ortho international No. 2, 2017
Cover
/ Editorial
/ Content
/ Virtual reality and orthodontics: A new patient experience
/ Tongue star 2 (TS2) – System for rapid open bite closure
/ Use of diode laser in the treatment of gingival enlargement during orthodontic treatment: Case report
/ Orthodontic management of maxillary lateral incisors agenesis
/ Maxillary molar distalisation with aligners and cyclic forces
/ Oral hygiene in orthodontics
/ Structo’s high throughput dental 3-D printers help lay foundation for dental chain to launch own brand of clear aligners
/ Sensorimotor training with RehaBite during orthodontic treatment
/ Manufacturer news
/ Meetings
/ Submission guidelines
/ Imprint
Array
(
[post_data] => WP_Post Object
(
[ID] => 72322
[post_author] => 0
[post_date] => 2017-09-05 14:35:56
[post_date_gmt] => 2017-09-05 14:35:56
[post_content] =>
[post_title] => ortho international No. 2, 2017
[post_excerpt] =>
[post_status] => publish
[comment_status] => closed
[ping_status] => closed
[post_password] =>
[post_name] => ortho-international-no-2-2017
[to_ping] =>
[pinged] =>
[post_modified] => 2024-10-23 09:39:08
[post_modified_gmt] => 2024-10-23 09:39:08
[post_content_filtered] =>
[post_parent] => 0
[guid] => https://e.dental-tribune.com/epaper/ortho0217/
[menu_order] => 0
[post_type] => epaper
[post_mime_type] =>
[comment_count] => 0
[filter] => raw
)
[id] => 72322
[id_hash] => 53fef435f8defea66869a2709016b273f6c5368d16f3e3a68ed08e25395cf126
[post_type] => epaper
[post_date] => 2017-09-05 14:35:56
[fields] => Array
(
[pdf] => Array
(
[ID] => 72323
[id] => 72323
[title] => ortho0217.pdf
[filename] => ortho0217.pdf
[filesize] => 0
[url] => https://e.dental-tribune.com/wp-content/uploads/ortho0217.pdf
[link] => https://e.dental-tribune.com/epaper/ortho-international-no-2-2017/ortho0217-pdf-3/
[alt] =>
[author] => 0
[description] =>
[caption] =>
[name] => ortho0217-pdf-3
[status] => inherit
[uploaded_to] => 72322
[date] => 2024-10-23 09:39:01
[modified] => 2024-10-23 09:39:01
[menu_order] => 0
[mime_type] => application/pdf
[type] => application
[subtype] => pdf
[icon] => https://e.dental-tribune.com/wp-includes/images/media/document.png
)
[cf_issue_name] => No. 2, 2017
[cf_edition_number] => 0217
[contents] => Array
(
[0] => Array
(
[from] => 01
[to] => 01
[title] => Cover
[description] => Cover
)
[1] => Array
(
[from] => 03
[to] => 03
[title] => Editorial
[description] => Editorial
)
[2] => Array
(
[from] => 04
[to] => 04
[title] => Content
[description] => Content
)
[3] => Array
(
[from] => 06
[to] => 08
[title] => Virtual reality and orthodontics: A new patient experience
[description] => Virtual reality and orthodontics: A new patient experience
)
[4] => Array
(
[from] => 10
[to] => 15
[title] => Tongue star 2 (TS2) – System for rapid open bite closure
[description] => Tongue star 2 (TS2) – System for rapid open bite closure
)
[5] => Array
(
[from] => 16
[to] => 18
[title] => Use of diode laser in the treatment of gingival enlargement during orthodontic treatment: Case report
[description] => Use of diode laser in the treatment of gingival enlargement during orthodontic treatment: Case report
)
[6] => Array
(
[from] => 20
[to] => 24
[title] => Orthodontic management of maxillary lateral incisors agenesis
[description] => Orthodontic management of maxillary lateral incisors agenesis
)
[7] => Array
(
[from] => 26
[to] => 31
[title] => Maxillary molar distalisation with aligners and cyclic forces
[description] => Maxillary molar distalisation with aligners and cyclic forces
)
[8] => Array
(
[from] => 32
[to] => 33
[title] => Oral hygiene in orthodontics
[description] => Oral hygiene in orthodontics
)
[9] => Array
(
[from] => 34
[to] => 36
[title] => Structo’s high throughput dental 3-D printers help lay foundation for dental chain to launch own brand of clear aligners
[description] => Structo’s high throughput dental 3-D printers help lay foundation for dental chain to launch own brand of clear aligners
)
[10] => Array
(
[from] => 38
[to] => 39
[title] => Sensorimotor training with RehaBite during orthodontic treatment
[description] => Sensorimotor training with RehaBite during orthodontic treatment
)
[11] => Array
(
[from] => 40
[to] => 42
[title] => Manufacturer news
[description] => Manufacturer news
)
[12] => Array
(
[from] => 44
[to] => 46
[title] => Meetings
[description] => Meetings
)
[13] => Array
(
[from] => 49
[to] => 49
[title] => Submission guidelines
[description] => Submission guidelines
)
[14] => Array
(
[from] => 50
[to] => 50
[title] => Imprint
[description] => Imprint
)
)
)
[permalink] => https://e.dental-tribune.com/epaper/ortho-international-no-2-2017/
[post_title] => ortho international No. 2, 2017
[client] =>
[client_slug] =>
[pages_generated] =>
[pages] => Array
(
[1] => Array
(
[image_url] => Array
(
[2000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/72322-2e53082f/2000/page-0.jpg
[1000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/72322-2e53082f/1000/page-0.jpg
[200] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/72322-2e53082f/200/page-0.jpg
)
[key] => Array
(
[2000] => 72322-2e53082f/2000/page-0.jpg
[1000] => 72322-2e53082f/1000/page-0.jpg
[200] => 72322-2e53082f/200/page-0.jpg
)
[ads] => Array
(
)
[html_content] =>
)
[2] => Array
(
[image_url] => Array
(
[2000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/72322-2e53082f/2000/page-1.jpg
[1000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/72322-2e53082f/1000/page-1.jpg
[200] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/72322-2e53082f/200/page-1.jpg
)
[key] => Array
(
[2000] => 72322-2e53082f/2000/page-1.jpg
[1000] => 72322-2e53082f/1000/page-1.jpg
[200] => 72322-2e53082f/200/page-1.jpg
)
[ads] => Array
(
)
[html_content] =>
)
[3] => Array
(
[image_url] => Array
(
[2000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/72322-2e53082f/2000/page-2.jpg
[1000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/72322-2e53082f/1000/page-2.jpg
[200] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/72322-2e53082f/200/page-2.jpg
)
[key] => Array
(
[2000] => 72322-2e53082f/2000/page-2.jpg
[1000] => 72322-2e53082f/1000/page-2.jpg
[200] => 72322-2e53082f/200/page-2.jpg
)
[ads] => Array
(
)
[html_content] =>
)
[4] => Array
(
[image_url] => Array
(
[2000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/72322-2e53082f/2000/page-3.jpg
[1000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/72322-2e53082f/1000/page-3.jpg
[200] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/72322-2e53082f/200/page-3.jpg
)
[key] => Array
(
[2000] => 72322-2e53082f/2000/page-3.jpg
[1000] => 72322-2e53082f/1000/page-3.jpg
[200] => 72322-2e53082f/200/page-3.jpg
)
[ads] => Array
(
)
[html_content] =>
)
[5] => Array
(
[image_url] => Array
(
[2000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/72322-2e53082f/2000/page-4.jpg
[1000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/72322-2e53082f/1000/page-4.jpg
[200] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/72322-2e53082f/200/page-4.jpg
)
[key] => Array
(
[2000] => 72322-2e53082f/2000/page-4.jpg
[1000] => 72322-2e53082f/1000/page-4.jpg
[200] => 72322-2e53082f/200/page-4.jpg
)
[ads] => Array
(
[0] => Array
(
[post_data] => WP_Post Object
(
[ID] => 72324
[post_author] => 0
[post_date] => 2024-10-23 09:39:01
[post_date_gmt] => 2024-10-23 09:39:01
[post_content] =>
[post_title] => epaper-72322-page-5-ad-72324
[post_excerpt] =>
[post_status] => publish
[comment_status] => closed
[ping_status] => closed
[post_password] =>
[post_name] => epaper-72322-page-5-ad-72324
[to_ping] =>
[pinged] =>
[post_modified] => 2024-10-23 09:39:01
[post_modified_gmt] => 2024-10-23 09:39:01
[post_content_filtered] =>
[post_parent] => 0
[guid] => https://e.dental-tribune.com/ad/epaper-72322-page-5-ad/
[menu_order] => 0
[post_type] => ad
[post_mime_type] =>
[comment_count] => 0
[filter] => raw
)
[id] => 72324
[id_hash] => cb183748d99fef591a542ce5008ab8226288f28d2e5f91b70e39567a13f4c610
[post_type] => ad
[post_date] => 2024-10-23 09:39:01
[fields] => Array
(
[url] => http://www.dental-tribune.com
[link] => URL
)
[permalink] => https://e.dental-tribune.com/ad/epaper-72322-page-5-ad-72324/
[post_title] => epaper-72322-page-5-ad-72324
[post_status] => publish
[position] => 4.6,3.01,90.41,92.89
[belongs_to_epaper] => 72322
[page] => 5
[cached] => false
)
)
[html_content] =>
)
[6] => Array
(
[image_url] => Array
(
[2000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/72322-2e53082f/2000/page-5.jpg
[1000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/72322-2e53082f/1000/page-5.jpg
[200] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/72322-2e53082f/200/page-5.jpg
)
[key] => Array
(
[2000] => 72322-2e53082f/2000/page-5.jpg
[1000] => 72322-2e53082f/1000/page-5.jpg
[200] => 72322-2e53082f/200/page-5.jpg
)
[ads] => Array
(
)
[html_content] =>
)
[7] => Array
(
[image_url] => Array
(
[2000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/72322-2e53082f/2000/page-6.jpg
[1000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/72322-2e53082f/1000/page-6.jpg
[200] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/72322-2e53082f/200/page-6.jpg
)
[key] => Array
(
[2000] => 72322-2e53082f/2000/page-6.jpg
[1000] => 72322-2e53082f/1000/page-6.jpg
[200] => 72322-2e53082f/200/page-6.jpg
)
[ads] => Array
(
)
[html_content] =>
)
[8] => Array
(
[image_url] => Array
(
[2000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/72322-2e53082f/2000/page-7.jpg
[1000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/72322-2e53082f/1000/page-7.jpg
[200] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/72322-2e53082f/200/page-7.jpg
)
[key] => Array
(
[2000] => 72322-2e53082f/2000/page-7.jpg
[1000] => 72322-2e53082f/1000/page-7.jpg
[200] => 72322-2e53082f/200/page-7.jpg
)
[ads] => Array
(
)
[html_content] =>
)
[9] => Array
(
[image_url] => Array
(
[2000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/72322-2e53082f/2000/page-8.jpg
[1000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/72322-2e53082f/1000/page-8.jpg
[200] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/72322-2e53082f/200/page-8.jpg
)
[key] => Array
(
[2000] => 72322-2e53082f/2000/page-8.jpg
[1000] => 72322-2e53082f/1000/page-8.jpg
[200] => 72322-2e53082f/200/page-8.jpg
)
[ads] => Array
(
)
[html_content] =>
)
[10] => Array
(
[image_url] => Array
(
[2000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/72322-2e53082f/2000/page-9.jpg
[1000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/72322-2e53082f/1000/page-9.jpg
[200] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/72322-2e53082f/200/page-9.jpg
)
[key] => Array
(
[2000] => 72322-2e53082f/2000/page-9.jpg
[1000] => 72322-2e53082f/1000/page-9.jpg
[200] => 72322-2e53082f/200/page-9.jpg
)
[ads] => Array
(
)
[html_content] =>
)
[11] => Array
(
[image_url] => Array
(
[2000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/72322-2e53082f/2000/page-10.jpg
[1000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/72322-2e53082f/1000/page-10.jpg
[200] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/72322-2e53082f/200/page-10.jpg
)
[key] => Array
(
[2000] => 72322-2e53082f/2000/page-10.jpg
[1000] => 72322-2e53082f/1000/page-10.jpg
[200] => 72322-2e53082f/200/page-10.jpg
)
[ads] => Array
(
)
[html_content] =>
)
[12] => Array
(
[image_url] => Array
(
[2000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/72322-2e53082f/2000/page-11.jpg
[1000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/72322-2e53082f/1000/page-11.jpg
[200] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/72322-2e53082f/200/page-11.jpg
)
[key] => Array
(
[2000] => 72322-2e53082f/2000/page-11.jpg
[1000] => 72322-2e53082f/1000/page-11.jpg
[200] => 72322-2e53082f/200/page-11.jpg
)
[ads] => Array
(
)
[html_content] =>
)
[13] => Array
(
[image_url] => Array
(
[2000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/72322-2e53082f/2000/page-12.jpg
[1000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/72322-2e53082f/1000/page-12.jpg
[200] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/72322-2e53082f/200/page-12.jpg
)
[key] => Array
(
[2000] => 72322-2e53082f/2000/page-12.jpg
[1000] => 72322-2e53082f/1000/page-12.jpg
[200] => 72322-2e53082f/200/page-12.jpg
)
[ads] => Array
(
)
[html_content] =>
)
[14] => Array
(
[image_url] => Array
(
[2000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/72322-2e53082f/2000/page-13.jpg
[1000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/72322-2e53082f/1000/page-13.jpg
[200] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/72322-2e53082f/200/page-13.jpg
)
[key] => Array
(
[2000] => 72322-2e53082f/2000/page-13.jpg
[1000] => 72322-2e53082f/1000/page-13.jpg
[200] => 72322-2e53082f/200/page-13.jpg
)
[ads] => Array
(
)
[html_content] =>
)
[15] => Array
(
[image_url] => Array
(
[2000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/72322-2e53082f/2000/page-14.jpg
[1000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/72322-2e53082f/1000/page-14.jpg
[200] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/72322-2e53082f/200/page-14.jpg
)
[key] => Array
(
[2000] => 72322-2e53082f/2000/page-14.jpg
[1000] => 72322-2e53082f/1000/page-14.jpg
[200] => 72322-2e53082f/200/page-14.jpg
)
[ads] => Array
(
)
[html_content] =>
)
[16] => Array
(
[image_url] => Array
(
[2000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/72322-2e53082f/2000/page-15.jpg
[1000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/72322-2e53082f/1000/page-15.jpg
[200] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/72322-2e53082f/200/page-15.jpg
)
[key] => Array
(
[2000] => 72322-2e53082f/2000/page-15.jpg
[1000] => 72322-2e53082f/1000/page-15.jpg
[200] => 72322-2e53082f/200/page-15.jpg
)
[ads] => Array
(
)
[html_content] =>
)
[17] => Array
(
[image_url] => Array
(
[2000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/72322-2e53082f/2000/page-16.jpg
[1000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/72322-2e53082f/1000/page-16.jpg
[200] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/72322-2e53082f/200/page-16.jpg
)
[key] => Array
(
[2000] => 72322-2e53082f/2000/page-16.jpg
[1000] => 72322-2e53082f/1000/page-16.jpg
[200] => 72322-2e53082f/200/page-16.jpg
)
[ads] => Array
(
)
[html_content] =>
)
[18] => Array
(
[image_url] => Array
(
[2000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/72322-2e53082f/2000/page-17.jpg
[1000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/72322-2e53082f/1000/page-17.jpg
[200] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/72322-2e53082f/200/page-17.jpg
)
[key] => Array
(
[2000] => 72322-2e53082f/2000/page-17.jpg
[1000] => 72322-2e53082f/1000/page-17.jpg
[200] => 72322-2e53082f/200/page-17.jpg
)
[ads] => Array
(
)
[html_content] =>
)
[19] => Array
(
[image_url] => Array
(
[2000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/72322-2e53082f/2000/page-18.jpg
[1000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/72322-2e53082f/1000/page-18.jpg
[200] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/72322-2e53082f/200/page-18.jpg
)
[key] => Array
(
[2000] => 72322-2e53082f/2000/page-18.jpg
[1000] => 72322-2e53082f/1000/page-18.jpg
[200] => 72322-2e53082f/200/page-18.jpg
)
[ads] => Array
(
)
[html_content] =>
)
[20] => Array
(
[image_url] => Array
(
[2000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/72322-2e53082f/2000/page-19.jpg
[1000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/72322-2e53082f/1000/page-19.jpg
[200] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/72322-2e53082f/200/page-19.jpg
)
[key] => Array
(
[2000] => 72322-2e53082f/2000/page-19.jpg
[1000] => 72322-2e53082f/1000/page-19.jpg
[200] => 72322-2e53082f/200/page-19.jpg
)
[ads] => Array
(
)
[html_content] =>
)
[21] => Array
(
[image_url] => Array
(
[2000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/72322-2e53082f/2000/page-20.jpg
[1000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/72322-2e53082f/1000/page-20.jpg
[200] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/72322-2e53082f/200/page-20.jpg
)
[key] => Array
(
[2000] => 72322-2e53082f/2000/page-20.jpg
[1000] => 72322-2e53082f/1000/page-20.jpg
[200] => 72322-2e53082f/200/page-20.jpg
)
[ads] => Array
(
)
[html_content] =>
)
[22] => Array
(
[image_url] => Array
(
[2000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/72322-2e53082f/2000/page-21.jpg
[1000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/72322-2e53082f/1000/page-21.jpg
[200] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/72322-2e53082f/200/page-21.jpg
)
[key] => Array
(
[2000] => 72322-2e53082f/2000/page-21.jpg
[1000] => 72322-2e53082f/1000/page-21.jpg
[200] => 72322-2e53082f/200/page-21.jpg
)
[ads] => Array
(
)
[html_content] =>
)
[23] => Array
(
[image_url] => Array
(
[2000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/72322-2e53082f/2000/page-22.jpg
[1000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/72322-2e53082f/1000/page-22.jpg
[200] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/72322-2e53082f/200/page-22.jpg
)
[key] => Array
(
[2000] => 72322-2e53082f/2000/page-22.jpg
[1000] => 72322-2e53082f/1000/page-22.jpg
[200] => 72322-2e53082f/200/page-22.jpg
)
[ads] => Array
(
)
[html_content] =>
)
[24] => Array
(
[image_url] => Array
(
[2000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/72322-2e53082f/2000/page-23.jpg
[1000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/72322-2e53082f/1000/page-23.jpg
[200] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/72322-2e53082f/200/page-23.jpg
)
[key] => Array
(
[2000] => 72322-2e53082f/2000/page-23.jpg
[1000] => 72322-2e53082f/1000/page-23.jpg
[200] => 72322-2e53082f/200/page-23.jpg
)
[ads] => Array
(
)
[html_content] =>
)
[25] => Array
(
[image_url] => Array
(
[2000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/72322-2e53082f/2000/page-24.jpg
[1000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/72322-2e53082f/1000/page-24.jpg
[200] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/72322-2e53082f/200/page-24.jpg
)
[key] => Array
(
[2000] => 72322-2e53082f/2000/page-24.jpg
[1000] => 72322-2e53082f/1000/page-24.jpg
[200] => 72322-2e53082f/200/page-24.jpg
)
[ads] => Array
(
[0] => Array
(
[post_data] => WP_Post Object
(
[ID] => 72325
[post_author] => 0
[post_date] => 2024-10-23 09:39:01
[post_date_gmt] => 2024-10-23 09:39:01
[post_content] =>
[post_title] => epaper-72322-page-25-ad-72325
[post_excerpt] =>
[post_status] => publish
[comment_status] => closed
[ping_status] => closed
[post_password] =>
[post_name] => epaper-72322-page-25-ad-72325
[to_ping] =>
[pinged] =>
[post_modified] => 2024-10-23 09:39:01
[post_modified_gmt] => 2024-10-23 09:39:01
[post_content_filtered] =>
[post_parent] => 0
[guid] => https://e.dental-tribune.com/ad/epaper-72322-page-25-ad/
[menu_order] => 0
[post_type] => ad
[post_mime_type] =>
[comment_count] => 0
[filter] => raw
)
[id] => 72325
[id_hash] => ee9b2fafccd7146c3b7935744e827a505d575a6aca045fe8b81a5f8dd881cec7
[post_type] => ad
[post_date] => 2024-10-23 09:39:01
[fields] => Array
(
[url] => http://www.icontact-archive.com/ixFiZxXkUEbmYuigGhH2UtUvbPW6wIr_?w=3
[link] => URL
)
[permalink] => https://e.dental-tribune.com/ad/epaper-72322-page-25-ad-72325/
[post_title] => epaper-72322-page-25-ad-72325
[post_status] => publish
[position] => 2.67,1.64,92.72,96.17
[belongs_to_epaper] => 72322
[page] => 25
[cached] => false
)
)
[html_content] =>
)
[26] => Array
(
[image_url] => Array
(
[2000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/72322-2e53082f/2000/page-25.jpg
[1000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/72322-2e53082f/1000/page-25.jpg
[200] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/72322-2e53082f/200/page-25.jpg
)
[key] => Array
(
[2000] => 72322-2e53082f/2000/page-25.jpg
[1000] => 72322-2e53082f/1000/page-25.jpg
[200] => 72322-2e53082f/200/page-25.jpg
)
[ads] => Array
(
)
[html_content] =>
)
[27] => Array
(
[image_url] => Array
(
[2000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/72322-2e53082f/2000/page-26.jpg
[1000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/72322-2e53082f/1000/page-26.jpg
[200] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/72322-2e53082f/200/page-26.jpg
)
[key] => Array
(
[2000] => 72322-2e53082f/2000/page-26.jpg
[1000] => 72322-2e53082f/1000/page-26.jpg
[200] => 72322-2e53082f/200/page-26.jpg
)
[ads] => Array
(
)
[html_content] =>
)
[28] => Array
(
[image_url] => Array
(
[2000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/72322-2e53082f/2000/page-27.jpg
[1000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/72322-2e53082f/1000/page-27.jpg
[200] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/72322-2e53082f/200/page-27.jpg
)
[key] => Array
(
[2000] => 72322-2e53082f/2000/page-27.jpg
[1000] => 72322-2e53082f/1000/page-27.jpg
[200] => 72322-2e53082f/200/page-27.jpg
)
[ads] => Array
(
)
[html_content] =>
)
[29] => Array
(
[image_url] => Array
(
[2000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/72322-2e53082f/2000/page-28.jpg
[1000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/72322-2e53082f/1000/page-28.jpg
[200] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/72322-2e53082f/200/page-28.jpg
)
[key] => Array
(
[2000] => 72322-2e53082f/2000/page-28.jpg
[1000] => 72322-2e53082f/1000/page-28.jpg
[200] => 72322-2e53082f/200/page-28.jpg
)
[ads] => Array
(
)
[html_content] =>
)
[30] => Array
(
[image_url] => Array
(
[2000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/72322-2e53082f/2000/page-29.jpg
[1000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/72322-2e53082f/1000/page-29.jpg
[200] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/72322-2e53082f/200/page-29.jpg
)
[key] => Array
(
[2000] => 72322-2e53082f/2000/page-29.jpg
[1000] => 72322-2e53082f/1000/page-29.jpg
[200] => 72322-2e53082f/200/page-29.jpg
)
[ads] => Array
(
)
[html_content] =>
)
[31] => Array
(
[image_url] => Array
(
[2000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/72322-2e53082f/2000/page-30.jpg
[1000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/72322-2e53082f/1000/page-30.jpg
[200] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/72322-2e53082f/200/page-30.jpg
)
[key] => Array
(
[2000] => 72322-2e53082f/2000/page-30.jpg
[1000] => 72322-2e53082f/1000/page-30.jpg
[200] => 72322-2e53082f/200/page-30.jpg
)
[ads] => Array
(
)
[html_content] =>
)
[32] => Array
(
[image_url] => Array
(
[2000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/72322-2e53082f/2000/page-31.jpg
[1000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/72322-2e53082f/1000/page-31.jpg
[200] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/72322-2e53082f/200/page-31.jpg
)
[key] => Array
(
[2000] => 72322-2e53082f/2000/page-31.jpg
[1000] => 72322-2e53082f/1000/page-31.jpg
[200] => 72322-2e53082f/200/page-31.jpg
)
[ads] => Array
(
)
[html_content] =>
)
[33] => Array
(
[image_url] => Array
(
[2000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/72322-2e53082f/2000/page-32.jpg
[1000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/72322-2e53082f/1000/page-32.jpg
[200] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/72322-2e53082f/200/page-32.jpg
)
[key] => Array
(
[2000] => 72322-2e53082f/2000/page-32.jpg
[1000] => 72322-2e53082f/1000/page-32.jpg
[200] => 72322-2e53082f/200/page-32.jpg
)
[ads] => Array
(
)
[html_content] =>
)
[34] => Array
(
[image_url] => Array
(
[2000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/72322-2e53082f/2000/page-33.jpg
[1000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/72322-2e53082f/1000/page-33.jpg
[200] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/72322-2e53082f/200/page-33.jpg
)
[key] => Array
(
[2000] => 72322-2e53082f/2000/page-33.jpg
[1000] => 72322-2e53082f/1000/page-33.jpg
[200] => 72322-2e53082f/200/page-33.jpg
)
[ads] => Array
(
)
[html_content] =>
)
[35] => Array
(
[image_url] => Array
(
[2000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/72322-2e53082f/2000/page-34.jpg
[1000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/72322-2e53082f/1000/page-34.jpg
[200] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/72322-2e53082f/200/page-34.jpg
)
[key] => Array
(
[2000] => 72322-2e53082f/2000/page-34.jpg
[1000] => 72322-2e53082f/1000/page-34.jpg
[200] => 72322-2e53082f/200/page-34.jpg
)
[ads] => Array
(
)
[html_content] =>
)
[36] => Array
(
[image_url] => Array
(
[2000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/72322-2e53082f/2000/page-35.jpg
[1000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/72322-2e53082f/1000/page-35.jpg
[200] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/72322-2e53082f/200/page-35.jpg
)
[key] => Array
(
[2000] => 72322-2e53082f/2000/page-35.jpg
[1000] => 72322-2e53082f/1000/page-35.jpg
[200] => 72322-2e53082f/200/page-35.jpg
)
[ads] => Array
(
)
[html_content] =>
)
[37] => Array
(
[image_url] => Array
(
[2000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/72322-2e53082f/2000/page-36.jpg
[1000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/72322-2e53082f/1000/page-36.jpg
[200] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/72322-2e53082f/200/page-36.jpg
)
[key] => Array
(
[2000] => 72322-2e53082f/2000/page-36.jpg
[1000] => 72322-2e53082f/1000/page-36.jpg
[200] => 72322-2e53082f/200/page-36.jpg
)
[ads] => Array
(
)
[html_content] =>
)
[38] => Array
(
[image_url] => Array
(
[2000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/72322-2e53082f/2000/page-37.jpg
[1000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/72322-2e53082f/1000/page-37.jpg
[200] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/72322-2e53082f/200/page-37.jpg
)
[key] => Array
(
[2000] => 72322-2e53082f/2000/page-37.jpg
[1000] => 72322-2e53082f/1000/page-37.jpg
[200] => 72322-2e53082f/200/page-37.jpg
)
[ads] => Array
(
)
[html_content] =>
)
[39] => Array
(
[image_url] => Array
(
[2000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/72322-2e53082f/2000/page-38.jpg
[1000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/72322-2e53082f/1000/page-38.jpg
[200] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/72322-2e53082f/200/page-38.jpg
)
[key] => Array
(
[2000] => 72322-2e53082f/2000/page-38.jpg
[1000] => 72322-2e53082f/1000/page-38.jpg
[200] => 72322-2e53082f/200/page-38.jpg
)
[ads] => Array
(
)
[html_content] =>
)
[40] => Array
(
[image_url] => Array
(
[2000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/72322-2e53082f/2000/page-39.jpg
[1000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/72322-2e53082f/1000/page-39.jpg
[200] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/72322-2e53082f/200/page-39.jpg
)
[key] => Array
(
[2000] => 72322-2e53082f/2000/page-39.jpg
[1000] => 72322-2e53082f/1000/page-39.jpg
[200] => 72322-2e53082f/200/page-39.jpg
)
[ads] => Array
(
)
[html_content] =>
)
[41] => Array
(
[image_url] => Array
(
[2000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/72322-2e53082f/2000/page-40.jpg
[1000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/72322-2e53082f/1000/page-40.jpg
[200] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/72322-2e53082f/200/page-40.jpg
)
[key] => Array
(
[2000] => 72322-2e53082f/2000/page-40.jpg
[1000] => 72322-2e53082f/1000/page-40.jpg
[200] => 72322-2e53082f/200/page-40.jpg
)
[ads] => Array
(
[0] => Array
(
[post_data] => WP_Post Object
(
[ID] => 72326
[post_author] => 0
[post_date] => 2024-10-23 09:39:01
[post_date_gmt] => 2024-10-23 09:39:01
[post_content] =>
[post_title] => epaper-72322-page-41-ad-72326
[post_excerpt] =>
[post_status] => publish
[comment_status] => closed
[ping_status] => closed
[post_password] =>
[post_name] => epaper-72322-page-41-ad-72326
[to_ping] =>
[pinged] =>
[post_modified] => 2024-10-23 09:39:01
[post_modified_gmt] => 2024-10-23 09:39:01
[post_content_filtered] =>
[post_parent] => 0
[guid] => https://e.dental-tribune.com/ad/epaper-72322-page-41-ad/
[menu_order] => 0
[post_type] => ad
[post_mime_type] =>
[comment_count] => 0
[filter] => raw
)
[id] => 72326
[id_hash] => c617c39c5c2a12873efcd7eb25a6be92135bb3f2a8977a0475025e121ecc7666
[post_type] => ad
[post_date] => 2024-10-23 09:39:01
[fields] => Array
(
[url] => http://www.dtstudyclub.com/
[link] => URL
)
[permalink] => https://e.dental-tribune.com/ad/epaper-72322-page-41-ad-72326/
[post_title] => epaper-72322-page-41-ad-72326
[post_status] => publish
[position] => 4.6,3.28,90.41,93.17
[belongs_to_epaper] => 72322
[page] => 41
[cached] => false
)
)
[html_content] =>
)
[42] => Array
(
[image_url] => Array
(
[2000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/72322-2e53082f/2000/page-41.jpg
[1000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/72322-2e53082f/1000/page-41.jpg
[200] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/72322-2e53082f/200/page-41.jpg
)
[key] => Array
(
[2000] => 72322-2e53082f/2000/page-41.jpg
[1000] => 72322-2e53082f/1000/page-41.jpg
[200] => 72322-2e53082f/200/page-41.jpg
)
[ads] => Array
(
)
[html_content] =>
)
[43] => Array
(
[image_url] => Array
(
[2000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/72322-2e53082f/2000/page-42.jpg
[1000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/72322-2e53082f/1000/page-42.jpg
[200] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/72322-2e53082f/200/page-42.jpg
)
[key] => Array
(
[2000] => 72322-2e53082f/2000/page-42.jpg
[1000] => 72322-2e53082f/1000/page-42.jpg
[200] => 72322-2e53082f/200/page-42.jpg
)
[ads] => Array
(
)
[html_content] =>
)
[44] => Array
(
[image_url] => Array
(
[2000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/72322-2e53082f/2000/page-43.jpg
[1000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/72322-2e53082f/1000/page-43.jpg
[200] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/72322-2e53082f/200/page-43.jpg
)
[key] => Array
(
[2000] => 72322-2e53082f/2000/page-43.jpg
[1000] => 72322-2e53082f/1000/page-43.jpg
[200] => 72322-2e53082f/200/page-43.jpg
)
[ads] => Array
(
)
[html_content] =>
)
[45] => Array
(
[image_url] => Array
(
[2000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/72322-2e53082f/2000/page-44.jpg
[1000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/72322-2e53082f/1000/page-44.jpg
[200] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/72322-2e53082f/200/page-44.jpg
)
[key] => Array
(
[2000] => 72322-2e53082f/2000/page-44.jpg
[1000] => 72322-2e53082f/1000/page-44.jpg
[200] => 72322-2e53082f/200/page-44.jpg
)
[ads] => Array
(
)
[html_content] =>
)
[46] => Array
(
[image_url] => Array
(
[2000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/72322-2e53082f/2000/page-45.jpg
[1000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/72322-2e53082f/1000/page-45.jpg
[200] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/72322-2e53082f/200/page-45.jpg
)
[key] => Array
(
[2000] => 72322-2e53082f/2000/page-45.jpg
[1000] => 72322-2e53082f/1000/page-45.jpg
[200] => 72322-2e53082f/200/page-45.jpg
)
[ads] => Array
(
)
[html_content] =>
)
[47] => Array
(
[image_url] => Array
(
[2000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/72322-2e53082f/2000/page-46.jpg
[1000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/72322-2e53082f/1000/page-46.jpg
[200] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/72322-2e53082f/200/page-46.jpg
)
[key] => Array
(
[2000] => 72322-2e53082f/2000/page-46.jpg
[1000] => 72322-2e53082f/1000/page-46.jpg
[200] => 72322-2e53082f/200/page-46.jpg
)
[ads] => Array
(
)
[html_content] =>
)
[48] => Array
(
[image_url] => Array
(
[2000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/72322-2e53082f/2000/page-47.jpg
[1000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/72322-2e53082f/1000/page-47.jpg
[200] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/72322-2e53082f/200/page-47.jpg
)
[key] => Array
(
[2000] => 72322-2e53082f/2000/page-47.jpg
[1000] => 72322-2e53082f/1000/page-47.jpg
[200] => 72322-2e53082f/200/page-47.jpg
)
[ads] => Array
(
)
[html_content] =>
)
[49] => Array
(
[image_url] => Array
(
[2000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/72322-2e53082f/2000/page-48.jpg
[1000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/72322-2e53082f/1000/page-48.jpg
[200] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/72322-2e53082f/200/page-48.jpg
)
[key] => Array
(
[2000] => 72322-2e53082f/2000/page-48.jpg
[1000] => 72322-2e53082f/1000/page-48.jpg
[200] => 72322-2e53082f/200/page-48.jpg
)
[ads] => Array
(
)
[html_content] =>
)
[50] => Array
(
[image_url] => Array
(
[2000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/72322-2e53082f/2000/page-49.jpg
[1000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/72322-2e53082f/1000/page-49.jpg
[200] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/72322-2e53082f/200/page-49.jpg
)
[key] => Array
(
[2000] => 72322-2e53082f/2000/page-49.jpg
[1000] => 72322-2e53082f/1000/page-49.jpg
[200] => 72322-2e53082f/200/page-49.jpg
)
[ads] => Array
(
)
[html_content] =>
)
[51] => Array
(
[image_url] => Array
(
[2000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/72322-2e53082f/2000/page-50.jpg
[1000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/72322-2e53082f/1000/page-50.jpg
[200] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/72322-2e53082f/200/page-50.jpg
)
[key] => Array
(
[2000] => 72322-2e53082f/2000/page-50.jpg
[1000] => 72322-2e53082f/1000/page-50.jpg
[200] => 72322-2e53082f/200/page-50.jpg
)
[ads] => Array
(
[0] => Array
(
[post_data] => WP_Post Object
(
[ID] => 72327
[post_author] => 0
[post_date] => 2024-10-23 09:39:01
[post_date_gmt] => 2024-10-23 09:39:01
[post_content] =>
[post_title] => epaper-72322-page-51-ad-72327
[post_excerpt] =>
[post_status] => publish
[comment_status] => closed
[ping_status] => closed
[post_password] =>
[post_name] => epaper-72322-page-51-ad-72327
[to_ping] =>
[pinged] =>
[post_modified] => 2024-10-23 09:39:01
[post_modified_gmt] => 2024-10-23 09:39:01
[post_content_filtered] =>
[post_parent] => 0
[guid] => https://e.dental-tribune.com/ad/epaper-72322-page-51-ad/
[menu_order] => 0
[post_type] => ad
[post_mime_type] =>
[comment_count] => 0
[filter] => raw
)
[id] => 72327
[id_hash] => 61e3c335455d6fbb4c6eb2fc68703ccdb013418bd54542e74c1b06ff51936915
[post_type] => ad
[post_date] => 2024-10-23 09:39:01
[fields] => Array
(
[url] => http://intl.dental-tribune.com/company/curaden-ag/
[link] => URL
)
[permalink] => https://e.dental-tribune.com/ad/epaper-72322-page-51-ad-72327/
[post_title] => epaper-72322-page-51-ad-72327
[post_status] => publish
[position] => 3.05,2.19,93.12,95.35
[belongs_to_epaper] => 72322
[page] => 51
[cached] => false
)
)
[html_content] =>
)
[52] => Array
(
[image_url] => Array
(
[2000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/72322-2e53082f/2000/page-51.jpg
[1000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/72322-2e53082f/1000/page-51.jpg
[200] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/72322-2e53082f/200/page-51.jpg
)
[key] => Array
(
[2000] => 72322-2e53082f/2000/page-51.jpg
[1000] => 72322-2e53082f/1000/page-51.jpg
[200] => 72322-2e53082f/200/page-51.jpg
)
[ads] => Array
(
)
[html_content] =>
)
)
[pdf_filetime] => 1729676341
[s3_key] => 72322-2e53082f
[pdf] => ortho0217.pdf
[pdf_location_url] => https://e.dental-tribune.com/tmp/dental-tribune-com/72322/ortho0217.pdf
[pdf_location_local] => /var/www/vhosts/e.dental-tribune.com/httpdocs/tmp/dental-tribune-com/72322/ortho0217.pdf
[should_regen_pages] => 1
[pdf_url] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/72322-2e53082f/epaper.pdf
[pages_text] => Array
(
[1] =>
Ortho_2_2017_web.pdf
issn 1868-3207
Vol. 2 • Issue 2/2017
ortho
international magazine of
orthodontics
2
2017
technique
Tongue star 2 (TS2) –
System for rapid open bite closure
case report
Use of diode laser in the treatment of gingival
enlargement during orthodontic treatment
industry report
Sensorimotor training with RehaBite
during orthodontic treatment
[2] =>
Ortho_2_2017_web.pdf
4th ORTHOCAPS®
SYMPOSIUM
1 & 2 DECEMBER 2017
MUNICH, GERMANY
Hotel Vier Jahreszeiten Kempinski, Munich
Attendance fee: 299€ (includes 19% VAT)
Registration fee includes:
- Lunch and coffee breaks
- Get together on Friday
Course Language: English, simultaneous French translation available
GUEST SPEAKERS
BOLDT, Florian - Germany
Symbiosis and Uses of 3D
Techniques in Daily Practice
KALIA, Sonil - United Kingdom
Bio-mechanical Principles with
Orthocaps®
FARINA, Achille - Italy
Six Keys to Successful
Treatments with Orthocaps®
ROLLET, Daniel - France
Functional Occlusion
and Aligners, Why Orthocaps®?
FERNANDEZ, Enrique - Spain
My Experience with
Orthocaps®
SOREL, Olivier - France
Smile Design & Stripping
Essentials
WILMES, Benedict - Germany
Expanding the Horizons of
Aligner Therapy with TADs
Ortho Caps GmbH, An der Bewer 8, Hamm 59069 Tel: +49 (0) 2385 92190 Fax: +49 (0) 2385 9219080 Email: info@orthocaps.de www.orthocaps.de
[3] =>
Ortho_2_2017_web.pdf
editorial
Dear readers,
When I began working in the field of orthodontics (in the Middle Ages!), it was very different from what I encounter today in my daily practice. This is normal: with the progression
of research on biology, biomechanics and biomaterials, as well as with the development
of the technology, results have increasingly been improving, as have treatment times,
aesthetics and patient comfort.
There is another important aspect too that has completely changed our way of working:
orthodontics has finally come out of its isolation to perfectly interact with other fields of
dentistry. In this sense, this issue of the ortho magazine fully interprets this new age by
presenting, beyond papers, new and original orthodontic appliances and techniques that
also make a contribution in different fields of dentistry applied to orthodontics, such as
CAD/CAM technology, whitening and laser-assisted surgery.
Prof. Carlo Fornaini
I congratulate the editor for the choice of this new approach and wish you all a good read.
Yours faithfully,
Prof. Carlo Fornaini
Researcher, Université Nice Sophia Antipolis, France
Researcher, University of Parma, Italy
ortho 2/2017
03
[4] =>
Ortho_2_2017_web.pdf
content
page 16
page 26
editorial
industry report
03 Dear readers
Prof. Carlo Fornaini
32 Oral hygiene in orthodontics
trends & applications
06 Virtual reality and orthodontics:
A new patient experience
Dr Yassine Harichane
page 34
34 Structo’s high throughput dental 3-D
printers help lay foundation for dental chain
to launch own brand of clear aligners
Jonathan Lim
38 Sensorimotor training with RehaBite during
orthodontic treatment
Dr Daniel Hellmann
technique
manufacturer news
10 Tongue star 2 (TS2) –
System for rapid open bite closure
Dr John Constantine Voudouris
case report
16 Use of diode laser in the treatment of
gingival enlargement during orthodontic
treatment: Case report
Prof. Carlo Fornaini, Drs Aldo Oppici,
Luigi Cella & Elisabetta Merigo
20 Orthodontic management of maxillary lateral
incisors agenesis
Dr Dan Andrei Iacob
26 Maxillary molar distalisation with aligners
and cyclic forces
Dr Tommaso Castroflorio
40 Coordinative training as a therapy
for temporomandibular joint dysfunction
syndrome
Dentrade International
42 Introducing AcceleDent Optima
OrthoAccel
43 Ortho Rebels online shop:
Great quality at low prices
Ortho Rebels
meetings
44 European Aligner Society making strides:
From Vienna to Venice
46 EOS Congress made return to Switzerland
48 International Events
about the publisher
49 submission guidelines
Cover image courtesy of OrthoAccel Technologies Germany GmbH (acceledent.com)
04
ortho 2/2017
50 imprint
[5] =>
Ortho_2_2017_web.pdf
Essential Dental Media
Dental Tribune International
The World’s Largest News
and Educational Network
in Dentistry
www.dental-tribune.com
[6] =>
Ortho_2_2017_web.pdf
trends & applications
virtual reality
Virtual reality and
orthodontics:
A new patient experience
Author: Dr Yassine Harichane, Canada
Imagine the following scenario: your patient arrives, both relaxed and calm, at your practice.
Although the patient is visiting the practice for
the first time, he is familiar with it and knows its
interior well. Without further introduction, the
patient takes a seat in the dental chair, and the
orthodontic procedure is performed quickly and
comfortably with patient compliance. There are
no complications or tension, and the treatment
is easily achieved. Imagine such a soothing and
comfortable environment in which to treat patients. Now imagine this very same scenario
through the eyes of the patient. One can see that
it could actually be a comfortable experience.
This is not some hypothetical futuristic utopia;
this is actually happening now, and the aforementioned points are some of the many benefits
of virtual reality (VR).
VR is a process that entails immersing the
viewer in a 360° environment. By turning his head
left, right, up or down, the patient can visualise
a real or an artificial environment. The spectator
could be immersed in the Caribbean Sea surrounded by corals or in a Canadian forest (Fig. 1).
The operation is simple: the participant wears a
lightweight and comfortable headset in which a
smartphone is inserted (Fig. 2). Owing to the gyroscopic sensors, the smartphone will project a
matching image corresponding to the movements. If the patient raises his head, he will see
the sky or the ceiling, and if he lowers his head he
will see his feet. This technique is made possible
by a 360° shot using a dedicated camera (Fig. 3)
and simple editing software (Fig. 4). The result
is simply astonishing as we find ourselves projected into a place that may vary from actual
tourist sites to virtual scenarios as in video games.
06
ortho 2/2017
The applications in orthodontics are numerous
and at present we are exploiting only a tiny part
of its potential functions. The possibilities might
be endless. Hence, it might become possible for
the patient to visit the dental office from his home,
where he can visualise the front desk, admire the
treatment rooms or view the cleanliness of the
sterilisation room (Fig. 5). The aim is to offer a
virtual visit of the practice to allow the patient to
choose a quality clinic, as well as familiarise himself with the space before his first appointment.
Once physically seated in the chair, the patient
can wear the VR headset during the treatment
and visualise a restful environment of his choosing. From here on, it is solely a matter of preference, as the patient might enjoy the beach, a VR
video of Honolulu, or maybe even climbing a
mountain. Any VR video is acceptable, as long as
it achieves its purpose: calming the patient
during a treatment session. Thus, everything
becomes less tense, and the patient is relaxed.
This might also be convenient for the dentist, as
he can then execute whatever treatment is necessary as quickly and efficiently as possible.
Convincing the patient to undertake an orthodontic treatment is one thing, convincing him
to follow the relevant recommendations is another. Obtaining patient compliance is not easy,
especially in the case of younger patients. Furthermore, dentists have an unfortunate notorious association with pain and suffering, which
might induce anxiety in a patient. Again, VR can
be applied here to divert the attention of the most
dynamic patients. Another aspect worthy of
mention regarding the benefits is the intellectual
retention of instructions on hygiene procedures,
for example, which might be dependent on sup-
[7] =>
Ortho_2_2017_web.pdf
virtual reality
trends & applications
Fig. 1
Canadian forest in VR.
Fig. 2
VR headset.
Fig. 3
Nikon KeyMission 360°.
Fig. 1
Fig. 2
port. It is plausible to assume that verbal instructions on hygiene may be forgotten once the patient has left the clinic. Most orthodontic practices
provide only leaflets, but few patients retain these
or follow their recommendations. A VR video
featuring the practitioner or team members might
have a much greater impact on follow-up care at
home. The message could be pre-recorded and
viewed on demand by the patient. The aims of
this format is that it can provide different intellectual integration between information, which
is connected to a stream of visual and auditory
stimuli. The clinician might wish to promote the
patient retaining the provided information in an
easier way to achieve greater clinical success.
For example, youngsters might remember their
favourite movie line by heart, as opposed to information provided by their dentist. This is because
it demands less of youngsters to remember words
that are connected with pictures.
For the health practitioner, VR may yield an
unexpected, but welcome, advantage in terms
Fig. 3
of professional education (Fig. 6). Many of us
have not been able to attend a conference on the
other side of the world for logistical reasons. In
the near future, it will be possible to attend an
orthodontic congress and listen to international
speakers while sitting comfortably at home. Similarly, the demonstration of a new therapeutic
technique will be easier with a VR video rather
than plunging into a detailed explanation in an
article without any illustration. The trainer can
record his or her procedures with a 360° camera
to allow the student to learn through immersion
the technical movements and ergonomics of the
technique being taught.
It would be an understatement to claim that
VR provides an alternative to conventional styles
of learning. Although it is far from perfect, it
allows a wider spread of knowledge and a totally
immersive pedagogy. VR is changing the way we
work, learn and treat our patients. We have seen
over time an evolution of orthodontic care by improving patient comfort. We are not just dealing
ortho 2/2017
07
[8] =>
Ortho_2_2017_web.pdf
trends & applications
virtual reality
Fig. 4
Nikon KeyMission Utility.
Fig. 5
Operatory room in VR.
Fig. 4
Fig. 6
Scan this QR code for a VR
lecture.
Fig. 5
with a set of teeth fixed into a bone mass appended
to a skull, but with a person whose positive
experience will inevitably lead to clinical success.
Similarly, orthodontic education has evolved over
about
Dr Yassine Harichane
graduated from Paris Descartes
University in France and
completed his MSc and PhD on
dental pulp stem cells. He
maintains a private practice in
Canada and can be contacted at
yassine.harichane@gmail.com
08
ortho 2/2017
time, since the transmission of knowledge is no
longer done with a Kodak Carousel slide projector, but with sophisticated presentation software,
incorporating photographs and clinical videos.
VR is paving the way to a higher degree of evolution regarding how to understand our environment, whether it is an environment of care or
work. As with tourism or cinema, VR offers many
opportunities in the field of health. Orthodontics
is entering into a 360° revolution focused on the
patient experience.
Acknowledgements
The author reports no conflicting interests. He
would like to thank Dr Eren Cicek for the proofreading and kind support.
[9] =>
Ortho_2_2017_web.pdf
Hydrostatic Splint Appliances for instant TMD Treatment
The Aqualizer‘s fluid system creates perfect bite balance and stability
through a minimally invasive approach to TMD treatment. It works by
allowing the muscles themselves to automatically reposition the jaw
to where it naturally works best. For TMD pain relief, restoring this
balance is essential.
Unlike other available dental splints, the Aqualizer self-adjusting
oral splint is a TMD treatment which allows the body to unravel bite
distortions and establish optimal systemic function and balance. The
Aqualizer takes the uncertainty out of TMD diagnosis and treatment.
While other dental splints and TMD treatment options can distort the
jaw, causing TMD pain, the Aqualizer facilitates relief through ideal
occlusion automatically and naturally. The Aqualizer is also a perfect
supplement in other medical disciplines besides dentistry. Today this
device is integrated into physical therapy, osteopathy, orthodontic
treatment, orthopedics and many other medical disciplines.
•
•
•
•
•
•
•
•
physiotherapeutic TMD training tool
coordinative training of muscles with biofeedback
relieves pain of masticatory muscles
long lasting pain reduction
dissolution of pain-related relieving postures
activation of self-healing capacities
clinically proven
can substitute regular splints in some cases
• anatomically shaped design for comfortable use
• ready to use
• selfadjusting splint within 30 seconds
• proven for more than 25 years
• moves mandible into a physiologic position
• different sizes
• different vertical dimension
Every restoration, extraction, prosthetic and orthodontic treatment changes the occlusion in static and dynamic. Small occlusal
interferences of just a few microns, are disruptive for the propriorreceptors of the stomatological system. Patients are trying to
compensate occlusal interference by adapting the mandible into a new habitual relieving position, with consequences for the attached
tissue structures.
The first hydrostatic splint Aqualizer has been invented in the 1979 from
Prof.Martin Lerman at the University of Illinois (TMJ Research Center). Since
then Aqualizer has been used from countless patients as an instant drug
free pain reliever. Latest clinical researches have proofed the therapeutic
effect of hydrostatic self balanacing splints. Reestablishing of a pain free
neuromuscular position of the mandible after orthodontic treatment is
essential for a long lasting therapeutic success. Hydrostatic Splints are
valuable tools especially during the process of orthodontic treatment
www.dentrade.com
Dentrade International e.K.
Monheimer Str.13 • D-50737 Cologne
Internet:
www.dentrade.de
Phone
Fax:
email:
+49(0)221-9742834
+49(0)221-9742836
info@dentrade.de
[10] =>
Ortho_2_2017_web.pdf
technique
open bite closure
Tongue star 2 (TS2) –
System for rapid open bite
closure
Author: Dr John Constantine Voudouris, Canada
Introduction
The aim of this article is to discuss a new system
to treat severe skeletal open bite malocclusion
using a new, miniaturised tongue star 2 (TS2)
device. In the first part, the author will focus on
clinical evaluation of TS2, the second part is
devoted to tongue thrusting, open bite aetiology
and its treatment.
Clinical evaluation of TS2
Methods
Clinical applications of the first generation of the
tongue star devices with nine rounded protrusions, initially manufactured as one-piece, were
evaluated over a two year period in the private
orthodontic clinic of the author. Improvements
were noted and implemented to develop a second
generation tongue star 2.
The new TS2 was made in Italy by SIA Orthodontic Manufacturer as a four-piece unit including a body with six tie-wing undercuts for crossbite elastics, brazed to the bonding pad for greater
flexibility, and 80-gauge mesh for higher bond
strength against lingual shearing forces.
For each orthodontic patient, 12 TS2s were
bonded, including six tongue stars positioned on
the palatal aspects of the gingival middle-third
of the upper six anterior teeth from canine to
canine, and six tongue stars were placed on the
lingual middle-third of the lower anteriors from
canine to canine.
TS2s were the central device of a four component system to treat severe anterior, and lateral tongue positioning. The second component
10
ortho 2/2017
of the system included tongue stars bonded at
the same time as a Siamese twin, active selfligating appliance that employed the third component of new initial NiTi iArch wires for light
force control. These specialised archwires with
a higher vertical dimension than horizontal dimension (for example .018” × .014”) acted closer
to the canter of resistance of the root for earlier
moments of incisor torque, and were incorporated with curve of Spee for the lower arches,
and reverse compensating curve on the upper
arches to further facilitate incisor re-eruption.
The fourth component of the system included a
vertical box elastic from the upper lateral incisors
to the lower canines (1/4”, 4.5 oz) that was additionally applied on the labial aspects for light incisor re-eruption in conjunction with the TS2s.
Clinical results and conclusion
TS2s were found to be highly effective in restricting anterior tongue positioning for rapid open bite
closure (ROC). No clinically significant root resorption was noted that appeared to be related to the
light forces applied. Therefore tongue stars are
recommended for rapid open bite closure since
they cause the tongue to be retracted during treatment to permit anterior dental re-eruption.
Multi-directional forces
of anterior tongue positioning
(tongue thrusting)
The tongue affects the alignment of the dentition
because it has one of the strongest sets of muscles
in the human body capable of reflex.1 Malocclusions involving open bites are classified as two
[11] =>
Ortho_2_2017_web.pdf
open bite closure
technique
Fig. 1
types, anterior open bite located in the area of
the anterior canine-to-canine area, and lateral
open bites located at the premolars and molars.
In open bite malocclusions, the tongue attempts
to seal the oral cavity for effective swallowing
(suction-effect) in an unnatural, anterior position. In addition, the tongue thrusts both superiorly and inferiorly. This results in progressive
opening of the bite preventing eruption of the
upper and lower incisors. It is significant that both
the upper and lower incisors are not only intruded,
but also proclined often by the unnatural anterior tongue position between the incisors. Several factors have been associated with open bites.
Aetiology of open bite includes:
1) Primary anterior, superior and inferior tongue
positioning in conjunction with lateral tongue
thrusting.
2) Allergies, asthma, nasal obstruction from for
example nasal septum deviation as a result of
chronically inflamed turbinates, chronically
enlarged tonsils and adenoids, etc.
3) Primary, habitual mouth breathing (or 2º), associated often with anterior, superior and inferior tongue positioning.
4) Skeletal downward and backward growth of
the mandible (dolichocephalic).
5) Muscle hypoactivity (an extreme pathological
example is observed in muscular dystrophy
patients).
6) Dental delay of incisor eruption and overeruption of the molars.
7) Habits such as thumb-sucking, finger-sucking,
blanket-sucking, over-retention of soothers
after the age of 6.
Fig. 1
Anatomy of the TS2: The seven
characteristic features of
the second generation tongue
star 2 (TS2).
Several appliances have been developed to control the anterior tongue positioning including the
traditional cemented tongue-cribs soldered to
molar bands, and bondable tongue habit-breakers
type brackets on the palatal of the upper incisors.
These were often bulky, uncomfortable and
cumbersome for patients.
What is TS2?
The first tongue star was developed in 2014 with
nine-reminder protrusions rounded at the tips to
prevent anterior tongue positioning. It was manufactured as a one-piece bracket and tested clinically for two years by the author in his private
orthodontic clinic in Toronto, Canada. This first
ortho 2/2017
11
[12] =>
Ortho_2_2017_web.pdf
technique
open bite closure
Figs. 2a & b
Lateral open bites commonly
associated with skeletal
maxillary constriction frequently
have an ENT aetiology, producing
secondary mouth breathing
and a chronic imbalance between
a lower tongue position and
buccinator muscle activity (facial
muscles).
Figs. 3a & b
The recommended positions
of the tongues stars are mildly
more gingival for the upper
incisors (a).
Fig. 2a
Fig. 2b
Fig. 3a
Fig. 3b
Fig. 4a
Fig. 4b
generation tongue star was found to be effective
in controlling the tongue for ROC. As a result, new
modifications were then implemented by the
author to improve the first generation tongue
star (TS1).
hygiene. In addition, tie-wing like undercuts are
designed into six of the nine protrusions to secure
the placement of crossbite elastics. This is required commonly in lateral open bite treatment
that is associated with severe skeletal maxillary
constriction (Figs. 2a & b).
Figs. 4a & b
Tongue Stars 2 with anterior box
elastic, and active self-ligating
brackets shown, and found to be
a highly effective and efficient
system for rapid open bite
closure (ROC) of severe skeletal
anterior and lateral open bites.
The second generation TS2 was made in Italy, by
SIA Orthodontic Manufacturer, as a four-piece
unit including:
1) Bracket body with nine rounded protrusions
and six new, tie-wing undercuts.
2) Braze (for flexibility) to a bonding pad.
3) Separate 80-guage mesh for greater shear
resistance and bond strength.
The separate application of 80-gauge bonding
mesh is used to improve bond strength during
shearing forces on the lingual. TS2s are miniaturised in size similar to bondable buttons to be
comfortable for patients and to facilitate oral
12
ortho 2/2017
Where should TS2 be placed?
Clinically, TS2s are bonded on the middle-third
regions of the upper and lower canine-to-canine
regions (Figs. 3a & b). The TS2 position recommended for the upper anteriors is just gingival to
the middle third to prepare for the corrected upper
incisors to approach contact with the lower incisors during rapid open bite closure. This provides
a total of 12 TS2s on the day of first bonding of a
full Siamese twin, active self-ligating appliance
recommended with new .018” × .014” NiTi, iArch
wires (SIA Orthodontic Manufacturer). In addition, for each open bite treatment, TS2s are ap-
[13] =>
Ortho_2_2017_web.pdf
open bite closure
technique
Figs. 5a & b
A 9-year-old patient demonstrating that the anterior tongue
positioning is additionally
directed inferiorly resulting in
the proclination of the lower
incisors, supporting the
indication that TS2s need to be
placed in both the upper and
lower arches.
Fig. 5b
Fig. 5a
Figs. 5c & d
The radiographs reveal that
anterior tongue positioning
(c) is often associated with nasal
obstruction related to enlarged
and chronically inflamed
turbinates (d), secondary mouth
breathing, and molar
overeruption.
Figs. 5e & f
Lip harmony and balance were
shown after ROC using the
four-component system of TS2s,
anterior box elastics, active
self-ligating brackets, and
specialised archwires for torque
control.
Fig. 5c
Fig. 5e
Fig. 5d
Fig. 5f
ortho 2/2017
13
[14] =>
Ortho_2_2017_web.pdf
technique
open bite closure
Fig. 6b
Fig. 6a
Figs. 6a & b
The retraction reflex mechanism
shown with TS2s (a). Application
of anterior box elastics and active
SL (b).
plied in conjunction with anterior box elastics
(1/4”, 4.5 oz, see Fig. 6b) from the labial aspects
of the upper lateral incisors to the lower canines
to facilitate a rapid open bite closure (Figs. 4a & b).
This completes a system composed of fourcomponents for rapid open bite closure.
Why apply TS2?
Normal swallowing takes place approximately
600 times/day or more (including during chewing and speaking) the tongue is generally positioned in the palate. However, in anterior open
bites the tongue fills the open bite space through
anterior tongue positioning (previously referred
to as tongue thrusting). TS2s are applied for both
Rapid Open Bite Closure and for Rapid Lateral
Open Bite Closure (Figs. 4a & b). They are used
in conjunction with active self-ligating appliances
due to the low resistance shown in vitro to permit
free and controlled movement of the upper and
lower anteriors. Once the incisors begin to develop
a positive overbite relationship the tongue generally begins to retract posteriorly into a more
natural tongue position assuming the aetiology
of the open bite has been additionally controlled
(for example, nasal obstruction).
When should TS2 be placed?
TS2s are recommended at all ages including for
both early interceptive treatment in children
(Figs. 5a–f) and in adults. The ideal recommended
time of placement is at the time of placement of
active self-ligating brackets (that are regularly
positioned on the labial aspects). TS2s and active
self-ligating brackets work ideally and synergistically with specialised iArch wires that have
a higher vertical dimension than horizontal
dimension (for example .018” × .014”) to be closer
14
ortho 2/2017
to the centre of resistance for earlier incisor moments of torque and control required for open
bite correction. The archwires incorporate curve
of Spee for the lower arches and reverse compensating curve on the upper arches to further
facilitate incisor re-intrusion. TS2 incisor reextrusion is further facilitated by the alignment
of the anterior teeth, where a labial box elastic
can be placed that also restrains the tongue
(please see Fig. 6b). No clinically significant root
resorption was found with the use of this light
force system that reduces the unnatural and
multi-directional anterior, superior, inferior and
lateral tongue forces.
How does TS2 work?
The basic mechanism of action is that the TS2
produces a negative conditioning reflex response
for anterior tongue positioning.2 This is similar
to a hot-stove effect (Fig. 6a). However, due to
the rounded ends of the nine protrusions the
tongue is not lacerated, nor is the operator’s glove
or skin. The feeling against the finger is one of
coarse sandpaper as simply a reminder for the
tongue to stay retracted away from the open
bite. This permits the TS2s to work effectively
in conjunction with the anterior box elastics
(5/16”, 4.5 oz) for rapid open bite closure (ROC)
shown in Figure 6b. In lateral open bite patients
where the TS2s are placed at the premolars and
molars crossbite elastics are applied, that are
generally heavy 1/4”, 4.5 oz, to further prevent
lateral tongue positioning while maxillary expansion is completed simultaneously. In addition, it is important that the patient is instructed
to exercise swallowing with the tongue in the
roof of the mouth from the day of TS2
placement.
[15] =>
Ortho_2_2017_web.pdf
open bite closure
Special procedures with TS2s and overcorrection of open bites
As anterior open bites are corrected it is important to observe the gingival protrusions of the
TS2s for the possible need of reduction with a
high-speed to prevent dental interferences. The
objective is to overcorrect the open bite to be
greater than 30% overbite for long-term retention. The reason is that open bites are often associated with patients growing with the mandible
in a downward and backward direction. It is additionally recommended that upper and lower
brackets from canine-to-canine be bonded 1 mm
toward the gingival than the customary average
height positions to facilitate open bite closure.
This is particularly important at the upper lateral
incisors that are the smallest of the incisor teeth
and affected most by the unnatural, anterior
tongue positioning forces.
Conclusions: Advantages of TS2 applications
A system of four components was developed
and tested to produce rapid open bite closure.
This included the use of new tongue stars, anterior box elastics with active self-ligating brackets with new iArches to provide freedom of
movement of the system including the upper
and lower archwires with its proven low resistance, in vitro.
In conclusion:
1) Metal TS2s are highly effective and efficient
chairside for ROC.
2) Efficiency is gained by ready-made, bondable
TS2s, that do not wear, are miniaturised for
patient comfort and facilitate oral hygiene.
3) TS2s are placed on all 12 anterior dental units
from the upper canine-to-canine, and lower
canine-to-canine since the tongue was observed and found to be positioned anteriorly,
superiorly and inferiorly.
TS2s are applied in conjunction with anterior box
elastics (5/16”, 4.5oz) and ideally with new, low
profile active self-ligating brackets with NiTi
clips for light, continuous forces for the periodontal membrane, completely frost-coated for
aesthetics, and with progressively lower forces
from molars to incisors. Active self-ligating
brackets make use of reduced resistance found
in vitro and active seating of iArch wires for earlier
moments of torque that are closer to the centre
of resistance of the incisors to improve control
(future publication).
references
about
1.
Ramford SP, Major MA. Occlusion.
Philadelphia, US: W.B. Saunders Company;
1971; 42, 89–91.
Dr John Constantine Voudouris
2.
Cooper S. Muscle spindles in the
intrinsic muscles of the human tongue.
J Physiol (London)
1954;122:193.
technique
maintains teaching positions at the
University of Toronto, as an associate
in the discipline of Orthodontics,
for 31 years, teaching mandibular
advancement appliances, and at
New York University, as a visiting
scholar, in the Division of Biological
Sciences for 18 years, teaching active
self-ligation. He is a full member of the
Eastern Chapter of the Edward H.
Angle Society of Orthodontists
and the recipient of the prestigious
American Association of Orthodontist’
Milo Hellman Research Award for
condylar growth modifications and
glenoid fossa remodelling with Herbst
appliances, applying electromyographic, cephalometric and histological investigations. Dr Voudouris
maintains a private orthodontic
specialty practice in Toronto, Canada.
ortho 2/2017
15
[16] =>
Ortho_2_2017_web.pdf
case report
diode laser during orthodontic treatment
Use of diode laser in the
treatment of gingival
enlargement during
orthodontic treatment:
Case report
Authors: Prof. Carlo Fornaini, Drs Aldo Oppici, Luigi Cella & Elisabetta Merigo, Italy
Introduction
In recent decades, we have witnessed the substantial development and expansion of the use
of fixed orthodontic appliances. While their
application has many advantages, several problems related to the health of the soft tissue may
sometimes appear during treatment. In fact,
the use of fixed orthodontic appliances may
provoke labial desquamation,1 erythema multiforme, 2 gingivitis 3 and gingival enlargement.4
Gingival enlargement is a very common complication during orthodontic treatment,5 but fortunately, it seems to be transitory and generally
resolves after orthodontic therapy, even if sometimes incompletely. Gingival overgrowth induced
by orthodontic treatment shows a specific fibrous
and thickened gingival appearance, different from
fragile gingiva with marginal gingival redness
common in allergic or inflammatory gingival
lesions.6
Several clinical studies suggest that orthodontic treatment may be associated with a decrease in periodontal health, causing a hypertrophic form of gingivitis. However, the actual
pathogenesis of gingival enlargement is not yet
completely understood, although probably in-
16
ortho 2/2017
volves increased production by fibroblasts of
amorphous ground substance with a high level
of glycosaminoglycans. Increases in mRNA expression of Type I collagen and up-regulation of
keratinocyte growth factor receptor could play
an important role in excessive proliferation of
epithelial cells and increased development of
gingival enlargement, on the basis of some studies, in cases of poor oral hygiene status.7 However, there is no clear definition on its aetiology,
although it is probably associated with the inflammatory response induced by the corrosion
of orthodontic appliances, particularly those of
nickel,8 linked to an inflammatory response considered a Type IV hypersensitivity and manifested
as nickel-induced allergic contact stomatitis,
even if its aetiology has not yet clearly been
defined.9
The treatment of these conditions is surgical.
Histological and histochemical studies have
demonstrated that the removal of the gingival
papilla can promote the formation of normal connective tissue.10 Because the classic intervention
performed by scalpel has some disadvantages,
mainly linked to the discomfort for the patient
(e.g. anaesthesia by injection and sutures), there
has been great interest in the utilisation of laser
technology.
[17] =>
Ortho_2_2017_web.pdf
diode laser during orthodontic treatment
case report
Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5
Fig. 6
Fig. 1
Clinical view, showing gingival enlargement,
just before the debonding procedure.
Fig. 3
Surgical laser-assisted treatment
via laser gingivectomy.
Fig. 2
Application of a topical anaesthetic.
Fig. 4
Clinical view just after surgery.
Fig. 5
Healing five days after surgery.
Fig. 6
One month follow-up.
ortho 2/2017
17
[18] =>
Ortho_2_2017_web.pdf
case report
diode laser during orthodontic treatment
Case report
Discussion
A 14-year-old female patient was referred to
our department by the orthodontics unit because,
at the end of fixed orthodontic treatment, she
had developed gingival enlargement in the upper
arch (Fig. 1), probably related to the fast closure
of the spaces associated with very poor oral
hygiene due to bleeding during toothbrushing.
Just after the removal of the appliance, a topical anaesthetic (EMLA, AstraZeneca) was applied
to the gingivae (Fig. 2) and a gingivectomy was
performed using a diode laser (XD-2, Fotona)
according to the technique of removal of the
interdental papillae (Fig. 3). The parameters
used were as follows: a wavelength of 808 nm,
3 W in continuous wave, a 320 μm fibre in contact mode. The intervention had a duration of
375 seconds, and the patient did not feel any
pain (Fig. 4). After the intervention, the patient
did not take any kind of pain medication, and the
healing process was completed in five days
(Fig. 5).
The first laser appliance was built by Maiman in
1960, and some years later, it was successfully
employed in medicine and in oral surgery with
several advantages. It may provide excellent
incision performance with sealing of small blood
and lymphatic vessels, resulting in haemostasis
and reduced postoperative oedema. Furthermore, target tissues are disinfected as a result of
local heating and production of an eschar layer,
which results in a decreased amount of scarring
owing to decreased post-operative tissue shrinkage, allowing one to avoid the use of sutures.
Diodes, the last generation of laser used in
dentistry, have several advantages, such as reduced cost and size, and offer the operator the
possibility to work both in continuous and chopped
mode. Based on our experience, we can confirm
that this technology may represent a new approach
to the resolution of gingival enlargement during
orthodontic treatment, with better comfort for
the patient during and after surgery.
Editorial note: A list of references is available from the publisher.
about
Prof. Carlo Fornaini
Dr Aldo Oppici
is a lecturer at the MICORALIS
Laboratory of the Côte d’Azur
University in Nice, France,
and a dentist at the “Special Needs
and Maxillofacial Surgery Unit”
of the “Guglielmo da Saliceto”
hospital in Piacenza, Italy. He can
be contacted at:
is the Head of “Special Needs and
Maxillofacial Surgery Unit” of
the “Guglielmo da Saliceto” hospital
in Piacenza, Italy.
A.Oppici@ausl.pc.it
carlo@fornainident.it
Dr Elisabetta Merigo
Dr Luigi Cella
is a lecturer at the MICORALIS
Laboratory of the Côte d’Azur
University in Nice, France,
and a dentist at the “Special Needs
and Maxillofacial Surgery Unit” of
the “Guglielmo da Saliceto” hospital
in Piacenza, Italy.
is a maxillofacial surgeon at the
“Special Needs and Maxillofacial
Surgery Unit” of the “Guglielmo
da Saliceto” hospital in Piacenza,
Italy.
elisabetta.merigo@gmail.com
18
ortho 2/2017
L.CELLA@ausl.pc.it
[19] =>
Ortho_2_2017_web.pdf
The Dental Tribune
International Magazines
www.dental-tribune.com
I would like to subscribe to
EUR 44 per year (4 issues per year; incl. shipping and VAT for customers in Germany) and EUR 46
per year (4 issues per year; incl. shipping for customers outside Germany).
CAD/CAM
ortho**
Clinical Masters*
prevention*
cosmetic dentistry*
roots
implants
Journal of Oral Science
** EUR 22 per year (2 issues per year; incl. shipping and VAT for customers in Germany) and EUR 23
per year (2 issues per year; incl. shipping for customers outside Germany).
laser
& Rehabilitation***
*** EUR 200 per year (4 issues per year; incl. shipping and VAT).
* EUR 12 per year (1 issue per year; incl. shipping and VAT for customers in Germany) and EUR 14
per year (1 issue per year; incl. shipping for customers outside Germany).
Your subscription will be renewed automatically every year until a written cancellation is sent
to Dental Tribune International GmbH, Holbeinstr. 29, 04229 Leipzig, Germany, six weeks prior
to the renewal date.
Shipping Address
Name
Address
Zip Code, City
Country
E-mail
Date, Signature
PayPal
Credit Card
Credit Card Number
SUBSCRIBE NOW!
F +49 341 48474 173
subscriptions@dental-tribune.com
Expiration Date
Security Code
[20] =>
Ortho_2_2017_web.pdf
case report
lateral incisors agenesis treatment
Orthodontic management
of maxillary lateral incisors
agenesis
Author: Dr Dan Andrei Iacob, Romania
The purpose of this article is to show the different modalities of treatment for upper lateral
incisors agenesis. In daily practice, orthodontists
often meet cases of upper lateral incisors agenesis. The two common treatment options are:
space closure, using canines to substitute the
missing lateral incisors, or space opening for
future restorations.
· The long axis of the central incisor and the
canines should be slightly mesial to
the gingival height of contour (Fig. 2).
· The long axis of the upper lateral incisor
should be coincidental to the gingival height
of contour (Fig. 2).
· Dental proportions: the width of wellproportioned teeth should be approximately
60 % to 75 % of their height (Fig. 3).
Introduction
Functional occlusion objectives
· 3–4 mm of overbite.
· 0–2 mm of overjet.
· Anterior and canine guidance, which allows
for the immediate disclusion of molars
and premolars when making lateral or
protrusive movements.
· Centric occlusion coinciding with centric
relation.
· Theoretical considerations.
· The second most common agenesis, representing 20 % of the congenital missing teeth.
· The second most common agenesis (Europe),
after the mandibular second premolar.
· The most frequently missing tooth in the
American population.
· Unilateral agenesis is often associated with
dysmorphia or microdontia of the corresponding contralateral tooth.
Treatment alternatives
· Space opening for future restorations.
· Space closure–canine substitution of the
lateral incisor.
Treatment objectives
· Optimal dentogingival aesthetics.
· Functional occlusion.
Optimal dentogingival aesthetics objectives
· Gingival height of contour of the upper
anterior teeth (Fig. 1): central incisors and
canines are more superior than that of the
lateral incisors.
20
ortho 2/2017
Treatment strategies for canine substitution
· Angulate and extrude the canine to mimic
an upper lateral incisor relative to the
gingival height of contour.
· Intrude the upper first premolar to mimic
an upper canine relative to the gingival
height of contour.
· Apply lingual root torque to mimic the
emergence profile of the lateral incisor
and improve the emergence profile of
the bulky gingival tissue of the substituted
canine: use a lower second premolar
bracket on the upper canine.
· Adjust dental proportions as necessary:
mesiodistal reductions on the upper central
incisors to balance adjustments on the
substituted canine.
[21] =>
Ortho_2_2017_web.pdf
lateral incisors agenesis treatment
Fig. 1
Fig. 4
case report
Fig. 2
Fig. 3
Fig. 5
Fig. 6
Fig. 7
Fig. 8
Fig. 9
Fig. 10
Fig.11
Fig. 12
Fig. 13
Fig. 14
Fig. 15
Fig. 16
Fig. 18
Fig. 19
Fig. 20
Fig. 21
Fig. 17
ortho 2/2017
21
[22] =>
Ortho_2_2017_web.pdf
case report
lateral incisors agenesis treatment
When is canine substitution
appropriate?
Fig. 23
Fig. 22
Fig. 24
Fig. 26
Fig. 25
Profile
· Flat.
· Slightly convex profile.
Fig. 27
Canine size, shape and colour
· The width at the cementoenamel junction:
the wider the tooth, the more difficult it will
be to mimic a lateral incisor.
· Colour: canines are the teeth that are the
most saturated with chroma. A canine that
is smaller in shape and does not have an
oversaturation of chroma would make an
excellent candidate for canine substitution.
Fig. 28
Fig. 29
Fig. 30
Fig. 31
Fig. 32
Fig. 34
Fig. 33
Fig. 35
22
Fig. 36
ortho 2/2017
Occlusal considerations
· Class II free of mandibular crowding: molars
in full Class II and premolar brought forward
to act as the canine, while remaining in a
Class I relationship with the lower canine.
· Class I with sufficient mandibular anterior
crowding that would necessitate premolar
extractions on the lower arch.
Smiling lip level
· Depending on how high the smile line is,
it may show the canine eminence.
· Large canines often have an obvious root
prominence, and high lip levels may reveal
that there is an unnatural eminence in the
lateral sight.
Clinical case
A 13-year-old patient complaining about the
aesthetic aspect of her smile was sent to my office
by a general dentist with a diagnosis of the bilateral lateral incisors agenesis.
The treatment started with an aesthetic analysis of the patient’s face (Figs. 4–10), which was
as follows:
· Square face.
· Slight facial asymmetry, with menton
deviated to the right.
· Maxillomandibular biretrusion (Fig. 10).
· Correct curl of the upper lip.
· Left side of the face is more flat compared
with the right side.
· Right eye slightly higher.
· Insufficient display of the upper anterior
teeth with lips in repose.
Then occlusal analysis (Figs. 11–21) was
performed:
· Skeletal Class III (Fig. 17).
[23] =>
Ortho_2_2017_web.pdf
lateral incisors agenesis treatment
· Dental Class I.
· Maxillary hypoplasia with lower arch dental
compensations.
· Insufficient overbite and overjet.
· Upper spacing due to the laterals agenesis
(Fig. 18).
· Upper midline deviated to the right.
· Initial CR mounting (Figs. 19–21).
Finally space analysis was carried out (Tables
1a & b).
Treatment plan
It was concluded that maxillary hypoplasia was
an indication for space opening. Considering the
young age of the patient, the skeletal pattern and
the high demands regarding aesthetics, it was
decided to:
· Open spaces for two implants, but in the
posterior area: 14 and 24.
· Substitute the laterals with canines.
· Temporary implants and crowns on teeth
#14 and 24, until 18 years.
· Reshaping the canines and first premolars
to match the shape of the lateral incisors
and canines: direct composites restorations
on teeth #13, 11, 21, and 23.
Treatment step by step:
· Upper bracket placement (Fig. 22): level and
align the gingival margins, and correct
the torque on the upper canines who will
substitute the lateral incisors.
· Implants space opening: substitute laterals
with canines (Figs. 23–25) and substitute
case report
Fig. 37
Fig. 38
Fig. 39
Fig. 40
canines with first premolars (Figs. 26–28).
· Finishing and occlusal settling (Figs. 29–31).
· Verifying the implant site width (Fig. 32)
and provisory implants and crowns placement (Fig. 33).
Restorative phase
At the end of orthodontic treatment, gingival
margins were well aligned, midlines were centred and canines and first premolars were positioned to facilitate the restorative phase of treatment (Figs. 34–36). At this phase, a final CR
mounting and wax-up was per formed
(Figs. 37–39), as well as the anterior teeth restorations (Fig. 40).
Orthodontic treatment has improved both
dental and facial aesthetics (Figs. 41–47) and the
functionality of the occlusion (Figs. 48–52).
Table 1a: Space analysis (Maxilla)
Maxilla
Crowding
-5 mm
AP incisors position
0 mm
Total
Needed to create space
for lateral incisors
-5 mm
Table 1b: Space analysis (Mandible)
Mandible
Crowding
-2 mm
AP incisors position
0 mm
Curve of SPEE
-1 mm
Total
-3 mm
ortho 2/2017
23
[24] =>
Ortho_2_2017_web.pdf
case report
lateral incisors agenesis treatment
Fig. 41
Fig. 42
Fig. 43
Fig. 45
Fig. 46
Fig. 47
Fig. 48
Fig. 49
Fig. 50
Fig. 51
Conclusions
Canine substitution can be an excellent treatment alternative for congenitally missing maxillary lateral incisors. Patient selection is critical
and depends on the type of malocclusion, profile, canine shape and colour, and smile lip level.
Pre-treatment evaluation of these selection
criteria is necessary to ensure treatment success and predictable aesthetics.
When planning to replace congenitally missing lateral incisors, you should remember that
an interdisciplinary approach is necessary to
provide the most predictable treatment
outcome.
The orthodontist should always consider
the patient’s age, skeletal and facial pattern,
dentoalveolar crowding, as well as performing
dental and facial aesthetic analyses.
24
ortho 2/2017
Fig. 44
Fig. 52
about
Dr Dan Andrei Iacob
graduated from the Faculty of Dentistry of
the Grigore T. Popa University of Medicine
and Pharmacy in Iași, Romania. He is a
specialist in orthodontics and dentofacial
orthopaedics. Dr Iacob has participated in
numerous postgraduate training
programmes in Romania and abroad. He is
a member of the Roth Williams International Society of Orthodontists, The
Charles H. Tweed International Foundation
for Orthodontic Research and Education,
and the Society of Esthetic Dentistry in
Romania.
TRIDENT DENTAL CLINIC
Strada Louis Pasteur 1
050533 Bucharest
Romania
andrei.iacob@clinicatrident.ro
[25] =>
Ortho_2_2017_web.pdf
Sign up
FREE
– weekly e-news delivered
to your inbox
– latest industry developments
– event specials
– exclusive interviews
with key opinion leaders
– product information
– clinical cases
– job adverts
Sign up
to the finest e-read
in dentistry
www.dental-tribune.com
[26] =>
Ortho_2_2017_web.pdf
case report
maxillary molar distalisation with aligners
Maxillary molar
distalisation with aligners
and cyclic forces
Author: Dr Tommaso Castroflorio, Italy
Introduction
In the last decade, clear aligner therapy (CAT) has
become a well-known treatment option in orthodontics, mainly owing to patients’ preferences
for aesthetic appliances. With respect to conventional fixed appliances, aesthetics is not the only
advantage of CAT. Several papers have concluded
that aligners provide better comfort and, being
metal-free, avoid irritation of the cheek and gingival tissue; facilitate better oral hygiene, allowing the patient to remove the aligner while eating
and to brush and floss the teeth after eating; and
results in less pain compared with conventional
brackets. In clear aligner-based orthodontics, an
intentional mismatch between the aligner and
the teeth is programmed based on the desired
tooth position. Through this process, a force
system is transmitted to the teeth. However, CAT
has shown some limitations regarding the generation of complex force systems for achieving
extrusion, rotation, bodily tooth movements and
root movement control. In order to overcome
these limitations, auxiliaries such as power ridges
and composite attachments were designed and
engineered to improve CAT biomechanics, enabling the expression of more complex force systems. Even so, orthodontics is not only a matter
of applied mechanics, since the biological response
of the patient plays a determining role. Aligners
are capable of producing the same biological response as fixed appliances do.1
Stimulation of the bone cells is mediated by
several factors, such as a member of the tumour
necrosis factor ligand and receptor superfamilies,
including the receptor activator of nuclear factor
kappa B ligand, the receptor activator of nuclear
26
ortho 2/2017
factor kappa B, and osteoprotegerin.2 Osteopontin is another protein that has been linked to bone
resorption via promotion of osteoclast adhesion
to the osseous matrix.3
Research has demonstrated that the use of
cyclic forces increases the rate of bone remodelling compared with static forces.4 A force propagating through biological tissue, such as alveolar
bone and the periodontal ligament, is transduced
as a tissue-borne and cell-borne mechanical stress
that in turn induces interstitial flow.5 Although
liquid flow is a current focus of the mechanotransduction pathways, its anabolic and catabolic
effects rely upon deformation of extracellular
matrix molecules, transmembrane channels, the
cytoskeleton and intranuclear structures.6 Cells
are known to respond more readily to rapid oscillation in force magnitude (i.e. to cyclic forces) than
to constant forces.7 However, randomised clinical
trials testing the effect of a commercial device
generating cyclic forces during orthodontic treatment produced contrasting results.8 Biases in
both the cited studies prevented the drawing of
a definite conclusion. In a real clinical setting, the
same device has been reported to be reliable.9
The tested device is AcceleDent (OrthoAccel Technologies). The device has a mouthpiece similar to
a sport mouthpiece, which the patient bites on to
during use. The mouthpiece portion is connected
to an activator that stays outside the mouth. The
activator houses the components that generate
the cyclic forces (vibration). The activator includes
a battery, motor, rotating weights and microprocessor for storing usage data. The patient connects the mouthpiece to the activator and uses
the device once daily for 20 min. The applied force
from the device is 0.25 N (25 g). This low force is
[27] =>
Ortho_2_2017_web.pdf
maxillary molar distalisation with aligners
case report
Fig. 1a
Fig. 1b
intended to be barely noticeable and not uncomfortable. The device can be used with fixed appliances and aligners. A human skull study has shown
that the vibration generated by the AcceleDent
device can be well transmitted through the dentition and skull.10 Therefore, the device is able to
reduce treatment time by inducing a more rapid
response of bone cells to orthodontic forces.
Case report
A 25-year-old female patient requested an aesthetic orthodontic treatment that was not easy
Fig. 1c
to manage because of her job as a make-up artist
travelling across Europe. She presented with a
Class II, Division 1 relationship: mild crowding in
the lower arch and moderate crowding in the
upper arch. The overjet was increased up to 10 mm.
The profile analysis also revealed a protruded lip
position (Figs. 1a–c). Considering the patient’s
aesthetic request and her refusal of surgical intervention or extraction, the treatment plan was
designed to obtain a final molar and canine Class
I relationship through sequential distalisation of
the maxillary teeth using Invisalign aligners (Align
Technology), composite attachments on all of
the distalising teeth and Class II elastics
ortho 2/2017
27
[28] =>
Ortho_2_2017_web.pdf
case report
maxillary molar distalisation with aligners
Fig. 2
Fig. 3
(Figs. 2 & 3).11 The patient was instructed to wear
the aligners and the Class II elastics for at least
21 h per day. Furthermore, she used the AcceleDent device for 20 min per day for the duration
of the orthodontic treatment. Aligners were
changed every two weeks until the maxillary
second molars were fully distalised, then every
ten days until the first molars were in their final
position and then every seven days until the end
of treatment.
The ClinCheck (Align Technology) software
demonstrated the need for 63 aligners to obtain
the desired results with the prescribed sequence
of stages, attachments and Class II elastics. Thus,
28
ortho 2/2017
the estimated treatment time was approximately
30 months. However, because the patient had
chosen to use AcceleDent, the case was finalised
in 18 months of treatment without any additional
aligners with respect to the initial prescribed 63
(Figs. 4a–c, 5a–c).
The clinical results were excellent and revealed a final molar and canine Class I relationship with functional overbite and overjet, and the
profile of the lower third of the face was highly
improved. The superimposition of the cephalometric tracings revealed a maxillary molar distalisation of about 6 mm without significant tipping and excellent control of the buccolingual
[29] =>
Ortho_2_2017_web.pdf
maxillary molar distalisation with aligners
case report
Fig. 4a
Fig. 4b
Fig. 4c
Fig. 5a
Fig. 5b
Fig. 5c
Fig. 6
ortho 2/2017
29
[30] =>
Ortho_2_2017_web.pdf
case report
maxillary molar distalisation with aligners
Fig. 7a
Fig. 7b
Fig. 7c
Fig. 8a
Fig. 8b
Fig. 8c
Fig.9
30
ortho 2/2017
[31] =>
Ortho_2_2017_web.pdf
maxillary molar distalisation with aligners
inclination of the incisors. The Class II elastics
were responsible for mandibular protraction of
about 1.5 mm. Retention was provided by Vivera
retainers (Align Technology) (Figs. 6, 7a–c, 8a–c).
Discussion and conclusion
In several studies conducted on Class II intraoral
non-compliance appliances, dentoskeletal effects
revealed anchorage loss at the reactive part, distal
tipping and extrusion of molars.12 Usually, the
anchorage loss occurred particularly in the incisal
area owing to the reciprocal force reacting to the
distalising force. Previous studies have confirmed
that the use of Class II elastics during maxillary
molar distalisation with aligners prevents the
uncontrolled proclination of the anterior teeth.13
Furthermore, the sequential distalisation protocol limits space opening between the distalising
teeth, which is more aesthetic, maintains maximum aligner contact with the teeth and reduces
the flexibility of the plastic material. That, in turn,
minimises uncontrolled incisal tipping, which is
expressed clinically as increased overbite with a
loss of palatal root torque.
Treatment duration is influenced by the malocclusion complexity, the amount of tooth movement required and the applied system of forces.
The distalisation of maxillary molars is frequently
required in Class II non-extraction patients. Resolving Class II molar relationships by distalising
maxillary molars may be indicated for patients
with minor skeletal discrepancies.14
Simon et al. reported a high accuracy (88%) of
the bodily movement of maxillary molars with CAT
when a mean distalisation movement of 2.7 mm
was prescribed.15 The authors reported the best
accuracy when the movement was supported by
the presence of an attachment on the tooth surface. Furthermore, they underlined the importance
of staging in the treatment predictability. Ravera
et al. investigated the dentoskeletal effect of maxillary molar distalisation with Invisalign aligners
in adult patients and found that clinicians can consider the use of Invisalign aligners in treatment
planning for adult patients requiring 2–3 mm of
maxillary molar distalisation.16 In order to obtain
this amount of movement, maxillary third molars,
if present, should be extracted to have sufficient
room to move the second and first molars in Class II
malocclusions. It has been suggested that teeth
moved with aligners do not undergo the typical
stages of orthodontic tooth movement described
by Krishnan and Davidovitch,17 because of the intermittent forces applied by the aligners. However,
light continuous forces are perceived as intermittent by the periodontium18 and orthodontic inter-
case report
mittent forces are able to produce orthodontic
tooth movement with less cell damage with respect
to light continuous forces.19
Cyclic forces applied by the AcceleDent device
are oscillatory in nature and change in magnitude
rapidly and repeatedly, affecting the cells with
each oscillation of force magnitude.20 The frequency of cyclic forces is never zero. Force frequency is a concept of critical importance, but
has rarely been considered in the field of orthodontics and dentofacial orthopaedics until recent
years. Cells are known to respond more readily
to rapid oscillation in force magnitude (i.e. to cyclic
forces) than to constant forces.7 Therefore, AcceleDent acts as a physical mediator of the bone
modelling and remodelling processes behind orthodontic tooth movement, thus facilitating the
action of the aligners. The result is excellent tracking of the aligners, because of the expression of
the biomechanics produced by the interaction
between aligner, attachments and tooth surface
(Fig. 9). The successful incorporation of AcceleDent into an orthodontic treatment can significantly reduce treatment time, making it an attractive adjunct for patients. In the presented
case, treatment duration was shortened by 45%
with an effective, user-friendly and safe
technique.
about
Dr Tommaso Castroflorio
is an adjunct professor at the Department of Surgical
Sciences of the CIR Dental School at the University of
Turin in Italy. He can be contacted at:
tommaso.castroflorio@gmail.com
ortho 2/2017
31
[32] =>
Ortho_2_2017_web.pdf
industry report
hygiene in orthodontics
Oral hygiene in orthodontics
During orthodontic treatment, many patients
seek advice on how to clean their braces effectively and gently. Since ordinary toothbrushes
and interdental brushes are not suitable for orthodontic appliances, Swiss oral care provider
Curaden, under its CURAPROX brand, is now offering the new Ortho Kit. This specialised kit contains the CS ortho ultra soft toothbrush, the CS
1009 single brush, the CPS 07, CPS 14 and CPS
18 interdental brushes, and ortho wax. The Ortho
Kit is a perfectly combined set of products and
gives dental professionals the best option for improving orthodontic patients’ oral hygiene.
When used correctly, the right toothbrush
should dislodge and remove plaque through small
circular movements along the gingival margin.
Demonstrating the right balance between comfort and effectiveness, the CS ortho ultra soft
toothbrush is specifically designed to clean both
teeth and orthodontic appliances. With 5,460
filaments, the compact brush head allows for
easy cleaning of the brackets’ outer surfaces and
its shape helps patients brush at the right angle.
Each filament has a diameter of 0.1 mm, allowing
the production of a head with many fine, though
durable, bristles. The groove in the middle of the
brush head accommodates the brackets and wires
to allow the brush to clean the teeth better. In
addition, the octagonal handle facilitates brushing at an angle of 45°. The CS ortho ultra soft
toothbrush cleans efficiently and thoroughly and
has gained an outstanding reputation among
orthodontic practices and patients.
Patients wearing orthodontic appliances have
to exercise particular care in their oral hygiene,
since bacteria can accumulate more easily around
the brackets and wire surfaces. A single-tufted
toothbrush, the CS 1009 is particularly suited for
use on wires and brackets. The brush adapts to
the contours of the brackets, can easily be moved
from the top to the bottom, and is gentle on the
gingivae. The CS 1009 also adapts to the anatomy of the gingival margin, making it an indispensable expert tool that every orthodontist
should use.
32
ortho 2/2017
How to use interdental brushes
in orthodontic care
Interdental brushes allow for effective prevention
of dental caries and periodontal disease and should
ideally be used before, during and after orthodontic treatment. To maximise the potential for atraumatic, effective and acceptable cleaning without
harm to the papillae, CURAPROX offers ultra-fine
bristles, extra thin wire cores and a durable system
for all of its interdental brushing systems. Developed to suit the orthodontist’s needs, the CPS 07,
CPS 14 and CPS 18 interdental brushes are especially capable of cleaning wires and brackets. With
an accessibility of 2 mm and an effectiveness of
8 mm, the CPS 18 allows for excellent cleaning of
the outer wires, whereas the CPS 14 is especially
suitable for the inner wires. The CPS 07 allows for
complete cleaning of the gaps between the teeth.
CURAPROX has placed special focus on the
comfortable use of international brush holders for
the specific needs of orthodontic patients. For example, the UHS 451 holder has a smart click system
[33] =>
Ortho_2_2017_web.pdf
hygiene in orthodontics
on which the CPS 07, CPS 14 and CPS 18 interdental brushes can easily be mounted. Patients can
also use various other holders.
Another key element of the Ortho Kit, the
ortho wax helps patients become used to their
appliance and protects the oral mucosa from
abrasion and injury by bracket edges. The transparent and tasteless wax can easily be placed on
to the brackets once warmed and is available in
a convenient carrying case. Finally, the Ortho Kit
contains a brochure with tips and advice on how
to clean teeth and appliances effectively. It provides specific oral hygiene instructions for each
product, as well as information about proper
nutrition.
industry report
Optimum orthodontics
right from the start
Besides the new Ortho Kit, the new CURAPROX
Baby soother is a revolution in paediatric dentistry. This soother promotes the proper development of the palate and jaws by preventing
misaligned teeth, problems caused by mouth
breathing and skin irritation. Its flat tip ensures
sufficient space for the tongue, while the side
wings guide the suction pressure in the optimal
direction.
More than just communication
In addition to offering innovative products, Curaden
emphasises the need to motivate dental professionals and patients. Motivation is crucial for
effective orthodontic treatment because it encourages patients to engage in positive behavioural
change and helps to achieve an overall positive
outcome. Through the iTOP (individually trained
oral prophylaxis) educational system, dental professionals will learn to communicate more effectively with their patients, to listen to their questions and concerns, and to establish long-lasting
good oral hygiene for their patients. Owing to the
combination of high-quality products and effective communication, dental professionals can
ensure that their patients act in accordance with
their advice and practise good oral health habits.
ortho 2/2017
33
[34] =>
Ortho_2_2017_web.pdf
industry report
dental 3-D printers
Structo’s high throughput
dental 3-D printers help lay
foundation for dental chain
to launch own brand of
clear aligners
FDC Dental Group is a network of 21 clinics in
Singapore with a history spanning more than 15
years. With a team of over 30 experienced clinicians, FDC covers a wide range of treatments,
including orthodontics and restorative dentistry
and paediatric dentistry. With the recent rise in
popularity of clear aligners as an alternative treatment to conventional fixed orthodontic appliances, FDC has seen a significant increase in
demand for these products and recognised the
need to internalise its manufacturing process to
optimize quality, turnaround time and costs.
“Lately, a lot of patients have been requesting
clear aligners instead of traditional braces because
of the aesthetic appeal and ease of use,“ said
Dr Nurul Aizat, CEO and group clinical director of
FDC Dental Group. “Having previously relied on
an external aligner manufacturer for our cases,
we saw the opportunity to start managing the
process ourselves in-house, to better control the
quality of the aligners and reduce manufacturing
cost. We commissioned Structo to assist us with
their dental 3-D printers and to set up the entire
production line in our facility, “ Aizat added.
“The project with FDC was an exciting one
from our perspective because it allowed us to
take a holistic look at the entire digital process
from scanning to manufacturing, “ said Huub van
Esbroeck, one of Structo’s founders. “The Structo
OrthoForm’s high printing speed and throughput
enables businesses like FDC to take control of
34
ortho 2/2017
their own manufacturing process, giving them
an edge in the highly competitive orthodontics
market.” By insourcing the manufacturing process,
FDC has managed to achieve cost savings of up
to 50 per cent per patient, which will be shared
with the end user to make clear aligners more
accessible to a broader demographic. Beside the
cost, FDC managed to halve the manufacturing
turnaround time from one month to only two
weeks upon receiving a case. Faster delivery of
aligners to the patient also contributes to AAA
Aligners‘ edge over its competitors.
“Structo’s mission is to empower businesses
like FDC to deliver superior products with the
help of digital dentistry and our applicationspecific solutions. We believe the speed of our
printers will allow us to spearhead the widespread
adoption of digital dentistry and we are glad we
are able to help Dr Aizat and the entire team at
FDC to realise the benefits of a full digital workflow,“ added Huub.
Structo’s dental 3-D printers
making waves across the industry
With its unique application-based product development, Structo has brought two leading
dental 3-D printers to the market. Developed
using its proprietary technology, called Mask
Stereolithography (MSLA), Structo’s printers are
[35] =>
Ortho_2_2017_web.pdf
dental 3-D printers
designed to be high throughput manufacturing
machines.
The company’s biggest user, Glidewell Dental,
runs three Structo OrthoForm printers round the
clock in its production line enabling it to achieve
a throughput of 180 arches per printer per day –
industry report
“Structo’s unique MSLA technology is just
the type of innovation the industry needs.”
David Leeson, Director of Engineering of
Glidewell Dental.
“With the growing volume in (clear
aligner) cases, we saw the
opportunity to start managing
the process ourselves in-house,
to better control the quality of
the aligners and reduce manufacturing costs.” Dr Nurul Aizat,
CEO & Group Clinical Director,
FDC Dental Group.
more than any other 3-D printer in the same price
category. The 3-D printer purchased by FDC
Dental Group is the OrthoForm, an orthodontic
3-D printer capable of printing up to 30 arches
in 1.5 hours. To date, the OrthoForm has helped
Structo expand its global reach with an installation base in across four continents. “At Glidewell
Dental, we run a high-volume facility with roundthe-clock production of various models and
appliances. When looking for a 3-D printer, I need
something that not only prints accurately with
reproducible results throughout the print platform but is also able to deliver the speed and
throughput we require,” commented David Leeson,
Director of Engineering at Glidewell Dental.
After running three Structo OrthoForm printers over the last year, Glidewell has decided to
further integrate Structo’s MSLA technology printers to expand the company’s production capabilities. By being the launch customer and adding
two of the newly released DentaForm 3-D printers, Glidewell Dental is now running five Structo
3-D printers at its production facilities. “Operating
two of Structo’s new printers is not only sufficient
to replace a number of our existing printers, but
also allows us to increase capacity overall,” added
Leeson, who mentioned that the company foresee
ortho 2/2017
35
[36] =>
Ortho_2_2017_web.pdf
industry report
dental 3-D printers
Jonathan Lim
Marketing Manager
Structo Pte Ltd.
114 Lavender Street
#07-53 CT Hub 2
Singapore 338729
sales@structo3D.com
www.structo3D.com
36
ortho 2/2017
further expansion with
more DentaForm printers
in the second half of this
year. Glidewell’s Californiabased dental laboratory
has been a DentaForm beta
user, providing valuable
feedback to Structo before
the printer was made available to the mass market.
The DentaForm 3-D printer
is designed to print diefitting models for crowns
and bridges fitting.
“Having one of the leading dental labs in the
world place its trust in our technology shows that
our solution is addressing a very critical need in
digital dentistry. David and his team have been
providing us with a lot of feedback that has contributed to new features and design elements of
the DentaForm printer. We are really excited to
continue this partnership with Glidewell to help
them expand their capacity,” added Huub.
Structo believes its high throughput printers
which give laboratory managers greater flexibility in how they manage their manufacturing process, will help accelerate the adoption of digital
dentistry. Technicians will no longer have to wait
4–5 hours for a single print job to complete, an
inherent challenge that used to be a roadblock
that prevented most dental professionals from
deploying 3-D printing on a large scale. To further encourage the adoption of CAD/CAM in dentistry, Structo recently launched a blog on all
things digital dentistry (blog.structo3d.com).
BOILERPLATE
Structo is a Singapore-based dental 3-D printing
solutions provider. It designs, develops and builds
3-D printers tailored for dental applications using
its unique proprietary MSLA technology. With
MSLA, Structo’s 3-D printers are able to achieve
speeds much higher than that of conventional
SLA printers, revolutionising the field of digital
dentistry with higher throughput and lower costs,
without compromising on print quality.
ORTHOFORM
With a large build platform and crisp printing resolution, the Structo OrthoForm 3-D printer is designed for the rapid manufacturing of dental moulds
for use in secondary processes, such as vacuum
forming. The adoption of digital dentistry is no
longer a cause for concern with our unique proprietary MSLA technology which enables the
OrthoForm to achieve record-breaking speeds
(Up to 30 dental models in 90 minutes). The end
result is higher throughput and lower costs, all
without compromising on print quality.
[37] =>
Ortho_2_2017_web.pdf
World’s Fastest
Orthodontic Model
3D Printer
Ƶŝůƚ&Žƌ
KƌƚŚŽĚŽŶƟĐƐ
>ĂƌŐĞƐƚƵŝůĚsŽůƵŵĞ
/Ŷ/ƚƐĂƚĞŐŽƌLJ
ϯϬŵŽĚĞůƐŝŶ
ϭ͘ϱŚŽƵƌƐ
dĞů
нϲϱϲϱϭϰϳϯϯϮ
ŵĂŝů ƐĂůĞƐΛƐƚƌƵĐƚŽϯĚ͘ĐŽŵ
tĞď ǁǁǁ͘ƐƚƌƵĐƚŽϯĚ͘ĐŽŵ
[38] =>
Ortho_2_2017_web.pdf
industry report
training with RehaBite
Sensorimotor training
with RehaBite during
orthodontic treatment
Author: Dr Daniel Hellmann, Germany
In daily practice, temporomandibular disorders
(TMD) are usually treated with splints, such as
Michigan splints, or similar devices. However,
orthodontists have the problem that occlusal
splints cannot be used in patients who are growing, or in patients undergoing therapy. In this
context, sensorimotor training is an effective
therapy for pain relief. Relieving postures caused
by TMD pain can be eliminated without any influence on the occlusion of the patient. Additionally, neuromuscular adaptation will be supported
actively using the RehaBite sensorimotor training appliance during orthodontic treatment.
Motor adaptation and
rehabilitation
Healthy motion sequences can transform to relieving posture patterns1 due to musculoskeletal
pain, changing the intra- and intermuscular recruitment patterns. This can cause stiffening of
muscles, in conjunction with a reduced range of
movement patterns. The stiffening process is a
natural response that provides temporary relief
by splinting the painful areas. Longer periods of
pain can lead to lasting restriction of the physiological range of movement. In the long term, such
relieving postures can trigger unphysiological
stress of the tissue involved. Modern therapeutic
concepts use active rehabilitation measures to
improve motion patterns. Such actions can help
to relieve painful adaptations triggered by coactivation patterns of the muscle structures
involved.2–4
38
ortho 2/2017
Coordinative sensorimotor training
with RehaBite
Numerous studies have stated that home exercises can have an equally therapeutic effect like
regular occlusal splints (Michigan splints or similar).5–7 Sensorimotor training with the RehaBite
device improves the neuromuscular adaptation
by controlling the movement and positioning of
the mandible. Increased strain of sensory feedback systems and the stimulation of central nervous integration processes are triggered by sensorimotor training. The coordinative training leads to
long-lasting changes of the intra- and intermuscular
recruitment pattern. In conjunction with the training effect, it is assumed that coordinative training
also causes structural modifications in specific
cortical regions.8, 9 In patients with muscle pain,
the coordinative training can cause a hypalgesic
effect, that is a significant reduction of sensitivity
to pain (exercise-induced hypalgesia).10
Practice of coordinative training
with RehaBite
RehaBite is a training device for home treatment
and rehabilitation of muscle pain of the masticatory system. The elastic, fluid-filled bite pads
work in accordance with the hydrostatic principle. In other words, the mandible can auto-balance
itself11 on the fluid-filled bite pads like a see-saw
(Fig. 1). The automatic, built-in feedback of the
device provides the patient the ability to control
the intensity of her training, and makes it possible
[39] =>
Ortho_2_2017_web.pdf
training with RehaBite
industry report
Fig. 1
Fig. 2
Fig. 3
for the patient to accurately and faithfully reproduce training conditions (Figs. 2 & 3). Biofeedback
in combination with active training can intensify
motor learning processes.12 Spontaneous modifications of the intra- and intermuscular patterns
of contractions of the muscles involved and physiological activation are frequent effects.
In the case of painful muscular jaw opening
restrictions, the training is supplemented by intensive stretching exercises (Fig. 4). By using the
post-isometric relaxation that is the result of the
coordinative bite, the stretching effect is increased
further still. The training exercises can either be
performed under the instruction of the treating
doctor or physician, or the patient may also use the
RehaBite device for individual training, regardless
of time or place, and can be further supplemented
by exercises like gentle muscle massages.
Coordinative training for relieving TMD symptoms is very effective, and in some cases, necessary for patients undergoing orthodontic treatment. Home exercises like gentle massage and
training tools such as RehaBite have shown significant results by improving muscle coordination and resolving relieving postures.
Editorial note: A list of references is available from the publisher.
Fig. 4
Fig. 1
The mandible can auto-balance
on the hydrostatic device like on
a see-saw.
Fig. 2
How the RehaBite works.
Biting on the elastic bite fork
applies an impact of force to the
liquid in the closed hydrostatic
system. This force is transmitted
to a mobile piston connected to a
mechanical spring. The piston
moves up and down in front of
the handle. The tip of the piston
can be felt with the fingertip at
the front of the handle. The
RehaBite allows five levels of
intensity, which can be adjusted
with the integrated force control
screw at the front of the handle.
about
Dr Daniel Hellmann
is senior physician of the
Department of Prosthodontics,
University Hospital Würzburg,
Germany.
Fig. 3
Bite training with finger
feedback.
Pleicherwall 2
97070 Würzburg
Germany
Fig. 4
Finger and thump grip for
stretching muscles to treat
functional restricted mouth
opening.
hellmann_d@ukw.de
ortho 2/2017
39
[40] =>
Ortho_2_2017_web.pdf
manufacturer news
coordinative training with RehaBite
Coordinative training as a
therapy for temporomandibular joint dysfunction
syndrome
Numerous studies in recent decades have proven
that home exercises for treating temporomandibular joint dysfunction syndrome have the same
therapeutic effect as that of occlusal splints.
Recent scientific studies have shown that the
masticatory muscles can be trained very effectively, particularly with coordinative exercises at
a submaximal force level. The coordinative training causes long-lasting changes in the functional
patterns of the muscles. Owing to this training
effect, specific cortical regions of the brain are
modified. The muscular adaptations induced by
the training are an essential effect of successful
muscle pain treatment.
RehaBite is the first training device that allows
force-controlled intra-oral coordinative training
under reproducible training conditions. This is
achieved with the aid of a hydrostatic system,
comparable to balancing on a see-saw. Other therapeutic effects of RehaBite include post-isometric
relaxation (i.e. therapeutically effective relaxation
of the muscles after previous tension) and haptic
control that works like biofeedback (perception
of the muscle function through the finger feedback provided by the RehaBite device). Comparable forms of all these elements can also be found
in contemporary physiotherapeutic concepts.
40
ortho 2/2017
According to clinical research by the Oral Physiology and Experimental Biomechanics group at
Heidelberg University and the Karlsruhe Institute
of Technology in Germany, inter- and intramuscular adaptions are considered to have a successful effect on muscle pain. Exercises with kinematic
feedback and electromyographic force-controlled
bite exercises and coordinative home exercises
with and without technical support have a significant effect in reducing muscle pain.
RehaBite is an innovative training device for
home treatment and rehabilitation of muscle pain
in the masticatory system.
The elastic glycerine-filled Dentrade International
bite fork is made of non- Monheimer Str. 13
50737 Cologne
toxic flexible plastic ma- Germany
terial. A major breakthrough is the haptic force T +49 221 974 2834
F +49 221 974 2836
control based on the hy- info@dentrade.de
www.rehabite.net
drostatic principle.
[41] =>
Ortho_2_2017_web.pdf
register for
FREE
– education everywhere
and anytime
– live and interactive webinars
– more than 1,000 archived courses
– a focused discussion forum
– free membership
– no travel costs
– no time away from the practice
– interaction with colleagues and
experts across the globe
– a growing database of
scientific articles and case reports
– ADA CERP-recognized
credit administration
www.DTStudyClub.com
Join the largest
educational network
in dentistry!
ADA CERP is a service of the American Dental Association to assist dental professionals in identifying quality providersof continuing dental education.
ADA CERP does not approve or endorse individual courses or instructors, nor does it imply acceptance of credit hours by boards of dentistry.
[42] =>
Ortho_2_2017_web.pdf
manufacturer news
AcceleDent
Introducing AcceleDent
Optima
Introducing the AcceleDent App
Introducing AcceleDent Optima
AcceleDent Optima is the most advanced accelerated orthodontic device with a comprehensive
suite of technology-driven features. The only vibratory orthodontic device cleared by the US Food
and Drug Administration, AcceleDent Optima is
powered by patented and clinically proven SoftPulse Technology, a cyclic force that has been
shown clinically and in research to increase the
rate of bone remodelling in orthodontic treatment compared with static forces.
With AcceleDent, orthodontists report that
they are expanding the range of patients they are
clinically confident in treating. Difficult or complex movements can become easier to achieve in
the planned amount of time. In addition to helping orthodontists achieve predictable clinical
outcomes, AcceleDent has been clinically proven
to safely and effectively speed up tooth movement by as much as 50 per cent while reducing
orthodontic discomfort.
New features
Designed with enhanced patient convenience in
mind, Optima is a smaller, lighter device that is
waterproof and able to connect with smartphones
and tablets through Bluetooth connectivity. The
device’s small charging case enables patients to
wirelessly charge the activator, which has a battery life of five to seven days. To achieve accelerated treatment, it is important for patients to use
the device daily for 20 minutes.
42
ortho 2/2017
AcceleDent Optima is the only orthodontic device
that directly connects patients and practices with
monitoring and direct messaging, via the stateof-the-art AcceleDent App. The HIPAA-compliant
app allows patients to track their usage and set
reminder notifications.
Orthodontic practice staff can view this realtime compliance data on each of their AcceleDent
Optima patients via a web portal that is customised for each AcceleDent provider. This access to
compliance data allows for more proactive case
management, including informed scheduling, and
an overall increase in practice efficiency. The compliance data also enables clinical teams to compliment patients who are excelling with compliance
and to encourage low-compliance patients.
Offering AcceleDent Optima
at your practice
AcceleDent Optima and the AcceleDent App are
designed to help your patients achieve the healthy,
beautiful smile they want faster while increasing
predictability in clinical outcomes.
Orthodontists interested in learning more about
AcceleDent Optima can visit www.AcceleDent.eu
to view the clinical evidence and case studies or
contact OrthoAccel directly.
[43] =>
Ortho_2_2017_web.pdf
Ortho Rebels
manufacturer news
Ortho Rebels online shop:
Great quality at low prices
For a long time, Ortho Rebels has proven that orthodontic products do not have to be expensive, but rather of good quality. Plus,
that it is possible to order orthodontic products easily and round
the clock on its site has made the Ortho Rebels online shop one
of the leading suppliers of orthodontic products today.
One of the most distinctive elements of its business is that Ortho
Rebels has cut prices, but not quality. For this reason, more and
more cost- and quality-conscious orthodontists trust its products
and conveniently make purchases online.
Why the company calls itself a rebel
Ortho Rebels protests against the trend towards expensive orthodontic products. It does not literally take to the streets to do this,
but metaphorically mans the barricades by offering all the products
in its online shop at extremely cost-effective prices.
Shop a comprehensive range
In the Ortho Rebels online shop, the dental professional can find a
complete range of orthodontic products, including the following:
· Metal brackets
· Aesthetic brackets
· Buccal tubes
· Wires
· Adhesives
· Elastics
· Springs & ligatures
· Pliers & instruments
Order conveniently online
In addition to the reasonably priced, high-quality orthodontic
products on sale, excellent service is what sets Ortho Rebels
apart. A high level of service is provided by excellent contact
persons who eagerly help customers with questions about
products and orders. Customers can contact the shop telephonically during office hours and, of course, the online shop is open
24 hours a day, every day. Visit www.ortho-rebels.de to start
exploring the new era of online shopping.
Atua Bracket
ProMIM Bracket
Cu-Alloy NiTi
t .JOJ#SBDLFU
t 1)TUBJOMFTTTUFFMNBUFSJBM
t .*.DPOTUSVDUJPO
t 3IPNCVTTIBQF
t"DDVSBUFBOETNPPUITMPU
t4FU )PPLTPOPS
t3PUIBOE.#5 PS
t 4FMG-JHBUJOH#SBDLFU
t 1)TUBJOMFTTTUFFMNBUFSJBM
t 'JOFTUQPXEFSQBSUJDMFUPFOTVSF
BTNPPUITVSGBDFBOEMPXGSJDUJPO
t/POEFGPSNBCMFTMPU
t4FU )PPLTPO
t3PUIBOE.#5 PS
t $POTJTUTPGOJDLFM UJUBOJVNBOEDPQQFS
t5IFQFSGFDUXJSFGPSPVS1SP.*.
#SBDLFUT
t $POUJOVPVTMJHIUBOEHFOUMFGPSDFT
t 3FEVDFTUIFGSFRVFODZPGDIBOHJOH
UIFXJSFT
t 4NPPUITVSGBDFMPXFSGSJDUJPO
t.PSFSFTJTUBOUUPEFGPSNBUJPO
UIBOPUIFSOJDLFMUJUBOJVNXJSFT
!
p
o
h
S
e
n
i
l
The On
Ovoid Arch
Nature Arch
D-Form
Price
9,- €
Set of 20
Price
89,- €
Set of 20
We
w prices
fight for lo
at high
Quality.
From
12,50es€
10 Piec
ortho 2/2017
43
www.ortho-rebels.de
[44] =>
Ortho_2_2017_web.pdf
meetings
European Aligner Society
European Aligner Society
making strides:
From Vienna to Venice
Two years ago, the European Aligner Society
(EAS) started on its path as a scientific society
whose aims are to provide information and education on aligner therapy, a treatment modality
in which there has been an incremental growth
in interest over the last decade among both clinicians and patients.
The first congress in Vienna in Austria, under
former President Dr Graham Gardner, was a great
success in terms of the scientific programme,
visitor attendance and exhibitor presence. It represented our time point zero from where we
started working on a common project with passion and enthusiasm.
One of the goals set by the EAS board for the
second EAS congress is to continue to build on
our success in Vienna by maintaining the quality
of the lectures, compiling a scientific programme
with the highest standards in orthodontic treatment and beginning to work on research awards.
The congress, to be hosted by our new president, Dr Francesco Garino, will take place in the
breath-taking surrounds of Venice in Italy from
16 to 19 February 2018. The event is planned to
provide the most complete scientific and clinical
education to orthodontists providing aligner
therapy not only in Europe but throughout the
world. Our commitment is to provide comprehensive information on aligner therapy and to
provide clinicians with the tools to offer the best
treatment choices available.
With this aim, the scientific programme features many of the specialty’s most distinguished
lecturers. The two-day programme consists of
pre-congress courses and workshops in a variety
of fields related to aligner orthodontics. In the plenary session, keynote speakers from both the academic and the clinical fields will be giving presentations on several aligner systems. Topics will cover
biomechanics, auxiliaries, hybrid treatments, teen
44
ortho 2/2017
treatments, temporary anchorage devices and
digital smile design. Drs Luis Carrière, Benedict
Wilmes, Junji Sugawara, John Morton and Christian
Coachman, among others, have already confirmed
their participation as lecturers.
The special Breakfast with the Expert will be
held on Sunday morning to give every participant
the opportunity to have a peer-to-peer discussion with the best-known experts in the field of
aligner orthodontics. A post-congress course on
digital smile design to be held by Coachman will
be the real novelty of this congress. The entire
day on 19 February will be dedicated to this revolutionary approach to aligner orthodontics.
EAS recognises that the orthodontic aligner
industry and allied companies are crucial in helping to identify EAS as a reference and the provider
of gold standard meetings for aligner orthodontics so that excellence, best practice and research
can be enjoyed and shared not only by EAS members but also by all event attendees. The society
works closely with companies that operate in the
field of aligner therapy, from manufacture to
digital integration and efficiency in aligner treatment. EAS is therefore in a strong position to
bridge the gap between clinicians and the latest
products being developed by these companies.
This symbiotic relationship results in up-to-date
knowledge creating a better patient experience
and improved treatment outcomes.
With the enchanting city of Venezia, this congress will provide an outstanding combination of
educational, social and recreational opportunities.
EAS looks forward to welcoming you to Venice!
DTI is the official partner of the EAS
Dr Francesco Garino, EAS President 2018/2019
Dr Graham Gardner, EAS President 2016/2017
Dr Tommaso Castroflorio, scientific chairperson
of the second EAS congress
[45] =>
Ortho_2_2017_web.pdf
International Magazines
ortho
international magazine
of orthodontics
www. dental-tribune.com
EUR 22 per year (2 issues per year; incl. shipping and VAT for customers in Germany) and EUR 23
per year (2 issues per year; incl. shipping for customers outside Germany).
Your subscription will be renewed automatically every year until a written cancellation is sent to Dental
Tribune International GmbH, Holbeinstr. 29, 04229 Leipzig, Germany, six weeks prior to the renewal date.
Shipping Address
Name
Address
Zip Code, City
Country
E-mail
Date, Signature
PayPal
Credit Card
Credit Card Number
SUBSCRIBE NOW!
F +49 341 48474-173
subscriptions@dental-tribune.com
Expiration Date
Security Code
[46] =>
Ortho_2_2017_web.pdf
meetings
EOS
EOS Congress made
return to Switzerland
Photo: EOS
Idyllically situated between the blue waters of
Lake Geneva, the majestic snow-covered Alps
and the Lavaux Vineyard Terraces UNESCO World
Heritage Site, Montreux is considered by many
to be one of Switzerland’s hidden gems. Every
year, this medieval city, which over the course of
its history has attracted artists and poets, draws
visitors from around the world, most prominently
for the annual Montreux Jazz Festival in July.
From 5 to 10 of June this year, more than 2,100
dental professionals from 75 countries, enjoyed
everything that Montreux has to offer, during the
93rd Congress of the European Orthodontic Society
(EOS), which took place at the Montreux Music
and Convention Centre (2m2c).
This year’s edition marked the return of the
prestigious event to Switzerland since the last
congress in the country was hosted in Geneva in
1983. Over the course of the next five days, it
brought together professionals from all over the
globe to discuss the latest scientific and clinical
46
ortho 2/2017
developments in the field. This
year’s extensive programme
was organised by 2017 EOS
President, Professor Christos
Katsaros and his team at the
University of Bern. It focused
on the alveolar envelope as the
limit to orthodontic tooth movement and the different treatment strategies to expand the
anatomical limits.
In a special session presented by the European Journal
of Orthodontics, Prof. Martyn
Cobourne and orthodontic consultant Dr Padhraig Fleming,
both from the UK, as well as
Forsyth Institute researcher Dr
Alpdoğan Kantarci, from the
US, debated accelerating tooth
movement and its rationale and
effect with moderator and journal editor Prof. David Rice. Furthermore, presentations in the greater programme covered the
latest research on a variety of other important
topics. Keynote speakers, all experts in their respective fields, critically analysed these subjects,
followed by short presentations of new research
data.
The main programme was complemented
by a number of special meetings being held by
orthodontic societies for students and teachers,
among others. In addition to the programme,
attendees were able to see and experience the
latest innovations from some of the largest manufacturers of orthodontic products, including
Align Technology and DW Lingual Systems. All
in all, over 60 sponsors had their latest offerings
on display. In the evenings, participants were
able to enjoy the best Montreux has to offer,
with a lake cruise and gala dinner at the worldfamous Chillon Castle as the highlight of this
year’s social programme.
[47] =>
Ortho_2_2017_web.pdf
[48] =>
Ortho_2_2017_web.pdf
meetings
events
International Events
2017
The European Damon Forum
7–9 September 2017
Monaco
→ www.ormo.de
Swiss Society for Aligner Orthodontics SSAO
9 September 2017
Zurich, Germany
→ www.aligner-ortho.ch
British Orthodontic Conference
14–16 September 2017
Manchester, UK
→ www.bos.org.uk
Canadian Association of Orthodontists
Annual Scientific Session
14–16 September 2017
Toronto, Canada
→ www.cao-aco.org
2017 European Carriere Symposium
14–16 September 2017
Barcelona, Spain
→ www.carrieresymposium.com
2017 Asian Carriere Symposium
27–28 September 2017
Tokyo, Japan
→ www.carrieresymposium.com
SEDA Congress
6–7 October 2017
Madrid, Spain
→ www.seda.es
DGKFO Bonn
11–14 October 2017
Bonn, Germany
→ www.dgkfo2016.de/jahrestagung-2017
PCSO 81st Annual Session
12–15 October 2017
Reno, US
→ www.pcsortho.org
76th Annual Meeting of the Japanese
Orthodontic Society
18–20 October 2017
Sapporo, Japan
→ www.jpao.jp/foreign/en/
48
ortho 2/2017
48th SIDO International Congress
19–21 October 2017
Rome, Italy
→ www.sido.it/en
NESO Annual Meeting
9–12 November 2017
Boston, US
→ www.neso.org
Journées de l’Orthodontie
10–13 November 2017
Paris, France
→ www.journees-orthodontie.org
34th Annual Meeting of the German Association
of Oral Surgeons (BDO)
17–18 November 2017
Berlin, Germany
→ www.oralchirurgie.org
GNYDM
24–29 November 2017
New York, US
→ www.gnydm.com
ADF Paris
28 November–2 December 2017
Paris, France
→ www.adf.asso.fr/en
2018
2nd Congress European Aligner Society
16–18 February 2018
Venice, Italy
→ www.eas-aligners.com
26th Australian Orthodontic Congress
9–12 March 2018
Sydney, Australia
→ www.aso2018sydney.com.au
American Association of Orthodontists – AAO
4–8 May 2018
Washington D.C., US
→ www.aaoinfo.org
94th Congress of the European Orthodontic Society – EOS
17–21 June 2018
Edinburgh, Scotland
→ www.eos2018.com
[49] =>
Ortho_2_2017_web.pdf
submission guidelines
about the publisher
submission guidelines
Please note that all the textual components of your submission
must be combined into one MS Word document. Please do not
submit multiple files for each of these items:
· the complete article;
· all the image (tables, charts, photographs, etc.) captions;
· the complete list of sources consulted; and
· the author or contact information (biographical sketch,
· mailing address, e-mail address, etc.).
In addition, images must not be embedded into the MS Word
document. All images must be submitted separately, and details about such submission follow below under image
requirements.
Text length
Article lengths can vary greatly—from 1,500 to 5,500 words —
depending on the subject matter. Our approach is that if you
need more or less words to do the topic justice, then please make
the article as long or as short as necessary.
We can run an unusually long article in multiple parts, but
this usually entails a topic for which each part can stand alone
because it contains so much information.
In short, we do not want to limit you in terms of article
length, so please use the word count above as a general guideline and if you have specific questions, please do not hesitate
to contact us.
Text formatting
We also ask that you forego any special formatting beyond the
use of italics and boldface. If you would like to emphasise certain words within the text, please only use italics (do not use
underlining or a larger font size). Boldface is reserved for article
headers. Please do not use underlining.
Please use single spacing and make sure that the text is left
justified. Please do not centre text on the page. Do not indent
paragraphs, rather place a blank line between paragraphs. Please
do not add tab stops.
Should you require a special layout, please let the word processing programme you are using help you do this formatting
automatically. Similarly, should you need to make a list, or add
footnotes or endnotes, please let the word processing programme do it for you automatically. There are menus in every
programme that will enable you to do so. The fact is that no
matter how carefully done, errors can creep in when you try to
number footnotes yourself. Any formatting contrary to stated
above will require us to remove such formatting before layout,
which is very time-consuming. Please consider this when formatting your document.
Image requirements
Please number images consecutively throughout the article by
using a new number for each image. If it is imperative that certain images are grouped together, then use lowercase letters to
designate these in a group (for example, 2a, 2b, 2c).
Please place image references in your article wherever they are
appropriate, whether in the middle or at the end of a sentence.
If you do not directly refer to the image, place the reference at
the end of the sentence to which it relates enclosed within brackets and before the period.
In addition, please note:
· We require images in TIF or JPEG format.
· These images must be no smaller than 6×6 cm in size at
300 DPI.
· These image files must be no smaller than 80 KB in size
(or they will print the size of a postage stamp!).
Larger image files are always better, and those approximately
the size of 1 MB are best. Thus, do not size large image files down
to meet our requirements but send us the largest files available.
(The larger the starting image is in terms of bytes, the more
leeway the designer has for resizing the image in order to fill up
more space should there be room available.)
Also, please remember that images must not be embedded
into the body of the article submitted. Images must be submitted separately to the textual submission.
You may submit images via e-mail, via our FTP server or post
a CD containing your images directly to us (please contact us for
the mailing address, as this will depend upon the country from
which you will be mailing).
Please also send us a head shot of yourself that is in accordance with the requirements stated above so that it can be
printed with your article.
Abstracts
An abstract of your article is not required.
Author or contact information
The author’s contact information and a head shot of the author
are included at the end of every article. Please note the exact
information you would like to appear in this section and format
it according to the requirements stated above. A short biographical sketch may precede the contact information if you provide
us with the necessary information (60 words or less).
Questions?
Nathalie Schüller (Managing Editor)
n.schueller@dental-tribune.com
ortho 2/2017
49
[50] =>
Ortho_2_2017_web.pdf
about the publisher
imprint
ortho
international magazine of
orthodontics
Publisher/President/CEO
Torsten R. Oemus
t.oemus@dental-tribune.com
Managing Editor
Nathalie Schüller
n.schueller@dental-tribune.com
Project Manager
Antje Kahnt
Layout
Rhowerk
www.rhowerk.de
Copy Editors
Sabrina Raaff, Ann-Katrin Paulick
International Administration
Chief Financial Officer
Dan Wunderlich
Chief Technology Officer
Serban Veres
Business Development Manager
Claudia Salwiczek-Majonek
E-Learning Manager
Lars Hoffmann
Head of Communication Services
Marc Chalupsky
Marketing & Sales Services
Nicole Andrä, Nadine Dehmel
Executive Producer
Gernot Meyer
Accounting Services
Karen Hamatschek, Manuela Hunger, Anja Maywald
Advertising Disposition
Marius Mezger
International Media Sales
Matthias Diessner (Key Accounts)
Melissa Brown (International)
Antje Kahnt (International)
Peter Witteczek (Asia Pacific)
Weridiana Mageswki (Latin America)
Maria Kaiser (North America & Canada)
Hélène Carpentier (Europe)
Barbora Solarova (Eastern Europe)
International Office
Dental Tribune International
Holbeinstr. 29, 04229 Leipzig, Germany
T +49 341 48474-302
F +49 341 48474-173
info@dental-tribune.com
www.dental-tribune.com
Printed by
Löhnert Druck
Handelsstraße 12
04420 Markranstädt, Germany
Copyright Regulations
ortho international magazine of orthodontics is published by Dental Tribune International (DTI). The magazine and all articles and illustrations therein are protected
by copyright. Any utilisation without the prior consent of editor and publisher is in
admissible and liable to prosecution. This applies in particular to duplicate copies,
translations, microfilms, and storage and processing in electronic systems.
Reproductions, including extracts, may only be made with the permission of
the publisher. Given no statement to the contrary, any submissions to the editorial
department are understood to be in agreement with a full or partial publishing of
said submission. The editorial department reserves the right to check all submitted articles for formal errors and factual authority, and to make amendments if
50
ortho 2/2017
necessary. Articles bearing symbols other than that of the editorial department,
or which are distinguished by the name of the author, represent the opinion of the
aforementioned, and do not have to comply with the views of DTI. Responsibility
for such articles shall be borne by the author.
Responsibility for advertisements and other specially labeled items shall
not be borne by the editorial department. Likewise, no responsibility shall be
assumed for information published about associations, companies and commercial markets. All cases of consequential liability arising from inaccurate or
faulty representation are excluded. General terms and conditions apply. Legal
venue is Leipzig, Germany.
[51] =>
Ortho_2_2017_web.pdf
The new
Ortho Kit
Everything
you need.
Wherever
you are.
--> Ortho Pocket Set
--> CS Ortho ultra soft
--> CS 1009 single
--> Ortho Wax
Ask your dental professional, chemist or pharmacist about CURAPROX products.
CURADEN Schweiz AG | 6011 Kriens
www.curaprox.com
[52] =>
Ortho_2_2017_web.pdf
The future of teen
orthodontics is here.
The new Invisalign treatment with mandibular advancement
for class II correction in growing teen patients.
• Made of proprietary SmartTrack material
• Save time and cost of emergency visits,
fittings and repairs
• Treat patients in late-mixed dentition
• Simultaneous class II correction and
alignment
• Simplify patients’ compliance with minimal
use of elastics
• Increase patient comfort with no bulky
functional appliances
How it works.
Mandibular advancement simultaneously aligns and levels the teeth. Class II correction
can be achieved in single or multiple jumps. The raised gingival cutline at the precision
wings improves patient comfort throughout treatment.
This document is for reference of dental professional only. © 2017 Align Technology (BV). All Rights Reserved. Invisalign,® ClinCheck® and
SmartTrack,® among others, are trademarks and/or service marks of Align Technology, Inc. or one of its subsidiaries or affiliated companies
and may be registered in the U.S. and/or other countries. 202660 Rev A
)
[page_count] => 52
[pdf_ping_data] => Array
(
[page_count] => 52
[format] => PDF
[width] => 595
[height] => 842
[colorspace] => COLORSPACE_UNDEFINED
)
[linked_companies] => Array
(
[ids] => Array
(
)
)
[cover_url] =>
[cover_three] =>
[cover] => ![ortho international No. 2, 2017]()
[toc] => Array
(
[0] => Array
(
[title] => Cover
[page] => 01
)
[1] => Array
(
[title] => Editorial
[page] => 03
)
[2] => Array
(
[title] => Content
[page] => 04
)
[3] => Array
(
[title] => Virtual reality and orthodontics: A new patient experience
[page] => 06
)
[4] => Array
(
[title] => Tongue star 2 (TS2) – System for rapid open bite closure
[page] => 10
)
[5] => Array
(
[title] => Use of diode laser in the treatment of gingival enlargement during orthodontic treatment: Case report
[page] => 16
)
[6] => Array
(
[title] => Orthodontic management of maxillary lateral incisors agenesis
[page] => 20
)
[7] => Array
(
[title] => Maxillary molar distalisation with aligners and cyclic forces
[page] => 26
)
[8] => Array
(
[title] => Oral hygiene in orthodontics
[page] => 32
)
[9] => Array
(
[title] => Structo’s high throughput dental 3-D printers help lay foundation for dental chain to launch own brand of clear aligners
[page] => 34
)
[10] => Array
(
[title] => Sensorimotor training with RehaBite during orthodontic treatment
[page] => 38
)
[11] => Array
(
[title] => Manufacturer news
[page] => 40
)
[12] => Array
(
[title] => Meetings
[page] => 44
)
[13] => Array
(
[title] => Submission guidelines
[page] => 49
)
[14] => Array
(
[title] => Imprint
[page] => 50
)
)
[toc_html] =>
[toc_titles] => Cover
/ Editorial
/ Content
/ Virtual reality and orthodontics: A new patient experience
/ Tongue star 2 (TS2) – System for rapid open bite closure
/ Use of diode laser in the treatment of gingival enlargement during orthodontic treatment: Case report
/ Orthodontic management of maxillary lateral incisors agenesis
/ Maxillary molar distalisation with aligners and cyclic forces
/ Oral hygiene in orthodontics
/ Structo’s high throughput dental 3-D printers help lay foundation for dental chain to launch own brand of clear aligners
/ Sensorimotor training with RehaBite during orthodontic treatment
/ Manufacturer news
/ Meetings
/ Submission guidelines
/ Imprint
[cached] => true
)
