The use of the Straight Wire Appliance (SWA) as a “fixed functional orthodontic appliance” in the treatment of mixed dentition and adolescent cases

Location: Istanbul, Turkey

Dates: March 5, 6 2009

• This course will enable the orthodontist to recognize orthodontic malocclusions and myofunctional dysfunctions as they are developing in their younger patients.
• The dentist will learn how the simple “fixed orthodontic” system of Dr Brown using the SWA and its auxiliaries will enable them to quickly alter the growth pattern which exists so as to be able to obtain for their patients:

• An aesthetic harmony of the lips, jaws and teeth
• Treat most cases without extracting teeth by using “Growth Modification”
• A beautiful, pleasing smile and facial appearance
• An optimal CLI occlusion

• The dentist will learn how a “function” affects the “form” of the dental arches – that is the understanding of the effect of soft-tissue dysfunctions on the development of malocclusions and facial anomalies.
• Treating function and form at the same time using the SWA.
• The early treatment of severe myofunctional disorders is essential in order to avoid an abnormal facial growth pattern.
• Why orthodontic treatment results will not be stable without treatment of orofacial dysfunctions.
• A simple analysis of the soft tissue dysfunctions (sucking habits, mouth breathing, dental interferences causing mandibular slide) will be presented and their specific characteristics will be analysed..
• Various functional exercises for specific problems will be discussed.
• The dentist will be able to understand at which age to start fixed orthodontic treatment and what results he/she can expect using the straight-forward treatment mechanics specified in the course.
• The course is designed for those who are experienced in orthodontics but wish to learn about modern Straight Wire fixed orthodontic treatment.

Program of the subject matter to be covered during the 2-day course:

Presentation of the treatment of several “clinical cases”, with different types of malocclusion, which are treated with the SWA and its auxiliaries:

1. Mid mixed dentition (ages 8 to 10 years old) – “Two Phase Treatment”
   • Severe malocclusion cases with functional problems requiring early intervention.
   • CLII skeletal/dental with closed bite and with open bite.
   • CLIII skeletal/dental with closed bite and with open bite.
2. Late mixed dentition and adolescent dentition (11 to 14 years old)
   • CLII div II
   • CLII div I
   • CLII

The presentation of these patient cases will show the participating dentists how the system of Dr. Brown allows the treating dentist to consistently and systematically achieve great orthodontic as well as orthopedic results for any type of malocclusion situation.

The discussion and analysis of the above “clinical case presentations” will include the discussion of the of the following subjects:

1. The Biomechanics and treatment mechanics

   • a.Brackets and bands

     • Bracketing and banding for success

     • Discussion of the Straight Wire Appliance (SWA)

       • Brief discussion of the development of the appliance - Why and how it works so well

     • The 6 Keys to Optimal Occlusion as the treatment goal and for long term stability.

   • b. Archwires - the motor of the SWA

     Thermal (Heat) activated Nickel Titanium (HA NiTi) – for applying “optimal force levels” ; the “Utility Archwire” – used as a “fixed functional appliance” for early Growth Modification in our early and mid-Mixed Dentition (MD) cases ; the “Reverse Curve of Spee” (RCS) NiTi wires – for efficient bite opening ; rectangular steel wires - our working wires.

   • c. Auxiliaries of the SWA :

     •  NiTi open and closed coil springs, intra-oral elastics, chain elastics, headgear, intrusion wires, Lock Stops, Kobi Hooks.
     • “The Heat Activated Nitanium (NiTi) Trans-palatal Expander” and the “Heat Activated Nitanium (NiTi) Trans-palatal Molar Rotator”.
     • Combined with the SWA, they work as a “fixed functional appliance” for early Growth Modification in our early Mixed Dentition (MD) cases
     • These are easy to place, provide an optimal light and constant force, and do not need adjustment once they are in place.
     • The “Twin-force Bite corrector”- a fixed appliance, added to the SWA to correct difficult CLII skeletal/dental discrepancies.

   • d. Discussion of the different types of tooth movement:

     Tipping, translation, rotation, intrusion, extrusion

   • e. Intra-oral molar distalization techniques

     The different systems

     What is the optimal moment during the treatment phase in which these should be employed.

2. Discussion of the development of orthodontic problems

   • The effect of soft tissue/muscular dysfunctions on the hard tissue
   • Diagnosis and recognition of different growth patterns of the jaws
   • Using an Esthetic Evaluation of the Face and Lips combined with orthodontic study models and the Cephalometric x-ray and Analysis to give us a pleasing esthetic treatment result along with an Optimal Occlusion.
   • Recognizing Skeletal and/or Dental malocclusions

3. Diagnosis for different age groups in young patients

   • What age is the “Optimal Moment” to start the treatment of these different malocclusion situations?
   • Most cases can be treated non-extraction if the timing of the treatment is at the right moment and not started too late.
   • Maximizing and using natural growth for our treatment - Timing the adolescent growth spurt
   • We work with nature in order to obtain a beautiful facial harmony of the lips, teeth and jaws combined with a super CLI occlusion for stable results.
4. IV. Treatment planning and mechanical therapy for different age groups:
   • What is “Growth Modification”?
   • Discussion of the treatment of Early Mixed dentition (ages 6 to 8 years old)
   • Case presentations of several Mid mixed dentition (ages 8 to 10 years old)
     • Treatment of severe malocclusions should be started now
     • Treatment of CLII and CLIII malocclusions with deep bite and with open bite.
   • Case presentations of several Late mixed dentition and adolescent (11 to 14 years old)
     • Treatment of CLII and CLIII malocclusions with deep bite and with open bite.

After the course you will understand that by using Dr Brown’s system of “Esthetic Orthodontics”, the patients’ problems are solved by “working with nature” and thus the treating dentist is able to obtain for each patient an improved appearance facially and an optimal occlusion.

With his system of treatment, you will be able to obtain for your patients:

• An aesthetic harmony of the lips, jaws and teeth
• Treat most cases without extracting teeth by using “Growth Modification”
• A beautiful, pleasing smile and facial appearance
• An optimal CLI occlusion

Information and sign-up : Contact Dr Brown.