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Thank you Doctor Jolanta
do you want to record audio? photo? video?... do it please, my pleasure that is always a kind of compliment for a speaker
Intrusion When is it possible and when necessary?
I am not here to teach
We all are colleagues
Everyday in my office have the same challenges as you in your offices
Would like to share with you and ask you to share with me
Intrusion When is it possible and when necessary?
* Introduction - what is intrusion and when is it possible? * 5 cases - when is intrusion necessary? * Summary
case 1 GUMMY SMILE TREATED ONLY ORTHODONTICALLY, 5 YEARS OF RETENTION
case 2 PATHOLOGICAL ABRASION TEAM TREATMENT, 4 MONTHS OF RETENTION
case 3 PERIODONTITIS CHRONICA TEAM TREATMENT, ONE YEAR OF RETENTION
case 4 PERIODONTITIS AGGRESSIVA TEAM TREATMENT, OVER 5 YEARS OF RETENTION
case 5 MISSION IMPOSSIBLE TEAM TREATMENT, STILL IN THE TREATMENT
case 1 GUMMY SMILE UPPER FRONT TEETH HAVE HIDDEN BEHIND LOWER LIP
case 2 PATHOLOGICAL ABRASION PROSTHODONTIST CAN NOT RESTORE UPPER FRONT TEETH
case 3 PERIODONTITIS CHRONICA SOFT TISSUE BITE TRAUMA RESULTED TOOTH 21 LOSS
case 4 PERIODONTITIS AGGRESSIVA SOFT TISSUE BITE TRAUMA RESULTED TOOTH 31 LOSS
case 5 LET US IMAGINE A MASSIVE DENTOALVEOLAR MESS
case 5 AND THERE IT IS
case 5 RIGHT SIDE - TOTAL SCISSOR BITE LEFT SIDE - 37 ONE TOOTH WHOLE ARCH CONTACT
case 5 TILT OF POSTERIOR OCCLUSAL PLANE HUGE GUMMY SMILE
case 5 "IMPACTED CUSPID" TRULY? REALLY? ARE YOU SURE?
case 5 "IMPACTED CUSPID" DESCRIBING THE BEST SEVERITY OF THIS MALOCCLUSION
case 5 "IMPACTED CUSPID" TOOTH 13 IS THE ONLY ONE UPPER TOOTH IN A GOOD POSITION
case 5 "IMPACTED CUSPID" TEETH AROUND HAVE FALLEN DOWN COVERING TOOTH 13 WITH A GUM
INTRODUCTION INTRUSION - WHAT IS IT?
INTRODUCTION INTRUSION IS IMMERSING INSIDE AROUND STRUCTURES
INTRODUCTION WILL BE TALKING ABOUT DEEP BITES AND DENTOALVEOLAR MALOCCLUSIONS
INTRODUCTION SKELETAL PROBLEMS WILL NOT BE TOUCHED IN MY PRESENTATION
INTRODUCTION :-0 where have I parked my car ? :-)
INTRODUCTION THE BEST WAY TO EVALUATE INTRUSION IS X-RAY
INTRODUCTION LOWER FRONT TEETH HAVE INTRUDED 2/3 OF ITS ROOT LENGTH
INTRODUCTION LET'S HAVE LOOK HERE CLASS 4 GINGIVAL RECESSION
INTRODUCTION LET'S HAVE LOOK HERE CLASS 4 GINGIVAL RECESSION
INTRODUCTION PERIODONTIST ALONE CANNOT TREAT CLASS 4 GINGIVAL RECESSION
INTRODUCTION PERIODONTIST SHOULD INVITE US ORTHODONTISTS TO TREAT CLASS 4 GINGIVAL RECESSION
INTRODUCTION AND WE ORTHODONTISTS SHOULD USE INTRUSION TECHNICS TO TREAT CLASS 4 GINGIVAL RECESSION
INTRODUCTION AND WE ORTHODONTISTS SHOULD DISTINGUISH BETWEEN INTRUSION AND BITE OPENING. THAT IS ESSENTIAL !!!
INTRODUCTION INTRUSION IS A BITE OPENING BUT BITE OPENING IS NOT INTRUSION
INTRODUCTION PERIODONTIST IS NOT INTERESTED IN BITE OPENING
INTRODUCTION PERIODONTIST IS INTERESTED IN INTRUSION, IMMERSING OF THE TOOTH INSIDE AROUND TISSUES
INTRODUCTION I SAW PHD ABOUT INTRUSION BUT THERE WERE NOT INTRUSION TECHINCS IN USE :-(
INTRODUCTION SO, IF YOU WANT PERIODONTIST TO COOPERATE WITH YOU, YOU SHOULD USE INTRUSION TECHNICS
INTRODUCTION PERSONALLY I HAVE MORE LUCKY MY WIFE IS A PERIODONTIST FOR ME IS EASIER :-)
INTRODUCTION INTRUSION, WHEN IS IT POSSIBLE?
INTRODUCTION PROFESSOR CHARLES BURSTONE FROM CONNECTICUT HAVE MADE A TREMENDOUS IMPACT ON OUR PROFFESION
INTRODUCTION CHARLES BURSTONE'S SEGMENTAL ARCH IDEA FOR MANY YEARS WAS THE ONLY ONE WAY TO INTRUDE TEETH
INTRODUCTION WITHIN LAST DECADE ORTHODONTIC COMMUNITY HAVE INTRODUCED TADs
INTRODUCTION TADs ARE THE SECOND WAY TO INTRUDE TEETH
CLINICAL CASES
case 1 GUMMY SMILE
case 1 GUMMY SMILE BEFORE TREATMENT
case 1 AGE 21 HAS VISITED ORTHODONTIC OFFICE
case 1 CHIEF COMPLAINT A DENTIST HAD TOLD HER : "WITHOUT ORTHODONTIC TREATMENT YOU WILL LOSE YOUR TEETH TILL AGE 30 "
case 1 PLAN ORTHODONTIC TREATMENT
case 1 GOAL TO MOVE UP THE UPPER FRONT TEETH
BEFORE TREATMENT
GOAL
THE APPLIANCE 2 BANDS, FRC BAR, INTRUSION ARCH
INTRUSION ARCH MOVES UP FRONT SEGMENT AND AT THE SAME TIME TIPS BACK AND DOWN POSTERIOR SEGMENT
BEFORE TREATMENT
DURING TREATMENT
AFTER TREATMENT
BEFORE AND AFTER TREATMENT
BEFORE, DURING, AFTER TREATMENT
case 2 PATHOLOGICAL ABRASION
case 2 AGE 45 THE PATIENT HAS VISITED GENERAL DENTAL OFFICE
case 2 CHIEF COMPLAINT "I AM DESTROYING MY TEETH, LAST 3 YEARS WERE THE WORST"
GENERAL DENTIST'S REFERED TO ORTHODONTIST
PLAN TEAM TREATMENT
BEFORE TREATMENT
START
HAVE STARTED WITH THE MAIN TASK
STRIGHT WIRE LEVELING IS NOT THE FIRST STAGE
THE INTRUSION FORCE HAS BEEN APPLIED DISTALLY
THERE IS NO NEED TO PULL FORWARD LOWER INCISORS
PROSTHODONTIST WILL NOT LIKE FLARED LOWER FRONT TEETH
THE CANTILEVER'S BEEN INSERTED INSIDE VERTICAL SLOT
SEGMENTS AT THE BEGINNING
5 MONTH OF TREATMENT
SEGMENTS AT THE BEGINNING AND AFTER 5 MONTH
WE CAN SEE THREE PIECE INTRUSION ARCH IN ACTION
MESIAL SEGMENT MOVES DOWN DISTAL SEGMENT MOVES UP AND TIPS BACK
I CAN NOT SEE THOSE 2 ACTIONS SEPARABLY
I AM NOT ALLOWED TO SEE IT SEPARABLY
TOOTH 43 HAS NOT BEEN TOUCHED
TOOTH 43 HAS NOT MOVED
TOOTH 43 IS A GOOD MARKER FOR US
5 MONTH OF TREATMENT
HAVE INTRUDED, OK
BUT WHAT TO DO LATER ?
I WOULD LIKE TO SHARE WITH YOU MY WAY
TOOTH 43, THE *** ONE HELPS A LOT
INTRUDED MESIAL SEGMENT IS RETAINED WITH A TOOTH 43 AS AN ANCHOR
THE ARCH WIRE PASSES BY PREMOLARS
THE NATURE, BITE FORCES, REBOUND EFFECT DO THE REST
6 MONTH OF TREATMENT
8 MONTH OF TREATMENT
10 MONTH OF TREATMENT
AFTER TREATMENT
BEFORE, 5 MONTH AND AFTER TREATMENT
THE TEAM HAS DONE THE JOB
case 3 PERIODONTITIS CHRONICA
case 3 AGE 36 THE PATIENT HAS VISITED GENERAL DENTAL OFFICE
case 3 CHIEF COMPLAINT LACK OF TOOTH
case 3 PLAN TEAM TREATMENT
BEFORE TREATMENT
I AM NOT SURE, HOW IMPORTANT FOR DIAGNOSTIC PROCESS AND FOR FUTURE TREATMENT IT IS
BUT
THE PATIENT IS MAIN PARTY POLITICIAN FROM THE LOCAL GOVERNMENT
BEFORE TREATMENT
START
1 MONTH OF TREATMENT
1 MONTH OF TREATMENT TOOTH 11 TIED WITH ELASTIC TO MAIN ARCH
1 MONTH OF TREATMENT MAIN ARCH 17/25 OR EVEN 18/25 SS
1 MONTH OF TREATMENT TOOTH 21 ONLY PLASTIC CROWN TIGHTLY FIXED, BRACKET .018
4 MONTH OF TREATMENT
6 MONTH OF TREATMENT
7 MONTH OF TREATMENT
7 MONTH OF TREATMENT I HAVE VERTICAL SLOT INSIDE EVERY SINGLE BRACKET
V-SLOT GIVES A LOT OF ADDITIONAL CLINICAL POSSIBILITIES
DO YOU MORE INFO ABOUT V-SLOT? FIND OPENORTHODONTICS YOUTUBE
8 MONTH OF TREATMENT
9 MONTH OF TREATMENT
10 MONTH OF TREATMENT
11 MONTH OF TREATMENT
11 MONTH OF TREATMENT BITE IS OPENING BECAUSE OF INTRUSION
TOOTH 43 HAS NOT BEEN TOUCHED
TOOTH 43 IS A GOOD MARKER TO REALIZE WHAT IS GOING ON
12 MONTH OF TREATMENT
12 MONTH OF TREATMENT STRIGHT WIRE LEVELING
I THINK THAT, RELYING ON BITE FORCES AND REBOUND EFFECT, LIKE HAVE SEEN PREVIOUSLY MIGHT BE BETTER THAN STRIGHT WIRE LEVELING
17 MONTH OF TREATMENT
19 MONTH END OF ACTIVE TREATMENT
6 MONTH AFTER TREATMENT
BEFORE TREATMENT
START
1 MONTH OF TREATMENT
4 MONTH OF TREATMENT
6 MONTH OF TREATMENT
7 MONTH OF TREATMENT
8 MONTH OF TREATMENT
9 MONTH OF TREATMENT
10 MONTH OF TREATMENT
10 MONTH OF TREATMENT BITE IS OPENING BECAUSE OF INTRUSION
IN GROVING PATIENTS THERE IS NOT SO IMPORTANT
IN CHILDREN GROWTH AND DEVELOPMENT MOVES TEETH MUCH MORE THAN ORTHODONTIST CAN
WE MOVE 3mm BUT GROWTH GIVES 13mm AND MORE
IN ADULT CASES GROWTH CAN NOT HIDE MY MISTAKES
IN ADULT PRRIO CASES THERE IS SIMPLY NO MERCY
HAVE TO BE HONEST WHILE LOOKING AT MIRROR
IT REMINDS ME A SONG OF JACEK KACZMARSKI "DO NOT LIE YOURSELF AND NOBODY LIES YOU"
11 MONTH OF TREATMENT
12 MONTH OF TREATMENT
17 MONTH OF TREATMENT
19 MONTH END OF ACTIVE TREATMENT
6 MONTH AFTER TREATMENT
BEFORE TREATMENT
START
1 MONTH OF TREATMENT
4 MONTH OF TREATMENT
6 MONTH OF TREATMENT
7 MONTH OF TREATMENT
8 MONTH OF TREATMENT
9 MONTH OF TREATMENT
IN THE CASE 3 IN CONTRAST TO CASE 2 THE INTRUSION FORCE HAS BEEN APPLIED MESIALLY
LOWER INCISORS HAVE BEEN MOVED FORWARD
HAVE I FLARED THEM TOO MUCH FORWARD ?
WILL BE BACK TO THIS QUESTION
9 MONTH OF TREATMENT
10 MONTH OF TREATMENT
12 MONTH OF TREATMENT
17 MONTH OF TREATMENT
19 MONTH END OF ACTIVE TREATMENT
6 MONTH AFTER TREATMENT
BEFORE AND AFTER TREATMENT
OPEN INCISOR's ANGLE HAS BEEN CORRECTED
NOTE PLEASE, UPPER TEETH HAS BEEN PROPPED REALLY NICE
BEFORE AND AFTER TREATMENT
WHAT IS YOUR OPINION?
HAVE THE LOWER INCISORS BEEN FLARED TOO MUCH FORWARD?
BE HONEST, PLEASE
TELL ME YOUR OPINION, PLEASE
LET US VOTE
YOU WILL NOT SADDEN OR GRIEVE ME
MAY BE I AM ONLY TESTING YOU
LET US VOTE
VOTE LOWER TEETH HAVE BEEN FLARED TO MUCH - OVER 100 NO OPPINION - ABOUT 50 LOWER INCISORS ARE IN OPTIMAL POSITION - 3 (INCLUDING SPEAKER ;-)
OK, YOUR OPINION IS FLARED TOO MUCH
SO TELL ME PLEASE HOW ARE YOU GOING TO SUPPORT THE UPPER TEETH WITHOUT FORWARD MOVEMENT OF THE LOWER INCISORS?
THAT'S THE BEAUTY OF ORTHODONTICS VARIOUS THINGS, MATTER, HAVE VARIOUS MEANING, SENCE, IN VARIOUS TIME, CIRCUMSTANCES
question HAS YOUR WIFE, PERIODONTISTS ACCEPTED THE POSITION OF THE LOWER INCISORS?
:-) LOL, A LOT OF JOKES :-)
question / discussion WE WILL KNOW SOON WHAT IS THE TRUTH LOWER TEETH WILL BE STABILE - MEANS POSITION IS OK
question / discussion I CAN REMEMBER PROFESSOR BURSTONE SAID :"IF EXTREMELY FLARED LOWER INCISORS KEEP ITS POSITION FOR A LONG TIME - MEANS THAT IS A GOOD POSITION"
THANK YOU I CAN REMEMBER FROM PROFESSOR BURSTONE LECTURE AN ANIMAL MANDIBLE ONE OF RUMINANTS
THE LOWER INCISORS IN THIS ANIMAL CASE WERE ALMOST PARALLEL TO THEIR SKELETAL BASE
AND THIS PICTURE WAS HIS VISUALIZATION HOW FLEXIBLE WE SHOULD BE THINKING ABOUT A POSITION OF THE LOWER INCISORS
THERE IS A CONFLICT: UPPER TEETH HAVE TO BE PROPPEDAND AND AT THE SAME TIME YOU DO NOT LIKE TO FLARE THE LOWER INCISORS. THERE IS NO WAY OUT WE HAVE TO FIND A COMPROMISE HOW TO DO THIS ? ANSWER, PLEASE
WHAT IS YOUR SUGGESTION? HOW TO PROPPED THE UPPER WITHOUT FORWARD MOVEMENT OF THE LOWER?
SHOULD I REMOVE TEETH IN THE UPPER ARCH ?
question / discussion STRIPPING IN THE LOWER ARCH
THE LOWER TEETH HAVE BEEN STRIPPED
SO, WE HAVE NOT FIND A BETTER SOLUTION THEN JUST PRESENTED
SO, LET US AGREE FLARING OF THE LOWER INCISORS SOMETIMES IS THE ONLY ONE WAY TO SUPPORT THE UPPER TEETH
I HAVE JUST REMINDED A CONCLUSION FROM A LECTURE I HAD ATTENDED
"WE ALL STILL BELIEVE THAT CHARLES TWEED WAS RIGHT"
CHARLES TWEED ABOUT 50 YEARS AGO HAS ESTABLISH LOWER INCISORS AS A KEY
NOWADAYS MAXILLARY INCISORS PLAY MORE IMPORTANT ROLE THAN THEY DID LAST CENTURY
case 3 BEFORE AND AFTER TREATMENT
THIS PHOTO IS MY FAVORITE WE CAN SEE THE AMOUNT OF INTRUSION
case 4 PERIODONTITIS AGGRESSIVA
HAVE NOT MENTIONED AT THE BEGINNING
THE CASES ARE LINED UP FROM THE EASIEST TO THE MOST DIFFICULT
THIS CASE COULD BE AS WELL ON THE TOP OF THE LIST
NO DOUBT THIS IS EXTREMELY DIFFICULT CASE
case 3 AGE 32 HAS SUFFERED FROM AGGRESSIVE PERIODONTITIS FOR OVER 10 YEARS
THE PATIENT SUFFERED FROM A SERIOUS ANEMIA BECAUSE OF CHRONIC BLEEDING FROM PERIODONTIUM
Hemoglobin 6,8 g/dl norm min.12 g/dl - max.16 g/dl
DEEP BITE WAS THE MAIN ORTHODONTIC OBSTACLE TO MAINTAIN TEETH FOR THE FUTURE
PLAN TEAM TREATMENT
X-RAY PERIO STATUS BEFORE
WHY CASE 4 IS MORE DIFFICULT THAN PREVIOUS ONE ?
THERE ARE 3 MAIN REASONS
THE FIRST REASON
1 THIS IS AN AGGRESSIVE PERIODONTITIS CASE
1 MANY PERSON OF AUTHORITY FOR EXAMPLE PROFESSOR KONOPKA PERIODONTIST SUGGESTS DO NOT TREAT ORTHODONTICALLY AP CASES
THE SECOND REASON
2 I CAN NOT CREATE POSTERIOR ANCHORAGE SEGMENTS
2 SIMPLY THERE ARE NOT POSTERIOR SEGMENTS
2 HAVE A LOOK AT UPPER FIRST PREMOLARS PLEASE
2 WE WERE WORRY TO DO NOT EXTRACT THEM WITH ALGINATE IMPRESSION
THE THIRD REASON
3 THE PLAN WAS TO INTRUDE INCISORS AND CANINES
3 THE ACTIV, FRONT SEGMENT IS TOO BIG
3 IN HEALTHY PERIO SUCH BIG FRONT SEGMENT BECOMES TO ACTS AS ANCHORAGE
TOGETHER WITH MY WIFE NATALIA HAVE PRESENTED THIS CASE DURING LAST WORLD FEDERATION OF ORTHODONTISTS MEETING IN SYDNEY, AUSTRALIA
YOU CAN FIND MORE INFORMATIONS ABOUT THIS CASE JUST HAVE A LOOK AT OPENORTHODONTICS YOUTUBE
BEFORE
HAVE A LOOK PLEASE AT THE LOWER LIP
THE LOWER LIP ACTS FOR UPPER FRONT TEETH LIKE A WEB, BUMPER, ABSORBER AND STOPS, PROTECTS THE UPPER INCISORS FROM ELONGATION
WHERE THE LOWER FRONT TEETH WERE BEFORE TREATMENT ?
THE LOWER FRONT TEETH SUCH A BIG SURPRISE
THE LOWER FRONT TEETH ARE LIKE ZORRO OR NINJA COME FROM NOWHERE
ON THE RIGHT X -RAY WE CAN FIND ANOTHER 3 TADs INSERTED IN THE MAXILLA
THE LOWER LIP CAN REST AFTER TREATMENT
THE MAIN TOPIC FROM OUR SYDNEY PRESENTATION WAS: BONE RESPONSE IN AGGRESSIVE PERIODONTITIS CASE WE WERE ASKING THREE QUESTIONS CONCERNING BONE RESPONSE DURING INTRUSION IN THIS PARTICULAR CASE *HAS INTRUSION REALLY OCCURED ? *HAS INTRUSION CAUSED VERTICAL BONE DEFECTS ? *HAVE DENTAL ROOTS IMMERSED INTO THE BONE? THE ANSWERS WERE *YES *NO *NO
case 5 MISSION IMPOSSIBLE
case 5 MISSION IMPOSSIBLE STILL IN THE TREATMENT
TOOTH 13 JUST THE ONLY ONE AMONG MAXILLARY TEETH IN A GOOD POSITION
STILL IN THE TREATMENT
IN A FEW MINUTES WILL ASK YOU FOR YOUR SUGGESTIONS
case 5 AGE 34 THE PATIENT HAS VISITED ORTHODONTIC OFFICE
case 5 CHIEF COMPLAINT: "I HAVE A HORSE SMILE, CUSPID HASN'T ERUPTED, HAD LOST TEETH AND HAVE STARTED BITE ON MY GUMS "
PLAN TEAM TREATMENT
BEFORE TREATMENT
THERE IS ONE TOOTH CONTACT ON THE LEFT SIDE
FOR MANY YEARS WHOLE OCCLUSION WAS SUPPORTED ONLY WITH ONE TOOTH 37
UPPER TEETH HAVE BEEN ELEVATED OVER PALATAL RIDGE
UPPER TEETH HAVE BEEN ELEVATED UP TO THE PLACE NEARBY WHERE YESTERDAY WE SAW SURGICAL PLATES SCREWED IN
BEFORE TREATMENT
PRELIMINARY SPLINT THERAPY
START OF ORTHODONTIC TREATMENT
TITTLE-TATTLE BRACKETS HAVE BEEN PLACED UP SIDE DOWN
I DO NOT STRONGLY RELY ON BRACKET PRESCRIPTIONS JUST HAVE DONE IT FOR RESPECT TO LOGICAL PRINCIPLES
7 MONTH OF TREATMENT
BECAUSE OF DEEP, DISTAL OCCLUSION I AM OPENING SPACES IN THE LOWER ARCH FOR ADDITIONAL TEETH
10 MONTH OF TREATMENT
ORTHODONTIC CROWN ON 26 DENTAL IMPLANT
11 MONTH OF TREATMENT
ELONGATED TOOTH 17 HAS BEEN ATTACHED TO THE CHEEKBONE WITH SUPERELASTIC NITI SPRING
THE DISTANCE IS SO BIG THAT THERE WAS NO NEED TO CUT THE SPRING OR BEND IT LIKE WE SAW IN DOCTOR BARGIEŁ CASES
I AM WORRY ABOUT FLARING OF THE UPPER INCISORS AND BUCCAL TIPPING OF TOOTH 17
THE UPPER LINGUAL ARCH WILL HELP ME
SLOTS INSIDE UPPER FRONT TEETH BRACKETS ARE FULLY FILLED
CROWNS OF UPPER FRONT TEETH WANT TO GO FORWARD I DO NOT LIKE IT
UPPER FRONT TEETH AND UPPER LINGUAL ARCH HAVE BEEN TIED TOGETHER WITH LIGATURE WIRE TO DECREASE THE CROWNS FORWARD MOVEMENT
A BRACKET ON THE LOWER RIGHT SECOND PREMOLAR FALLED OFF SEVERAL TIMES
I HAVE NOT KEPT PATIENCE FOR IT AND JUST LET THE TOOTH GO ITS OWN WAY
12 MONTH OF TREATMENT
WE CAN SEE AN ORTHODONTIC ATTACHMENT WELDED TOGETHER WITH A SURGICAL PLATE
HAVE LOOK AT THE LEFT CANINES, IT LOOKS LIKE CLASS ONE OCCLUSION :-)
LET ME CONFESS MY BIGGEST WORRY IN THIS CASE
THIS IS MY BIGGEST WORRY IN THIS CASE
ON THE ONE HAND BECAUSE OF HUGE GUMMY SMILE I HAVE TO INTRUDE UPPER INCISORS
HOW TO DO IT ? THE APEX IS OUTSIDE OF SURROUND STRUCTURES
ON THE OTHER HAND I DO NOT WANT AND CAN NOT MOVE FORWARD INCISOR EDGES THERE IS A DISTAL OCCLUSION, DO NOT WANT TO MAKE IT MORE SEVERE
AND NOW I AM GIVING BACK MY MICROPHONE TO YOU
GIVE ME ANY SUGGESTION OR TIP, PLEASE
DO NOT LEAVE ME ALONE
SERIOUSLY, WHAT TO DO ?
MY PLAN FOR THE NEXT VISIT IS ROOT SPRING SHOULD I ? OR NOT ?
LOOKING BACK AT THIS CASE, I HAVE A LOT OF CRITICISM FOR ATTENDING DOCTOR, FOR MYSELF
I LIKE THE APPLIANCE FROM TECHNICAL POINT OF VIEW BUT THE FORCE SYSTEM COULD LEAD TO ROOT RESORPTION
DO YOU AGREE? OR SHOULD I IGNORE IT?
question / discussion WOULD LIKE TO GIVE AN INCENTIVE AND START
question / discussion WOULD LIKE TO GIVE AN INCENTIVE AND START
question / discussion I CAN REMEMBER ON TENBROOK LECTURE
question / discussion SOLUTION FOR CLASS 2 DIVISION 2
question / discussion IN THOSE CASES THERE IS A PROBLEM WITH SPACE OPENING DURING LEVELING STAGE
question / discussion AND THE QUESTION WAS TO BRING THEM BACKWARD TOGETHER WITH ROOTS
question / discussion AND HIS SOLUTION IS: IN THE UPPER ARCH ROUND 16 AUSTRALIAN WIRE, SHAPED AS CURVE OF SPEE AND CLASS 2 ELASTICS
question / discussion THAT WAS JUST FIRST THING WHICH COME TO MY MIND
THANK YOU
FOR ME EXTREMELY IMPORTANT IS DIFFERENCE BETWEEN TADs IN THIS CASE AND IN THE PREVIOUS ONE.
TADs USED IN PREVIOUS CASE 4 OFFER ONE POINT CONTACT AND ALLOW TO APPLY A SINGLE FORCE
TADs USED IN THIS CASE 5 OFFER TWO POINT CONTACT AND ALLOW TO APPLY NOT ONLY A SINGLE FORCE BUT ALSO MONENTS
TADs USED IN PREVIOUS CASE 4 OFFER 1 POINT CONTACT TADs USED IN THE CASE 5 OFFER 2 POINT CONTACT
FROM OUR, CLINICAL POINT OF VIEW THE DIFFERENCE IS HUGE AND IMMENSE SO LET US CAL TADs USED IN THE CASE 5 TADs 2.0
SO LET US CAL TADs USED IN THE CASE 5 TADs 2.0
question HOW YOU COMBINE AN ORTHODONTIC ATTACHMENT TOGETHER WITH A SURGICAL PLATE?
GOOD QUESTION THE ANSWER IS TEAMWORK
ASSOCIATION WITH A GOOD TECHNICIAN FROM MY POINT OF VIEW IS ESSENTIAL
DO YOU REMEMBER OUR LAST CONVERSATION AFTER THE MEETING IN CRACOW
WE WERE DISCUSSING IN A SMALL GROUP I CAN REMEMBER DOCTOR JACEK FĄFROWICZ, DOCTOR BŁAŻEJ KILEN, DOCTOR ARTUR WITUŁA (OUR SURGERON)
I HAVE POSTULATED : "AS AN ORTHODONTIC COMMUNITY WE NEED VERY STRONGLY TO COMBINE AN ORTHODONTIC ATTACHMENT TOGETHER WITH A SURGICAL PLATE TO CREATE A TAD 2.0"
YOU HAVE GOT ME DOWN FROM SPACE ON THE HARD GROUND. HAVE HEARD: "THAT IS NOT POSIBLE TO COMBINE A BRACKET TOGETHER WITH A PLATE"
question THERE IS A MAGIC PERSON. BUT HOW TO DO IT?
HOW TO DO IT?
ON THIS PICTURE YOU CAN FIND THE ANSWER : WELDING BRACKETS
WELDING BRACKETS IT IS NOT MY RANGE OF COMPETENCE I HAVE JUST RECEIVED WELDED STAFF IN MY HAND
ASK ARTUR (OUR SURGEON) HE STILL HAS A FEW WELDED PIECES YOU WILL TOUCH IT AND SEE IT ARE YOU SATISFIED WITH THE ANSWER
question / discussion OK, THANKS
SUMMARY
SUMMARY INTRUSION - WHAT IS IT?
SUMMARY INTRUSION IS IMMERSING INSIDE SURROUND TISSUES
SUMMARY INTRUSION IS A BITE OPENING BUT BITE OPENING IS NOT INTRUSION
SUMMARY WITHOUT TADs IT IS NOT POSSIBLE TO INTRUDE TEETH WITH STRIGHT WIRE
SUMMARY INTRUSION LOOKS LIKE THIS
SUMMARY WHEN INTRUSION IS POSSIBLE?
SUMMARY THERE ARE ONLY TWO WAYS TO INTRUD TEETH 1*SEGMENTAL PHILOSOPHY 2* TADs
SUMMARY SRRGERY COULD BE COUNT AS A THIRD WAY BUT FOR US ORTHODONTISTS THERE ARE ONLY TWO WAYS
SUMMARY YOU CAN FORGET EVERYTHING I HAVE SAID BUT PLEASE REMEMBER ABOUT THIS
SUMMARY THERE ARE ONLY TWO WAYS TO INTRUD TEETH 1*SEGMENTAL PHILOSOPHY 2* TADs
SUMMARY WHEN IS INTRUSION NECESSARY? WHEN WE NEED INTRUSION?
SUMMARY IN MY OPINION ALL 5 CASES NEEDED INTRUSION
SUMMARY IN MY OPINION IN THE 2 CASE INTRUSION WAS NOT NECESSARY
SUMMARY CASE 1
SUMMARY CASE 1 SEGMENTAL APPROACH
SUMMARY CASE 2
SUMMARY CASE 2 SEGMENTAL APPROACH
SUMMARY CASE 3
SUMMARY CASE 3 SEGMENTAL APPROACH
SUMMARY CASE 4
SUMMARY CASE 4
SUMMARY CASE 4 SEGMENTAL APPROACH CAN NOT BE USED
SUMMARY CASE 4 TADs APPROACH
SUMMARY CASE 5
SUMMARY CASE 5 COMBINED APPROACH TOGETHER TADs 2.0 AND SEGMENTAL PHILOSOPHY
TO BE CONTINUED
DO YOU WANT TO COMMENT, ASK? DO IT NOW PLEASE OR EMAIL ME.
I WILL GIVE AN ANSWER TO EVERY SINGLE EMAIL. THANK YOU