Warsaw, Poland: Orthodontic Training Seminars, the Straight Wire Appliance

The course consists of 5 separate, three-day sessions (15 days total)

Program Schedule

Sessions 1 to 5

Location: Marriot hotel, Warsaw

Dates: 1. November 19, 20, 21 2009 2. March 4, 5, 6 2010 3. May 13, 14, 15 2010

4. October 14, 15, 16, 2010 5. January 13, 14, 15 2011.

Session 1: Dates: November 19, 20, 21 2009

This 3 day session is organized so that the participating doctors will learn and understand how and why the Straight Wire Appliance (SWA) works so well.

The participating doctors will learn:
The correct techniques for Straight Wire Appliance (SWA) ”direct bracketing” and for molar banding. The various “bracketing schemes” that are used in treating different types of malocclusions in order to obtain the desired result will be learned.
The arch wire system of the SWA: which wires are to be used for leveling, for working and for finishing. ---How to place, fit and adjust the wires.
The basic auxiliaries of the SWA are also placed.
The workshop consists of the placement of brackets, molar bands and tubes, and the basic auxiliaries (such as various separators, ligature ties, Kobi hooks, open-coil spring, closed-coil (closing) springs, chain elastic, intra-oral elastics, molar bend-backs).

The “indirect bracketing” technique and self-ligating brackets will be presented and discussed with their advantages and disadvantages.

Day 1

Lecture: The Straight Wire Appliance (SWA)

“Bracketing for Success” -– Using the bracketing system of Dr Brown. How and why it works so well.

Discussion, instruction and video demonstration on the placement of the brackets, molar bands and molar tubes of the SWA using light-cure adhesives. The biomechanics and the placing of the basic arch wires used in the “leveling/aligning phase” of most cases. There is instructional video showing these procedures on an actual patient, which also shows which instruments are to be used.

Workshop on the typodont:

Placing the brackets and molar bands and tubes (using non-mix light cure adhesives).
The arch wires used in the “leveling/aligning phase” of most cases will be fitted and ligated in place.
Additional exercises will cover using separators (3 types), elastomeric and metal ligature ties, Kobi hooks, open-coil spring, chain elastic and the placing of molar bend-backs,.

Day 2

Workshop: Finishing the workshop from day 1

Lecture: The biomechanics and the use of CLII and CLIII intra-oral elastics for the correction of malocclusions. Also, “special elastics” for specific situations such as settling-in the occlusion or closing-down an open bite.

Biomechanics of CLI forces – intra-maxillary forces used for space closure. The use of CLI elastics, NiTi Closing springs and chain elastics.

You will receive a comprehensive syllabus on elastic therapy for future reference.

Day 3

Lecture:Discussion, instruction and live demonstration of: “wire forming”,“wire torquing” and “de-torquing” of the 19x25 steel wire – “The working Wire”.

Workshop: Adjusting the 19x25 steel wire as described above.

Workshop: The participants will place CLI, CLII, CLIII and “special elastics” on the typodont.

Lecture:

Clinical case presentation of mixed dentition and adolescent aged patients: Treating CLII div I, CLII div II, CLIII malocclusion patients using the SWA, archwires and intra-oral elastics.

Treatment of an extraction case using “sliding mechanics” and “en masse” space closure.

{During the entire course, for these cases and for every patient case presented (with slides showing the changes occurring in the patients during each treatment month as a result of the forces used) Dr. Brown will discuss:

the basic theory on « Human Growth Patterns » and the “development of orthodontic problems”
“The Esthetic Diagnosis” of Dr Brown
“Study model” evaluation
Simplified and easy to use Cephalometirc x-ray and tracing analysis
the basics of the biomechanics involved in the treatment
the details of the actual mechanical treatment of the patient
the potential problems to watch out for during the treatment
Finishing the case to obtain an optimal occlusion along with an esthetic harmony of the face, jaws and teeth. }

After Session 1 is finished, the participating dentists, even those who have never placed or used the SWA before, will be begin to be able to visualize how the SWA is used to treat malocclusions. They will also “see” their patients as never before, and they will understand which are the better patients to choose from in order to start orthodontic treatment.

Session 2:Dates: March 4, 5, 6 2010

Day 1:

Lecture: “Cephalometics” and the” Esthetic diagnosis” – how to interpret the “ceph x-ray” and the “ceph analysis”. Discussion and instruction of “cephalometrics” and the “Esthetic Diagnostic Analysis”.

Lecture: Discussion and instructionon the use of the pre-formed “Utility Arch Wire” (UAW) as a “fixed functional appliance” for early Growth Modification in early and mid-Mixed Dentition (MD) cases.

Day 2:

Lecture: Continuation of discussion and instructionon the use of the pre-formed “Utility Arch Wire” (UAW) as a “fixed functional appliance” for early Growth Modification in early and mid-Mixed Dentition (MD) cases. The UAW can be adjusted and used specifically for incisor intrusion or for extrusion (anterior segment bite closing), for molar up-righting and distal rotation, jumping anterior and posterior cross-bites and for overall arch expansion.

The use of the 16x22 NiTi intrusion wire . The pre-formed “16x22 intrusion wires are used for incisor intrusion, bite opening and arch leveling in mixed dentition cases.

The use of the NiTi Reverse Curve Wires” (RCS). The pre-formed “RCS” wires are used for incisor intrusion, bite opening and arch leveling in adolescent and adult cases.

Lecture:Begin the discussion of the use of the “Heat Activated Nitanium (NiTi) Trans-palatal Expander” and the “Heat Activated Nitanium (NiTi) Trans-palatal Molar Rotator”.

These are easy to place, biomechanically provide an “optimal, light and constant force” and do not need adjustment once they are in place.

Workshop: Placing and adjusting a Pre-formed UAW; placing a NiTi RCS wire.

Workshop: Placing a “Heat Activated Nitanium (NiTi) Trans-palatal Molar Rotator” on the typodont.

Day 3:

Lecture:

1. Clinical case presentations of early to mid-MD cases using the UAW to open a “deep-bite case” and close down an “anterior open-bite” case.

2.Case presentations of adolescent age patients using NiTi RCS wires for bite opening and arch leveling.

3. Clinical case presentations of early and mid MD cases with severe malocclusions using the NiTi trans-palatal appliance in conjunction with the SWA as a “fixed functional appliance” for growth modification using palatal expansion, molar rotation, tooth leveling and alignment, CLII or CLIII elastics and growth.

Session 3: Dates: May 13, 14, 15 2010

Day 1:

Workshop: Exercise using “Lock-stops” for stopping teeth, and also for moving teeth along the archwire when used in conjunction with NiTi open-coil springs. Clinical case presentation

Lecture: clinical case presentation of the diagnosis, treatment planning, mechanics and biomechanics of adolescent and MD cases, CLII deep bite and CLII open bite using the SWA and inter-maxillary elastics.

Day 2:

Lecture: case presentation of the diagnosis, treatment planning, mechanics and biomechanics of adolescent and MD cases, CLIII open and CLIII closed bite, using the SWA and inter-maxillary elastics.

Day 3:

Lecture:Extraction treatment. Explanation and discussion of space closure using sliding mechanics with CLI, CLII and CLIII forces. Instruction on the biomechanics of space closure and of “anchorage”.

Clinical case presentation of CLI, CLII and CLIIIextraction cases which examine different anchorage situations and which compare the use of intra-oral elastics, NiTi Closing springs and chain elastics.

Workshop: Biomechanics of CLI forces – intra-maxillary forces used for space closure. The use of CLI elastics, NiTi Closing springs and chain elastics.

1. The participants will place CLI forces: intraoral elastics and NiTi closing springs on the typodont.

2.placing step-up/step-down bends, cleats, crimpable hooks.

Session 4: Dates: October 14, 15, 16, 2010

Day 1:

Lecture: Continue the explanation and discussion of space closure using CLI, CLII and CLIII forces. Instruction on the biomechanics of space closure and of “anchorage”.

Clinical case presentation of extraction cases which examine different anchorage situations and which compare the use of intra-oral elastics, NiTi Closing springs and chain elastics.

The use of CLI, CLII and CLIII elastics.

Day 2:

Lecture: Continue clinical case presentations of “extraction cases”, CL II and CLIII.

Lecture: Begin the discussion, instruction, biomechanics and live demonstration on the placement and usage of Head Gear (HG),

Workshop: Fitting, adjusting and placing the Head Gear face-bow. Discussion and demonstration of the “occipital pull HG head cap” and the “cervical HG neck strap”.

The participants will fit a HG facebow on the typodont.

Case presentation of CLII “Long Face” mixed dentition case using the SWA, NiTi trans-palatal heat activated appliances, HG and the “Bite corrector”.

Day 3:

Continue case presentation of CLII “Long Face” mixed dentition case using the SWA, NiTi trans-palatal heat activated appliances, HG and the “Bite corrector”.

Workshop: Demonstration of the fitting of a Twin-force Bite corrector.

Demonstration of the placement of the “Fixed lingual retainer wire”

Session 5: Dates: December 6, 7, 8 2010 or January 13, 14, 15 2011.

Day 1:

Lectures: Continue with use of Head Gear (HG)

Molar distalisation using extra-oral Headgear combined together with the HA NiTi transpalatal expander. The Cervical HG versus the Combi HG.
Molar distalisation using intra-oral appliances:
The modified Nance molar distalizing fixed appliance system – laboratory made, uses 200 gram molar distalizing springs along with a palatal Nance plate that provides anchorage against the reactionary forces of the springs.
Mini-screws/implants which give “skeletal or boney anchorage” against the reactionary forces in a molar distalizing system using the SWA and 200gram NiTi O-C springs compressed with Lock-stops.
the sliding yoke and CLII elastics as a molar distalizing system
molar distalizers using O-C spring, lock-stops and CLII elastics.

Clinical case presentation demonstrating the use of the above techniques.

Workshop: Discussion, instruction, biomechanics and live demonstration on the usage and placement of the “preformed sliding yoke/jig” for molar distalization in late mixed dentition cases.

Workshop: Discussion, demonstration or video of the intra-oral placement of the mini screw.

Day 2:

Lecture:

Comprehensive Adult Treatment

-Non-extraction treatment

The strange cases which maybe difficult to “visualize a good result”. Be aware of the “Traps” that we must avoid – the cases with underlying skeletal situations that can get you in trouble.

-Preparing adult cases for Restorative dental treatment – crowns/veneers, bridges, implant work.

Case presentation: non-extraction cases will be analyzed

-Tooth Slenderizing and slicing

This can be used instead of extractions in borderline “extraction/non-extraction” situations as well as for camouflage treatment for mild CLIII and CLII adolescent and adult cases. Used instead of premolar extractions to gain about 3.5 mm of space per quadrant.

Case presentation: cases using Slicing and stripping will be analyzed

-Orthodontic Treatment Combined with Oral Surgery

Surgical treatment is for those orthodontic problems that are so severe that neither Growth Modification nor camouflage extraction therapy offers an acceptable dental, occlusal and esthetic solution. Surgery is used to correct skeletal problems the jaws and/or the problems of the dento-alveolar segments. Both jaws can be repositioned and the chin can be moved in all 3 planes of space. The dentoalveolar segments can be surgically repositioned.

How to differentiate and to diagnose a surgical case from a non-surgical one.

These surgeries are combined with orthodontics to treat severe dentofacial problems of any type.

The handling of surgical orthodontic cases (these cases are treated differently than routine orthodontic cases - What may be a simple GM treatment in a child, becomes a surgical case in adults.

1. The diagnosis and treatment planning; 2. pre-surgical orthodontic treatment; 3. the surgical procedure; 4. the post-surgical orthodontic treatment and finishing.

Case presentation: cases using Orthodontic Treatment Combined with Oral Surgery

Workshop: Discussion, demonstration and workshop on the use of the “Arch contouring pliers”

Day 3:

Lecture:

The Orthodontic Mini-screw (mini-implants)used for different types of anchorage for different types of tooth movements.
Treatment for impacted teeth – canines and premolars
Self- ligating brackets – the pluses and the negatives
Using Bite Guides during the leveling phase to aid in orthopedic correction of CLII cases with deep bite

Case presentation: cases showing the above topics

Finishing phases of treatment – detailed analysis of the final stage of treatment using intra-oral elastics, re-bracketing, wire bending, et all: Finishing and detailing to achieve the “6 Keys of Optimal Occlusion”; removing the appliance; proper retention.

Review and questions

For information by telephone: 0032 (0) 497 373090

For information by email: dr.larry.brown@belgacom.net