Recommended for: Orthodontists, Dental technicians, General dentists.
Lezione 4.Bimler-C Functional Orthopedic Appliance. Full Laboratory Protocols
– Indication for Bimler-C functional orthopedic appliance
– Therapeutic mandibular posture change (TMPC) and application of Bimler-C FOA for the treatment of Class 3 cases
– Step-by-step constructing Bimler-C FOA. Wire bending, frontiers and positions:
- Wave bars
- Dorsal Arches
- Superior progeny arch,
- Frontal springs
- Posterior lift and posterior bite raisers.
– The acrylic part of the appliance: grinding and polishing.
Recommended for: Orthodontists, Dental technicians, General dentists.
Lezione 5.Indirect Simple Planas Tracks (ISPT). Full Laboratory Protocols
– Indications for Indirect Simple Planas Tracks (ISPT)
– Therapeutic mandibular posture change (TMPC) and application of Indirect Simple Planas Tracks (ISPT)
– Step-by-step constructing Indirect Simple Planas Tracks (ISPT) appliance. Wire bending, frontiers and positions:
- Occlusal support
- Making and preparing the "H" form of the appliance
- Planas' Tracks inclination. The anterior and posterior reference.
– Acrylization: adaptation and retention of the wire arches
– The acrylic part of the appliance: grinding and polishing.
Recommended for: Orthodontists, Dental technicians, General dentists.
Lezione 6.Indirect Planas Compound Tracks (IPCT). Full Laboratory Protocols
– Advantages of Indirect Planas Compound Tracks (IPCT)
– Indications for Indirect Planas Compound Tracks (IPCT)
– Therapeutic mandibular posture change (TMPC) and application of Indirect Planas Compound Tracks (IPCT)
– Wire bending:
- Creation of occlusal support
- Creation of dorsal Arches
- Utilizing of telescopic tubes.
– Constructing and positioning Planas Tracks. Step-by-step demonstration of the laboratory procedures.
Recommended for: Orthodontists, Dental technicians, General dentists.
Lezione 7.Constructing Indirect Compound Planas Tracks with Equiplan
– Indications for application of Indirect Compound Planas Tracks (ICPT) with Equiplan
– The function of the Equiplan
– Step-by-step construction of Indirect Compound Planas Tracks (ICPT) with Equiplan:
- Positioning and dimensioning the Equiplan
- Application of the the telescopic tubes
- Constructing and positioning Planas Tracks
- Construction of the dorsal arches.
Recommended for: Orthodontists, Dental technicians, General dentists.
Lezione 8.Simões Network 1 (SN1). The Slide Light Model
– Background review of the SN models
– Overview of the SN1 model
– Therapeutic Mandibular Posture Change (TMPC): pro translation and partial freedom
– Laboratory steps of constructing the SN1 model:
- Сonstructing the mandibular posture change path
- Wire bending, frontiers and positioning
- Application of telescopic tubes
- Fabrication of dorsal Arches.
– Advantages and limitations of the SN1 model.
Recommended for: Orthodontists, Dental technicians, General dentists.
Lezione 9.Simões Network 2 (SN2). The Tongue Maintainer Model
– Overview, clinical, and laboratory features of the SN2 model
– Constructing a therapeutic mandibular posture change (TMPC) with the SN2 model in a pro rotation
– Laboratory step to fabrication of the SN2 model
– Step-by-step fabrication of the dorsal arches for the SN2 model.
Recommended for: Orthodontists, Dental technicians, General dentists.
Lezione 10.Simões Network 3 (SN3). The Lower Winglet Model
– Overview of the SN3 model
– Indication for treatment with the SN3 model
– Constructing a therapeutic mandibular posture change (TMPC) with the SN3 model
– The inferior anterior element of the appliance. The wave bar
– Constructing an appliance with one-wave vs two-wave bar
– Superior anterior elements: the wave bar and frontal springs
– Construction of the dorsal arches
– Step-by-step laboratory procedures for constructing the SN3 model.
Recommended for: Orthodontists, Dental technicians, General dentists.
Lezione 11.Simões Network 3 (SN3). The Lower Winglet Model with Equiplan and Progeny Arch
– Overview and features of the SN3 model
– Indication for working with the SN3 model
– Constructing a therapeutic mandibular posture change (TMPC) with the SN3 model with Equiplan and progeny arch
– Fabrication of the inferior anterior elements and the wave bar
– Fabrication of the superior anterior elements:
- Wave bar
- Frontal springs
- Progeny arch
- Equiplan
- The dorsal arches.
– Advantages and limitations of the SN3 model with Equiplan and progeny arch.
Recommended for: Orthodontists, Dental technicians, General dentists.
Lezione 12.Simões Network 4 (SN4) and Simões Network 5 (SN5) Functional Orthopedic Appliance Models
– Laboratory steps to the fabrication of the SN4 shield-pad model
– The superior frontal shield: limits, positioning and geometry
– The superior lateral shield: limits, positioning and geometry
– Clinical application of the frankel buccal shield
– Constructing frontal and lateral frankel shields and connecting them to functional orthopedic appliances
– Constructing the SN5 model. Fabrication of dorsal arches for aesthetic reasons.
Recommended for: Orthodontists, Dental technicians, General dentists.
Lezione 13.Simões Network 6 (SN6). The Special Pad Model
– Overview of structural components of the SN6 model
– Construction of a therapeutic mandibular posture change (TMPC) with the SN6 model
– Fabrication of the inferior elements of the SN6 model
– Formation of the minor curve for the SN6 model
– Indications to the fabrication of wave bars
– Fabrication of the superior elements of the SN6 model:
- Wave bars
- Frontal springs
- Dorsal arches.
– Tips on the laboratory protocols for the construction of the SN6 model of functional orthopedic appliances.
Recommended for: Orthodontists, Dental technicians, General dentists.
Lezione 14.Simões Network 7 (SN7). The Clasp Model
– Specification of the SN7 model functional orthopedic appliance
– Construction of a therapeutic mandibular posture change (TMPC) with the SN7 model. The retro translation without rotation
– Wire bending:
- Сonstructing the arch of progeny
- Fabrication of the inferior vestibular arch
- Fabrication of occlusal support.
– The hawley's arch. Fabrication and clinical function
– Constructing and positioning Planas Tracks
– Limitation and advantages of the SN7 model.
Recommended for: Orthodontists, Dental technicians, General dentists.
Lezione 15.Simões Network 10 (SN10). The Pad Tie Model
– Clinical indications for working with the SN10 model
– Overview, specification, and features of the SN10 model
– Construction of a therapeutic mandibular posture change (TMPC) with the SN10 model
– Protocols on measuring the maximum extent of protrusive movement
– Steps-by-step demonstration for manufacturing of the appliance
– Wire bending:
- Fabrication of the anterior curve and minor curve
- Fabrication of the tie, dorsal arches, and the pad.
Recommended for: Orthodontists, Dental technicians, General dentists.
Lezione 16.Simões Network 11 (SN11). The Vertical Descending Winglet Model
– Overview, specification, and features of the SN11 model
– Repositioning the mandible. Clinical and complementary exams
– Construction of a therapeutic mandibular posture change (TMPC) with the SN11 model
– Wire being and occlusal support
– Construction and fabrication of Planas Track
– Fabrication of vertical descending winglet model.
Recommended for: Orthodontists, Dental technicians, General dentists.
Lezione 17.Orlando Santiago System 1 (OSS1). The Day Use Model
– Indications for using the OSS1 model
– Indication for using the OSS1 model in cases with deep bite
– Construction of a therapeutic mandibular posture change (TMPC) with the OSS1 model. Retro translation
– Wire bending and stabilization of clamps
– Equiplan and its clinical significance. Application and integration in the OSS1 appliance
– Fabrication of the winglet for OSS1 model
– Step-by-step laboratory demonstration for fabrication of the OSS1 model.
Recommended for: Orthodontists, Dental technicians, General dentists.
Lezione 18.Orlando Santiago System 2 (OSS2). Model With An Upper Wave Bar
– Indications for the clinical application of OSS2 model
– Construction of a therapeutic mandibular posture change (TMPC) with the OSS2 model. Pro translation
– Wire bending: frontal springs and stabilization clamps
– Fabrication of the Equiplan with the OSS2 model
– Application of the anterior wave bar for mandibular posture change
– Step-by-step laboratory demonstration for fabrication of the OSS2 model.
Recommended for: Orthodontists, Dental technicians, General dentists.
Lezione 19.Orlando Santiago System 3 (OSS). The Inferior Winglet Model
– Indications for the clinical application of OSS3 model
– Construction of a therapeutic mandibular posture change (TMPC) with the OSS3 model. Pro translation and partial freedom
– Wire bending: stabilizing the clamps and fabrication of dorsal arches
– Fabrication of the Equiplan with the OSS3 model
– Step-by-step laboratory demonstration for fabrication of the OSS3 model.
Recommended for: Orthodontists, Dental technicians, General dentists.
Lezione 20.Orlando Santiago System 4 (OSS4). The Indirect Planas Tracks and The Inferior Wave Bar Model
– Laboratory and clinical features of the OSS4 model
– Indications for the clinical application of OSS4 model
– Construction of a therapeutic mandibular posture change (TMPC) with the OSS4 model
– Wire bending and fabrication of:
- Occlusal support
- The inferior wave bar
- The inferior vestibular arch.
– Construction and positioning of Planas Tracks on the OSS4 model.
Recommended for: Orthodontists, Dental technicians, General dentists.
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