I recently received a treatment plan for orthodontic aligners via DM from a company, with zero knowledge of basic orthodontic mechanics. Here’s a summary of the issues I noticed (and trust me, they’re not minor): 1️⃣ **Attachment Misalignment**: Inadequate size and position of the attachments. aside from this the plan relies on a buccal attachment for upper premolar rotation, for almost 20-degree without utilizing palatal attachments or elastics. 2️⃣ **Bone Health at Stake**: The continual expansion and retraction of the premolars can have a drastic effect on bone density. We must prioritize the long-term health of our patients! 3️⃣ **Timing Trouble (wrong staging) **: The plan appears to be moving all teeth simultaneously, leading to unsynergistic movements. Timing is everything in orthodontics as teeth move like a chess pieces. 4️⃣ **Torque Trouble**: The wrong mechanics used with cross elastics for correcting the lower right five are questionable, introducing negative torque in th
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Comparison between 2 designes
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🔍 Critical Analysis: Orthodontic Aligners Treatment Plans - A Comparative Study of Two Designs 🦷 As we dive deeper into the world of orthodontic aligners, it's essential to critically evaluate the efficacy of different treatment designs Not my designs ,however i reviewed them for my opinion .So, I want to shed light on why Design 2 stands out as feasible option for achieving results. Here’s why Design 2 is a better : 1-Effective 2-Step Retraction: This innovative approach alleviates crowding while minimally impacting the torque of anterior teeth. The slight negative root torque and retroclination create a balanced force, avoiding the dreaded dumping effect. 2-Strategic Space Closure: The reciprocal space closure occurring between trays 16 and 17 demonstrates a systematic movement of the 3s and 5s, followed by the anterior segment. This method ensures that once 50% closure is achieved, the 6s and subsequently the 7s can move efficiently. 3-Simplified Tooth Movement: Unlike Design 1, Design 2 eliminates simultaneous tooth movement, allowing for a more controlled and predictable progression. 4-Precision with 41 Trays: This design incorporates 41 trays, which facilitates accurate incremental movements, ensuring each step is precisely tailored to the patient's needs. 5-Optimal Attachment Positioning: The strategic placement of attachments on upper canines, equipped with slits, allows for relative sliding movement during retraction, enhancing adaptability. 6-Acceptable Overjet: Design 2 maintains an acceptable overjet, contributing to overall treatment satisfaction. 7-Midline Alignment: While the upper midline remains undetermined due to incomplete records, the lower midline is on track, showcasing the design's focus on symmetry. 8-Molar & Canine Relations: The left side shows a Class I relationship, while the right side is edge-to-edge (¼ unit Class II) with a 1/3 canine relation—providing a comprehensive view of occlusal dynamics. 9-Accepted Overbite: Ensuring that the overbite remains within acceptable limits further solidifies the design's effectiveness.
What would i do differently ? -Proper diagnosis for chacking the amout of spaces needed for xtn and space closure - Replace the slits on L6s with Bottoms ( as bottoms don’t dislodge the lower aligner ) - Reduce the amount of attachment especially on the central incisors upper and lowers asthey will irritate and discomfort the patient during seating and removing the aligner- Removal of attachment placed on the 8s , they will be debonded with the 1st andremoval of the aligner by the patient . - Inter cuspation could be improved → by some refinements and reducing the amount offiring of the post seg. And focusing on ant. Segment crowding correction . - Cannot decide what to do with UL 8 need panoramic x-ray and patient acceptance of xtnand its opponent 8 as if we removed it we will get over eruption of the opposing lower 8likewise with the LR 8
Do the prescribed movements are realistic? - Could be possible / however some side effects like dumpimg effect may took place . - Sometimes mesialization (firing of post. Seg) isn’t easy as somehow depends on many factors such as : the density of the bone and whether the patient is hypo / hyper divergent . - If the patient was cooperative with wearing the aligners not less than 20 hours + the elastics
if you are intersted in this article please follow for more readings https://myorthodonticsblogg.blogspot.com/ 👈🏻 Class II Division 2 (definition) : Acc. To Angle’s Classification It is when the buccal groove of the 1 st Mandibular molar occludes distal to mesio-buccal cusp of 1 st maxillary molar with retroclination of maxillary central incisors. Acc. To British Standards classification (Incisor relationship) The lower incisors edgs occlude posteriorly to the cingulum plateau of the upper incisors & the lower centrals are retruded (due to lack of stops) Sub-types Type A : Maxillary centrals and laterals are retroclined. Type B : Maxillary Laterals overlapping the retroclined centrals . Type C : Maxillary centrals and laterals areretroclined and are overlapped by max. canines. Criteria Extra Oral features : - Shape of head : Brachycephalic - Facial Profile : Convex / Straight - Chin : prominent - Lower lip : Everted (lower
if you are intersted in this article please follow for more readings https://myorthodonticsblogg.blogspot.com/ 👈🏻 Arch sequencing depends on : 1- Archwire Types 2- Archwire Functions 3- Archwire Sequencing according to cases (where different situations requires sequences ) 4- Pain associated with Archwire placement and activation INTRODUCTION A successful orthodontic therapy depends not only on manual skills and knowledge of treatment steps but also on knowledge and choice of materials used. One of the major components of fixed orthodontic therapy is the choice of wires. Orthodontic wires are defined as devices comprising a wire conforming to the alveolar or dental arch, which is used as an anchorage for correcting irregularities in the position of teeth . Therefore, the aim of the this assignment was to focus on the differences in the features of wires as well as their working sequence according to the treatment plan. 1- Archwire Types:
if you are intersted in this article please follow for more readings https://myorthodonticsblogg.blogspot.com/ In this Article many questions have been answered .. 1- What are the advantages of using orthodontic aligners over traditional braces? 2-How do orthodontic offices incorporate aligners into their treatment plans? 3- what is shape-memory sheet (ClearX)? 4-Are there any limitations or drawbacks to using aligners for orthodontic treatment? Orthodontic aligners have several advantages over traditional braces, including: 1. Aesthetics: Aligners are virtually invisible, making them a popular choice for adults and teenagers who are self-conscious about their appearance. Unlike traditional braces, which use metal brackets and wires, aligners are made of clear plastic and are custom-fitted to the patient's teeth. 2. Comfort: Aligners are made of smooth, comfortable plastic that does not irritate the gums or cheeks. Unlike traditional braces, which can cause discomfort an
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