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Extractions in orthodontics: aligners, braces, microimplants, transpalatal arches
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55 voti
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Marco Rosa
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Alfredo Gilbert
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Anderson Mamede
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Ektor Grammatopoulos
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Marino Musilli
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Saulo Gribel
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Helder Jacob
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7 lezioni (8o 14m)
7.75 CE Credits

Inglese
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Descrizione
To extract or not to extract, that is the question. And we have prepared a comprehensive answer!
Analysis from A to Z of extraction methods in orthodontic treatment, selection thinking strategies and clinical cases. With the new course you will learn:
– biomechanics of treatment with extraction
– protocols for serial tooth extraction and germectomy in mixed dentition
– protocol for the treatment of Class 2 with extraction
– aligner therapy with extraction
– features of the use of transpalatal arches (TPA) and their modifications
– lingual orthodontic protocols for space closure.
We invite you to study and close this issue, based on the most modern research and protocols!
Lezione 1.Biomechanics of space closure. Аnchorage control
– Biomechanical considerations for controlling tooth movement
– Biomechanics for predictable tooth movement
– Mechanics of space closure:
- Protocols of sliding mechanics
- Protocols of friction-free space closure mechanics.
– Determining the ratio of anterior retraction to posterior protraction
– Choosing between one-step and two-step retraction technique
– Implementing Mini Screw Implants (MSIs) for space closure management
– Step-by-step analysis of space closure cases using the one-step retraction technique
– Step-by-step analysis of space closure cases using the two-step retraction technique
– Step-by-step analysis of space closure cases with the application of miniscrews for maximum anchorage.
Recommended for: Orthodontists, General dentists.
Lezione 2.Serial extraction in mixed dentition. Germectomy
– Treatment plan:
- Serial extraction
- Expansion
- Leeway.
– Ideal cases for serial extraction
– Non-extraction protocol
– Slicing of the deciduous teeth
– Ways of lower anterior crowding prevention
– Appliances for maxilla expansion
– Germectomy: timing, indications and contraindication, surgical treatment options
– Early correction of recession.
Recommended for: Orthodontists, General dentists.
Lezione 3.Extraction of maxillary premolars and space closure
– Choosing the teeth to be extracted according to the malocclusion
– Anchorage
– Biomechanical perspective
– Types of tooth movements
– Biomechanics of space closure
– Types of retractions
– Vertical control
– Class 2 Division 1 corrections clinical cases
– Class 2 Division 2 corrections clinical cases.
Recommended for: Orthodontists, General dentists.
Lezione 4.Hinge mechanics and TPA mechanics to close spaces
– Biomechanics of space closure
– Hinge mechanics: definition
– How to calculate the hinge position
– How to calculate the amount of the force delivered on the tooth from the appliance
– Transpalatal arch (TPA): indications for use
– Protocols for the use of transpalatal arches and modifications
– Difficulties in working with transpalatal arches
– Springs: manufacturing method in the clinic
– Combined use of microimplants and transpalatal arch
– Protocol for molar mesialization
– Analysis of complex clinical cases of space closure in adult patients.
Recommended for: Orthodontists, General dentists.
Lezione 5.Orthodontic space closure with lingual fixed appliances
– How to identify cases treated best with extraction of teeth
– Set-up extraction cases with lingual appliances
– Optimum timing for extracting teeth
– Mechanics for closing spaces
– Speed-up safely extraction space closure
– Optimum finishing in extraction cases
– Retention protocols.
Recommended for: Orthodontists, General dentists.
Lezione 6.Treatment of severe crowding Сlass I cases in orthodontics
– Diagnosis of severe crowding Сlass I (radiographs, clinical examination, model and cephalometric analysis)
– Treatment planning and sequencing:
- Sequence of extractions
- Orthodontic appliance selection
- Anchorage control
- Torque control during retraction and an estimation of treatment duration based on the severity of crowding and the patient's specific needs.
– Mechanics and orthodontic appliance use:
- Archwire sequences
- Bracket placement
- Braces-archwires friction and chain elastics force on sliding mechanics.
– Monitoring and adjusting treatment
– Evaluation of treatment outcome: what you should pay attention to
– Retention of treatment results.
Recommended for: Orthodontists, General dentists.
Lezione 7.Digital protocols in extraction cases treated with the lingual orthodontics applainces
– Lingual orthodontics biomechanics
– How to avoid losing anchorage?
– Torque application and torque control in lingual orthodontic appliances
– Analysis of the different geometry of lingual orthodontic wires
– Robotics in orthodontics. Where we are now?
– Finishing in lingual orthodontics. A hybrid system
– Retention: protocols
– Relapse in the lingual technique.
Recommended for: Orthodontists, General dentists.
Il corso include le seguenti lezioni:
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1o 30m
Lezione 1
Biomechanics of space closure. Аnchorage control
Helder JacobMostra il programma della lezione
0:01
Introduction and Lecture Objectives
7:43
Importance of Biomechanics in Orthodontics
15:23
Extractions, Incisor Position and Aesthetics
20:06
Case Presentation: Ike — Diagnosis & Planning
28:01
Anchorage Concepts and Space-Closure Requirements
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1o 7m
Lezione 2
Serial extraction in mixed dentition. Germectomy
Marco RosaMostra il programma della lezione
0:01
Serial extraction: principles and timing
6:37
Non‑extraction strategies and lingual arch
12:30
Enucleation of premolars: technique and indications
18:35
Early third‑molar extraction: technique and indications
28:31
Contraindications and outcomes of early extraction
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1o 2m
Lezione 3
Extraction of maxillary premolars and space closure
Saulo GribelMostra il programma della lezione
0:01
Introduction and course topics
0:45
Premolar extraction strategies (Class I–III)
5:44
Anchorage management and mini-implants (miniscrews)
10:40
Biomechanics: center of resistance and tooth movement
14:57
Space-closure mechanics: sliding vs frictionless
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1o 31m
Lezione 4
Hinge mechanics and TPA mechanics to close spaces
Marino MusilliMostra il programma della lezione
0:01
Introduction and Injumechanics Overview
5:57
Hinge Mechanics: Door Analogy and Bisecting‑Line Rule
12:28
Force Calculation: Lever Model and Equilibrium
15:52
Characteristics of Hinge Mechanics & Statically Determinate Systems
24:56
Clinical Case — Dental Movement with Bone (Premolar Distalization)
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