2012-2013 Orthodontic Training Seminars - The Straight Wire Appliance 2012 2013 Warsaw

                                        CREATING DAZZLING SMILES AND BEAUTIFUL FACES

The Orthodontic Training Program is a comprehensive series of orthodontic seminars for the general dentist and for the orthodontist on how to use the Straight Wire Appliance (SWA).

This complete program of 5x3 days (15 days total) will enable the participant to learn the Art of Modern Orthodontics: that is the ability to recognize orthodontic problems as they develop in their own patients, to properly diagnose and then to treat these patients to the highest orthodontic and esthetic standards.

The SWA (and variations thereof) is the most popular fixed orthodontic appliance used today. With this appliance the dentist has absolute control of the orthodontic treatment.

Using Dr Brown’s system, you will be able to obtain for your patients:

• an esthetic harmony of the face, lips, jaws and teeth
• a treatment of most younger patients without extracting teeth by using “Growth Modification”
• an optimal occlusion
• a beautiful smile along with a pleasing facial appearance

 

                        "Orthodontic Treatment for Children and Adults Using 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, Poland

Dates:  1. October 27, 28, 29  2012   2.   December 1, 2, 3  2012   

3. January 12, 13, 14  2013  4.   March 16, 17, 18   2013     5.  May 25, 26, 27  2013.

 

Session 1:     Dates: October 27, 28, 29  2012          

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 use of “ligating” and “self-ligating” brackets
• The arch wire system of the SWA:

1. The Heat Activated NiTi (HA NiTi) Wires use the lightest forces available today, are super elastic and obtain the best results. These are used for leveling and for finishing.
2. The 19x25 steel wire – “The working Wire”  - used during the phase where heavier forces are used.

• How to place, fit and adjust the wires.
• The basic auxiliaries of the SWA are also placed (see below).

 

Workshop consists of  the placement of:

• brackets
• molar bands and molar tubes
• various separators
• ligature ties
• Kobi hooks
• open-coil spring
• closed-coil (closing) springs
• chain elastic
• intra-oral elastics
• molar bend-backs
• Arch Wires – placing and adjusting  

 

Ligating as well as Self-ligating brackets will be presented and discussed

Indirect bracketing technique – the advantages and disadvantages will be discussed.

 

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 molar tubes (using non-mix light cure adhesives).
• The arch wires used in the “leveling/aligning phase” of  treatment for most cases will be fitted and ligated in place.
• Additional exercises will cover:

1. using separators (3 types)
2. elastomeric and metal ligature ties
3. Kobi hooks
4. open-coil spring
5. chain elastic
6. 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 and for space closure in extraction cases.
• “Special elastics” for specific situations such as settling-in the occlusion or closing-down an open bite.
• Biomechanics of CLI forces - CLI intra-maxillary forces used for space closure.

1. CLI elastics
2. NiTi Closing springs
3. Chain elastics.

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

Lecture:

19x25 steel wire – “The working Wire”.

Discussion, instruction and live demonstration on how to adjust the 19x25 steel wire – “The working Wire”

• “wire forming”
• “wire torquing”
• “de-torquing” 

Workshop:

• Adjusting the 19x25 steel wire as described above.
• The participants will place CLI, CLII, CLIII and  “special elastics” on the typodont.

 

Day 3

Lecture:

Clinical case presentations

Mixed dentition and adolescent aged patients:

• Treating CLII and CLIII malocclusion patients using the SWA, archwires and intra-oral elastics.
• Treatment of an extraction case using CLI “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:

1. the basic theory on « Human Growth Patterns » and the “development of orthodontic problems” 
2. “The Esthetic Diagnosis” of Dr Brown
3. “Study model” evaluation 
4. Simplified and easy to use Cephalometirc x-ray and tracing analysis
5. the basics of the biomechanics involved in the treatment
6. the details of the actual mechanical treatment of the patient
7. the potential problems to watch out for during the treatment
8. 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:  December 1, 2, 3  2012    

Day 1

First half of 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”.

Workshop:

• Cephalometric Tracing exercise and analysis will be done by the participants

 

Second half and Day 1 and Day 2

Lecture:

• Discussion and instruction on the use of the pre-formed 16x16 “Utility Arch Wire” (UAW) as a “fixed functional appliance” for early Growth Modification in early and mid-Mixed Dentition (MD) cases.

1. 1.     16x16 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 in young patients.

• The use of the 16x22 NiTi intrusion wire .

1. The pre-formed “16x22 NiTi 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).

1. The pre-formed “RCS” wires are used for incisor intrusion, bite opening and arch leveling in adolescent and adult cases.

Lecture:

• Discussion of the use of the “Heat Activated Nitanium (NiTi) Trans-palatal Expander” and the “Heat Activated Nitanium (NiTi) Trans-palatal Molar Rotator”.

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

Workshop on the typodont:

• Placing and adjusting a 16x16 Pre-formed UAW
• Placing a 17x25 NiTi RCS wire.
• Placing a “Heat Activated Nitanium (NiTi) Trans-palatal Molar Rotator”

 

Day 3:

Lecture:

• Clinical case presentations of early to mid-MD cases using the 16x16 UAW and the 16x22 NiTi Intrusion wire to open a “deep-bite case” and close down an “anterior open-bite” case.
• Case presentations of adolescent age patients using NiTi RCS wires for bite opening and arch leveling. 
• 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 and the reduction of functional soft tissue and skeletal dysfunctions using palatal expansion, molar rotation, tooth leveling and alignment, CLII or CLIII elastics - all the time “working with nature”.

 

Session 3:   Dates: January 12, 13, 14  2013    

Day 1:

Lecture:

Adolescent orthodontic treatment

• clinical case presentation of the diagnosis, treatment planning, mechanics and biomechanics of adolescent age patient cases, CLII and CLIII deep bite and CLII and CLIII open bite using the SWA and inter-maxillary elastics.

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

 

Day 2 :

First Part of Day 2

• Continuation: treatment of adolescent age patients

 

Second part of Day 2 and 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
• the various “anchorage” situations

maximum

moderate

minimum

• En Masse space closure
• Cuspid First distaliation

Clinical case presentation

• CLI, CLII and CLIII extraction cases which examine different anchorage situations and which compare the use of:

1. intra-oral CLI  CLII  CLIII elastics used in extraction cases
2. NiTi Closing springs
3. chain elastics.

Workshop:

• Biomechanics of CLI forces – intra-maxillary forces used for space closure.

1. CLI intra oral elastics
2. NiTi Closing springs
3. chain elastics.

• The participants will place CLI forces on the typodont.:

1. intra oral elastics
2. NiTi closing springs

Workshop- additional exercises:

1. step-up/step-down finishing bends
2. bondable cleats
3. crimpable hooks.

 

Session 4:  Dates: March 15, 16, 17   2013   

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”.
• Mini-screws used for additional anchorage

Clinical case presentation

• Difficult extraction cases which examine different anchorage situations and which compare the use of:

1. intra-oral elastics, NiTi Closing springs and chain elastics.
2. The use of CLI, CLII and CLIII elastics in extraction cases.

 

Day 2:

First part Day 2

Lecture:

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

Second part day 2

Lecture:

• Head Gear (HG) - 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 and use the head caps with force modules.

Case presentation

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

 

Day 3:

Continue case presentation

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

Workshop:

• Demonstration of the fitting of a Twin-force Bite corrector.
• Demonstration of the placement of the “Fixed lingual retainer wire”
• Demonstration of placing additional crown torque to rectangular wires

 

Session 5:  Dates: May 25, 26, 27  2013

 

Day 1:

Lectures:

Maxillary Molar distalization

• Molar distalisation using extra-oral Headgear (The Cervical HG versus the Combi HG) combined together with the HA NiTi transpalatal expander.
• Molar distalisation using intra-oral appliances

1. The modified Nance molar distalizing fixed appliance system – laboratory made, uses 300 gram molar distalizing springs along with a palatal Nance plate that provides anchorage against the reactionary forces of the springs.
2. Mini-screws/implants which give “skeletal or boney anchorage” against the reactionary forces in a molar distalizing system using the SWA and 300gram NiTi O-C springs compressed with Lock-stops.
3. the sliding yoke and CLII elastics as a molar distalizing system
4. 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.

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

 

Day 2:

Lecture:

Comprehensive Adult Treatment

Non-extraction treatment

• How to “visualize a good result” when presented with difficult cases
• Beware of the “Traps” that must be avoided – 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 adult 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 

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

Beware of the Traps

• These maxilo-facial surgeries are combined with orthodontics to treat severe dentofacial problems of any type.
• 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 of 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 dento-alveolar segments can be surgically repositioned.
• 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.

• Diagnosis and Treatment planning
• Pre-surgical orthodontic treatment
• The surgical procedure
• The post-surgical orthodontic treatment and finishing. 

Case presentation:

cases using Orthodontic Treatment Combined with Maxilo-facial oral surgery 

 

Workshop:

Finishing cases with wire bending and forming

The use of the “Arch contouring pliers” to add a contour

 

Day 3:

Lecture:

• Analysis of the Orthodontic Mini-screw (mini-implants) used for different types of anchorage for different types of tooth movements.

The pluses and the minuses of mini-screws

• Impacted teeth – Correct procedures for treating impacted canines and premolars

• Self- ligating brackets – the pluses and the negatives

the “passive” versus “active” philosophies compared.

• Using Bite Guides/Ramps

during the leveling phase to aid in orthopedic correction of CLII cases with deep bite

other “tricks” with Bite Guides

Case presentation: cases showing the above topics

 

Workshop:

• placement of the mini screw  - discussion, demonstration and video
• Bite Guides/Ramps

 

Final phases of treatment

• detailed treatment analysis in the final stages of treatment of CLI  CLII and CLIII cases
• analysis of the mechanics used for proper finishing and detailing to achieve the “6 Keys of Optimal Occlusion”
• all types of intra-oral elastics
• wire bending
• bracketing and rebracketing
• removing the appliance
• proper retention.

 

Review and questions

 

For information:  

Dr Brown  tel: 0032 (0) 497 373090 ;  email: dr.larry.brown@belgacom.net

In Poland:

Malgorzata Schweitzer :  malgorzata.schweitzer@trachem.pl 

Tel +48 22 59 40 350 ext 112  Mobile +48 608 038 107

Magda Sypula – magdalena.sypula@trachem.pl, (+) 48 22 59-40-350