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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**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/ 👈🏻 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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