English English Français Français
Dr Larry Brown

Comprehensive Orthodontic Treatment for Children and Adults Using the Straight Wire Appliance

The course consists of 3 separate, Three-day sessions (9 days total)

Location: Kiev, Ukraine

Dates: 1.May 2, 3, 4, 2008;2.November 21, 22, 23, 2008; 3.February 6, 7, 8, 2009

 

The course is presented in English with simultaneous translation in Ukrainian

 

The course consists of lectures (using slides and video), workshops, and demonstrations.

During the daily session there will be actual patient clinical cases presented, which demonstrate month by month, the progress and changes that occur during treatment. During the presentation of these patient cases there will be discussion (as they relate to each patient case) about: 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 cases to obtain an optimal occlusion along with an esthetic harmony of the face, jaws and teeth; removing the appliance; making the proper retention.

 

The “workshops” are practical exercises performed on typodonts by each participant using the Straight Wire Appliance (SWA) and its auxiliaries. Syllabuses of these exercises are provided.

Syllabuses are provided for the lecture material, and the print-outs of the many individual clinical case presentations will be handed out. These are extremely beneficial when used for future reference while treating your own patients.

{If time permits, the participants can receive help from Dr. Brown with diagnosis and treatment planning of their own cases.}

 

Sessions 1 to 3

 

Session 1: May 2, 3, 4, 2008

This 3 day session is organized so that the participating doctors will learn the correct techniques for SWA “Direct Bracketing” and molar banding using light-cure composites, and as well the basics of efficient wire and “auxiliary” placement.

The doctors will learn how to place brackets, molar bands, and the basic auxiliaries (such as separators, ligature ties, Kobi hooks, open-coil spring, closed-coil (closing) springs, chain elastic, intra-oral elastics, molar bend-backs). Arch wires: which wires are to be used for leveling, for working and for finishing. How to place, fit and adjust the wires.

The “indirect bracketing” technique will be presented and discussed with its 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 and molar bands of the appliance using light-curing, and the placing of the basic archwires used in the “leveling/aligning phase” of most cases. An instructional video, showing bracketing, banding and wire placement on a patient, will be presented. This video demonstrates bracket and molar band placement using light-cure materials, fitting wires and ligating them in place. This shows how it is done and which instruments are to be used.

Workshop on the typodont: placing the brackets (using non-mix light cure composite) and molar bands. The 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 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. The participants will place CLI forces: intra-oral elastics, NiTi closing springs 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:

  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 will be begin to be able to visualize how the SWA is used to treat malocclusions and oral-facial problems.

 

Session 2:November 21, 22, 23, 2008.

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”.

 

Day 1 (cont) and Day 2 :

Lecture: the diagnosis, treatment planning, mechanics and biomechanics of early and mid Mixed Dentition cases with CLII and CLIII deep bite and open bitemalocclusions using the Utility Arch Wire, the RCS NiTi wires and the NiTi trans-palatal appliance,

1. Discussion and instructionon the use of the pre-formed “Utility Arch Wire” (UAW) for early “Growth Modification” in Mixed Dentition (MD) cases.

    1. The UAW can be adjusted and used specifically for incisor intrusion or for incisor extrusion (anterior segment bite closing), for molar up-righting and distal rotation, correcting anterior and posterior cross-bites and for overall arch expansion.

2. 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.

3. The use of the “Heat Activated Nitanium (NiTi) Trans-palatal Expander” and the “Heat Activated Nitanium (NiTi) Trans-palatal Molar Rotator” in conjunction with the SWA as a “fixed functional appliance” for growth modification. These appliances provide palatal expansion, molar rotation and are used in conjunction with tooth leveling and alignment.

    1. 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 the UAW, the NiTi RCS wire and a “Heat Activated Nitanium (NiTi) Trans-palatal Molar Rotator” on the typodont.

Lecture: Clinical case presentations demonstrating the treatment of the patients using the SWA, the UAW/RCS NiTi wires and the NiTi Trans-palatal appliances together as a “Fixed Functional Appliance”.

 

Day 3:

Lecture:Extraction cases: discussion ofspace closure using CLI, CLII and CLIII forces. Instruction on thebiomechanics of space closure and of “anchorage”. Discussion of the “10 Hour Force Theory”

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

 

Session 3: February 6, 7, 8, 2009.

Day 1:

Lecture: Continuation on the treatment of extraction cases:space closure using CLI, CLII and CLIII forces.

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

Day 2:

Clinical case presentation of adolescent aged, non-extraction cases CLII and CLIII, open bite and non-open-bite.

Day 3:

Lecture: Discussion, instruction, biomechanics and 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” , the “cervical HG neck strap” and the “Combi HG”.

The participants will fit a HG facebow on the typodont.

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

 

 

For information by telephone: 0032 (0) 497 373090

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