Course for 2024: Orthodontic Seminars of California present: Orthodontic Training Seminars, Dr. Larry Brown; Group 21

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 Group 21: Sessions 1 to 5  

Location:  Warszawa, Poland

DATES  1. Sat, Sun, Mon March 9, 10, 11 2024  2. Sat, Sun, Mon April 13, 14, 15  2024      3. Sat, Sun, Monday June 8, 9, 10  2024  4.  Sat, Sun, Mon October 5, 6, 7  2024              5. Sat, Sun, Mon  November 16, 17, 18  2024  

Hours each day for the 3-days: 1^st day: 9:30 to 17:30; 2^nd day: 9 to 17; 3^rd day: 9 to 16. Dr. Brown, Dr. Izabela Pietruczuk and Dr. Weronika Wojciechowska remain after the course each day to answer questions and to provide consultations and problem solving for the individual orthodontic cases of the course participants. Lectures will be presented by Dr. Brown and Dr. Pietruczuk.

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 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: 1. An esthetic harmony of the face, lips, jaws, teeth and smile.   2. The treatment of most young patients without extracting teeth by using “Growth Modification”.   3. An optimal occlusion.   4. A beautiful smile and pleasing facial appearance. Dr. Brown’s system is time tested and is being successfully used by 1000’s of doctors worldwide. 

For your convenience to help you get started on the road to a career in orthodontics, all the necessary instruments and orthodontic materials needed for the workshops and to start patient treatments using Dr. Brown’s system can be ordered, at discounted prices, through LBOrthodontics.com or ordered directly at the course location. 

Included in the fee for the seminar, all participants receive a multi-page detailed syllabus at each session of the course.

Dr. Brown’s 700 page all color book “The Art of Modern Orthodontics” is very important for course participants as it provides detailed information on how to use Dr. Brown’s orthodontic system and in the future can be used as a reference book. 

Session 1:   Sat, Sun, Mon March 9, 10, 11 2024      

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

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.
• The arch wire system of the SWA:

The Heat Activated Nickel Titanium (HA NiTi) wires use the most optimal force levels available today, are super elastic and obtain superior results. These are used during the beginning phase of treatment for leveling and then later for finishing.

The 19x25 steel wire, “The working Wire”: used during the treatment when heavier forces are used to move teeth and/or mandible.

• How to place, fit and adjust the wires.
• The basic auxiliaries of the SWA.
• The instruments used in Dr. Brown’s system.

The 1^st session Workshops will consist of the placement of:

• brackets
• molar bands
• bondable molar tubes
• various separators
• elastomeric ligature ties
• open-coil spring
• springs for space closure
• chain elastic
• intra-oral elastics
• molar bend-backs
• arch wires  

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 basic biomechanics of the SWA
• Placing of the arch wires used in the “leveling/aligning phase” of most cases.
• Demonstration of the instruments that are used.   
• Instructional video showing these procedures on a patient.
• Video demonstrations of the placement of all the SWA brackets, bands and all the auxiliaries.

Workshop on the typodont: The following exercises will be done on the Typodont: 

• Placing the brackets and molar bands (using non-mix, light cure adhesives).
• Placing/fitting arch wires that are used in the “leveling/aligning phase” of treatment for most cases.
• Placing elastomeric ligature ties to “ligate” the wire to the brackets.

Additional exercises on the Typodont:

• Placing of elastomeric Separators in preparation of band fitting
• Open-coil spring to open spaces
• Closed-coil spring (springs for space closure)
• Chain elastic
• Placing of molar bend-backs

Day 2

Workshop on the Typodont:

• Continuing and Finishing the workshop from day 1 

Lecture:

• 19x25 steel wire: “The Working Wire”
• 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.  
• CLI elastics
• NiTi Closing springs
• Chain elastics.

Workshop on the typodont:

• Placing the 19x25 steel wire on the maxillary arch. 
• Placing CLI, CLII, CLIII and “special elastics” on the typodont.
• Placement of a 200gr NiTi closing spring for “en masse, reciprocal space closure”.

Day 3

Lecture:

Clinical case presentations: These cases demonstrate how to diagnose and then to treat “step-by-step” typical orthodontic patients seen every day in dental practices.

• 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.

At each session, patient clinical cases will be presented that demonstrate the changes in the patients that occur during treatment on a month-by-month basis as a result of the forces used. These cases instruct in the diagnosis and mechanical treatment planning, and as well they aid in learning to visualize the process and the final result of an orthodontic treatment before the treatment begins. For these cases, 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 be aware of during the treatment
• Finishing the case to obtain an optimal occlusion along with an esthetic harmony of the face, jaws, teeth and smile.  

After Session 1 is finished, the participating dentists, even those who have never placed or used the SWA before, will be able to visualize how the SWA is used to treat malocclusions, will be able to better evaluate their patients before starting orthodontic treatment and once a diagnosis is made, the doctors will have the ability to start treatments. 

Session 2:  Sat, Sun, Monday April 13, 14, 15  2024                       

First half of Day 1:

Lecture:

“Cephalometrics”

• How to interpret the cephalometric x-ray and the cephalometric analysis.
• Discussion and instruction of the cephalometric tracing and analysis.

Workshop and demonstration:

Cephalometric Tracing workshop and analysis exercise will be performed by the participants using the Dr. Larry Brown (LBO) Cephalometric Tracing and Analysis Computer Program (Copyright  Dr Larry Brown). Using this program, this procedure is much easier to accomplish and more accurate than with manual tracing or with other computer programs. As well the doctor is capable of completing the basic tracing and obtaining a complete Dr. Larry Brown Cephalometric Tracing and Analysis in a matter of a few minutes, saving valuable time.

It is necessary to install the program in your laptop and bring it along and the laptop mouse to the course in order to do the learning exercise. Please contact Rajmund at info@lborthodontics.com [1] or 048 690 526 526.

As a special offer, if one orders the Program before Session II, it can be purchased and paid for in 3 arranged instalments.

Lecture:

• The Esthetic Diagnosis: the “Esthetic Diagnostic Analysis” combined with the cephalometric analysis. 

Second half of Day 1

Lecture:

• Discussion, instruction and live demonstration on how to adjust the 19x25 steel wire
• The Biomechanics of the Working Wire

Workshop on the typodont:

Adjusting the 19x25 posted steel wire

• Wire forming

     Making an “Accentuated Curve”  

     Wire “torque and de-torque” 

Workshop and demonstration:

• “Lock-stops” for stopping teeth and also for moving teeth along the archwire when used in conjunction with NiTi open-coil springs.  
• Use the lock-stop wrench to place the lock stop on the 19x25 HA NiTi wire

Workshop and demonstration:

• Placing a 200gr closing spring from 1^st molar to a cuspid (remove the adjacent 1^st premolar from the typodont). This is used for CLI space closure during extraction treatment.

Lecture

Clinical case presentation of Adolescent orthodontic treatment

The diagnosis, treatment planning, mechanics and biomechanics using the SWA and inter-maxillary elastics of  adolescent age patients:

• CLII deep bite,
• CLII open bite
• CLIII.

Day 2:

First Part of Day 2:

Lecture:

• Continuation: treatment of adolescent age patients 

Second part of Day 2 and Day 3

Lecture:

• Extraction treatment of CLI and CLII malocclusions in adult patients:
• Explanation and discussion of space closure using “sliding mechanics” with CLI, CLII and CLIII forces.
• Camouflage CLII treatments
• Explanation of the biomechanics of space closure
• Various anchorage situations.

Maximum anchorage

Moderate anchorage

Minimum anchorage

• How to establish anchorage
• En Masse space closure
• Cuspid-First distalization using Closed-coil springs and CLI intra-oral elastics.
• The 10 hour force theory: this idea can be applied for tooth movement and for anchorage.

Clinical case presentation:

CLI extraction treatments

Camouflage CLII extraction treatments

• Use of different anchorage systems   

• Use of intra-oral CLI and CLII elastics for extraction cases.
• Use of NiTi Closing springs
• Use of chain elastics 

Session 3: Sat, Sun, Mon June 8, 9, 10  2024         

Day 1 and Day 2

Lecture:

• The use of the intrusion wires (bite opening) in mixed dentition cases: the 16x22 Beta-Titanium (Beta-Ti) intrusion wire. The 16x22 Beta-Ti intrusion wires are used for incisor intrusion, bite opening and arch leveling in mixed dentition cases.
• The use of the 17x25 NiTi Reverse Curve Wires” (RCS) for adolescent and adult deep bite cases. The pre-formed NiTi “RCS” wires are used for incisor intrusion, bite opening and arch leveling in adolescent and adult cases. 
• The 16x16 Utility Arch Wire will be discussed and compared.  

Lecture:

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

• Pre-fabricated and pre-programmed. Using “Optimal HA forces”, these appliances expand the palate, distal-rotate and distalize the 1^st molars in an automatic as well as a gentler manner when compared to fixed steel appliances which rely on breaking the mid-palatal suture.
• These are simple to place in the mouth.
• Do not need adjustment once they are in place.
• Biomechanically provide an “optimal, biological HA force” as opposed to heavy steel forces.

Workshop on the typodont:

• Making and placing a 16x22 Beta-Ti intrusion wire. 
• Placing a “Heat Activated Nitanium (NiTi) Trans-palatal Molar Rotator”
• Demonstration of the placement a 17x25 NiTi RCS wire. 

Lecture:

• Clinical case presentations of early to mid-mixed dentition cases using the intrusion wires for deep-bite correction (opening of a deep bite) and to close down an anterior open-bite.
• Case presentations of adolescent age patients using NiTi RCS wires for bite opening and arch leveling. 
• Clinical case presentations of early and mid-mixed dentition cases with severe malocclusions using the HA NiTi trans-palatal appliance, in conjunction with the SWA and the wires: this set-up works as a “fixed functional appliance” for growth modification and the reduction of soft tissue and skeletal dysfunctions. This system provides, in a biological manner, palatal expansion and molar distalization during tooth leveling and alignment.
• The use of CLII, CLIII and Special elastics to finish correcting skeletal and dental malocclusions. 

Day 3

Lecture:

Extraction treatment of CLIII malocclusions: Camouflage CLIII extraction treatments

• Explanation and discussion of space closure using sliding mechanics with CLI, CLII and CLIII forces.
• Camouflage CLIII treatments
• Instruction on the biomechanics of space closure for CLIII cases.
• Discussion of various types of anchorage situations

• How to establish anchorage. 
• En Masse space closure
• “Cuspid-First distaliation”

1. Biomechanics of CLI forces: intra-maxillary forces used for space closure.
2. CLI intra oral elastics
3. NiTi Closing springs
4. Chain elastics.

Clinical case presentation of CLIII camouflage extraction treatments using different Anchorage situations. 

Session 4:  Sat, Sun, Mon October 5, 6, 7  2024 

1^st half of Day 1:

Lecture: 

Orthodontic treatment combined with Oral Surgery 

• Description of the most common orthognathic surgeries used today.

1. The Lefort I down-fracture
2. The BSSO of the mandible
3. The corticotomy of the palate (surgical expansion)
4. The genioplasty

• How to differentiate and to diagnose a surgical case from a non-surgical one.
• Beware of the “Traps” that must be avoided: the cases with underlying skeletal situations that can land a practitioner in a difficult treatment situation.
• The handling of surgical orthodontic cases (these cases are treated differently than routine orthodontic cases): What may be a simple Growth Modification treatment in a young patient becomes a surgical case in adults.
• Maxilo-facial surgeries are combined with orthodontics to treat severe dento-facial 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 and the chin can be repositioned in all 3 planes of space.

Case presentation:

Cases using Orthodontic treatment combined with Maxilo-facial oral surgery 

2^nd half of Day 1

Workshop on Typodont and demonstrations

• Placing Kobayashi (Kobi) hooks
• Placing metal ligature ties
• Adding additional torque to the 19x25 steel wire using the “torqueing key instrument”.

Workshop demonstration and discussion in the use of and placement of on the typodont:

• Bite Ramps

• Bondable cleats
• Bondable lingual buttons
• Bondable surgical attachments
• Crimp hooks
• Crimp stops
• Lightening strips

Workshop demonstration:

• Demonstration of the fitting of the NiTi CLII Corrector (NCC): a fixed orthodontic and orthopedic appliance that is attached to the SWA – is used in Growth Modification of the Mandible and Maxilla).

Video demonstration of the placement of the NCC on a patient.

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

Workshop on typodont

• Placement of a mini screw on the typodont 

Day 2:

Lecture: Difficult extraction cases

• Continue the explanation and discussion of space closure using CLI, CLII and CLIII forces.

Clinical case presentations of difficult 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 in these difficult extraction cases.
• Mini-screw (temporary anchorage device) used for additional anchorage. 

Day 3:

Case presentation

• CLII “Long Face” mixed dentition cases the SWA, NiTi trans-palatal heat activated appliances, occipital-pull HG and the NiTi CLII corrector (NCC).
• Using the NiTi CLII corrector (NCC) for CLII correction of non-cooperative patients. 

Session 5: Sat, Sun, Mon  November 16, 17, 18  2024

Day 1

Molar distalization

Molar distalisation using intra-oral fixed appliances:

• The fixed, palatal-plate, anchorage appliance system: laboratory made, uses +300 gram molar distalizing springs along with a palatal anchorage 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 that uses: the SWA and 300gram NiTi O-C springs compressed with Lock-stops.
• The sliding yoke activated by CLII elastics or 200gr closed-coil spring as a molar distalizing system
• Molar distalizers using O-C spring, lock-stops and CLII elastics.

Molar distalisation: extra-oral:

• Headgear (The Cervical HG and the Combi HG) combined together with the intra-oral HA NiTi transpalatal expander.

Clinical case presentations demonstrating the use of all of the above techniques.

Workshop on the typodont

• Sliding Yoke distalizer:

Discussion, instruction, biomechanics, video presentation and live demonstration on the usage and placement of the sliding yoke for molar distalization in late mixed dentition cases.

For the workshop: the sliding yoke will be made using a loop-bending pliers and weinghardt pliers to bend a piece of 16x16 heat treatable steel wire into a yoke. Videos of this procedure will be provided/given to course participants. The wire will be provided for the workshop, but participants need to bring the loop-bending pliers for this exercise.

Demonstration and protocol for the adjustment of Head Gear (HG) (face-bow, head-caps/neck straps).

• Discussion of the principles and biomechanics of HG.

Workshop on Typodont with demonstrations:

(The participants must have/bring with them the correct Step-pliers to do the exercise)

• Step-up step-down bends.
• Step-in step-out bends.
• Demonstration of Self-ligating brackets 

Day 2:

Lecture:

Comprehensive Adult Treatment

Non-extraction Adult 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 land a practitioner in a difficult treatment situation.

Adult orthodontics: Orthodontic preparation of adult cases before restorative dental treatment (crowns/veneers, bridges, implants) to enable superior final restorative results that cannot be obtained without using orthodontic treatment first.

Case presentation:

• Adult non-extraction and extraction cases will be analyzed. 

Tooth Slenderizing, slicing and stripping

• This can be used occasionally in place of extractions in borderline “extraction/non-extraction” situations as well as for camouflage treatment for mild CLIII and CLII adolescent and adult cases. Or used in maxillary mid-line correction.
• Is used instead of premolar extractions to gain up to 3.5mm of space per quadrant.

Case presentation:

Difficult clinical cases will be analyzed using Slicing and Stripping in “problem solving”. 

Day 3:

Lecture:

Analysis of the Orthodontic Mini-screw used for different types of “temporary boney anchorage” for different types of tooth movements including the very difficult molar intrusion.

• Pluses and the minuses of mini-screws (also known as TADs: Temporary Anchorage Device).

“Self- ligating” brackets: clinical cases demonstrating:

• Pluses and the negatives of these brackets
• “Passive” versus “active” philosophies

Using Bite Ramps

• In CLII division II deep bite cases: used to open the bite for early bracketing of the lower arch. At the same time during the beginning leveling phase, they also aid in advancement of the mandible for an early orthopedic correction of CLII cases with deep bite.
• Other uses of Bite Ramps for difficult situations such as for scissor-bite corrections.

Case presentation: cases showing the above topics 

The final phase of treatment.

Workshop demonstrations:

• Removing the appliance
• The placement of the “Fixed lingual retainer wire”
• Removable Hawley Retainers

Review and questions

 

Information on the Orthodontic Training Seminars:  

For all inscriptions: To reserve your place, a non-refundable deposit of 200pln must be made within 7 days after inscription on line at http://lborthodontics.com/4,8,13,zapisy.html [2] ; the 200pln will be applied as partial payment to the first session fee.

-Price for Session 1 (or the initial session of the doctor): 4350pln. (includes coffee breaks and Gourmet Lunch in the Hotel). 

-For doctors repeating this “3-day session" the price is 4150pln.

-For university students who are members of the Larry Brown Orthodontic Club the price is 4100pln. 

-Price for Sessions 2 to 5: 3950pln (includes coffee breaks and Gourmet Lunch in the Hotel). 

-For doctors repeating any of these "3-day sessions" the price is 3800pln.

-For university students who are members of the Larry Brown Orthodontic Club the price is 3700pln. 

-There is a special reduced price of 10% on the entire course for “Payment in Full” (that is: payment of the First 3 sessions before February 9, 2024 and payment of the final 2 sessions before May 8, 2024).

-There is a discounted price of 100pln per session for payment made 1 month before each session. 

Included in the price: The Typodont, all the workshop materials/appliances for the entire course and the 700 page Orthodontic Text book of Dr. Larry Brown. All of the regularly used materials used in the Dr Brown’s system will be provided to the doctors for each of the session’s workshop (**see attached list bottom of the page).

Dr Brown’s Text book will be sent to each doctor once they have paid their inscription fee for the 1^st session.

**The following items that will be given out to the participants as they are used during the 5 scheduled workshops of the Training Seminars (I workshop per session). The Text book will be sent by post/courrier to each participant after they have inscribed in the course and paid the fee. The typodont will be given out in the First Session and will be used in all 5 sessions. The value of these items is about 3000pln.

At the end of the course, the typodont and all the materials used in the course remain the property of the doctors and can be used in their practices for “patient education reasons”.

Typodont: high quality, transparent gingiva, 28 removable teeth                             

Text Book Dr Brown (excellent quality publishing, 700 pages, All Color)               

Sapphire Bracket Set (20 brackets)                

Archwire : 16 Heat Activated/Copper Nickel Titanium (HA NiTi), 1 Upper              

Archwire : 18x18 HA NiTi wire, 1 Lower        

Archwire: 19x25 Stainless Steel with posts (working wire), 1 Upper       

Bracket composite supplied for workshop: orthodontic type, light cure   

Band cement supplied for workshop: orthodontic type, light cure                            

Separators, Elastomeric (2 pieces)                                 

Molar Bondable Buccal Tubes (2 tubes)                       

Molar bands: 1^st molar (4 bands with attachments)                     

Long-Loop Chain Elastic: (1 piece)                

Open-coil spring: 010x030, 1 piece                

Closed-coil spring: 9mm, 200-250gr force, (1 piece)                  

Intraoral elastics: various sizes, several pieces           

Metal ligatures: multiple pieces 

Lockstop + key: 1 lockstop and 1 key (instrument to tighten Stops)

30-day trial license: LBO CEPHALOMETRIC TRACING/ANALYSIS COMPUTER PROGRAM

Archwire: 16x22 Beta-Titanium wire, Upper

Archwire: 17x25 NiTi Reverse Curve of Spee (RCS), Upper or Lower

Heat Activated Nitanium Rotator (HA NiTi transpalatal expansion appliance)

Kobayashi hooks: 2 pieces

Crimp Hook: 1 piece          

Cleat, bondable: 1 piece                                   

Bondable Button: 1 piece                                                 

Lightening Strip used for stripping incisors: 1 piece    

Bite bumper: 1 piece                                          

Archwire : 19x25 HA NiTi, 1 Upper

Leoloy SL wire (heat hardened wire to make Sliding Yoke)

-All orthodontic instruments should be purchased in Kit 1 and Kit 2 in order to be able to truly participate in the workshops (and of course later to be used for patient treatments). As a service to our course participants and make it easier to get started in orthodontics, these are available for purchase from www.LBOrthodontics.com [3] or directly from the shop website www.shop.lborthodontics.com [4] at much reduced prices. If you have questions about what instruments you need to bring, or about the pricing, please call +48 690 526 526.

For further information on instruments, contact www.LBOrthodontics.com [3] or the website shop where they can be ordered www.shop.lborthodontics.com [4].  All the instruments are USA design, made with German Steel. 

Once ordered, the instruments will be delivered at the beginning of the first session. Instruments and orthodontic materials that are used in the system of Dr. Larry Brown can always be ordered at the course or on-line www.shop.lborthodontics.com [4] 

The Art of Modern Orthodontics by Dr. Larry Brown. This 700 page book should be read and used by each doctor as an accompaniment to the Orthodontic Training Seminars and for future reference in the years to come. It is the only book available that provides extensive and time tested knowledge about all aspects of everyday treatments when using the orthodontic system of Dr. Brown.  

Information and inscriptions:  To inscribe or for further information in English or in Polish contact Rajmund Chmielewski: info@LBOrthodontics.com [5] tel: +48 690 526 526.