🔥 The IPR Reality Check: Why Your Aligner Cases Need Refinements (And How to Fix It!) 🔥 Even with precise digital planning by SoftSmile VISION Software, your cases might still need extra aligners—all because of one critical step: IPR execution! ⚠️ The Hard Truth: - Software plans: "0.3mm IPR here for perfect movement." - Clinical reality: No IPR done → Teeth stuck → Refinements ordered! 🔍 When you match progress scans, you’ll spot: Tight contacts where IPR was meant to create space Poor tracking because teeth physically couldn’t move as designed 💡 The Solution? Precision + Protocol! - Verify IPR clinically (To match with the software!) - Check contacts at EVERY visit (prevention > refinement) - Use the right tools 🛠 IPR Protocol: - Diamond strips (best for minimal, controlled reduction) - Oscillating systems (safest for larger reductions) -...
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**Attention Orthodontists: Are Your Treatment Plans Up to Snuff?** 🦷
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**Attention Orthodontists: Are Your Treatment Plans Up to Snuff?** 🦷
I recently had the opportunity to review an orthodontic aligners treatment plan that was sent to me via DM, and it was a real eye-opener! 👀 As professionals, we must possess sharp eyes and a keen sense of detail to catch potential pitfalls in our treatment strategies. Here are some critical issues I spotted that could jeopardize patient outcomes: 1. **Segmentation Issues**: Fake spaces spotted at upper left 5— also distalizting it without attachment 2. **Timing Troubles(Staging)**: Teeth moving simultaneously without proper anchorage consideration—it's a recipe for disaster, especially with crossbites and crowding. plus unsynergistic movements detected . 3. **Canine Traction Missteps**: Traction initiated too early without proper space. in addition to wrong tration mechnic by adding a button on lower 3s while ignoring the 4s .Mechanics matter, folks! 4. **Counterproductive Mechanics**: Using bite raisers while tractioning canines? That’s a conflicting approach! 5. **Premolar Movements**: Shifting them buccally and lingually back and forth is detrimental to bone health. 6. **Uneven Overjet**: A critical factor that needs addressing. 7. **Upper-Lower Collision**: Expansion causing clashes due to improper overjet can be harmful— even in the presence of bite raisers. 8. **TMJ Risks**: Bite raisers throughout treatment can jeopardize our patients' TMJ health—let's be cautious! 9. **Attachment Issues**: Incorrect positioning and thickness, plus the wrong type of miniscrew attachment—instead of using button cutout (window) 10. **Class Changes**: Distalizing molars leading to class III changes—this needs a second look! 11. **Arch Form Considerations**: Did we miss the parabolic arch form for adequate expansion? if the treatment plan goes for expansion rather than extraction. 12. **Record Review**: Not checking bone levels and gingival thickness? that allows allthese movents without getting bone dehiscense and fenestration as showed in the simulation As we push the boundaries of orthodontics, let’s ensure we’re delivering the best outcomes for our patients. A meticulous review process can save us from potential complications down the line. Stay vigilant, colleagues! hashtag#Orthodonticshashtag#TreatmentPlanninghashtag#AlignerTherapyhashtag#PatientCarehashtag#DentalProfessionalshashtag#orthodontisthashtag#dentist
if you are intersted in this article please follow for more readings https://myorthodonticsblogg.blogspot.com/ 👈🏻 Assessing the complexity of orthodontic cases is a critical step in ensuring successful aligner treatments. By identifying potential challenges early, dentists can set realistic expectations, minimize refinements, and improve patient satisfaction. This blog explores a systematic approach to evaluating case complexity, treatment predictability, and contraindications for clear aligners. Why Assess Case Complexity? Aligners excel in certain orthodontic corrections but are less predictable for complex movements. A thorough assessment helps: Identify refinement potential – Plan for additional aligner sets if needed. Optimize treatment plans – Overengineer movements prone to undercorrection. Avoid unpredictable outcomes – Modify plans to prioritize achievable results. Enhance patient communication – Align expectations with...
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...
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 a...
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