Tribuna Books Ripano 3 (Eng)

6th WSLO Congress Seoul South CoreaJuly 3rd ndash 5th 2015

Contents bull Multi-slotted lingual bracket

Tandem arch wire technique Ryoon-Ki Hong

bull Comparison of perception expe-rienced by patients treated with conventional and lingual or-thodontics Carla Maria Melleiro Gimenez Marcelo Marigo Rita de Caacutessia Baratela Thurler Luis Fernando Eto

bull Fabrication of ideal lingual arch wire template with Accurate Bracket Positioner Pablo Echa-rri Martiacuten Pedernera Miguel A Peacuterez-Campoy

Editor in Chief Pablo Echarri

Editorial CommitteeSilvia GeronRyoon-Ki HongHee-Moon KyungJean-Franccedilois LeclercMarcelo MarigoacuteMartiacuten PederneraMiguel A Peacuterez-CampoyRafi RomanoGiusseppe Scuzzo Kyoto Takemoto

Editorial assistant and translatorNataša Pešić

Publishing and advertising Ripano SARonda del Caballero de la Mancha 13528034 - Madrid SpainTel (+34) 913 721 377Fax (+34) 913 720 391e-mail ripanoripanoeswwwripanoeuNordm 3 - 2014ISSN 2340-9940Official publication

The views and opinions expressed in this publication are those of the authors and do not necessarily reflect the offi-cial policy or position of Ripano EditorialNo part of this publication may be reproduced stored or transmitted in any form or by any means electronic or me-chanical without permission in writing from the publisher

TRIBUNA BOOKS RIPANOLingual Orthodontic Journal

Nordm 3 - 2014

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The ACCURATE BRACKET POSITIONERtrade is designed forvestibular amp lingual indirect set-ups working directly frompatients malocclusion model

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3

LinguaL OrthOdOntic JOurnaL

Editorial

I would like to start this editorial greeting of the latest issue of Tribuna Books Ripano Lingual Orthodontic Journal by invit-ing all its readers to the 6th WSLO Congress which will take place in Seoul from July 3rd to 5th 2015 Professor Ryoon-Ki Hong has been preparing this congress with the main topic Evolution and revolution in Lingual Orthodontics with the participation of the most important lecturers from all over the world in modern facilities of Coex Grand Ballroom On the other hand Seoul is a marvelous city to visit so I warmly recommend to book some extra days so you can enjoy it

This new issue brings us a very interesting article written by Prof Hong then an ar-ticle written by Dr Melleiro Dr Marigo Dr Baratela Thurler and Dr Eto as well as the article by Dr Echarri Dr Pedernera and Dr Peacuterez-Campoy I hope you enjoy them

Again I would like to repeat my invitation for all of you to send us your articles for this journal and to thank you congratulations and comments on our last issue

Warm regards

Pablo Echarri

Dental tribuna books

4

Multi-slotted lingual bracket Tandem arch wire techniqueAuthor

Ryoon-Ki Hong DDS PhD

Abstract

Since the advent of lingual brackets by Fujita in 1979 many lingual brackets have been developed Most availa-ble lingual brackets are single-slotted which have either lingually opening or occlusally opening slots Lingually opening slots have advantages for some types of tooth movement and disadvantages for other types of tooth movement It is same for other brackets with single occlusally opening slot Because multi-slotted lingual brac-kets such as Fujita lingual bracket and Anboini have both lingually opening and occlusally opening slots they make use of tandem arch wire techniques in which two arch wires are engaged simultaneously in both occlu-sally and lingually opening slots These advanced techniques not only prevent undesirable reaction forces from becoming manifest but also make treatment simple and efficient for both the clinician and patient

Key Words multi-slotted lingual bracket lingually opening slot occlusally opening slot Tandem Arch Wire Technique

Introduction

With the invention of the resin bonding system lin-gual brackets were first developed by Fujita in 197912 The occlusally opening slot was installed on the Fuji-ta bracket in order to facilitate insertion and removal of the orthodontic wire Soon after Kurz et al intro-duced their lingual brackets in 1982 which have an 0018times0025-inch lingually opening slot like labial bracket3 Creekmore published his bracket designs and related clinical findings in 19894 The foundation of the design is the opening of the arch wire slots to the occlusal aspect rather than to the lingual aspect The slot size of the bracket is 0016-inch horizontally and 0022-inch vertically

Many lingual brackets have been developed there-after Scuzzo and Takemoto introduced STb which has a lingually opening 0018times0025-inch slot5 Self-ligating lingual brackets such as Clippy-L and Evo-lution were introduced which have lingually ope-ning 0018times0025-inch slot and occlusally opening 0018times0025-inch slot respectively

Due to recent developments in CADCAM software individually customized lingual brackets such as In-cognito6 and Harmony have been developed An-terior Incognito bracket has an occlusally opening 0025times0018-inch slot and posterior Incognito brac-ket has a lingually opening 0025times0018-inch slot Harmony bracket has a lingually opening slot in the form of self-ligation in which slot size can be made as we request

More recently Scuzzo and Takemoto introduced self-ligating STb which has an occlusally opening slot7 The size of the occlusally opening slot is 0018times0018-inch square not rectangular They suggested that the square slot is more effective than rectangular slot in correcting rotation Furthermore with occlusally opening slot bracket the arch wire is prevented from disengaging during retraction resulting in minimal loss of torque and better control

Most available lingual brackets are single-slotted and each bracket system has its unique design Some brackets such as Kurz STb Clippy-L and Harmony have a lingually opening slot and other brackets such as Evolution and self-ligating STb have an occlusally opening slot Incognito has both occlusally opening and lingually opening slots which are installed in anterior and posterior brackets respectively Lingua-lly opening slots have advantages for some types of tooth movement and disadvantages for other types of tooth movement8 It is same for other brackets with single occlusally opening slot

Because multi-slotted lingual brackets such as Fujita lingual bracket and Anboini have both lingually ope-ning and occlusally opening slots they make use of tandem arch wire technique in which two arch wires are engaged simultaneously in both occlusally and lingually opening slots In this article applications of tandem arch wire techniques will be discussed for alignment leveling space closure and finishing Oc-clusally opening slot will be called vertical slot and lingually opening slot called horizontal slot

5


moving the existing mushroom arch wire within the horizontal slots With this tandem arch wire method (specifically with the main stronger mushroom arch wire engaged in the horizontal slots and the more flexible segmental arch wire simultaneously ligated into the vertical slots) the protruded maxillary cen-tral incisors were simply and effectively corrected without side effects It is important to note that a single arch wire might likely have caused flaring of the upper anterior segment as a whole with atten-dant strains on posterior anchorage and increased treatment time

Tandem Arch wire Technique during Leveling

In lingual orthodontic treatment unlike with labial treatment anterior intrusive forces pass through or close to the collective center of resistance of the anterior teeth thus anterior intrusion tends to be

Tandem Arch wire Technique during Alignment

Because inter-bracket distance is relatively smaller from the lingual aspect as contrasted with the labial it may not be possible to bond all brackets to their most appropriate positions even in cases of mild crowding In these cases neighboring teeth may so-metimes be retracted to regain space prior to bon-ding of the more crowded teeth If the tandem arch wire technique is used at this point crowding can be solved in a more effective and simpler way Anchora-ge complications may also become nullified

Figure 1 shows a case treated with the tandem arch wire technique for the correction of protruded maxi-llary central incisors The mushroom arch wire was engaged in the horizontal slots to partially retract the canines and lateral incisors After the space was re-gained a light segmental arch wire was engaged in the vertical slots of the six anterior teeth without re-

Fig 1 An example of the tandem arch wire technique used during alignmentFor space regaining a 0016-inch stainless steel mushroom arch wire (016 SS-MAW) was engaged in the maxillary horizontal slots to begin partial retraction of the canines and lateral incisors with elastic thread (ET) After partial retraction a 0012-inch nickel titanium segmental arch wire (012 NT-SEG) was engaged in the vertical slots from canine to canine to correct the protruded central incisors With this tandem wire system active alignment of the protruded maxillary central incisors was achieved simply by means of the light flexible 0012-inch nickel titanium segment and any undesirable reaction forces that would otherwise have been generated (specifically anterior flaring) were contained by the rigid 0016-inch stainless steel mushroom arch wire A During partial retraction of the canines B After gaining sufficient space to align the protruded maxillary central incisors C After correction of the protruded maxillary central incisors


6

executed more simply and favorably2 Various techni-ques for intrusion of mandibular anterior teeth that exploit these advantages have been introduced910 Among these techniques modified intrusion mecha-nics10 derived from Burstonersquos segmented arch tech-nique can be applied in a straightforward manner to lingual orthodontic treatment thanks to the availa-bility of the extra outer horizontal slot within each mandibular first molar bracket

The patient in Figure 2 presented with upper peg lateral incisors and spacing After the spaces were consolidated resin crown build-ups were planned for the lateral incisors Furthermore although the overbite was not excessive interferences between the maxillary anterior lingual brackets and mandi-

bular anterior teeth were anticipated Orthodontic brackets were therefore bonded first onto the man-dibular teeth and later onto the maxillary teeth only after mandibular anterior intrusion had been esta-blished

For intrusion of the six mandibular anterior teeth 0018times0018-inch stainless steel segmental arch wi-res were engaged in the vertical slots of the ante-rior and posterior teeth 0017times0025-inch titanium-molybdenum alloy (TMA) bilateral intrusive springs were engaged simultaneously in the inner horizontal slots of the mandibular first molar brackets and ac-tivated by connection to the anterior segmental arch wire between the lateral incisors and canines (Fig 2C) By using the tandem arch wire technique (ie

Fig 2 An example of the tandem arch wire technique used during levelingTo intrude the six mandibular anterior teeth 0016times0016-inch stainless steel segmental arch wires (016times016 SS-SEG) were engaged in the vertical slots of the anterior and posterior teeth bilaterally and 0017times0025-inch TMA intrusion springs (017times025 TMA-IS) were engaged in the inner horizontal slots of the mandibular first molar brackets with the active spring ends hooked between the lateral incisors and canines of the anterior segmental arch wire By using this variation of the tandem arch wire technique (ie segmental arch wires in the anterior vertical slots and intrusive springs in the posterior horizontal slots simultaneously) the six mandibular anterior teeth were simply and effectively intruded without side effects A Pre-treatment views B After intrusion of the six mandibular anterior teeth C To intrude the six mandibular anterior teeth 0016times0016-inch segmental arch wires (016times016 SS-SEG) were

engaged in the vertical slots of the anterior and posterior teeth respectively and 0017times0025-inch TMA intrusion springs (017times025 TMA-IS) were engaged in the inner horizontal slots of the mandibular first molar brackets with the active ends hooked to the anterior segmental arch wire between the lateral incisors and canines


8

here with segmental arch wires in the vertical slots and intrusive springs in the inner horizontal slots simultaneously) the six mandibular anterior teeth were simply and effectively intruded without side effects

The Tandem Arch wire Technique for Space Closure

Lingual patients make consistently strong demands that a high quality of esthetic appearance will be maintained throughout their treatment This prere-quisite means that in addition to the use of invisible braces spaces between lateral incisors and canines at any time during treatment must be avoided The-refore where necessary owing to premolar extrac-tions the anterior segment is retracted en masse in lingual orthodontic treatment

If the arch wire is engaged in horizontal slots for an-terior retraction the arch wire may slip from the slots and anterior torque control or rotation control can end in fail On the contrary if the retraction arch wire is engaged in vertical slots canines are tipped into extraction space and a vertical bowing side effect is produced To prevent these side effects during ante-rior retraction retraction arch wire is engaged in the horizontal slot and simultaneously 0018times0018-inch stainless steel segmental arch wire is engaged in the vertical slot of 6 anterior teeth (Fig 3) This tandem arch wire technique is routinely applied during ante-rior retraction With this tandem technique anterior torque rotation and tipping are easily controlled du-ring retraction11

The Tandem Arch wire Technique for Final Detailing

Lingual brackets must be narrower than correspon-ding labial brackets As a result it is difficult to achie-ve angulation control To control the mesiodistal an-gulation of a tooth it is recommended to insert an uprighting spring in the accessory slot because the angulation of teeth is not controlled effectively with narrow vertical or horizontal slots

Uprighting springs can be used for angulation control of single or multiple teeth (Figs 4 and 5) The unila-teral uprighting spring is used for angulation control of single tooth It can be inserted either occlusally or gingivally depending on the direction of angulation correction Similarly multiple unilateral uprighting springs can be used simultaneously for angulation control of multiple teeth For angulation control the uprighting spring is simply made and inserted in the

accessory slot without removing the existing arch wire and making a new arch wire

Conclusion

Now lingual orthodontics becomes ldquomust knowrdquo field in orthodontic treatment However it is not easy to treat malocclusion with lingual bracket because lingually-applied orthodontic forces produce diffe-rent tooth movement from labialy-applied forces Narrow width of lingual bracket is also one of the im-portant reasons why lingual orthodontic treatment is difficult Narrow lingual brackets with single hori-zontal or vertical slot have limits to achieve desirable results Using tandem arch wire techniques multi-slotted lingual bracket overcomes the disadvantages of narrow lingual brackets in lingual orthodontics These advanced techniques not only prevent unde-sirable reaction forces from becoming manifest but also make treatment simple and efficient for both the clinician and patient

References

1 Fujita K New orthodontic treatment with lingual bracket mushroom arch wire appliance Am J Orthod 197976657-75

Fig 3 The tandem arch wire technique used during space closureFor en masse retraction an 0016times0022-inch stainless steel closing straight arch wire (016times022 SS-CSA) was en-gaged in the upper horizontal slots and an 0018times0018-inch stainless steel segmental arch wire (018times018 SS-SEG) was placed into the vertical slots of the anterior teeth By using the tandem arch wire technique in this way space closure via sliding mechanics can be carried out effectively and without vertical bowing side effects at the extraction sites

9


2 Fujita K Multilingual-bracket and mushroom arch wire technique A clinical report Am J Orthod Dentofac Orthop 198282120-40 3 Alexander CM Alexander RG Gorman JC Hilgers JJ Kurz C Scholz RP and Smith JR Lingual orthodontics a status report J Clin Orthod 198216255-634 Creekmore T Lingual orthodontics-its renaissance Am J Orthod Dentofac Orthop 198996120-375 Scuzzo G Takemoto K Takemoto Y Takemoto A Lom-

bardo L A new lingual straight-wire technique J Clin Orthod 201044114-1236 Wiechmann D Rummel V Thalheim A Simon J-S Wiechmann L Customized brackets and archwires for lingual orthodontic treatment Am J Orthod Dentofacial Orthop 2003124593-5997 Takemoto K Scuzzo G Takemoto Y Scuzzo G Lom-bardo L A new self-ligating lingual bracket with square slots J Clin Orthod 2011 45682-90

Fig 4 An example of the tandem arch wire technique used for angulation control of single tooth during final detai-ling Distal root movement of mandibular right central incisor (arrow) was performed with a unilateral uprighting spring (US) which was inserted occlusally By simple engagement of a unilateral uprighting spring proper root axis was obtained without removal of the existing mushroom arch wire A and C Intraoral photo and orthopantomogram before angulation correction of mandibular right central inci-

sor B and D Intraoral photo and orthopantomogram after angulation correction of mandibular right central inci-

sor E A unilateral uprighting spring (US) in the accessory slot of the mandibular right central incisor hooked to the

arch wire between the mandibular left lateral incisor and canine


10

Fig 5 An example of the tandem arch wire technique used for angulation control of multiple teeth during final detai-ling Mesial root movement of upper right and left canines (arrow) was performed with two unilateral uprighting springs (US) which were inserted gingivally A and B Intraoral photo before angulation correction of upper right and left canines C and D Intraoral photo after angulation correction of upper right and left canines E and F Two unilateral springs (US) inserted in the accessory slots of the maxillary right and left canine brackets

hooked to the arch wire between the maxillary right and left central incisors

8 Hong RK Sohn HW Update on the Fujita lingual brac-ket J Clin Orthod 199933136-1429 Hong RK Hong HP Koh HS Effect of reverse curve mushroom archwire on lower incisors in adult patients Angle Orthod 200271425-432

10 Hong RK Kim TG Lim SM Lee CH Modified intru-sive mechanics in lingual segmented-arch technique J Clin Orthod 200539489-49511 Lim SM Hong RK The tandem archwire technique in lingual orthodontics J Clin Orthod 201347232- 40


12

Comparison of perception experienced by patients treated with conventional and lingual orthodonticsAuthors

Carla Maria Melleiro Gimenez

Marcelo Marigo

Rita de Caacutessia Baratela Thurler

Luis Fernando Eto

Abstract

Objetives To compare the perception experienced by patients treated with labial and with lingual or-thodontics Methods Seventy adult patients (both genders) 35 treated with labial and 35 with lingual te-chnique answered a questionnaire regarding main reasons for adhesion aesthetical and functional impor-tance contribution of the treatment its advantages satisfaction and potential indications All of them had the brackets bonded for 6 months or more Statistical analysis was Q2 Test (significance level 5) Results Findings indicated significant influence by treatment type for reasons contribution and improvements of the treatment Functional importance and high satisfaction level were more related to lingual technique The disadvantages reported by patients were high cost for lingual technique and discomfort for labial technique Conclusions Some paradigms regarding lingual treatment are not true The aesthetics and fast results were important factors for both techniques and the lingual patients showed more treatment valorization and satisfaction

Key Words Lingual Orthodontics Orthodontics Aesthetics Treatment Perception

Introduction

Nowadays the adult patients are more and more in-terested in the orthodontic treatments representing considerable percentage of the market However most of the time a negative reaction is noted in re-lation to the conventional appliances because these patients have an aesthetic preference and do not ac-cept to show the braces during treatment time Ca-niklioglu C Oztuumlrk Y 2005

In general the adults are motivated due to the possibility of improving their smile and facial aesthetics Therefore the orthodontic appliance cannot interfere with their self-image being an inconvenient for the appearance and quality of life Wu AK McGrath C Wong RW Wiechmann D Rabie AB 2010

In this context the lingual orthodontics technique presents a viable option in a way to keep the aesthe-tic and biomechanical efficiency The aesthetics is perfect because braces are bonded to the inner sur-

face of the teeth where nobody can see them In this way the orthodontic treatment is carried out with discretion and in secret On the other hand the bio-mechanics takes the advantage of the proximity of the brackets to the resistance center providing con-trolled and easier teeth displacement (Miyawaki S Yasuhara M Koh Y 1999 Brosh T Strouthou S Sarne O 2005 Wu AK McGrath C Wong RW Wiechmann D Rabie AB 2010) There are many questions and myths regarding lingual orthodontics especially in relation to the patientrsquos adaptation comfort and sa-tisfaction level In this context the aim of this study was to compare the perception experienced by pa-tients treated with lingual and conventional applian-ces

Methods

The sample was randomly selected counting with 70 adult patients (both genders) from two private offices being organized in two groups of 35 patients according to braces type lingual and conventional

13


appliances These patients had conventional or lin-gual brackets bonded for a period of 6 months or more

A questionnaire was given to both groups (conventio-nal and lingual braces) regarding the main reasons for choosing the specific orthodontic treatment ad-hesion aesthetical priority functional importance treatment contribution advantages and disadvan-tages satisfaction how they knew about treatment option and potential indications

The patients did not sign the questionnaire and they answered it in secret in order to keep the real im-pression about the treatment without any influence by orthodontists or staff

The chosen statistical analysis for data evaluation was Quiquadrado (Q2) with significance level at 5

Statistical Planning

The fundamental objective of the conducted sur-vey was to answer the question will the answers to the options given item be influenced by the types of braces As a consequence of this objective the hypothesis to be tested statistically was that the an-swers to the options given item would not influen-ced by the types of braces or they would not depend on devices type This hypothesis was put to the test from the Chi-square statistic (Q2) being the decision rule to establish its significance or was not set from p = P (Q2gt Qo2) - the statistical probability that Q2 is larger than its value observed (Qo2) in the data sample in the following manner if p was equal to or smaller than 005 the tested hypothesis was signifi-cant or rejected and otherwise if p is greater than 005 then the tested hypothesis was not significant or not rejected

Table 1 Frequency of responses regarding the chief complaint according to the appliance type P-value

Main Compliance

Conventional Appliance

Lingual Appliance Total p Value

N N N 0026 s

Aesthetics 20 392 31 608 51 1000

Orofacial Pain 5 625 3 375 8 1000

Masticatory Dysfunction

7 1000 - 00 7 1000

Social Pressure 2 1000 - 00 2 1000

Phonetic Dysfunction

1 500 1 500 2 1000

Respiratory Dysfunction

3 750 1 250 4 1000

Total 38 513 36 487 74 1000

s = significant value

Results

In Table 1 it was found that the value of p = 0026 was significant which indicated that the respon-ses for the item ldquoWhich is the chief complaint that prompted you to search for orthodontic treatmentrdquo were linked to the types of conventional or lingual

orthodontic treatments In fact if we observe the table 1 we can see 608 of all the ldquoaesthetic op-tionrdquo answers for this item were related to the use of lingual braces and 392 of them were related to the conventional device The rest of the options for this item except for ldquoPhonetic Dysfunctionrdquo had the higher percentage for conventional braces


14

In table 2 it was found that the value of p = 0881 was not significant which indicated that the answers for the item ldquoAesthetics for you isrdquo were not linked to the types of treatments so the answers attribu-ted to particular option do not depend on the type of braces

In table 3 it was found that the value of p = 0184 was not significant which indicated that the answers for the item ldquoProper functionality of the masticatory sys-tem isrdquo were not linked to the types of treatments so the given answers do not depend on the type of braces

In table 4 it was found that the value of p = 0007 was significant which indicated that the responses for the item ldquoOrthodontic treatment helped you to improverdquo were linked to the types of treatments In fact looking at the table we can see

1 The highest percentage of answers to the option ldquoAestheticsrdquo (625) for this item were related to the use of lingual braces and the lowest 375 were related to the use of conventional appliances

2 In the rest of the options for this item higher percentage of answers was related to the use of conventional braces

Table 2 Frequency of responses regarding the aesthetics importance according to the appliance type P-value

Aesthetics Importance



N N N 0881 n

Priority 8 444 10 556 18 1000

Very Important 15 517 14 483 29 1000

Important 12 500 12 500 24 1000

Not so Important - - - - -

Dispensable - - - - -

Total 35 493 36 507 71 1000

n = no significant value

Table 3 Frequency of responses regarding the adequacy of masticatory system according to the appliance type P-value

Masticatory System Adequacy


Lingual Appliance Total p-value

N N N 0184 n

Priority 19 452 23 548 42 1000

Very Important 12 500 12 500 24 1000

Important 3 1000 - 00 3 1000

Not so Important 1 1000 - 00 1 1000


Total 35 500 35 500 70 1000


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16

Table 4 Frequency of responses regarding the improvements by orthodontic treatment according to the appliance type P value

Improvements



N N N 0007 s

Aesthetics 18 375 30 625 48 1000

Orofacial Pain 7 700 3 300 10 1000


9 900 1 100 10 1000


Phonetic Dysfunction 2 667 1 333 3 1000


3 1000 - 00 3 1000

Total 41 539 35 461 76 1000


Table 5 Frequency of responses regarding the best advantage of orthodontic treatment according to the appliance type P Value

Best Advantage over


Lingual Appliance Total p-Value

N N N 0178 n

Aesthetics 31 518 29 482 60 1000

Fast Results 4 444 5 556 9 1000

Reduced Treatment Time

- - 4 1000 4 1000

Speech Difficulties 1 1000 - - 1 1000

Bracket debonding - - - -

Discomfort - - - -

Hygiene - - - -

Professional Difficulties

- - - -

High Costs - - - -


- - - -

Total 36 486 38 513 74 1000


17


In table 5 it was found that the value of p = 0178 was not significant which indicated that the answers for the item ldquoFor you which is the greatest advanta-ge resulting from an orthodontic treatmentrdquo were not related to the types of orthodontic treatment therefore the answers given to certain option did not depend on the type of braces

In table 6 it was found that the value of p = 0001 was significant which indicated that the responses for the item ldquoWhat is a degree of your satisfaction with the orthodontic treatmentrsquo were linked to the types of treatment In fact

bull All the answers ldquovery satisfiedrdquo were related to the use of lingual technique

bull All the answers ldquonot so satisfiedrdquo were related to the use of conventional braces and the answer ldquounsatisfiedrdquo had higher percentage of respon-ses for conventional appliances

bull The answer ldquosatisfiedrdquo was attributed to both conventional and lingual appliances and they were statistically equal

In table 7 we obtained p = 0314 which was not sig-nificant because it was greater than 005 Thus there was evidence sampling not to reject the hypothesis that the type of orthodontic appliance has induced or not a positive indication

In table 8 it was found that the value of p = 0086 was not significant which indicated that the an-swers for the item ldquoHow did you hear about the techniques of conventional and lingual orthodon-ticsrdquo were not linked to the types of orthodontic treatments so responses attributed to particular option did not depend on the type of braces

In Table 9 it was found that the value of p = 0004 was significant which indicated that the answers re-lated to the item ldquoDisadvantages resulting from the

Table 6 Frequency of responses regarding the satisfaction level reached by orthodontic treatment according to the appliance type P value

Satisfaction Level

Conventional Orthodontics

Lingual Orthodontics Total p-Value

N N N 0001 s

Very Satisfied - 00 16 1000 16 1000

Satisfied 21 538 18 462 39 1000

Not so Satisfied 13 1000 - 00 13 1000

Unsatisfied 3 750 1 250 4 1000

Total 37 514 35 486 72 1000


Table 7 Frequency of responses regarding the potential indication of orthodontic treatment according to appliances type P Value

Indication



N N N 0314 n

Yes 35 507 34 493 69 1000

No - 00 1 1000 1 1000

Total 35 500 35 500 70 1000



18

Table 8 Frequency of responses regarding the orthodontic treatment information according to the appliance type P Value

Information by



N N N 0086 n

Dentists 14 583 10 417 24 1000

Orthodontists 2 500 2 500 4 1000

Other Health Professionals 5 833 1 167 6 1000

Marketing 2 182 9 818 11 1000

Internet - - - - -

Friends 7 412 10 588 17 1000

Others 5 714 2 286 7 1000

Total 35 507 34 493 69 1000


Table 9 Frequency of responses about disadvantages according to the appliance type P Value

Disadvantage



N N N 0004 s

Aesthetics - - - -

Faster Results - - - -

Reduced Time - - - -

Speech Difficulties 1 91 10 909 11 1000

Brackets debonding - 00 2 1000 2 1000

Discomfort 15 600 10 400 25 1000

Hygiene 8 727 3 273 11 1000


- 00 1 1000 1 1000

High cost 4 200 16 800 20 1000

Masticatory Difficulties

2 333 4 667 6 1000

Total 30 46 76 1000


19


orthodontic techniquerdquo were linked to the types of treatments In fact ldquospeech difficultiesrdquo ldquohigh costrdquo and ldquomasticatory difficultiesrdquo were reported as the greatest disadvantage for lingual treatment while dis-comfort was related to the use of conventional braces as the biggest disadvantage as well as hygiene

Discussion

Even with a positive expectations regarding lingual treatment our results (tables 1-9) surprise us due to the evidence that it is a viable option for orthodon-tic treatment which brings an aesthetic solution and provides excellent results with a high level of satis-faction and good potential indications for new pa-tients

The aesthetics was the chief compliant for both te-chniques (table 1) and it was reported as priority very important or important for all patients (table 2) independently on the appliance choice The aesthe-tics improvement reached by the treatment was re-ported more times for lingual orthodontics (table 4) and it was reported as the best advantage (table 5) of the orthodontic treatment although both tech-niques presented almost equal results in providing it The literature confirms our findings showing that more and more patients do not accept an unesthetic appliance which can interfere with their self image (Caniklioglu C Oztuumlrk Y 2005 Wu AK McGrath C Wong RW Wiechmann D Rabie AB 2010)

The level of comfort was reported when the ques-tionnaire asked about masticatory adequacy (ta-ble 3) and about improvements reached with the treatment (table 4) About comfort Wiechmann et al (2008) showed that the more maxillary or man-dibular retrusion the more discomfort probability exists with lingual orthodontics technique In addi-tion Stam Hohoff Ehmer (2005) confirm that more comfort related to Incognito was reported in compa-rison with 7th generation braces due to the size and profile of the analyzed brackets

Following the same investigation topic Hohoff Stam Ehmer (2004) reported positive adaptation of lingual orthodontics patients with some differences related to lingual bracket positioning tongue space deficiency (related to the bracket size and profile) which can provoke smaller lesions like aftae The importance and necessity to provide information for patients improving and facilitating the adaptation process has been evidenced In our work a high le-vel of adaptation has been recorded in tables 3 4 5 6 7 9

There is strong evidence that comfort increases with adaptation as the time passes This is clinically evi-denced and the literature also supports these fin-dings (Hohoff et al 2003) Table 9 which evidences the disadvantages shows a big surprise the main disadvantage reported by patients treated by lingual orthodontics was the high cost while the main di-sadvantage reported by patients treated by conven-tional orthodontics was discomfort

The speech interference in the first period and trough adaptation time is an important disadvanta-ge reported by lingual orthodontics patients Table 9 as well as Hohoff et al 2003 show the speech difference as well as a certain level of discomfort as important disadvantages Having said that it is also important to remember that the smaller lin-gual braces are the smaller speech deficiency is reported

As far as the frequency is concerned the initial dis-comfort related to lingual orthodontics is reported by 57 to 76 of patients (tongue pain hygiene TS pronunciation fibrous food) which is improved within the short period of time in 20-44 (Miyawa-ki Yasuhara Koh 1999) In general the adaptation occurs within 3-5 days and it is also observed that better responses are related to patients with better perception and self-control (Sergl Klager et Zentner 1998)

Although it is possible to have reports of pain in 4-24h after the bonding of lingual braces there is no symtomatology after 7 days In addition according to both Ngan Kess Wilson (1989) and to our data there was no difference between sexes

A curious data is that adaptation response pattern to lingual treatment matches with the medical mo-del where anxious patients and patients with chro-nic pain report more discomfort and difficulties for adaptation (Firestone Scheurer Buumlrgin 1999)

In the Table 8 no difference between groups was re-corded regarding the way they knew about the cer-tain treatment option Regarding this question the most important was the recommendation of den-tists and friends followed by marketing to attract patients

In a panoramic view our data showed a favorable context for lingual orthodontics with positive points that indicate how viable and promising this techni-que is and that there are many more questions to be studied yet


20

Conclusions

bull The aesthetics and the fast results were impor-tant factors for both techniques

bull Lingual patients showed more valorization of the treatment and high level of satisfaction and they also recognized the functional importance

bull Some paradigms regarding lingual treatment are not true (the most reported disadvantages were high cost for lingual and discomfort for conven-tional appliances)

References

1 Brosh T Strouthou S Sarne O Effects of buccal ver-sus lingual surfaces enamel conditioning procedu-res and storage duration on brackets debonding characteristics J Dent 2005 Feb33(2)99-105

2 Caniklioglu C Oztuumlrk Y Patient discomfort a com-parison between lingual and labial fixed applian-ces Angle Orthod 2005 Jan75(1)86-91

3 Firestone AR Scheurer PA Buumlrgin WB Patientsrsquo an-ticipation of pain and pain-related side effects and their perception of pain as a result of orthodon-tic treatment with fixed appliances Eur J Orthod 1999 Aug21(4)387-96

4 Hohoff A Stam T Ehmer U Comparison of the effect on oral discomfort of two positioning tech-niques with lingual brackets Angle Orthod 2004 Apr74(2)226-33

5 Hohoff A Fillion D Stamm T Goder G Sauerland C Ehmer U Oral comfort function and hygiene in patients with lingual brackets A prospective longi-tudinal study J Orofac Orthop 2003 Sep64(5)359-71

6 Miyawaki S Yasuhara M Koh Y Discomfort cau-sed by bonded lingual orthodontic appliances in adult patients as examined by retrospective ques-tionnaire Am J Orthod Dentofacial Orthop 1999 Jan115(1)83-8

7 Ngan P Kess B Wilson S Perception of discomfort by patients undergoing orthodontic treatment Am J Orthod Dentofacial Orthop 1989 Jul96(1) 47-53

8 Sergl HG Klages U Zentner A Pain and discomfort during orthodontic treatment causative factors and effects on compliance Am J Orthod Dentofa-cial Orthop 1998 Dec114(6)684-91

9 Stam T Hohoff A Ehmer U Eur J Orthod A sub-jective comparison of two lingual bracket systems 2005 Aug27(4)420-6

10 Wu AK McGrath C Wong RW Wiechmann D Rabie AB A comparison of pain experienced by patients treated with labial and lingual orthodontic appliances Eur J Orthod 2010 Aug32(4)403-7

11 Wu AK McGrath CP Wong RW Rabie AB Wiech-mann D A comparison of pain experienced by pa-tients treated with labial and lingual orthodontic appliances Ann R Australas Coll Dent Surg 2008 Jun19176-8

21


Fabrication of ideal lingual arch wire template with Accurate Bracket PositionerAuthors

Pablo Echarri

Martiacuten Pedernera

Miguel A Peacuterez-Campoy

Abstract

In this article a laboratory procedure to determine the ideal arch wire shape in lingual orthodontic treatment using Accurate Bracket Positioner is explained A photocopy of a model with bonded brackets data obtained with Accurate Bracket Positioner standard lingual arch template and a treatment plan are used to describe the procedure of customized template design

Keywords Lingual Arch Wire ideal shape Accurate Bracket Positioner

Introduction

Currently in lingual orthodontic treatments different ach wire shapes are used Basically they are

bull Mushroom shape

bull Christmas shape

bull Lingual straight wire

bull 2D customized arch wire


The mushroom arch wire designed by Fujita12 is one of the most used shapes in lingual orthodon-tics It has a distocanine bend to compensate the difference between the buccolingual thickness of a canine and bicuspid The Christmas arch wire1-10 presents also a distocanine bend just like the mus-hroom arch wire but it also has bends between the first and second bicuspid as well as between the second bicuspid and the first molar to compensa-te different labio-lingual thicknesses of these teeth The lingual straight wire proposed by Scuzzo and Takemoto11-13 doesnrsquot present any compensation bends therefore all the compensations are carried out through the bracket base customization A 2D customized arch wire is carried out when the aim is to bond the brackets with as thin composite layer as possible to optimize the patientrsquos comfort In this way it is necessary to carry out first order bends in the arch wire to compensate different labio-lingual

thicknesses of the teeth Both horizontal and ver-tical bends are carried out in this arch wire In 3D customized arch wire besides horizontal and verti-cal bends torque bends are also carried out to com-pensate the bonding of the brackets

Hong and Kyung9 made a subdivision of a mushroom shape There is a basic mushroom shape with a bend between the lateral incisor and a canine bet-ween the canine and bicuspid and between the bicuspid and the molar (Christmas arch wire) and there is a simplified mushroom shape which has only a distocanine bend Also they describe a Plain Mushroom Archwire which is flat and a Step-down Bend Mushroom Archwire which compensates the difference in bonding height between canines and bicuspids This kind of a bend was also described by Echarri610 Hong and Kyung also describe a Reverse Curve Mushroom Archwire with sagittal compen-sation curve9 a Space Closing Mushroom Archwire which has closed ldquoIrdquo loop at the inner end of the dis-tocanine bend and an omega loop to mesial of the molar tube a Modified Space Closing Mushroom Arch wire with an ldquoIrdquo loop at the inner end of the distocanine inset and a crimpable hook to distal of the closing loop or to mesial of a molar tube and a Differential Mushroom Archwire used in Detailing and Finishing phase has vertical ldquoIrdquo loops and hori-zontal ldquoLrdquo loops

As far as the Reverse Curve Mushroom Archwire is concerned numerous authors have described its in-creased Spee curve in upper arches and the rever-


22

se curve in lower arches used to control the vertical bowing effect and overbite141516

Different ways to design an ideal arch wire

1 In CLASS System Technique set-up models are carried out they are corrected and an ideal lingual arch wire is adapted over the corrected set-up model After ligating the brackets to the ideal arch wire and before bonding them to the model the last arch wire adjustment is carried out310

2 Fillion45 designed a software for ideal lingual arch wire template design called DALI (Dessin Arc Lin-guale Informatise) having in mind labio-lingual thickness of different teeth

3 Thomas Creekmore17 recommends the adapta-tion of lingual arch wire directly over the model when lingual brackets are already bonded on the model using the Slot Machine

4 Scuzzo and Takemoto11 mark the following refe-rences for lingual arch wires design

a) Li point it is the most prominent point of the lingual surface of the tooth This point marks the horizontal position of lingual brackets

b) Lingual Crown Height (LCH) Vertical di-mension of each clinical crown

c) Embrasure line defined by Andrews It joins all the contact points

d) Lingual Straight Plane (LS Plane The plane which joins vertical positions of the brac-

kets slots in posterior teeth and which ex-tends to anterior teeth

e) Bracket Height (H) The distance between the incisal edges and LS Plane

5 For lingual arch wire fabrication using the Accu-rate Bracket Positioner (ABP) (Fig 1) we use the modification of an arch wire fabrication with the Slot Machine described by Echarri and Baca6

Fabrication of ideal lingual arch wire with Accurate Bracket Positioner

When the ABP is used to bond the lingual brackets on the model without carrying out the set-up model18-22 lingual brackets are positioned on the model orien-ting the slot according to the prescription indicated by an orthodontist In this way we achieve the pres-cription customization which can be resumed as the following scheme

bull Height Canine-to-canine brackets should be bonded at the same height Bicuspids and mo-lars of the same hemiarch should be at the same height too The distocanine inset is flat if it is possible to bond both anterior and posterior teeth at the same height If this is not a case the differences among these three segments should be compensated

bull In-out alignment In-out should not be modified between the canines except if the canines are too spherical The difference between the canine and bicuspid thickness should be measured with the ABP to establish the measures of the arch wire inset If the difference between labio-lingual diameters of bicuspids and molars is not signifi-cant it is possible to compensate it with the bon-ding If this is not possible this difference should be measured and compensated in the arch wire In such cases the inset is carried out in the finis-hing arch wire but not in the working arch wire in order to make the space closure possible (sli-ding mechanics)

bull Rotation Usually a 10-15 rotation overcorrec-tion is included in brackets positioning The ob-jective is to complete the correction of the initial rotation by compensating the minimization of the arch wire force and not the final overcorrec-ted position

bull Inclination In canine distalization the inclina-tion increases for 3 mm to facilitate the root

Fig 1 Accurate Bracket Positioner (ABP) Laboratory ma-chine for labial or lingual brackets positioning on the mo-del with customized prescription in indirect bonding tech-nique


24

movement Bicuspids and molars are bonded in a usual way although the anchorage loss is in-dicated because root mesialization is obtained through the sagittal curve of the arch wire the reverse Spee Curve in mandible and the increa-sed Spee Curve in maxilla

bull Torque The upper incisors torque is increased for 4ordm in cases in which the ldquoen masserdquo retrusion of more than 3 mm is indicated and it is reduced for 4ordm in cases in which the protrusion of more than 3 mm is necessary If the lower incisors roots require protrusion they are bonded with the -4ordm torque and in cases without the incisors protrusion with -1ordm torque

These prescription modifications can be carried out with great precision using the ABP The composite bracket base allows the customization of the brackets bonding according to the desired prescription and their adaptation to each tooth anatomy The concept used to carry out this kind of customization has been already studied by different authors781016

In lingual technique the indirect bonding is a must because it is extremely hard to carry out a precise direct bonding there is a great variety of lingual sur-faces anatomy23-25 of the teeth which can modify the bracket-enamel adjustment the possibility to custo-mize the prescription as well as due to different in-cisor torque requirements26-30 according to the facial type and initial overjet

As Creekmore and Kunik established the prescrip-tion individualization is carried out to compensate the mechanical defects of the straight arch wire te-chnique the arch wire ldquoplayrdquo inside the slot manu-facturing tolerance progressive reduction of the arch wire force as its deflection reduces and the impossi-bility to apply the forces in the dental resistance cen-ter (Echarri1031)

The orthodontist should put these prescription mo-difications on record for the laboratory technician who positions the brackets on the model The tech-nician should put on record the parameters he uses to position the brackets and he should photocopy the model with bonded brackets It is convenient to carry out the first arch template before the fa-brication of the transfer tray so you can check the adjustment of the arch wire Later if it is necessary to carry out a mini-tray for only one tooth to re-bond the bracket you should have the initial para-meters so you can reproduce the positioning with precision

Customized template design for ideal arch wire shape

The necessary elements are

a) Occlusal photocopy of a model with bonded brac-kets

b) Standard lingual arch wire shape template

c) Treatment plan

d) ABP brackets positioning values table

e) Papel de acetato

The following templates are carried out

a) Working arch wire template

b) Finishing arch wire template

The difference between these templates is in pos-terior zone the working arch wire is straight from the post-canine inset towards distal to allow sli-ding of the arch wire The finishing arch wire should compensate the differences in in-out and height that might exist between bicuspids and molars with bends both arch wires are the same if bicuspids and molars can be bonded with the same para-meters and in this case the posterior sectors are straight6

It is also possible to carry out only one arch wire but with differences in posterior teeth when there is no need for sliding mechanics (non-extraction cases and without spacing) in cases in which the length of a dental arch remains the same In such cases 1st order bends can be incorporated into the arch wire (align-mentleveling) from the first arch wire

Anterior arch wire zone design

As it has been already said the canine-to-canine sec-tion is straight and for this it is necessary that the incisors and canines brackets are bonded at the same height and alignment Rotations and torques are also customized with bonding

When positioning the brackets in lingual technique the height is determined by the tooth height and by the cingulum shape (especially in canines) The ideal position of brackets is 2 mm from the incisal edge and 1 mm from the gingival margin The height to which bicuspid and molars brackets are positioned depends on their clinical crown and it doesnrsquot have to be the same as in anterior sector and it also can be different in right and in left posterior sector If the

25


bonding height is the same in all three sectors the post-canine inset is at the same horizontal plane and the arch wire can rest on a completely flat surface On the other hand this inset is also used to compen-sate any variations in height that might appear bet-ween the anterior and posterior sectors

Resuming if vertical ABP readings in all three sectors are the same the arch wire is flat The distocanine inset has a vertical step whose size is equal to the difference between the bonding height parameters of the anterior and posterior sector

In horizontal point of view the inset dimension is established according to the differences between in-outs of the anterior and posterior sector bonding Both measures are indicated in a customized templa-te

Superimpose the standard lingual arch wire template on the model photocopy select the size that fits the best to your needs The arch wire line of the template should be superimposed on the area of the brackets slots

When we verify the anterior curvature and the in-set size both in horizontal and in vertical we have to es-tablish the anterior curvature length or the point in which the in-set should be carried out

The distance between the in-sets should be at least equal to the sum of mesio-distal diameters of canines and incisors There can be three cases

1 Anterior segment remains the same In this case there is no crowding nor spacing and therefore a 1 mm in-set to distal of the canine bracket is carried out

2 Anterior segment should increase its length In this case there is crowding and the distance between in-sets should allow the alignment and therefore it has to be longer than the distance between the brackets for as many millimeters as the crowding

3 Anterior segment should reduce its length In this case there is spacing or the stripping is carried out therefore the 1st arch (working arch) is equal to the distance between the canine brackets When the spaces are closed next arches should be able to reduce the anterior segment length to close the space between the canines and the bi-cuspids

In extraction cases the inset situation also depends on the way in which the extraction space is mana-

ged Initial canine distalization is carried out with the 1st arch wire The canine should be distalized enough so the anterior segment can be aligned ie the an-terior dento-alveolar discrepancy (canine-to-canine) should be at zero The cephalometric discrepancy is not taken into account because in lingual technique ldquoen masserdquo retraction of canine-to-canine segment is always done due to two reasons mechanic the inset between the 3 and 4 makes difficult to distalize sepa-rately canines and incisors esthetic to avoid creation of a space between the canine and the lateral incisor (which is undesirable by adult patients) Furthermo-re the extraction space in adults is covered by an esthetic prosthetic tooth which is gradually trimmed as the space is closed

For initial distalization the inset should be carried out by leaving a certain length of an anterior arch sufficient enough to make effective the movement This is the procedure in cases in which there is no requirement for anchorage In cases of maximum an-chorage the inset is positioned in such a way that it makes contact with the bicuspid in medium ancho-rage cases the inset is positioned in the center of the extraction space

Posterior arch wire zone design

In sliding arch wires (working arch wires) posterior sectors have to be straight In finishing arch wires they should have 1st order bends (in-outalignment and heightleveling) necessary for compensation of parameters which couldnrsquot be compensated with the bonding Antemolar omegas should be carried out and distal end of the arch wire should be always bent towards labial to avoid discomfort in the ton-gue

Transverse adjustment of the arch wire should be carried out according to the needs of expansion or contraction of the case

Horizontal and vertical bowing effect compensation curves should also be incorporated in the arch wire Vertical bowing effect is the same both in labial and lingual arch wires ie there is a tendency to molar mesio-version and extrusion bicuspids intrusion and incisors extrusion It should be compensated with a sagittal curve incorporated in the arch wire to gingi-val concavity ie upper super-Spee curve and lower anti-Spee curve (equivalent to tip-back) Horizontal bowing effect is the opposite in lingual and labial arch wires In lingual arches the tendency is molar disto-rotation and bicuspid expansion It should be com-pensated with the horizontal curve opposite to the


26

ovoid shape which we incorporate in labial arches ie it is equivalent to toe-out

Both curves considered from canines to second mo-lars are 2 mm deep but this depth is increased when the bowing effect is increased due to the characteris-tics of the case

Vertical and horizontal bowing effect is increased in

a) Small diameter and more flexible arches

b) Extraction cases

c) Wide extraction spaces

d) Space closure arches both with loops and sliding mechanics

e) Hyper divergent or dolichofacial patients

Vertical bowing effect increases in

a) Deep bite cases

b) Molar mesio-version

Horizontal bowing effect increases in

a) Molar disto-rotation

In these cases the corresponding (vertical or hori-zontal) compensation curve depth should be increa-sed and in the opposite cases the curve should be reduced

How to draw customized template

Finishing arch wire

A case with molar Class I malocclusion and crowding in both arches (figs 2 to 6) Lingual brackets are bon-ded on the upper model (fig 7) with the ABP (fig 8) and the model is photocopied (fig 9) Yoursquoll need the table with values used to bond the brackets with the

Fig 2 Male 21-year old patient with Class I malocclusion and crow-ding Initial intraoral right lateral pho-tograph

Fig 5 Initial upper occlusal photograph Fig 6 Initial lower occlusal photograph

Fig 3 Initial intraoral central photo-graph

Fig 4 Initial intraoral left lateral pho-tograph

Fig 7 Upper model

27


Fig 9 Occlusal photocopy of the upper model with brac-kets

Fig 8 Upper model with Evolution SLT brackets bonded in ABP

Lleoacute 11-13 1ordf planta 08911 Badalona (Barcelona) ndash Espantildea

Tel +34 93 384 47 05 ndash Fax +34 384 41 53 Web wwwcentroladentcom ndash e-mail labcentroladentcom

REPORT

INDIRECT BONDING TRAY DOCTORhelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphellip CLIENTrsquoS CODE helliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphellip PATIENT helliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphellip SHIPMENT DATE helliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphellip CASE DATA UPPER LABIAL LINGUAL X 018rdquo X 022rdquo BRACKET Evolution SLT LOWER LABIAL LINGUAL 018rdquo 022rdquo BRACKET helliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphellip TRAY SILICON TRANSPARENT SILICON DOUBLE TRAY X SMART JIG

TRAY CUT 1 PIECE 2 PIECES 3 PIECES

ABP CASES

MAXILLA MANDIBLE TOOTH BRACKET TOOTH BRACKET

TORQUE INCLIN HEIGHT IN-OUT HEIGHT IN-OUT ROTAT TORQUE INCLIN HEIGHT IN-OUT HEIGHT IN-OUT ROTAT

11 +12ordm +5ordm - 10 18 - 31

12 +8ordm +9ordm -05ordm 10 18 2ordmDR 32

13 -2ordm +13ordm +05ordm 10 18 2ordmDR 33

14 -7ordm 0ordm - 10 20 - 34

15 -7ordm 0ordm - 10 20 - 35

16 -14ordm 0ordm - 10 21 - 36

17 -14ordm 0ordm - 10 21 - 37

21 +12ordm +5ordm - 10 18 - 41

22 +8ordm +9ordm -05ordm 10 18 - 42


24 -7ordm 0ordm - 10 20 - 44

25 -7ordm 0ordm - 10 20 - 45

26 -14ordm 0ordm - 10 21 - 46

27 -14ordm 0ordm - 10 21 - 47

OBSERVATIONS

Fig 10 Laboratory report for brackets bonding on the model with ABP


28

ABP (fig 10) The figure 11 shows the height reading used to bond all the brackets at 10 mm The figure 12 shows the in-out used to bond anterior teeth at 18 mm The figure 13 shows the in-out used to bond the bicuspid brackets at 20 mm and the figure 14 shows the in-out used to bond the molar brackets at 21 mm

Superimpose the selected curve of standard lingual arch wire template on the canine-to-canine slots area of the photocopy (fig 15)

Superimpose the acetate sheet over the template (fig 16) and draw the anterior arch wire curve (fig 17) In this case the anterior discrepancy is -3 mm

Fig 12 Measuring of the in-out of the anterior teeth brac-kets bonding with ABP

Fig 14 Measuring of the in-out of the molar brackets bon-ding with ABP

Fig 16 Superimposition of the acetate sheet on the stan-dard arch wire template and the model photocopy

Fig 11 Measuring of the height of the brackets bonding with ABP

Fig 13 Measuring of the in-out of the bicuspid brackets bonding with ABP

Fig 15 Superimposition of the standard arch wire templa-te on the model photocopy

29


therefore 15 mm is added to the anterior ach wire curve on each side (figs 18 and 19)

Draw disto-canine insets using the horizontal mea-surement from the parameter list (fig 10) and put

the horizontal and vertical values on record (figs 20 and 21)

Select the straight line which corresponds to the line of bicuspid and molar brackets slots In expansion or

Fig 18 As anterior dento-alveolar discrepancy is -3 mm the an-terior zone of the arch wire extended for 15 mm at each side

Fig 20 Measuring of the disto-canine in-set

Fig 22 Drawing of the bicuspid zone of the arch wire

Fig 17 Drawing of the anterior part of the arch

Fig 19 Anterior zone of the arch wire with compensated dento-alveolar discrepancy

Fig 21 Drawing of the disto-canine in-sets of 2 mm


30

contraction cases draw another dotted line contrac-ting or expanding the arch wire If the bicuspid and

molar brackets are bonded with different in-out as in this case draw a line passing through the slots of the bicuspid brackets (fig 22) Mark the antemolar inset in this case it is 1 mm (figs 23 and 24) and draw the arch wire line passing through the molar tubes (fig 25)

Draw a mark at mesial and distal end of the last molar tube as a reference for omega loop and distal bend

Working arch wire

Working arch wire is carried out when it is necessary to carry out mesio-distal movements of posterior teeth and there canrsquot be any insets between molars and bicuspids The template is drawn in the same way as the finishing arch wire template but the bicuspid zone of the arch wire is straight up to the molars

The figure 26 shows the finished finishing arch wire template and the figure 27 shows the working arch

Fig 24 Drawing of the ante-molar in-set

Fig 26 Finished customized template of finishing arch wire

Fig 23 Measuring of the ante-molar in-set

Fig 25 Drawing of the molar zone

Fig 27 Finished customized template of working arch wire

31


wire template It is convenient to carry out the 1st arch wire in the laboratory according to the template and to check it on the model with bonded brackets (before fabrication of the transfer tray) to check for any differences between the photocopy and the mo-del If the arch wire doesnrsquot fit to the model the tem-plate must be corrected

The figure 28 shows the first ligated 022rdquo Thermic NiTi archwire Observe that the arch wire is compres-sed in anterior zone to allow the incisors and canine alignment after the protrusion movement is done The arch wire still cannot be ligated in all brackets

The figure 29 shows the progress of the treatment The alignment is partially finished and the arch wire is not compressed any more but it still cannot be in-serted in all brackets

Conclusions

A detailed procedure has been described on how to carry out the customized templates of working and finishing lingual arch wires for indirect bonding re-ducing the chair time

From our experience we can confirm that very ra-rely we have to correct the template but there are obviously more precise methods to obtain 11 ratio occlusograms Dr Charles Burnstone (Connecticut University) designed the first photo camera for occlu-sograms the Occlusal Tracer (Behavioral Motivations Hobbs) and the very same Dr Burnstone published computer-aided occlusograms for the first time in 1979 Soon Marcotte33 (Occlusal VTO manual based on Simon and Burnstone) Ricketts33 (computer-aided occlusogram) and Didier Fillion45 with his lingual

application (DALI software for computer-aided de-sign of lingual arch wires) also stressed the impor-tance of an occlusogram in the treatment plan

It is also important to underline Larry Whitersquos34-37 works with occlusograms and it use drawing the upper and lower arches and superimposing them to check the occlusion He stressed the importance of their use in customized arch wire shapes fabrication measuring of dento-alveolar discrepancy checking of upper-lower Bolton discrepancy occlusal simulations and evaluation of different treatment plans

We38 also use the occlusogram carry out the occlusal VTO to correct the set-up models in cases of diagnos-tic set-up CLASS System elastic positioners and sur-gical splints

When the occlusal VTO is drawn it is positioned over the OPI (Occlusal Plane Indicator) and on the model mounted in SAM and in this way the lower model can be corrected according to the VTO keeping the same occlusal plane

To check the design of the arch wire carried out as it has been explained in this article you can carry out an occlusogram and occlusal VTO and superimpose the template on the VTO

References

1 Fujita K New orthodontic treatment with lingual bracket and mushroom archwire appliance Am J Orthod 197976657-75

2 Fujita K Multilingual-bracket and mushroom arch wire technique A clinical report Am J Orthod Den-tofacial Orthop 198282120-40

Fig 29 Case evolutionFig 28 Ligating of the first arch wire Observe that the anterior zone of the arch wire is overextended to facilitate the protrusion

3 Scholz RP Swartz ML Lingual Orthodontics A Sta-tus Report Part 3 Indirect Bonding ndash Laboratory and Clinical Procedures J Clin Orthod 198216812- 20

4 Fillion D Orthodontie Linguale Systemes de Positionnemet des Attaches au Laboratorie LrsquoOrthodontie Francaise 198960695-704

5 Fillion D A la recherche de la preacutecision en techni-que aacute attaches linguales Rev Orthop Dento Faciale 198620401-13

6 Echarri P Baca A Ortodoncia lingual Determina-cioacuten de la forma del arco Revista Iberoamericana de Ortodoncia 1998171-8

7 Echarri P Procedimiento para el posicionamiento de brackets en ortodoncia lingual (Parte I) Ortod Clin 19981(2)69-77

8 Echarri P Procedimiento para el posicionamiento de brackets en ortodoncia lingual (Parte II) Ortod Clin 19981(3)107-17

9 Hong R Kyung H Lingual Orthodontic treatment Mushroom Archwire Technique and the lingual Brac-ket Daegu (Korea) Dentos Co Ldt 2009 p 24-7

10 Echarri P Lingual orthodontics Complete techni-que step by step Barcelona (Spain) Nexus Edicio-nes SL 2003

11 Scuzzo G Takemoto K Invisible Orthodontics Cu-rrent concepts and solutions in lingual orthodontics Germany Quintessence Books 2003 p 145-155

12 Takemoto K Scuzzo G Lombardo LU Takemo-to YU Lingual straight wire metod Int Orthod 20097(4)335-53

13 Lombardo L Saba L Scuzzo G Takemoto K Oteo L Palma JC Siciliani G A new concept of anatomical lingual arch form Am J Orthod Dentofacial Orthop 2010138(3)260e1-260e13 discussion 260-1

14 Echarri P Comparacioacuten del cierre de espacio con di-ferentes mecaacutenicas de deslizamiento en ortodoncia lingual Rev Esp Ortod 200434(2)139-47

15 Echarri P How to obtain the maximum benefits from lingual archwires J Japan Ling Orthod Assoc 2002132-13

16 Echarri P Lingual Orthodontics Bracket set-up using Model Checher Slot Machine and CRC Ready Made Core Trays Korean J Lingual Orthod 2003 258-71

17 Creekmore TD Lingual Orthodontics Its Renais-sance Am J Orthod Dentofacial Orthop 1989 96-2120-37

18 Echarri P Pedernera M Ortodoncia lingual simplifi-cada Teacutecnica CLO3 Tribuna Books Ripano Lingual Orthod J 2014(1)17-21

19 Echarri P Pedernera M Perez-Campoy MA Teacutecnica CLO3 Una solucioacuten ortodoacutencica esteacutetica para las malposiciones de los dientes anteriores Dental Tri-bune Spain 20149(2)6-9

20 Echarri P Pedernera M Schendell C Der Accura-te Bracket Positioner (ABP) ndash praumlzise Bracketposi-

tionierung ohne Set-upKieferorthop Nachrichten 2014(4)18-20

21 Echarri P Pedernera M Perez-Campoy MA Pro-tocolo de laboratorio para el montaje de brackets linguales sin modelos set-up Accuracy Bracket Positioner Tribuna Books Ripano Lingual Orthod J 2014(2)16-22

22 Echarri P Pedernera M Peacuterez-Campoy MA Indivi-duelle Einzelzahnsteuerung bei lingualen Appara-turen Kieferorthop Nachrichten 2014(7+8)23-5

23 Creekmore TD Kunik RL Straight wire The next ge-neration Am J Orthod Dentofacial Orthop 1993 1048-20

24 Taylor NG Cook PA The reliability of positioning pre-adjusted brackets An In vitro Study BJO 1992 19(2)25-34

25 Taylor RMS Variation in form of human teeth II An anthropologic and forensic study of maxillary canines J Dent Res 1969 48(2)173-82

26 Ross VA Isaacson RJ Germane N Rubenstein LK Influence of vertical growth pattern on Facio-lin-gual inclinations and treatment mechanics Am J Orthod Dentofacial Orthop 1990 98442-29

27 Vardimon AD Lambertz W Statistical evaluation of torque angles in reference to straight-wire applian-ce (SWA) theories Am J Orthod 1986 89(1)56-66

28 Germane N Bentley BE Isaacson RJ Three biologic variables modifying faciolingual tooth angulation by straight-wire appliance Am J Orthod Dentofac Orthop 1989 96(4)312-9

29 Balut N Klapper L Sandrick J Bowman D Varia-tions in bracket placement in the preadjusted or-thodontic appliance Am J Orthod Dentofac Orthop 1992 102(1)62-7

30 Creekmore TD Interview on torque J Clin Orthod 197913305-10

31 Echarri P Diagnoacutestico en ortodoncia Estudio mul-tidisciplinario 2ordf ed Barcelona (Espantildea) Nexus ediciones SL 2003

32 Marcotte MR The use of occlusogram in plan-ning orthodontic treatment Am J Orthod 197669(6)655-67

33 Ricketts RM Roth RH Chaconas SJ Schulhof RJ En-gel GA Orthodontic Diagnosis and Planning Rocky Mountain Orthodontics 1982 Vol 1 y Vol 2

34 White LW Individualized ideal arches J Clin Orthod 197812(11)779-87

35 White LW The clinical use of occlusograms J Clin Orthod 198216(2)92-103

36 White LW A technique for indirect archwire cons-truction Angle Orthod 197343(4)444-7

37 White LW The clinical use of occlusogramas JCO 198216(2)92-103

38 Echarri P Pedernera M Oclusograma y objetivo visual oclusal de tratamiento (OVT Oclusal) Inte-rrelacioacuten con el cefalograma lateral Tribuna Books Ripano Lingual Orthod J 2013(0)11-22

Reserve su fechaReserve the date

From june 30th to july 3rd Athens Greece 2016 Del 30 de junio al 3 de julio Atenas Grecia 2016

XII Congreso12th Congress

EUROPEAN SOCIETY OF

LINGUAL ORTHODONTICS

Evidence Basedon Lingual Orthodontics

BEST SE

LLER

New approach to lingual Orthodontics

PROLOGUE

Having had our previous two WSLO Congresses in two different continents in New York in 2006 and Seoul in 2007 we held our 3rd biennial Congress in March of this year at Buenos Aires with South America as our 3rd new continent Irsquom very glad that so many orthodontists could attend this Congress and could see the newest and the highest level of treatments in lingual orthodontics in the world

I would especially like to say thank you for the efforts of the chairman Dr Pablo Echarri Dr Adriana Pascual and Dr Fernanda Elgo-yhen the Presidents of SAO and SAOL Furthermore I would like to say a very big thank you to all the staff and volunteers too many to name individually here who worked so hard to make the 2009 congress such a success I think that everybody appreciates that putting together such a good event takes a great deal of work and dedication

In addition I sincerely hope that everybody will appreciate that this book is the result of many hours of work and research by the speakers at the Congress who gave us so many excellent presentations These speakers have greatly helped in our mission to advance the art and science of lingual orthodontics and to help us to promote the use of lingual orthodontics throughout the world I hope everybody will make the best use of this book to understand current trends in lingual orthodontics

I hope everybody will take the opportunity to present their ideas and help extend the art and science of lingual orthodontics when we hold our next Congress which will be in Osaka Japan in April 2011

The WSLO is always seeking to achieve the highest possible quality of lingual orthodontics

Let us look forward together to a promising future

ORDERSYou can order the book indicating the offer bybull E-mail ripanoripanoeubull Phone (+34) 91 372 13 77bull Fax (+34) 91 372 03 91bull Mail Ripano SA Ronda del Caballero de la Mancha 135 - 28034 Madrid (Spain)bull On-line wwwripanoeuOffer is valid while supplies last

Authors Dr Pablo Echarri Lobiondo Dr Kyoto Takemoto Dr Giuseppe Scuzzo Dr Didier Fillion Dra Silvia Geron Dr Hee Moon Kyung Dr Mario Paz Dr Franccedilois Leclerc Dr Marcelo Marigo428 pages in full colorDimensions 21x297 cmLuxurious hard cover bindingISBN 978-84-937793-0-6Price 120 euros - Shipping price for Europe 36 euros = 156 euros - Shipping price for America 46 euros = 166 euros

OFFER 80 euros (shipping included)

CONTENTS

1 Pascal Baron Cristophe Gualano Anchorage control performed with mini-screws and the LingualjetTM appliance2 Regina Bass Anchorage in lingual orthodontics3 Germain Becker Clinical pathways in lingual orthodontics4 Tamar Brosh y col Theoretical analysis of maxillary incisors movement due to antero-posterior force labial vs lingual orthodontics5 Julio Cal-Neto Advantages of the straight wire technique in lingual orthodontics6 Asif Chatoo Interdisciplinary management of adult patients with lingual braces7 Claudia Correga Andreica y Dario Bertossi Tissue reaction to light orthodontic forces ndash a comparison of STb versus Damon

appliance8 Juan Carlos Crespi y Marcos Loacutepez Rubio Study group of lingual orthodontics (SGLO) Starting the way9 Antonio DrsquoAlessandro y Livia Nastri Advanced active retainer fixed lingual orthodontics with no brackets10 Rubens Demicheri Leveling and systemized treatment mechanics with the Magicreg Lingual system11 Pablo Echarri Skeletal anchorage in lingual orthodontics12 Mordf Fernanda Elgoyhen y Joseacute Carlos Elgoyhen Therapeutic alternatives with lingual orthodontics13 Ryuzo Fukawa Lingual orthodontics in the new era Treatment according to criteria for occlusion and aesthetics14 Ricardo Gallardo Retraction of lower anterior teeth with reduced anchorage loss without using miniscrews15 Joseacute Gaspar y Vivian K Granadino Gaspar 20 years of lingual orthodontics in Brazil16 Silvia Geron Management of the vertical dimension in severe anterior open bite (AOB)17 Alfredo Gilbert Reisman A new in-house lingual bracket transfer system18 Ana Gonzaacutelez Blanco Clinical management of the lingual orthodontic appliance19 Diana Grandi Lingual orthodontics and speech ndash language therapy the benefits of interdisciplinary team work20 Julia Harfin Paradigms in lingual orthodontics21 Chiori Hashiba Incisal embrasure and incisal edge their efficacy of the aesthetic appearance of maxillary anterior teeth22 Mordf Esther Hidalgo Clinical and laboratory evolution in lingual technique23 Toru Inami Clinical standards of the establishment for facial balance and harmony in lingual bracket orthodontic technique24 Aurelio Jano Takane Goodbye mushroom 25 Hee-Moon Kyung Lingual plain wire appliance and microimplant anchorage26 Hee-Moon Kyung Microimplants as anchorage in orthodontics27 Roberto Lapenta How to obtain success with lingual orthodontics28 Jean Franccedilois Leclerc y col Partial case report how to manage lingual treatment with an edentulous anterior teeth patient29 Christophe Lesage Mini screws in orthodontics contribution of the 3D cone beam in surgical technique30 Hatto Loidl Selfligation in lingual technique31 Marcos Loacutepez Rubio From simple to complex32 Marcelo Marigo y Valter Arima A new concept for lingual bracket ndash a point of view33 Francisco Martino Lingual orthodontics FAQ34 Isao Matsuno Surgical orthodontic treatment in lingual orthodontics35 Carla Melleiro y col Evaluation of cephalometric alterations noted during the lingual orthodontic treatment36 Eliakim Mizrahi Miniscrews auxiliaries and lingual orthodontics37 Nayre Mondino Class II Treatment ndash lingual orthodontics38 Ramiro Moreno Small movements and laboratory procedures39 Magali Mujagic Lingual orthodontics for each patient a reality in a daily practice40 Christine Muller Contribution of micro-screws to Class II treatment41 Marino Musilli The interdisciplinary approach with the bracketless fixed orthodontics42 Manabu Nakagawa Bracket ldquoEvolutionrdquo characteristics and case reports43 Carlos Navarro y col Development of the ldquoIn-Ovation-Lrdquo bracket from GAC44 Thomas Oumlrtendahl Clinical experience of selfligated aesthetic directbond lingual bracket45 Mordf Giacinta Paolone y col Lingual orthodontics a means for osseous and tissue regeneration conventional treatment and forced

eruption46 Mordf Elsa Pavic Vertical management in lingual technique advantages and disadvantages 47 Mario Paz Lingual and other accessory aesthetic techniques48 Lucas Prieto Prietorsquos hygiene-friendly pendulum49 Marcos Prieto Prieto Lingual Straight-Wire Bracket (PSWb)50 Caterina Pruzzo Progress in lingual orthodontics 8 years of clinical experience51 Ronald Roncone Lingual you will love52 Florence Roussarie Microscrews and the lingual system an efficient working combination for the patient53 Toru Shigeeda Where is the best placement of micro implants mid-palatal or alveolar bone or both54 Kyoto Takemoto y Giuseppe Scuzzo New STb lingual straight wire method55 Rita Thurler y col Aluminum oxide ndash to use or not to use56 Henrique Valdetaro Lingual orthodontics problems and solutions57 Emma Vila Manchoacute Lingual orthodontics lesions vs labial orthodontics lesions58 Milena Zulic Miniimplants as biomechanical auxiliaries in lingual orthodontics

ORDERSYou can order the book indicating the offer bybull E-mail ripanoripanoeu - Phone (+34) 91 372 13 77 - Fax (+34) 91 372 03 91bull Mail Ripano SA Ronda del Caballero de la Mancha 135 - 28034 Madrid (Spain)bull On-line wwwripanoeu

Diagnoacutestico y Plan de Tratamiento en OrtodonciaAuthor Pablo EcharriMore than 555 full color pagesSize 21x297 cmHard cover bindingISBN 978-84-942601-0-0

More information wwwripanoeu

CONTENTS

Proacutelogo

Capiacutetulo 1 Importancia del diagnoacutestico en ortodoncia Concepto del diagnoacutestico en la Teacutecnica CSW

Capiacutetulo 2 Clasificacioacuten de las maloclusiones

Capiacutetulo 3 Historia cliacutenica Examen cliacutenico

Capiacutetulo 4 Estudio de modelos por edades Estudio de la ortopantomografiacutea

Capiacutetulo 5 Registros y montaje en articulador Zocalado de modelos

Capiacutetulo 6 Estudio con MPI y conversioacuten de la cefalometriacutea de maacutexima intercuspidacioacuten (MI) a relacioacuten ceacutentrica (RC)

Capiacutetulo 7 Fotografiacutea en ortodoncia

Capiacutetulo 8 Cefalometriacutea

Capiacutetulo 9 Estudio funcional Protocolo de exploracioacuten interdisciplinaria en nintildeos y adultos

Capiacutetulo 10 Estudio de las viacuteas aeacutereas en la telerrediografiacutea de perfil

Capiacutetulo 11 Estudio de las rotaciones

Capiacutetulo 12 Prediccioacuten de crecimiento sin tratamiento

Capiacutetulo 13 Objetivo visual de tratamiento

Capiacutetulo 14 Cefalometriacutea frontal

Capiacutetulo 15 Estudio esteacutetico

Capiacutetulo 16 Evolucioacuten de la cara una vez terminado el crecimiento

Capiacutetulo 17 Discrepancia dento-alveolar Discrepancia anterior Discrepancia posterior Prediccioacuten de erupcioacuten de terceros molares Manejo de la discrepancia

Capiacutetulo 18 Elaboracioacuten del plan de tratamiento


Diagnoacutestico y Protocolos de tratamiento en Ortodoncia y Ortopedia DentofacialAuthors Bernardo Garciacutea Coffiacuten amp Pedro Colino GallardoMore than 250 full color pagesSize 285 x 285 cmHard cover bindingISBN 978-84-942601-7-9NEXT NOVELTY


CONTENTS

PRIMERA PARTE

I Introduccioacuten

1 Epidemiologiacutea

2 iquestPor queacute y cuando comenzar un tra-tamiento ortodoacutencico precoz

a Establecimiento de la oclusioacuten en dentadura temporal (A Patti)

b Constitucioacuten de dentadura mixta

c Diferente evolucioacuten de los pri-meros molares permanente en funcioacuten del tipo de plano terminal (Moyers 1977)

3 Duracioacuten de tratamiento

4 Aparataje

II Diagnostico

1 Ficha administrativa

2 Historia cliacutenica

1 Enfermedades generales del pa-ciente

2 Patologiacuteas previas

3 Motivo principal de consulta

4 Resumen de hallazgos cliacutenicos

5 Haacutebitos

6 Reeducacioacuten

7 Tratamientos odontoloacutegicos pre-vios

8 Anomaliacuteas dentarias

III Estudios de modelos

1 Recorte y presentacioacuten de modelos

2 Diagnoacutestico sobre estudio de mo-delos

3 Disarmoniacuteas dento-dentaria anaacutelisis de Bolton

IV Fotografiacuteas

1 Introduccioacuten

2 Teacuterminos baacutesicos

3 Material necesario

4 Tipos de fotografiacuteas

V Radiografiacuteas

1 ortopantomografiacutea

2 Telerradiografiacutea

SEGUNDA PARTE

CLASIFICACIOacuteN DE LAS MALOCLUSIONES

1 Maloclusioacuten Clase I

2 Maloclusioacuten Clase II divisioacuten I

3 Maloclusioacuten Clase II divisioacuten II

4 Maloclusioacuten Clase III

5 Maloclusioacutenes Transversales

6 Mordida Abierta

7 Sobremordida profunda

8 Asimetriacuteas Craneofaciales

TERCERA PARTE

APARATOLOGIA

1 Placas removibles

2 Expansor raacutepido del paladar

3 Auxiliares

4 Aparatos funcionales

5 Elastodoncia

6 Estabilizacioacuten ndash Anclaje

7 Retencioacuten

8 Aparatologiacutea Fija multibrackets

CUARTA PARTE

A ARCOS Y BRACKETS

1 Brackets

2 Arcos

3 Resumen de los tamantildeos de arcos y utilizacioacuten

4 Sistema Garcia-Coffin

B MATERIALES E INSTRUMENTAL

1 Alambres

2 Elaacutesticos-gomas

3 Instrumental

QUINTA PARTE

A Llaves de Oclusioacuten

B Reglas de Oro

C Conceptos Ortopeacutedicos

D ATM

E Protocolos de tratamiento


2 Maloclusioacuten clase II

3 Maloclusioacuten clase III

4 Anomaliacuteas verticales

5 Asimetriacuteas

6 Circunstancias especiales

Tratamiento Ortodoacutencico con Extracciones

Author Pablo EcharriMore than 300 full color pagesSize 21x297 cmHard cover bindingISBN 978-84-937238-3-5


Handbook for modern functional treatment approaches and techniques

Ortodoncia y Microimplantes Sardac Technique (2ordf edicioacuten)

Ortodoncia y Ortopedia con Aparatos Funcionales 2ordf edicioacuten

Authors Michael Gorbonos Toshio Kubodera Bakr Rabie Brian Preston364 full color pageSize 21x297 cmHard cover bindingISBN 978-84-940554-7-8


Authors Pablo Echarri and Lorenzo FaveroMore than 450 full color pagesSize 22x31 cmHard cover bindingISBN 978-84-940232-2-4


Author Juan Joseacute Alioacute Sanz268 full color pagesSize 21x297 cmHard cover bindingISBN 978-84-940232-4-8


ORDERSYou can place order by indicating the offer you are interested in bybull E-mail ripanoripanoeu - Phone 91 372 13 77 - Fax 91 372 03 91bull By regular mail Ripano SA Ronda del Caballero de la Mancha 135 - 28034 Madridbull Through our web site wwwripanoeu

Rehabilitacioacuten Neuro-Oclusal (RNO)Author Pedro Planas388 full color pageSize 16x23 cmHard cover bindingISBN 978-84-940554-9-2


If you wish to receive this Journal by e-mail please subscribe by sending an e-mail to newsletterripanoeu

Desde el Arco Recto Convencional al Sistema Damon Mis Caminos Diagnoacutesticos y Mecaacutenicos

Atlas de Cefalometriacutea y Anaacutelisis Facial

Tratamiento Ortodoacutencico y Ortopeacutedico de 1ordf Fase en Denticioacuten Mixta 2ordf Edicioacuten

Author Alfredo Nappa AldabaldeMore than 680 full color pagesSize 23x32 cmHard cover bindingISBN 978-84-936756-2-2


Authors Jesuacutes Fernaacutendez Saacutenchez amp Omar Gabriel da Silva FilhoMore than 290 full color pagesSize 297x24 cmHard cover bindingSpecial graphic design relief special colors UV varnish folded pages etcISBN 978-84-936756-7-7


Author Pablo Echarri Lobiondo Collaborators William Clark Emma Vila Manchoacute Jordi Coromina and Joseacute Duran von ArxMore than 525 full color pagesSize 23x32 cmHard cover bindingISBN 978-84-612-5814-7


Atlas de Odontologiacutea Infantil para Pediatras y OdontoacutelogosAuthor Elena Barberiacutea LeacheMore than 330 full color pagesSize 285x285 cmHard cover bindingISBN 978-84-941269-9-4



Guiacutea Teoacuterico-Praacutectica de Cliacutenica Odontoloacutegica Integrada en Adultos

Alineadent Ortodoncia invisible

Author Joseacute Luiacutes Calvo Guirado294 full color pagesSize 195x248 cmHard cover bindingISBN 978-84-941269-6-3


Author Jesuacutes Garciacutea UrbanoMore than 230 full color pagesSize 21x297 cmHard cover bindingISBN 978-84-941269-8-7


Problemas bucales en odontopediatriacutea Uniendo la evidencia cientiacutefica a la praacutectica cliacutenicaAuthors Marcelo Boumlnecker Jenny Abanto Maria Salete Nahaacutes Pires Correcirca Joseacute Carlos Pettorossi Imparato amp Antonio Carlos Guedes-Pinto298 full color pagesSize 21x297 cmHard cover blindingISBN 978-84-942601-2-4


NOVELTY

wwwsuresmilecom

Why not use

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Anticipate plan tooth

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Visualize

simulate

Reinventing the Science

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Donrsquot work harderwork smarter

bull Eliminate time-consuming dust making and tedious set-up models

bull Produce indirect transfer systems quickly and efficiently

bull Create precise and accurate translation of the prescription

bull Easily customize each bracket parameter independently

bull Use any prescription or create your own

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bull Use any bracket

NO MORETIME-CONSUMINGSET-UP MODELS

ADENTA | SMART INNOVATION | V05a

SMARTINNOVATION

SMARTINNOVATION

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SMARTINNOVATION

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SMARTINNOVATION

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SMARTINNOVATION

SMARTINNOVATION

SMARTINNOVATION

SMARTINNOVATION

rdquo

work harder

work smarter

work longer

The ACCURATE BRACKET POSITIONERtrade is designed forvestibular amp lingual indirect set-ups working directly frompatients malocclusion model

ACCURATE BRACKET POSITIONERtrade

Join Dr Pablo Echarri at his next ldquoHands Onrdquo ABPtrade course

Fast accurate precise and easy to use

USA

USA

1-888-942-2070 | 215-942-2070 | infoadentausacom | wwwadentausacomBringing German Engineering to Orthodontics

Now I can prepare all my indirect bracket setups in just 30 to 45 minutes I have full control of each bracket parameter with all the accuracy precision and control I need Dr Pablo Echarri Spainrdquo ldquo

Lingual - 45 minutes Vestibular - 30 minutes

University of Florida College of DentistryFebruary 14th amp 15th 2015 - Call or email now for more details

3


Editorial




Warm regards

Pablo Echarri


4



Abstract



Introduction







5










6








8









Conclusion


References



9









10






12



Marcelo Marigo


Luis Fernando Eto

Abstract



Introduction





Methods


13









Main Compliance



N N N 0026 s

Aesthetics 20 392 31 608 51 1000

Orofacial Pain 5 625 3 375 8 1000


7 1000 - 00 7 1000



1 500 1 500 2 1000


3 750 1 250 4 1000

Total 38 513 36 487 74 1000


Results




14










N N N 0881 n

Priority 8 444 10 556 18 1000

Very Important 15 517 14 483 29 1000

Important 12 500 12 500 24 1000



Total 35 493 36 507 71 1000






N N N 0184 n

Priority 19 452 23 548 42 1000

Very Important 12 500 12 500 24 1000

Important 3 1000 - 00 3 1000



Total 35 500 35 500 70 1000

















A COMPLETE SYSTEM

TRAINING LABORATORY

PRODUCTS



3



16


Improvements



N N N 0007 s

Aesthetics 18 375 30 625 48 1000

Orofacial Pain 7 700 3 300 10 1000


9 900 1 100 10 1000




3 1000 - 00 3 1000

Total 41 539 35 461 76 1000



Best Advantage over



N N N 0178 n

Aesthetics 31 518 29 482 60 1000

Fast Results 4 444 5 556 9 1000


- - 4 1000 4 1000



Discomfort - - - -

Hygiene - - - -


- - - -

High Costs - - - -


- - - -

Total 36 486 38 513 74 1000


17











Satisfaction Level



N N N 0001 s

Very Satisfied - 00 16 1000 16 1000

Satisfied 21 538 18 462 39 1000

Not so Satisfied 13 1000 - 00 13 1000

Unsatisfied 3 750 1 250 4 1000

Total 37 514 35 486 72 1000



Indication



N N N 0314 n

Yes 35 507 34 493 69 1000

No - 00 1 1000 1 1000

Total 35 500 35 500 70 1000



18


Information by



N N N 0086 n

Dentists 14 583 10 417 24 1000



Marketing 2 182 9 818 11 1000

Internet - - - - -

Friends 7 412 10 588 17 1000

Others 5 714 2 286 7 1000

Total 35 507 34 493 69 1000



Disadvantage



N N N 0004 s

Aesthetics - - - -





Discomfort 15 600 10 400 25 1000

Hygiene 8 727 3 273 11 1000


- 00 1 1000 1 1000

High cost 4 200 16 800 20 1000


2 333 4 667 6 1000

Total 30 46 76 1000


19



Discussion













20

Conclusions




References












21



Pablo Echarri



Abstract



Introduction


bull Mushroom shape










22






















24











c) Treatment plan


e) Papel de acetato









25



















26





b) Extraction cases





a) Deep bite cases






Finishing arch wire






Fig 7 Upper model

27






REPORT



ABP CASES



11 +12ordm +5ordm - 10 18 - 31



14 -7ordm 0ordm - 10 20 - 34

15 -7ordm 0ordm - 10 20 - 35

16 -14ordm 0ordm - 10 21 - 36

17 -14ordm 0ordm - 10 21 - 37

21 +12ordm +5ordm - 10 18 - 41

22 +8ordm +9ordm -05ordm 10 18 - 42


24 -7ordm 0ordm - 10 20 - 44

25 -7ordm 0ordm - 10 20 - 45

26 -14ordm 0ordm - 10 21 - 46

27 -14ordm 0ordm - 10 21 - 47

OBSERVATIONS



28










29













30




Working arch wire








31





Conclusions








References












































EUROPEAN SOCIETY OF



BEST SE

LLER


PROLOGUE










CONTENTS







CONTENTS

Proacutelogo






















CONTENTS

PRIMERA PARTE

I Introduccioacuten







4 Aparataje

II Diagnostico







5 Haacutebitos

6 Reeducacioacuten







IV Fotografiacuteas

1 Introduccioacuten




V Radiografiacuteas



SEGUNDA PARTE







6 Mordida Abierta



TERCERA PARTE

APARATOLOGIA

1 Placas removibles


3 Auxiliares


5 Elastodoncia


7 Retencioacuten


CUARTA PARTE

A ARCOS Y BRACKETS

1 Brackets

2 Arcos




1 Alambres


3 Instrumental

QUINTA PARTE


B Reglas de Oro


D ATM






5 Asimetriacuteas






































NOVELTY

wwwsuresmilecom

Why not use

state-of-the-art

diagnostics








design

treat

Visualize

simulate


of oRthodonticS


3


Editorial




Warm regards

Pablo Echarri


4



Abstract



Introduction







5










6








8









Conclusion


References



9









10






12



Marcelo Marigo


Luis Fernando Eto

Abstract



Introduction





Methods


13









Main Compliance



N N N 0026 s

Aesthetics 20 392 31 608 51 1000

Orofacial Pain 5 625 3 375 8 1000


7 1000 - 00 7 1000



1 500 1 500 2 1000


3 750 1 250 4 1000

Total 38 513 36 487 74 1000


Results




14










N N N 0881 n

Priority 8 444 10 556 18 1000

Very Important 15 517 14 483 29 1000

Important 12 500 12 500 24 1000



Total 35 493 36 507 71 1000






N N N 0184 n

Priority 19 452 23 548 42 1000

Very Important 12 500 12 500 24 1000

Important 3 1000 - 00 3 1000



Total 35 500 35 500 70 1000

















A COMPLETE SYSTEM

TRAINING LABORATORY

PRODUCTS



3



16


Improvements



N N N 0007 s

Aesthetics 18 375 30 625 48 1000

Orofacial Pain 7 700 3 300 10 1000


9 900 1 100 10 1000




3 1000 - 00 3 1000

Total 41 539 35 461 76 1000



Best Advantage over



N N N 0178 n

Aesthetics 31 518 29 482 60 1000

Fast Results 4 444 5 556 9 1000


- - 4 1000 4 1000



Discomfort - - - -

Hygiene - - - -


- - - -

High Costs - - - -


- - - -

Total 36 486 38 513 74 1000


17











Satisfaction Level



N N N 0001 s

Very Satisfied - 00 16 1000 16 1000

Satisfied 21 538 18 462 39 1000

Not so Satisfied 13 1000 - 00 13 1000

Unsatisfied 3 750 1 250 4 1000

Total 37 514 35 486 72 1000



Indication



N N N 0314 n

Yes 35 507 34 493 69 1000

No - 00 1 1000 1 1000

Total 35 500 35 500 70 1000



18


Information by



N N N 0086 n

Dentists 14 583 10 417 24 1000



Marketing 2 182 9 818 11 1000

Internet - - - - -

Friends 7 412 10 588 17 1000

Others 5 714 2 286 7 1000

Total 35 507 34 493 69 1000



Disadvantage



N N N 0004 s

Aesthetics - - - -





Discomfort 15 600 10 400 25 1000

Hygiene 8 727 3 273 11 1000


- 00 1 1000 1 1000

High cost 4 200 16 800 20 1000


2 333 4 667 6 1000

Total 30 46 76 1000


19



Discussion













20

Conclusions




References












21



Pablo Echarri



Abstract



Introduction


bull Mushroom shape










22






















24











c) Treatment plan


e) Papel de acetato









25



















26





b) Extraction cases





a) Deep bite cases






Finishing arch wire






Fig 7 Upper model

27






REPORT



ABP CASES



11 +12ordm +5ordm - 10 18 - 31



14 -7ordm 0ordm - 10 20 - 34

15 -7ordm 0ordm - 10 20 - 35

16 -14ordm 0ordm - 10 21 - 36

17 -14ordm 0ordm - 10 21 - 37

21 +12ordm +5ordm - 10 18 - 41

22 +8ordm +9ordm -05ordm 10 18 - 42


24 -7ordm 0ordm - 10 20 - 44

25 -7ordm 0ordm - 10 20 - 45

26 -14ordm 0ordm - 10 21 - 46

27 -14ordm 0ordm - 10 21 - 47

OBSERVATIONS



28










29













30




Working arch wire








31





Conclusions








References












































EUROPEAN SOCIETY OF



BEST SE

LLER


PROLOGUE










CONTENTS







CONTENTS

Proacutelogo






















CONTENTS

PRIMERA PARTE

I Introduccioacuten







4 Aparataje

II Diagnostico







5 Haacutebitos

6 Reeducacioacuten







IV Fotografiacuteas

1 Introduccioacuten




V Radiografiacuteas



SEGUNDA PARTE







6 Mordida Abierta



TERCERA PARTE

APARATOLOGIA

1 Placas removibles


3 Auxiliares


5 Elastodoncia


7 Retencioacuten


CUARTA PARTE

A ARCOS Y BRACKETS

1 Brackets

2 Arcos




1 Alambres


3 Instrumental

QUINTA PARTE


B Reglas de Oro


D ATM






5 Asimetriacuteas






































NOVELTY

wwwsuresmilecom

Why not use

state-of-the-art

diagnostics








design

treat

Visualize

simulate


of oRthodonticS



4



Abstract



Introduction







5










6








8









Conclusion


References



9









10






12



Marcelo Marigo


Luis Fernando Eto

Abstract



Introduction





Methods


13









Main Compliance



N N N 0026 s

Aesthetics 20 392 31 608 51 1000

Orofacial Pain 5 625 3 375 8 1000


7 1000 - 00 7 1000



1 500 1 500 2 1000


3 750 1 250 4 1000

Total 38 513 36 487 74 1000


Results




14










N N N 0881 n

Priority 8 444 10 556 18 1000

Very Important 15 517 14 483 29 1000

Important 12 500 12 500 24 1000



Total 35 493 36 507 71 1000






N N N 0184 n

Priority 19 452 23 548 42 1000

Very Important 12 500 12 500 24 1000

Important 3 1000 - 00 3 1000



Total 35 500 35 500 70 1000

















A COMPLETE SYSTEM

TRAINING LABORATORY

PRODUCTS



3



16


Improvements



N N N 0007 s

Aesthetics 18 375 30 625 48 1000

Orofacial Pain 7 700 3 300 10 1000


9 900 1 100 10 1000




3 1000 - 00 3 1000

Total 41 539 35 461 76 1000



Best Advantage over



N N N 0178 n

Aesthetics 31 518 29 482 60 1000

Fast Results 4 444 5 556 9 1000


- - 4 1000 4 1000



Discomfort - - - -

Hygiene - - - -


- - - -

High Costs - - - -


- - - -

Total 36 486 38 513 74 1000


17











Satisfaction Level



N N N 0001 s

Very Satisfied - 00 16 1000 16 1000

Satisfied 21 538 18 462 39 1000

Not so Satisfied 13 1000 - 00 13 1000

Unsatisfied 3 750 1 250 4 1000

Total 37 514 35 486 72 1000



Indication



N N N 0314 n

Yes 35 507 34 493 69 1000

No - 00 1 1000 1 1000

Total 35 500 35 500 70 1000



18


Information by



N N N 0086 n

Dentists 14 583 10 417 24 1000



Marketing 2 182 9 818 11 1000

Internet - - - - -

Friends 7 412 10 588 17 1000

Others 5 714 2 286 7 1000

Total 35 507 34 493 69 1000



Disadvantage



N N N 0004 s

Aesthetics - - - -





Discomfort 15 600 10 400 25 1000

Hygiene 8 727 3 273 11 1000


- 00 1 1000 1 1000

High cost 4 200 16 800 20 1000


2 333 4 667 6 1000

Total 30 46 76 1000


19



Discussion













20

Conclusions




References












21



Pablo Echarri



Abstract



Introduction


bull Mushroom shape










22






















24











c) Treatment plan


e) Papel de acetato









25



















26





b) Extraction cases





a) Deep bite cases






Finishing arch wire






Fig 7 Upper model

27






REPORT



ABP CASES



11 +12ordm +5ordm - 10 18 - 31



14 -7ordm 0ordm - 10 20 - 34

15 -7ordm 0ordm - 10 20 - 35

16 -14ordm 0ordm - 10 21 - 36

17 -14ordm 0ordm - 10 21 - 37

21 +12ordm +5ordm - 10 18 - 41

22 +8ordm +9ordm -05ordm 10 18 - 42


24 -7ordm 0ordm - 10 20 - 44

25 -7ordm 0ordm - 10 20 - 45

26 -14ordm 0ordm - 10 21 - 46

27 -14ordm 0ordm - 10 21 - 47

OBSERVATIONS



28










29













30




Working arch wire








31





Conclusions








References












































EUROPEAN SOCIETY OF



BEST SE

LLER


PROLOGUE










CONTENTS







CONTENTS

Proacutelogo






















CONTENTS

PRIMERA PARTE

I Introduccioacuten







4 Aparataje

II Diagnostico







5 Haacutebitos

6 Reeducacioacuten







IV Fotografiacuteas

1 Introduccioacuten




V Radiografiacuteas



SEGUNDA PARTE







6 Mordida Abierta



TERCERA PARTE

APARATOLOGIA

1 Placas removibles


3 Auxiliares


5 Elastodoncia


7 Retencioacuten


CUARTA PARTE

A ARCOS Y BRACKETS

1 Brackets

2 Arcos




1 Alambres


3 Instrumental

QUINTA PARTE


B Reglas de Oro


D ATM






5 Asimetriacuteas






































NOVELTY

wwwsuresmilecom

Why not use

state-of-the-art

diagnostics








design

treat

Visualize

simulate


of oRthodonticS


5










6








8









Conclusion


References



9









10






12



Marcelo Marigo


Luis Fernando Eto

Abstract



Introduction





Methods


13









Main Compliance



N N N 0026 s

Aesthetics 20 392 31 608 51 1000

Orofacial Pain 5 625 3 375 8 1000


7 1000 - 00 7 1000



1 500 1 500 2 1000


3 750 1 250 4 1000

Total 38 513 36 487 74 1000


Results




14










N N N 0881 n

Priority 8 444 10 556 18 1000

Very Important 15 517 14 483 29 1000

Important 12 500 12 500 24 1000



Total 35 493 36 507 71 1000






N N N 0184 n

Priority 19 452 23 548 42 1000

Very Important 12 500 12 500 24 1000

Important 3 1000 - 00 3 1000



Total 35 500 35 500 70 1000

















A COMPLETE SYSTEM

TRAINING LABORATORY

PRODUCTS



3



16


Improvements



N N N 0007 s

Aesthetics 18 375 30 625 48 1000

Orofacial Pain 7 700 3 300 10 1000


9 900 1 100 10 1000




3 1000 - 00 3 1000

Total 41 539 35 461 76 1000



Best Advantage over



N N N 0178 n

Aesthetics 31 518 29 482 60 1000

Fast Results 4 444 5 556 9 1000


- - 4 1000 4 1000



Discomfort - - - -

Hygiene - - - -


- - - -

High Costs - - - -


- - - -

Total 36 486 38 513 74 1000


17











Satisfaction Level



N N N 0001 s

Very Satisfied - 00 16 1000 16 1000

Satisfied 21 538 18 462 39 1000

Not so Satisfied 13 1000 - 00 13 1000

Unsatisfied 3 750 1 250 4 1000

Total 37 514 35 486 72 1000



Indication



N N N 0314 n

Yes 35 507 34 493 69 1000

No - 00 1 1000 1 1000

Total 35 500 35 500 70 1000



18


Information by



N N N 0086 n

Dentists 14 583 10 417 24 1000



Marketing 2 182 9 818 11 1000

Internet - - - - -

Friends 7 412 10 588 17 1000

Others 5 714 2 286 7 1000

Total 35 507 34 493 69 1000



Disadvantage



N N N 0004 s

Aesthetics - - - -





Discomfort 15 600 10 400 25 1000

Hygiene 8 727 3 273 11 1000


- 00 1 1000 1 1000

High cost 4 200 16 800 20 1000


2 333 4 667 6 1000

Total 30 46 76 1000


19



Discussion













20

Conclusions




References












21



Pablo Echarri



Abstract



Introduction


bull Mushroom shape










22






















24











c) Treatment plan


e) Papel de acetato









25



















26





b) Extraction cases





a) Deep bite cases






Finishing arch wire






Fig 7 Upper model

27






REPORT



ABP CASES



11 +12ordm +5ordm - 10 18 - 31



14 -7ordm 0ordm - 10 20 - 34

15 -7ordm 0ordm - 10 20 - 35

16 -14ordm 0ordm - 10 21 - 36

17 -14ordm 0ordm - 10 21 - 37

21 +12ordm +5ordm - 10 18 - 41

22 +8ordm +9ordm -05ordm 10 18 - 42


24 -7ordm 0ordm - 10 20 - 44

25 -7ordm 0ordm - 10 20 - 45

26 -14ordm 0ordm - 10 21 - 46

27 -14ordm 0ordm - 10 21 - 47

OBSERVATIONS



28










29













30




Working arch wire








31





Conclusions








References












































EUROPEAN SOCIETY OF



BEST SE

LLER


PROLOGUE










CONTENTS







CONTENTS

Proacutelogo






















CONTENTS

PRIMERA PARTE

I Introduccioacuten







4 Aparataje

II Diagnostico







5 Haacutebitos

6 Reeducacioacuten







IV Fotografiacuteas

1 Introduccioacuten




V Radiografiacuteas



SEGUNDA PARTE







6 Mordida Abierta



TERCERA PARTE

APARATOLOGIA

1 Placas removibles


3 Auxiliares


5 Elastodoncia


7 Retencioacuten


CUARTA PARTE

A ARCOS Y BRACKETS

1 Brackets

2 Arcos




1 Alambres


3 Instrumental

QUINTA PARTE


B Reglas de Oro


D ATM






5 Asimetriacuteas






































NOVELTY

wwwsuresmilecom

Why not use

state-of-the-art

diagnostics








design

treat

Visualize

simulate


of oRthodonticS



6








8









Conclusion


References



9









10






12



Marcelo Marigo


Luis Fernando Eto

Abstract



Introduction





Methods


13









Main Compliance



N N N 0026 s

Aesthetics 20 392 31 608 51 1000

Orofacial Pain 5 625 3 375 8 1000


7 1000 - 00 7 1000



1 500 1 500 2 1000


3 750 1 250 4 1000

Total 38 513 36 487 74 1000


Results




14










N N N 0881 n

Priority 8 444 10 556 18 1000

Very Important 15 517 14 483 29 1000

Important 12 500 12 500 24 1000



Total 35 493 36 507 71 1000






N N N 0184 n

Priority 19 452 23 548 42 1000

Very Important 12 500 12 500 24 1000

Important 3 1000 - 00 3 1000



Total 35 500 35 500 70 1000

















A COMPLETE SYSTEM

TRAINING LABORATORY

PRODUCTS



3



16


Improvements



N N N 0007 s

Aesthetics 18 375 30 625 48 1000

Orofacial Pain 7 700 3 300 10 1000


9 900 1 100 10 1000




3 1000 - 00 3 1000

Total 41 539 35 461 76 1000



Best Advantage over



N N N 0178 n

Aesthetics 31 518 29 482 60 1000

Fast Results 4 444 5 556 9 1000


- - 4 1000 4 1000



Discomfort - - - -

Hygiene - - - -


- - - -

High Costs - - - -


- - - -

Total 36 486 38 513 74 1000


17











Satisfaction Level



N N N 0001 s

Very Satisfied - 00 16 1000 16 1000

Satisfied 21 538 18 462 39 1000

Not so Satisfied 13 1000 - 00 13 1000

Unsatisfied 3 750 1 250 4 1000

Total 37 514 35 486 72 1000



Indication



N N N 0314 n

Yes 35 507 34 493 69 1000

No - 00 1 1000 1 1000

Total 35 500 35 500 70 1000



18


Information by



N N N 0086 n

Dentists 14 583 10 417 24 1000



Marketing 2 182 9 818 11 1000

Internet - - - - -

Friends 7 412 10 588 17 1000

Others 5 714 2 286 7 1000

Total 35 507 34 493 69 1000



Disadvantage



N N N 0004 s

Aesthetics - - - -





Discomfort 15 600 10 400 25 1000

Hygiene 8 727 3 273 11 1000


- 00 1 1000 1 1000

High cost 4 200 16 800 20 1000


2 333 4 667 6 1000

Total 30 46 76 1000


19



Discussion













20

Conclusions




References












21



Pablo Echarri



Abstract



Introduction


bull Mushroom shape










22






















24











c) Treatment plan


e) Papel de acetato









25



















26





b) Extraction cases





a) Deep bite cases






Finishing arch wire






Fig 7 Upper model

27






REPORT



ABP CASES



11 +12ordm +5ordm - 10 18 - 31



14 -7ordm 0ordm - 10 20 - 34

15 -7ordm 0ordm - 10 20 - 35

16 -14ordm 0ordm - 10 21 - 36

17 -14ordm 0ordm - 10 21 - 37

21 +12ordm +5ordm - 10 18 - 41

22 +8ordm +9ordm -05ordm 10 18 - 42


24 -7ordm 0ordm - 10 20 - 44

25 -7ordm 0ordm - 10 20 - 45

26 -14ordm 0ordm - 10 21 - 46

27 -14ordm 0ordm - 10 21 - 47

OBSERVATIONS



28










29













30




Working arch wire








31





Conclusions








References












































EUROPEAN SOCIETY OF



BEST SE

LLER


PROLOGUE










CONTENTS







CONTENTS

Proacutelogo






















CONTENTS

PRIMERA PARTE

I Introduccioacuten







4 Aparataje

II Diagnostico







5 Haacutebitos

6 Reeducacioacuten







IV Fotografiacuteas

1 Introduccioacuten




V Radiografiacuteas



SEGUNDA PARTE







6 Mordida Abierta



TERCERA PARTE

APARATOLOGIA

1 Placas removibles


3 Auxiliares


5 Elastodoncia


7 Retencioacuten


CUARTA PARTE

A ARCOS Y BRACKETS

1 Brackets

2 Arcos




1 Alambres


3 Instrumental

QUINTA PARTE


B Reglas de Oro


D ATM






5 Asimetriacuteas






































NOVELTY

wwwsuresmilecom

Why not use

state-of-the-art

diagnostics








design

treat

Visualize

simulate


of oRthodonticS



8









Conclusion


References



9









10






12



Marcelo Marigo


Luis Fernando Eto

Abstract



Introduction





Methods


13









Main Compliance



N N N 0026 s

Aesthetics 20 392 31 608 51 1000

Orofacial Pain 5 625 3 375 8 1000


7 1000 - 00 7 1000



1 500 1 500 2 1000


3 750 1 250 4 1000

Total 38 513 36 487 74 1000


Results




14










N N N 0881 n

Priority 8 444 10 556 18 1000

Very Important 15 517 14 483 29 1000

Important 12 500 12 500 24 1000



Total 35 493 36 507 71 1000






N N N 0184 n

Priority 19 452 23 548 42 1000

Very Important 12 500 12 500 24 1000

Important 3 1000 - 00 3 1000



Total 35 500 35 500 70 1000

















A COMPLETE SYSTEM

TRAINING LABORATORY

PRODUCTS



3



16


Improvements



N N N 0007 s

Aesthetics 18 375 30 625 48 1000

Orofacial Pain 7 700 3 300 10 1000


9 900 1 100 10 1000




3 1000 - 00 3 1000

Total 41 539 35 461 76 1000



Best Advantage over



N N N 0178 n

Aesthetics 31 518 29 482 60 1000

Fast Results 4 444 5 556 9 1000


- - 4 1000 4 1000



Discomfort - - - -

Hygiene - - - -


- - - -

High Costs - - - -


- - - -

Total 36 486 38 513 74 1000


17











Satisfaction Level



N N N 0001 s

Very Satisfied - 00 16 1000 16 1000

Satisfied 21 538 18 462 39 1000

Not so Satisfied 13 1000 - 00 13 1000

Unsatisfied 3 750 1 250 4 1000

Total 37 514 35 486 72 1000



Indication



N N N 0314 n

Yes 35 507 34 493 69 1000

No - 00 1 1000 1 1000

Total 35 500 35 500 70 1000



18


Information by



N N N 0086 n

Dentists 14 583 10 417 24 1000



Marketing 2 182 9 818 11 1000

Internet - - - - -

Friends 7 412 10 588 17 1000

Others 5 714 2 286 7 1000

Total 35 507 34 493 69 1000



Disadvantage



N N N 0004 s

Aesthetics - - - -





Discomfort 15 600 10 400 25 1000

Hygiene 8 727 3 273 11 1000


- 00 1 1000 1 1000

High cost 4 200 16 800 20 1000


2 333 4 667 6 1000

Total 30 46 76 1000


19



Discussion













20

Conclusions




References












21



Pablo Echarri



Abstract



Introduction


bull Mushroom shape










22






















24











c) Treatment plan


e) Papel de acetato









25



















26





b) Extraction cases





a) Deep bite cases






Finishing arch wire






Fig 7 Upper model

27






REPORT



ABP CASES



11 +12ordm +5ordm - 10 18 - 31



14 -7ordm 0ordm - 10 20 - 34

15 -7ordm 0ordm - 10 20 - 35

16 -14ordm 0ordm - 10 21 - 36

17 -14ordm 0ordm - 10 21 - 37

21 +12ordm +5ordm - 10 18 - 41

22 +8ordm +9ordm -05ordm 10 18 - 42


24 -7ordm 0ordm - 10 20 - 44

25 -7ordm 0ordm - 10 20 - 45

26 -14ordm 0ordm - 10 21 - 46

27 -14ordm 0ordm - 10 21 - 47

OBSERVATIONS



28










29













30




Working arch wire








31





Conclusions








References












































EUROPEAN SOCIETY OF



BEST SE

LLER


PROLOGUE










CONTENTS







CONTENTS

Proacutelogo






















CONTENTS

PRIMERA PARTE

I Introduccioacuten







4 Aparataje

II Diagnostico







5 Haacutebitos

6 Reeducacioacuten







IV Fotografiacuteas

1 Introduccioacuten




V Radiografiacuteas



SEGUNDA PARTE







6 Mordida Abierta



TERCERA PARTE

APARATOLOGIA

1 Placas removibles


3 Auxiliares


5 Elastodoncia


7 Retencioacuten


CUARTA PARTE

A ARCOS Y BRACKETS

1 Brackets

2 Arcos




1 Alambres


3 Instrumental

QUINTA PARTE


B Reglas de Oro


D ATM






5 Asimetriacuteas






































NOVELTY

wwwsuresmilecom

Why not use

state-of-the-art

diagnostics








design

treat

Visualize

simulate


of oRthodonticS


9









10






12



Marcelo Marigo


Luis Fernando Eto

Abstract



Introduction





Methods


13









Main Compliance



N N N 0026 s

Aesthetics 20 392 31 608 51 1000

Orofacial Pain 5 625 3 375 8 1000


7 1000 - 00 7 1000



1 500 1 500 2 1000


3 750 1 250 4 1000

Total 38 513 36 487 74 1000


Results




14










N N N 0881 n

Priority 8 444 10 556 18 1000

Very Important 15 517 14 483 29 1000

Important 12 500 12 500 24 1000



Total 35 493 36 507 71 1000






N N N 0184 n

Priority 19 452 23 548 42 1000

Very Important 12 500 12 500 24 1000

Important 3 1000 - 00 3 1000



Total 35 500 35 500 70 1000

















A COMPLETE SYSTEM

TRAINING LABORATORY

PRODUCTS



3



16


Improvements



N N N 0007 s

Aesthetics 18 375 30 625 48 1000

Orofacial Pain 7 700 3 300 10 1000


9 900 1 100 10 1000




3 1000 - 00 3 1000

Total 41 539 35 461 76 1000



Best Advantage over



N N N 0178 n

Aesthetics 31 518 29 482 60 1000

Fast Results 4 444 5 556 9 1000


- - 4 1000 4 1000



Discomfort - - - -

Hygiene - - - -


- - - -

High Costs - - - -


- - - -

Total 36 486 38 513 74 1000


17











Satisfaction Level



N N N 0001 s

Very Satisfied - 00 16 1000 16 1000

Satisfied 21 538 18 462 39 1000

Not so Satisfied 13 1000 - 00 13 1000

Unsatisfied 3 750 1 250 4 1000

Total 37 514 35 486 72 1000



Indication



N N N 0314 n

Yes 35 507 34 493 69 1000

No - 00 1 1000 1 1000

Total 35 500 35 500 70 1000



18


Information by



N N N 0086 n

Dentists 14 583 10 417 24 1000



Marketing 2 182 9 818 11 1000

Internet - - - - -

Friends 7 412 10 588 17 1000

Others 5 714 2 286 7 1000

Total 35 507 34 493 69 1000



Disadvantage



N N N 0004 s

Aesthetics - - - -





Discomfort 15 600 10 400 25 1000

Hygiene 8 727 3 273 11 1000


- 00 1 1000 1 1000

High cost 4 200 16 800 20 1000


2 333 4 667 6 1000

Total 30 46 76 1000


19



Discussion













20

Conclusions




References












21



Pablo Echarri



Abstract



Introduction


bull Mushroom shape










22






















24











c) Treatment plan


e) Papel de acetato









25



















26





b) Extraction cases





a) Deep bite cases






Finishing arch wire






Fig 7 Upper model

27






REPORT



ABP CASES



11 +12ordm +5ordm - 10 18 - 31



14 -7ordm 0ordm - 10 20 - 34

15 -7ordm 0ordm - 10 20 - 35

16 -14ordm 0ordm - 10 21 - 36

17 -14ordm 0ordm - 10 21 - 37

21 +12ordm +5ordm - 10 18 - 41

22 +8ordm +9ordm -05ordm 10 18 - 42


24 -7ordm 0ordm - 10 20 - 44

25 -7ordm 0ordm - 10 20 - 45

26 -14ordm 0ordm - 10 21 - 46

27 -14ordm 0ordm - 10 21 - 47

OBSERVATIONS



28










29













30




Working arch wire








31





Conclusions








References












































EUROPEAN SOCIETY OF



BEST SE

LLER


PROLOGUE










CONTENTS







CONTENTS

Proacutelogo






















CONTENTS

PRIMERA PARTE

I Introduccioacuten







4 Aparataje

II Diagnostico







5 Haacutebitos

6 Reeducacioacuten







IV Fotografiacuteas

1 Introduccioacuten




V Radiografiacuteas



SEGUNDA PARTE







6 Mordida Abierta



TERCERA PARTE

APARATOLOGIA

1 Placas removibles


3 Auxiliares


5 Elastodoncia


7 Retencioacuten


CUARTA PARTE

A ARCOS Y BRACKETS

1 Brackets

2 Arcos




1 Alambres


3 Instrumental

QUINTA PARTE


B Reglas de Oro


D ATM






5 Asimetriacuteas






































NOVELTY

wwwsuresmilecom

Why not use

state-of-the-art

diagnostics








design

treat

Visualize

simulate


of oRthodonticS



10






12



Marcelo Marigo


Luis Fernando Eto

Abstract



Introduction





Methods


13









Main Compliance



N N N 0026 s

Aesthetics 20 392 31 608 51 1000

Orofacial Pain 5 625 3 375 8 1000


7 1000 - 00 7 1000



1 500 1 500 2 1000


3 750 1 250 4 1000

Total 38 513 36 487 74 1000


Results




14










N N N 0881 n

Priority 8 444 10 556 18 1000

Very Important 15 517 14 483 29 1000

Important 12 500 12 500 24 1000



Total 35 493 36 507 71 1000






N N N 0184 n

Priority 19 452 23 548 42 1000

Very Important 12 500 12 500 24 1000

Important 3 1000 - 00 3 1000



Total 35 500 35 500 70 1000

















A COMPLETE SYSTEM

TRAINING LABORATORY

PRODUCTS



3



16


Improvements



N N N 0007 s

Aesthetics 18 375 30 625 48 1000

Orofacial Pain 7 700 3 300 10 1000


9 900 1 100 10 1000




3 1000 - 00 3 1000

Total 41 539 35 461 76 1000



Best Advantage over



N N N 0178 n

Aesthetics 31 518 29 482 60 1000

Fast Results 4 444 5 556 9 1000


- - 4 1000 4 1000



Discomfort - - - -

Hygiene - - - -


- - - -

High Costs - - - -


- - - -

Total 36 486 38 513 74 1000


17











Satisfaction Level



N N N 0001 s

Very Satisfied - 00 16 1000 16 1000

Satisfied 21 538 18 462 39 1000

Not so Satisfied 13 1000 - 00 13 1000

Unsatisfied 3 750 1 250 4 1000

Total 37 514 35 486 72 1000



Indication



N N N 0314 n

Yes 35 507 34 493 69 1000

No - 00 1 1000 1 1000

Total 35 500 35 500 70 1000



18


Information by



N N N 0086 n

Dentists 14 583 10 417 24 1000



Marketing 2 182 9 818 11 1000

Internet - - - - -

Friends 7 412 10 588 17 1000

Others 5 714 2 286 7 1000

Total 35 507 34 493 69 1000



Disadvantage



N N N 0004 s

Aesthetics - - - -





Discomfort 15 600 10 400 25 1000

Hygiene 8 727 3 273 11 1000


- 00 1 1000 1 1000

High cost 4 200 16 800 20 1000


2 333 4 667 6 1000

Total 30 46 76 1000


19



Discussion













20

Conclusions




References












21



Pablo Echarri



Abstract



Introduction


bull Mushroom shape










22






















24











c) Treatment plan


e) Papel de acetato









25



















26





b) Extraction cases





a) Deep bite cases






Finishing arch wire






Fig 7 Upper model

27






REPORT



ABP CASES



11 +12ordm +5ordm - 10 18 - 31



14 -7ordm 0ordm - 10 20 - 34

15 -7ordm 0ordm - 10 20 - 35

16 -14ordm 0ordm - 10 21 - 36

17 -14ordm 0ordm - 10 21 - 37

21 +12ordm +5ordm - 10 18 - 41

22 +8ordm +9ordm -05ordm 10 18 - 42


24 -7ordm 0ordm - 10 20 - 44

25 -7ordm 0ordm - 10 20 - 45

26 -14ordm 0ordm - 10 21 - 46

27 -14ordm 0ordm - 10 21 - 47

OBSERVATIONS



28










29













30




Working arch wire








31





Conclusions








References












































EUROPEAN SOCIETY OF



BEST SE

LLER


PROLOGUE










CONTENTS







CONTENTS

Proacutelogo






















CONTENTS

PRIMERA PARTE

I Introduccioacuten







4 Aparataje

II Diagnostico







5 Haacutebitos

6 Reeducacioacuten







IV Fotografiacuteas

1 Introduccioacuten




V Radiografiacuteas



SEGUNDA PARTE







6 Mordida Abierta



TERCERA PARTE

APARATOLOGIA

1 Placas removibles


3 Auxiliares


5 Elastodoncia


7 Retencioacuten


CUARTA PARTE

A ARCOS Y BRACKETS

1 Brackets

2 Arcos




1 Alambres


3 Instrumental

QUINTA PARTE


B Reglas de Oro


D ATM






5 Asimetriacuteas






































NOVELTY

wwwsuresmilecom

Why not use

state-of-the-art

diagnostics








design

treat

Visualize

simulate


of oRthodonticS



12



Marcelo Marigo


Luis Fernando Eto

Abstract



Introduction





Methods


13









Main Compliance



N N N 0026 s

Aesthetics 20 392 31 608 51 1000

Orofacial Pain 5 625 3 375 8 1000


7 1000 - 00 7 1000



1 500 1 500 2 1000


3 750 1 250 4 1000

Total 38 513 36 487 74 1000


Results




14










N N N 0881 n

Priority 8 444 10 556 18 1000

Very Important 15 517 14 483 29 1000

Important 12 500 12 500 24 1000



Total 35 493 36 507 71 1000






N N N 0184 n

Priority 19 452 23 548 42 1000

Very Important 12 500 12 500 24 1000

Important 3 1000 - 00 3 1000



Total 35 500 35 500 70 1000

















A COMPLETE SYSTEM

TRAINING LABORATORY

PRODUCTS



3



16


Improvements



N N N 0007 s

Aesthetics 18 375 30 625 48 1000

Orofacial Pain 7 700 3 300 10 1000


9 900 1 100 10 1000




3 1000 - 00 3 1000

Total 41 539 35 461 76 1000



Best Advantage over



N N N 0178 n

Aesthetics 31 518 29 482 60 1000

Fast Results 4 444 5 556 9 1000


- - 4 1000 4 1000



Discomfort - - - -

Hygiene - - - -


- - - -

High Costs - - - -


- - - -

Total 36 486 38 513 74 1000


17











Satisfaction Level



N N N 0001 s

Very Satisfied - 00 16 1000 16 1000

Satisfied 21 538 18 462 39 1000

Not so Satisfied 13 1000 - 00 13 1000

Unsatisfied 3 750 1 250 4 1000

Total 37 514 35 486 72 1000



Indication



N N N 0314 n

Yes 35 507 34 493 69 1000

No - 00 1 1000 1 1000

Total 35 500 35 500 70 1000



18


Information by



N N N 0086 n

Dentists 14 583 10 417 24 1000



Marketing 2 182 9 818 11 1000

Internet - - - - -

Friends 7 412 10 588 17 1000

Others 5 714 2 286 7 1000

Total 35 507 34 493 69 1000



Disadvantage



N N N 0004 s

Aesthetics - - - -





Discomfort 15 600 10 400 25 1000

Hygiene 8 727 3 273 11 1000


- 00 1 1000 1 1000

High cost 4 200 16 800 20 1000


2 333 4 667 6 1000

Total 30 46 76 1000


19



Discussion













20

Conclusions




References












21



Pablo Echarri



Abstract



Introduction


bull Mushroom shape










22






















24











c) Treatment plan


e) Papel de acetato









25



















26





b) Extraction cases





a) Deep bite cases






Finishing arch wire






Fig 7 Upper model

27






REPORT



ABP CASES



11 +12ordm +5ordm - 10 18 - 31



14 -7ordm 0ordm - 10 20 - 34

15 -7ordm 0ordm - 10 20 - 35

16 -14ordm 0ordm - 10 21 - 36

17 -14ordm 0ordm - 10 21 - 37

21 +12ordm +5ordm - 10 18 - 41

22 +8ordm +9ordm -05ordm 10 18 - 42


24 -7ordm 0ordm - 10 20 - 44

25 -7ordm 0ordm - 10 20 - 45

26 -14ordm 0ordm - 10 21 - 46

27 -14ordm 0ordm - 10 21 - 47

OBSERVATIONS



28










29













30




Working arch wire








31





Conclusions








References












































EUROPEAN SOCIETY OF



BEST SE

LLER


PROLOGUE










CONTENTS







CONTENTS

Proacutelogo






















CONTENTS

PRIMERA PARTE

I Introduccioacuten







4 Aparataje

II Diagnostico







5 Haacutebitos

6 Reeducacioacuten







IV Fotografiacuteas

1 Introduccioacuten




V Radiografiacuteas



SEGUNDA PARTE







6 Mordida Abierta



TERCERA PARTE

APARATOLOGIA

1 Placas removibles


3 Auxiliares


5 Elastodoncia


7 Retencioacuten


CUARTA PARTE

A ARCOS Y BRACKETS

1 Brackets

2 Arcos




1 Alambres


3 Instrumental

QUINTA PARTE


B Reglas de Oro


D ATM






5 Asimetriacuteas






































NOVELTY

wwwsuresmilecom

Why not use

state-of-the-art

diagnostics








design

treat

Visualize

simulate


of oRthodonticS


13









Main Compliance



N N N 0026 s

Aesthetics 20 392 31 608 51 1000

Orofacial Pain 5 625 3 375 8 1000


7 1000 - 00 7 1000



1 500 1 500 2 1000


3 750 1 250 4 1000

Total 38 513 36 487 74 1000


Results




14










N N N 0881 n

Priority 8 444 10 556 18 1000

Very Important 15 517 14 483 29 1000

Important 12 500 12 500 24 1000



Total 35 493 36 507 71 1000






N N N 0184 n

Priority 19 452 23 548 42 1000

Very Important 12 500 12 500 24 1000

Important 3 1000 - 00 3 1000



Total 35 500 35 500 70 1000

















A COMPLETE SYSTEM

TRAINING LABORATORY

PRODUCTS



3



16


Improvements



N N N 0007 s

Aesthetics 18 375 30 625 48 1000

Orofacial Pain 7 700 3 300 10 1000


9 900 1 100 10 1000




3 1000 - 00 3 1000

Total 41 539 35 461 76 1000



Best Advantage over



N N N 0178 n

Aesthetics 31 518 29 482 60 1000

Fast Results 4 444 5 556 9 1000


- - 4 1000 4 1000



Discomfort - - - -

Hygiene - - - -


- - - -

High Costs - - - -


- - - -

Total 36 486 38 513 74 1000


17











Satisfaction Level



N N N 0001 s

Very Satisfied - 00 16 1000 16 1000

Satisfied 21 538 18 462 39 1000

Not so Satisfied 13 1000 - 00 13 1000

Unsatisfied 3 750 1 250 4 1000

Total 37 514 35 486 72 1000



Indication



N N N 0314 n

Yes 35 507 34 493 69 1000

No - 00 1 1000 1 1000

Total 35 500 35 500 70 1000



18


Information by



N N N 0086 n

Dentists 14 583 10 417 24 1000



Marketing 2 182 9 818 11 1000

Internet - - - - -

Friends 7 412 10 588 17 1000

Others 5 714 2 286 7 1000

Total 35 507 34 493 69 1000



Disadvantage



N N N 0004 s

Aesthetics - - - -





Discomfort 15 600 10 400 25 1000

Hygiene 8 727 3 273 11 1000


- 00 1 1000 1 1000

High cost 4 200 16 800 20 1000


2 333 4 667 6 1000

Total 30 46 76 1000


19



Discussion













20

Conclusions




References












21



Pablo Echarri



Abstract



Introduction


bull Mushroom shape










22






















24











c) Treatment plan


e) Papel de acetato









25



















26





b) Extraction cases





a) Deep bite cases






Finishing arch wire






Fig 7 Upper model

27






REPORT



ABP CASES



11 +12ordm +5ordm - 10 18 - 31



14 -7ordm 0ordm - 10 20 - 34

15 -7ordm 0ordm - 10 20 - 35

16 -14ordm 0ordm - 10 21 - 36

17 -14ordm 0ordm - 10 21 - 37

21 +12ordm +5ordm - 10 18 - 41

22 +8ordm +9ordm -05ordm 10 18 - 42


24 -7ordm 0ordm - 10 20 - 44

25 -7ordm 0ordm - 10 20 - 45

26 -14ordm 0ordm - 10 21 - 46

27 -14ordm 0ordm - 10 21 - 47

OBSERVATIONS



28










29













30




Working arch wire








31





Conclusions








References












































EUROPEAN SOCIETY OF



BEST SE

LLER


PROLOGUE










CONTENTS







CONTENTS

Proacutelogo






















CONTENTS

PRIMERA PARTE

I Introduccioacuten







4 Aparataje

II Diagnostico







5 Haacutebitos

6 Reeducacioacuten







IV Fotografiacuteas

1 Introduccioacuten




V Radiografiacuteas



SEGUNDA PARTE







6 Mordida Abierta



TERCERA PARTE

APARATOLOGIA

1 Placas removibles


3 Auxiliares


5 Elastodoncia


7 Retencioacuten


CUARTA PARTE

A ARCOS Y BRACKETS

1 Brackets

2 Arcos




1 Alambres


3 Instrumental

QUINTA PARTE


B Reglas de Oro


D ATM






5 Asimetriacuteas






































NOVELTY

wwwsuresmilecom

Why not use

state-of-the-art

diagnostics








design

treat

Visualize

simulate


of oRthodonticS



14










N N N 0881 n

Priority 8 444 10 556 18 1000

Very Important 15 517 14 483 29 1000

Important 12 500 12 500 24 1000



Total 35 493 36 507 71 1000






N N N 0184 n

Priority 19 452 23 548 42 1000

Very Important 12 500 12 500 24 1000

Important 3 1000 - 00 3 1000



Total 35 500 35 500 70 1000

















A COMPLETE SYSTEM

TRAINING LABORATORY

PRODUCTS



3



16


Improvements



N N N 0007 s

Aesthetics 18 375 30 625 48 1000

Orofacial Pain 7 700 3 300 10 1000


9 900 1 100 10 1000




3 1000 - 00 3 1000

Total 41 539 35 461 76 1000



Best Advantage over



N N N 0178 n

Aesthetics 31 518 29 482 60 1000

Fast Results 4 444 5 556 9 1000


- - 4 1000 4 1000



Discomfort - - - -

Hygiene - - - -


- - - -

High Costs - - - -


- - - -

Total 36 486 38 513 74 1000


17











Satisfaction Level



N N N 0001 s

Very Satisfied - 00 16 1000 16 1000

Satisfied 21 538 18 462 39 1000

Not so Satisfied 13 1000 - 00 13 1000

Unsatisfied 3 750 1 250 4 1000

Total 37 514 35 486 72 1000



Indication



N N N 0314 n

Yes 35 507 34 493 69 1000

No - 00 1 1000 1 1000

Total 35 500 35 500 70 1000



18


Information by



N N N 0086 n

Dentists 14 583 10 417 24 1000



Marketing 2 182 9 818 11 1000

Internet - - - - -

Friends 7 412 10 588 17 1000

Others 5 714 2 286 7 1000

Total 35 507 34 493 69 1000



Disadvantage



N N N 0004 s

Aesthetics - - - -





Discomfort 15 600 10 400 25 1000

Hygiene 8 727 3 273 11 1000


- 00 1 1000 1 1000

High cost 4 200 16 800 20 1000


2 333 4 667 6 1000

Total 30 46 76 1000


19



Discussion













20

Conclusions




References












21



Pablo Echarri



Abstract



Introduction


bull Mushroom shape










22






















24











c) Treatment plan


e) Papel de acetato









25



















26





b) Extraction cases





a) Deep bite cases






Finishing arch wire






Fig 7 Upper model

27






REPORT



ABP CASES



11 +12ordm +5ordm - 10 18 - 31



14 -7ordm 0ordm - 10 20 - 34

15 -7ordm 0ordm - 10 20 - 35

16 -14ordm 0ordm - 10 21 - 36

17 -14ordm 0ordm - 10 21 - 37

21 +12ordm +5ordm - 10 18 - 41

22 +8ordm +9ordm -05ordm 10 18 - 42


24 -7ordm 0ordm - 10 20 - 44

25 -7ordm 0ordm - 10 20 - 45

26 -14ordm 0ordm - 10 21 - 46

27 -14ordm 0ordm - 10 21 - 47

OBSERVATIONS



28










29













30




Working arch wire








31





Conclusions








References












































EUROPEAN SOCIETY OF



BEST SE

LLER


PROLOGUE










CONTENTS







CONTENTS

Proacutelogo






















CONTENTS

PRIMERA PARTE

I Introduccioacuten







4 Aparataje

II Diagnostico







5 Haacutebitos

6 Reeducacioacuten







IV Fotografiacuteas

1 Introduccioacuten




V Radiografiacuteas



SEGUNDA PARTE







6 Mordida Abierta



TERCERA PARTE

APARATOLOGIA

1 Placas removibles


3 Auxiliares


5 Elastodoncia


7 Retencioacuten


CUARTA PARTE

A ARCOS Y BRACKETS

1 Brackets

2 Arcos




1 Alambres


3 Instrumental

QUINTA PARTE


B Reglas de Oro


D ATM






5 Asimetriacuteas






































NOVELTY

wwwsuresmilecom

Why not use

state-of-the-art

diagnostics








design

treat

Visualize

simulate


of oRthodonticS

















A COMPLETE SYSTEM

TRAINING LABORATORY

PRODUCTS



3



16


Improvements



N N N 0007 s

Aesthetics 18 375 30 625 48 1000

Orofacial Pain 7 700 3 300 10 1000


9 900 1 100 10 1000




3 1000 - 00 3 1000

Total 41 539 35 461 76 1000



Best Advantage over



N N N 0178 n

Aesthetics 31 518 29 482 60 1000

Fast Results 4 444 5 556 9 1000


- - 4 1000 4 1000



Discomfort - - - -

Hygiene - - - -


- - - -

High Costs - - - -


- - - -

Total 36 486 38 513 74 1000


17











Satisfaction Level



N N N 0001 s

Very Satisfied - 00 16 1000 16 1000

Satisfied 21 538 18 462 39 1000

Not so Satisfied 13 1000 - 00 13 1000

Unsatisfied 3 750 1 250 4 1000

Total 37 514 35 486 72 1000



Indication



N N N 0314 n

Yes 35 507 34 493 69 1000

No - 00 1 1000 1 1000

Total 35 500 35 500 70 1000



18


Information by



N N N 0086 n

Dentists 14 583 10 417 24 1000



Marketing 2 182 9 818 11 1000

Internet - - - - -

Friends 7 412 10 588 17 1000

Others 5 714 2 286 7 1000

Total 35 507 34 493 69 1000



Disadvantage



N N N 0004 s

Aesthetics - - - -





Discomfort 15 600 10 400 25 1000

Hygiene 8 727 3 273 11 1000


- 00 1 1000 1 1000

High cost 4 200 16 800 20 1000


2 333 4 667 6 1000

Total 30 46 76 1000


19



Discussion













20

Conclusions




References












21



Pablo Echarri



Abstract



Introduction


bull Mushroom shape










22






















24











c) Treatment plan


e) Papel de acetato









25



















26





b) Extraction cases





a) Deep bite cases






Finishing arch wire






Fig 7 Upper model

27






REPORT



ABP CASES



11 +12ordm +5ordm - 10 18 - 31



14 -7ordm 0ordm - 10 20 - 34

15 -7ordm 0ordm - 10 20 - 35

16 -14ordm 0ordm - 10 21 - 36

17 -14ordm 0ordm - 10 21 - 37

21 +12ordm +5ordm - 10 18 - 41

22 +8ordm +9ordm -05ordm 10 18 - 42


24 -7ordm 0ordm - 10 20 - 44

25 -7ordm 0ordm - 10 20 - 45

26 -14ordm 0ordm - 10 21 - 46

27 -14ordm 0ordm - 10 21 - 47

OBSERVATIONS



28










29













30




Working arch wire








31





Conclusions








References












































EUROPEAN SOCIETY OF



BEST SE

LLER


PROLOGUE










CONTENTS







CONTENTS

Proacutelogo






















CONTENTS

PRIMERA PARTE

I Introduccioacuten







4 Aparataje

II Diagnostico







5 Haacutebitos

6 Reeducacioacuten







IV Fotografiacuteas

1 Introduccioacuten




V Radiografiacuteas



SEGUNDA PARTE







6 Mordida Abierta



TERCERA PARTE

APARATOLOGIA

1 Placas removibles


3 Auxiliares


5 Elastodoncia


7 Retencioacuten


CUARTA PARTE

A ARCOS Y BRACKETS

1 Brackets

2 Arcos




1 Alambres


3 Instrumental

QUINTA PARTE


B Reglas de Oro


D ATM






5 Asimetriacuteas






































NOVELTY

wwwsuresmilecom

Why not use

state-of-the-art

diagnostics








design

treat

Visualize

simulate


of oRthodonticS



16


Improvements



N N N 0007 s

Aesthetics 18 375 30 625 48 1000

Orofacial Pain 7 700 3 300 10 1000


9 900 1 100 10 1000




3 1000 - 00 3 1000

Total 41 539 35 461 76 1000



Best Advantage over



N N N 0178 n

Aesthetics 31 518 29 482 60 1000

Fast Results 4 444 5 556 9 1000


- - 4 1000 4 1000



Discomfort - - - -

Hygiene - - - -


- - - -

High Costs - - - -


- - - -

Total 36 486 38 513 74 1000


17











Satisfaction Level



N N N 0001 s

Very Satisfied - 00 16 1000 16 1000

Satisfied 21 538 18 462 39 1000

Not so Satisfied 13 1000 - 00 13 1000

Unsatisfied 3 750 1 250 4 1000

Total 37 514 35 486 72 1000



Indication



N N N 0314 n

Yes 35 507 34 493 69 1000

No - 00 1 1000 1 1000

Total 35 500 35 500 70 1000



18


Information by



N N N 0086 n

Dentists 14 583 10 417 24 1000



Marketing 2 182 9 818 11 1000

Internet - - - - -

Friends 7 412 10 588 17 1000

Others 5 714 2 286 7 1000

Total 35 507 34 493 69 1000



Disadvantage



N N N 0004 s

Aesthetics - - - -





Discomfort 15 600 10 400 25 1000

Hygiene 8 727 3 273 11 1000


- 00 1 1000 1 1000

High cost 4 200 16 800 20 1000


2 333 4 667 6 1000

Total 30 46 76 1000


19



Discussion













20

Conclusions




References












21



Pablo Echarri



Abstract



Introduction


bull Mushroom shape










22






















24











c) Treatment plan


e) Papel de acetato









25



















26





b) Extraction cases





a) Deep bite cases






Finishing arch wire






Fig 7 Upper model

27






REPORT



ABP CASES



11 +12ordm +5ordm - 10 18 - 31



14 -7ordm 0ordm - 10 20 - 34

15 -7ordm 0ordm - 10 20 - 35

16 -14ordm 0ordm - 10 21 - 36

17 -14ordm 0ordm - 10 21 - 37

21 +12ordm +5ordm - 10 18 - 41

22 +8ordm +9ordm -05ordm 10 18 - 42


24 -7ordm 0ordm - 10 20 - 44

25 -7ordm 0ordm - 10 20 - 45

26 -14ordm 0ordm - 10 21 - 46

27 -14ordm 0ordm - 10 21 - 47

OBSERVATIONS



28










29













30




Working arch wire








31





Conclusions








References












































EUROPEAN SOCIETY OF



BEST SE

LLER


PROLOGUE










CONTENTS







CONTENTS

Proacutelogo






















CONTENTS

PRIMERA PARTE

I Introduccioacuten







4 Aparataje

II Diagnostico







5 Haacutebitos

6 Reeducacioacuten







IV Fotografiacuteas

1 Introduccioacuten




V Radiografiacuteas



SEGUNDA PARTE







6 Mordida Abierta



TERCERA PARTE

APARATOLOGIA

1 Placas removibles


3 Auxiliares


5 Elastodoncia


7 Retencioacuten


CUARTA PARTE

A ARCOS Y BRACKETS

1 Brackets

2 Arcos




1 Alambres


3 Instrumental

QUINTA PARTE


B Reglas de Oro


D ATM






5 Asimetriacuteas






































NOVELTY

wwwsuresmilecom

Why not use

state-of-the-art

diagnostics








design

treat

Visualize

simulate


of oRthodonticS


17











Satisfaction Level



N N N 0001 s

Very Satisfied - 00 16 1000 16 1000

Satisfied 21 538 18 462 39 1000

Not so Satisfied 13 1000 - 00 13 1000

Unsatisfied 3 750 1 250 4 1000

Total 37 514 35 486 72 1000



Indication



N N N 0314 n

Yes 35 507 34 493 69 1000

No - 00 1 1000 1 1000

Total 35 500 35 500 70 1000



18


Information by



N N N 0086 n

Dentists 14 583 10 417 24 1000



Marketing 2 182 9 818 11 1000

Internet - - - - -

Friends 7 412 10 588 17 1000

Others 5 714 2 286 7 1000

Total 35 507 34 493 69 1000



Disadvantage



N N N 0004 s

Aesthetics - - - -





Discomfort 15 600 10 400 25 1000

Hygiene 8 727 3 273 11 1000


- 00 1 1000 1 1000

High cost 4 200 16 800 20 1000


2 333 4 667 6 1000

Total 30 46 76 1000


19



Discussion













20

Conclusions




References












21



Pablo Echarri



Abstract



Introduction


bull Mushroom shape










22






















24











c) Treatment plan


e) Papel de acetato









25



















26





b) Extraction cases





a) Deep bite cases






Finishing arch wire






Fig 7 Upper model

27






REPORT



ABP CASES



11 +12ordm +5ordm - 10 18 - 31



14 -7ordm 0ordm - 10 20 - 34

15 -7ordm 0ordm - 10 20 - 35

16 -14ordm 0ordm - 10 21 - 36

17 -14ordm 0ordm - 10 21 - 37

21 +12ordm +5ordm - 10 18 - 41

22 +8ordm +9ordm -05ordm 10 18 - 42


24 -7ordm 0ordm - 10 20 - 44

25 -7ordm 0ordm - 10 20 - 45

26 -14ordm 0ordm - 10 21 - 46

27 -14ordm 0ordm - 10 21 - 47

OBSERVATIONS



28










29













30




Working arch wire








31





Conclusions








References












































EUROPEAN SOCIETY OF



BEST SE

LLER


PROLOGUE










CONTENTS







CONTENTS

Proacutelogo






















CONTENTS

PRIMERA PARTE

I Introduccioacuten







4 Aparataje

II Diagnostico







5 Haacutebitos

6 Reeducacioacuten







IV Fotografiacuteas

1 Introduccioacuten




V Radiografiacuteas



SEGUNDA PARTE







6 Mordida Abierta



TERCERA PARTE

APARATOLOGIA

1 Placas removibles


3 Auxiliares


5 Elastodoncia


7 Retencioacuten


CUARTA PARTE

A ARCOS Y BRACKETS

1 Brackets

2 Arcos




1 Alambres


3 Instrumental

QUINTA PARTE


B Reglas de Oro


D ATM






5 Asimetriacuteas






































NOVELTY

wwwsuresmilecom

Why not use

state-of-the-art

diagnostics








design

treat

Visualize

simulate


of oRthodonticS



18


Information by



N N N 0086 n

Dentists 14 583 10 417 24 1000



Marketing 2 182 9 818 11 1000

Internet - - - - -

Friends 7 412 10 588 17 1000

Others 5 714 2 286 7 1000

Total 35 507 34 493 69 1000



Disadvantage



N N N 0004 s

Aesthetics - - - -





Discomfort 15 600 10 400 25 1000

Hygiene 8 727 3 273 11 1000


- 00 1 1000 1 1000

High cost 4 200 16 800 20 1000


2 333 4 667 6 1000

Total 30 46 76 1000


19



Discussion













20

Conclusions




References












21



Pablo Echarri



Abstract



Introduction


bull Mushroom shape










22






















24











c) Treatment plan


e) Papel de acetato









25



















26





b) Extraction cases





a) Deep bite cases






Finishing arch wire






Fig 7 Upper model

27






REPORT



ABP CASES



11 +12ordm +5ordm - 10 18 - 31



14 -7ordm 0ordm - 10 20 - 34

15 -7ordm 0ordm - 10 20 - 35

16 -14ordm 0ordm - 10 21 - 36

17 -14ordm 0ordm - 10 21 - 37

21 +12ordm +5ordm - 10 18 - 41

22 +8ordm +9ordm -05ordm 10 18 - 42


24 -7ordm 0ordm - 10 20 - 44

25 -7ordm 0ordm - 10 20 - 45

26 -14ordm 0ordm - 10 21 - 46

27 -14ordm 0ordm - 10 21 - 47

OBSERVATIONS



28










29













30




Working arch wire








31





Conclusions








References












































EUROPEAN SOCIETY OF



BEST SE

LLER


PROLOGUE










CONTENTS







CONTENTS

Proacutelogo






















CONTENTS

PRIMERA PARTE

I Introduccioacuten







4 Aparataje

II Diagnostico







5 Haacutebitos

6 Reeducacioacuten







IV Fotografiacuteas

1 Introduccioacuten




V Radiografiacuteas



SEGUNDA PARTE







6 Mordida Abierta



TERCERA PARTE

APARATOLOGIA

1 Placas removibles


3 Auxiliares


5 Elastodoncia


7 Retencioacuten


CUARTA PARTE

A ARCOS Y BRACKETS

1 Brackets

2 Arcos




1 Alambres


3 Instrumental

QUINTA PARTE


B Reglas de Oro


D ATM






5 Asimetriacuteas






































NOVELTY

wwwsuresmilecom

Why not use

state-of-the-art

diagnostics








design

treat

Visualize

simulate


of oRthodonticS


19



Discussion













20

Conclusions




References












21



Pablo Echarri



Abstract



Introduction


bull Mushroom shape










22






















24











c) Treatment plan


e) Papel de acetato









25



















26





b) Extraction cases





a) Deep bite cases






Finishing arch wire






Fig 7 Upper model

27






REPORT



ABP CASES



11 +12ordm +5ordm - 10 18 - 31



14 -7ordm 0ordm - 10 20 - 34

15 -7ordm 0ordm - 10 20 - 35

16 -14ordm 0ordm - 10 21 - 36

17 -14ordm 0ordm - 10 21 - 37

21 +12ordm +5ordm - 10 18 - 41

22 +8ordm +9ordm -05ordm 10 18 - 42


24 -7ordm 0ordm - 10 20 - 44

25 -7ordm 0ordm - 10 20 - 45

26 -14ordm 0ordm - 10 21 - 46

27 -14ordm 0ordm - 10 21 - 47

OBSERVATIONS



28










29













30




Working arch wire








31





Conclusions








References












































EUROPEAN SOCIETY OF



BEST SE

LLER


PROLOGUE










CONTENTS







CONTENTS

Proacutelogo






















CONTENTS

PRIMERA PARTE

I Introduccioacuten







4 Aparataje

II Diagnostico







5 Haacutebitos

6 Reeducacioacuten







IV Fotografiacuteas

1 Introduccioacuten




V Radiografiacuteas



SEGUNDA PARTE







6 Mordida Abierta



TERCERA PARTE

APARATOLOGIA

1 Placas removibles


3 Auxiliares


5 Elastodoncia


7 Retencioacuten


CUARTA PARTE

A ARCOS Y BRACKETS

1 Brackets

2 Arcos




1 Alambres


3 Instrumental

QUINTA PARTE


B Reglas de Oro


D ATM






5 Asimetriacuteas






































NOVELTY

wwwsuresmilecom

Why not use

state-of-the-art

diagnostics








design

treat

Visualize

simulate


of oRthodonticS



20

Conclusions




References












21



Pablo Echarri



Abstract



Introduction


bull Mushroom shape










22






















24











c) Treatment plan


e) Papel de acetato









25



















26





b) Extraction cases





a) Deep bite cases






Finishing arch wire






Fig 7 Upper model

27






REPORT



ABP CASES



11 +12ordm +5ordm - 10 18 - 31



14 -7ordm 0ordm - 10 20 - 34

15 -7ordm 0ordm - 10 20 - 35

16 -14ordm 0ordm - 10 21 - 36

17 -14ordm 0ordm - 10 21 - 37

21 +12ordm +5ordm - 10 18 - 41

22 +8ordm +9ordm -05ordm 10 18 - 42


24 -7ordm 0ordm - 10 20 - 44

25 -7ordm 0ordm - 10 20 - 45

26 -14ordm 0ordm - 10 21 - 46

27 -14ordm 0ordm - 10 21 - 47

OBSERVATIONS



28










29













30




Working arch wire








31





Conclusions








References












































EUROPEAN SOCIETY OF



BEST SE

LLER


PROLOGUE










CONTENTS







CONTENTS

Proacutelogo






















CONTENTS

PRIMERA PARTE

I Introduccioacuten







4 Aparataje

II Diagnostico







5 Haacutebitos

6 Reeducacioacuten







IV Fotografiacuteas

1 Introduccioacuten




V Radiografiacuteas



SEGUNDA PARTE







6 Mordida Abierta



TERCERA PARTE

APARATOLOGIA

1 Placas removibles


3 Auxiliares


5 Elastodoncia


7 Retencioacuten


CUARTA PARTE

A ARCOS Y BRACKETS

1 Brackets

2 Arcos




1 Alambres


3 Instrumental

QUINTA PARTE


B Reglas de Oro


D ATM






5 Asimetriacuteas






































NOVELTY

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Visualize

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of oRthodonticS


21



Pablo Echarri



Abstract



Introduction


bull Mushroom shape










22






















24











c) Treatment plan


e) Papel de acetato









25



















26





b) Extraction cases





a) Deep bite cases






Finishing arch wire






Fig 7 Upper model

27






REPORT



ABP CASES



11 +12ordm +5ordm - 10 18 - 31



14 -7ordm 0ordm - 10 20 - 34

15 -7ordm 0ordm - 10 20 - 35

16 -14ordm 0ordm - 10 21 - 36

17 -14ordm 0ordm - 10 21 - 37

21 +12ordm +5ordm - 10 18 - 41

22 +8ordm +9ordm -05ordm 10 18 - 42


24 -7ordm 0ordm - 10 20 - 44

25 -7ordm 0ordm - 10 20 - 45

26 -14ordm 0ordm - 10 21 - 46

27 -14ordm 0ordm - 10 21 - 47

OBSERVATIONS



28










29













30




Working arch wire








31





Conclusions








References












































EUROPEAN SOCIETY OF



BEST SE

LLER


PROLOGUE










CONTENTS







CONTENTS

Proacutelogo






















CONTENTS

PRIMERA PARTE

I Introduccioacuten







4 Aparataje

II Diagnostico







5 Haacutebitos

6 Reeducacioacuten







IV Fotografiacuteas

1 Introduccioacuten




V Radiografiacuteas



SEGUNDA PARTE







6 Mordida Abierta



TERCERA PARTE

APARATOLOGIA

1 Placas removibles


3 Auxiliares


5 Elastodoncia


7 Retencioacuten


CUARTA PARTE

A ARCOS Y BRACKETS

1 Brackets

2 Arcos




1 Alambres


3 Instrumental

QUINTA PARTE


B Reglas de Oro


D ATM






5 Asimetriacuteas






































NOVELTY

wwwsuresmilecom

Why not use

state-of-the-art

diagnostics








design

treat

Visualize

simulate


of oRthodonticS



22






















24











c) Treatment plan


e) Papel de acetato









25



















26





b) Extraction cases





a) Deep bite cases






Finishing arch wire






Fig 7 Upper model

27






REPORT



ABP CASES



11 +12ordm +5ordm - 10 18 - 31



14 -7ordm 0ordm - 10 20 - 34

15 -7ordm 0ordm - 10 20 - 35

16 -14ordm 0ordm - 10 21 - 36

17 -14ordm 0ordm - 10 21 - 37

21 +12ordm +5ordm - 10 18 - 41

22 +8ordm +9ordm -05ordm 10 18 - 42


24 -7ordm 0ordm - 10 20 - 44

25 -7ordm 0ordm - 10 20 - 45

26 -14ordm 0ordm - 10 21 - 46

27 -14ordm 0ordm - 10 21 - 47

OBSERVATIONS



28










29













30




Working arch wire








31





Conclusions








References












































EUROPEAN SOCIETY OF



BEST SE

LLER


PROLOGUE










CONTENTS







CONTENTS

Proacutelogo






















CONTENTS

PRIMERA PARTE

I Introduccioacuten







4 Aparataje

II Diagnostico







5 Haacutebitos

6 Reeducacioacuten







IV Fotografiacuteas

1 Introduccioacuten




V Radiografiacuteas



SEGUNDA PARTE







6 Mordida Abierta



TERCERA PARTE

APARATOLOGIA

1 Placas removibles


3 Auxiliares


5 Elastodoncia


7 Retencioacuten


CUARTA PARTE

A ARCOS Y BRACKETS

1 Brackets

2 Arcos




1 Alambres


3 Instrumental

QUINTA PARTE


B Reglas de Oro


D ATM






5 Asimetriacuteas






































NOVELTY

wwwsuresmilecom

Why not use

state-of-the-art

diagnostics








design

treat

Visualize

simulate


of oRthodonticS



24











c) Treatment plan


e) Papel de acetato









25



















26





b) Extraction cases





a) Deep bite cases






Finishing arch wire






Fig 7 Upper model

27






REPORT



ABP CASES



11 +12ordm +5ordm - 10 18 - 31



14 -7ordm 0ordm - 10 20 - 34

15 -7ordm 0ordm - 10 20 - 35

16 -14ordm 0ordm - 10 21 - 36

17 -14ordm 0ordm - 10 21 - 37

21 +12ordm +5ordm - 10 18 - 41

22 +8ordm +9ordm -05ordm 10 18 - 42


24 -7ordm 0ordm - 10 20 - 44

25 -7ordm 0ordm - 10 20 - 45

26 -14ordm 0ordm - 10 21 - 46

27 -14ordm 0ordm - 10 21 - 47

OBSERVATIONS



28










29













30




Working arch wire








31





Conclusions








References












































EUROPEAN SOCIETY OF



BEST SE

LLER


PROLOGUE










CONTENTS







CONTENTS

Proacutelogo






















CONTENTS

PRIMERA PARTE

I Introduccioacuten







4 Aparataje

II Diagnostico







5 Haacutebitos

6 Reeducacioacuten







IV Fotografiacuteas

1 Introduccioacuten




V Radiografiacuteas



SEGUNDA PARTE







6 Mordida Abierta



TERCERA PARTE

APARATOLOGIA

1 Placas removibles


3 Auxiliares


5 Elastodoncia


7 Retencioacuten


CUARTA PARTE

A ARCOS Y BRACKETS

1 Brackets

2 Arcos




1 Alambres


3 Instrumental

QUINTA PARTE


B Reglas de Oro


D ATM






5 Asimetriacuteas






































NOVELTY

wwwsuresmilecom

Why not use

state-of-the-art

diagnostics








design

treat

Visualize

simulate


of oRthodonticS


25



















26





b) Extraction cases





a) Deep bite cases






Finishing arch wire






Fig 7 Upper model

27






REPORT



ABP CASES



11 +12ordm +5ordm - 10 18 - 31



14 -7ordm 0ordm - 10 20 - 34

15 -7ordm 0ordm - 10 20 - 35

16 -14ordm 0ordm - 10 21 - 36

17 -14ordm 0ordm - 10 21 - 37

21 +12ordm +5ordm - 10 18 - 41

22 +8ordm +9ordm -05ordm 10 18 - 42


24 -7ordm 0ordm - 10 20 - 44

25 -7ordm 0ordm - 10 20 - 45

26 -14ordm 0ordm - 10 21 - 46

27 -14ordm 0ordm - 10 21 - 47

OBSERVATIONS



28










29













30




Working arch wire








31





Conclusions








References












































EUROPEAN SOCIETY OF



BEST SE

LLER


PROLOGUE










CONTENTS







CONTENTS

Proacutelogo






















CONTENTS

PRIMERA PARTE

I Introduccioacuten







4 Aparataje

II Diagnostico







5 Haacutebitos

6 Reeducacioacuten







IV Fotografiacuteas

1 Introduccioacuten




V Radiografiacuteas



SEGUNDA PARTE







6 Mordida Abierta



TERCERA PARTE

APARATOLOGIA

1 Placas removibles


3 Auxiliares


5 Elastodoncia


7 Retencioacuten


CUARTA PARTE

A ARCOS Y BRACKETS

1 Brackets

2 Arcos




1 Alambres


3 Instrumental

QUINTA PARTE


B Reglas de Oro


D ATM






5 Asimetriacuteas






































NOVELTY

wwwsuresmilecom

Why not use

state-of-the-art

diagnostics








design

treat

Visualize

simulate


of oRthodonticS



26





b) Extraction cases





a) Deep bite cases






Finishing arch wire






Fig 7 Upper model

27






REPORT



ABP CASES



11 +12ordm +5ordm - 10 18 - 31



14 -7ordm 0ordm - 10 20 - 34

15 -7ordm 0ordm - 10 20 - 35

16 -14ordm 0ordm - 10 21 - 36

17 -14ordm 0ordm - 10 21 - 37

21 +12ordm +5ordm - 10 18 - 41

22 +8ordm +9ordm -05ordm 10 18 - 42


24 -7ordm 0ordm - 10 20 - 44

25 -7ordm 0ordm - 10 20 - 45

26 -14ordm 0ordm - 10 21 - 46

27 -14ordm 0ordm - 10 21 - 47

OBSERVATIONS



28










29













30




Working arch wire








31





Conclusions








References












































EUROPEAN SOCIETY OF



BEST SE

LLER


PROLOGUE










CONTENTS







CONTENTS

Proacutelogo






















CONTENTS

PRIMERA PARTE

I Introduccioacuten







4 Aparataje

II Diagnostico







5 Haacutebitos

6 Reeducacioacuten







IV Fotografiacuteas

1 Introduccioacuten




V Radiografiacuteas



SEGUNDA PARTE







6 Mordida Abierta



TERCERA PARTE

APARATOLOGIA

1 Placas removibles


3 Auxiliares


5 Elastodoncia


7 Retencioacuten


CUARTA PARTE

A ARCOS Y BRACKETS

1 Brackets

2 Arcos




1 Alambres


3 Instrumental

QUINTA PARTE


B Reglas de Oro


D ATM






5 Asimetriacuteas






































NOVELTY

wwwsuresmilecom

Why not use

state-of-the-art

diagnostics








design

treat

Visualize

simulate


of oRthodonticS


27






REPORT



ABP CASES



11 +12ordm +5ordm - 10 18 - 31



14 -7ordm 0ordm - 10 20 - 34

15 -7ordm 0ordm - 10 20 - 35

16 -14ordm 0ordm - 10 21 - 36

17 -14ordm 0ordm - 10 21 - 37

21 +12ordm +5ordm - 10 18 - 41

22 +8ordm +9ordm -05ordm 10 18 - 42


24 -7ordm 0ordm - 10 20 - 44

25 -7ordm 0ordm - 10 20 - 45

26 -14ordm 0ordm - 10 21 - 46

27 -14ordm 0ordm - 10 21 - 47

OBSERVATIONS



28










29













30




Working arch wire








31





Conclusions








References












































EUROPEAN SOCIETY OF



BEST SE

LLER


PROLOGUE










CONTENTS







CONTENTS

Proacutelogo






















CONTENTS

PRIMERA PARTE

I Introduccioacuten







4 Aparataje

II Diagnostico







5 Haacutebitos

6 Reeducacioacuten







IV Fotografiacuteas

1 Introduccioacuten




V Radiografiacuteas



SEGUNDA PARTE







6 Mordida Abierta



TERCERA PARTE

APARATOLOGIA

1 Placas removibles


3 Auxiliares


5 Elastodoncia


7 Retencioacuten


CUARTA PARTE

A ARCOS Y BRACKETS

1 Brackets

2 Arcos




1 Alambres


3 Instrumental

QUINTA PARTE


B Reglas de Oro


D ATM






5 Asimetriacuteas






































NOVELTY

wwwsuresmilecom

Why not use

state-of-the-art

diagnostics








design

treat

Visualize

simulate


of oRthodonticS



28










29













30




Working arch wire








31





Conclusions








References












































EUROPEAN SOCIETY OF



BEST SE

LLER


PROLOGUE










CONTENTS







CONTENTS

Proacutelogo






















CONTENTS

PRIMERA PARTE

I Introduccioacuten







4 Aparataje

II Diagnostico







5 Haacutebitos

6 Reeducacioacuten







IV Fotografiacuteas

1 Introduccioacuten




V Radiografiacuteas



SEGUNDA PARTE







6 Mordida Abierta



TERCERA PARTE

APARATOLOGIA

1 Placas removibles


3 Auxiliares


5 Elastodoncia


7 Retencioacuten


CUARTA PARTE

A ARCOS Y BRACKETS

1 Brackets

2 Arcos




1 Alambres


3 Instrumental

QUINTA PARTE


B Reglas de Oro


D ATM






5 Asimetriacuteas






































NOVELTY

wwwsuresmilecom

Why not use

state-of-the-art

diagnostics








design

treat

Visualize

simulate


of oRthodonticS


29













30




Working arch wire








31





Conclusions








References












































EUROPEAN SOCIETY OF



BEST SE

LLER


PROLOGUE










CONTENTS







CONTENTS

Proacutelogo






















CONTENTS

PRIMERA PARTE

I Introduccioacuten







4 Aparataje

II Diagnostico







5 Haacutebitos

6 Reeducacioacuten







IV Fotografiacuteas

1 Introduccioacuten




V Radiografiacuteas



SEGUNDA PARTE







6 Mordida Abierta



TERCERA PARTE

APARATOLOGIA

1 Placas removibles


3 Auxiliares


5 Elastodoncia


7 Retencioacuten


CUARTA PARTE

A ARCOS Y BRACKETS

1 Brackets

2 Arcos




1 Alambres


3 Instrumental

QUINTA PARTE


B Reglas de Oro


D ATM






5 Asimetriacuteas






































NOVELTY

wwwsuresmilecom

Why not use

state-of-the-art

diagnostics








design

treat

Visualize

simulate


of oRthodonticS



30




Working arch wire








31





Conclusions








References












































EUROPEAN SOCIETY OF



BEST SE

LLER


PROLOGUE










CONTENTS







CONTENTS

Proacutelogo






















CONTENTS

PRIMERA PARTE

I Introduccioacuten







4 Aparataje

II Diagnostico







5 Haacutebitos

6 Reeducacioacuten







IV Fotografiacuteas

1 Introduccioacuten




V Radiografiacuteas



SEGUNDA PARTE







6 Mordida Abierta



TERCERA PARTE

APARATOLOGIA

1 Placas removibles


3 Auxiliares


5 Elastodoncia


7 Retencioacuten


CUARTA PARTE

A ARCOS Y BRACKETS

1 Brackets

2 Arcos




1 Alambres


3 Instrumental

QUINTA PARTE


B Reglas de Oro


D ATM






5 Asimetriacuteas






































NOVELTY

wwwsuresmilecom

Why not use

state-of-the-art

diagnostics








design

treat

Visualize

simulate


of oRthodonticS


31





Conclusions








References












































EUROPEAN SOCIETY OF



BEST SE

LLER


PROLOGUE










CONTENTS







CONTENTS

Proacutelogo






















CONTENTS

PRIMERA PARTE

I Introduccioacuten







4 Aparataje

II Diagnostico







5 Haacutebitos

6 Reeducacioacuten







IV Fotografiacuteas

1 Introduccioacuten




V Radiografiacuteas



SEGUNDA PARTE







6 Mordida Abierta



TERCERA PARTE

APARATOLOGIA

1 Placas removibles


3 Auxiliares


5 Elastodoncia


7 Retencioacuten


CUARTA PARTE

A ARCOS Y BRACKETS

1 Brackets

2 Arcos




1 Alambres


3 Instrumental

QUINTA PARTE


B Reglas de Oro


D ATM






5 Asimetriacuteas






































NOVELTY

wwwsuresmilecom

Why not use

state-of-the-art

diagnostics








design

treat

Visualize

simulate


of oRthodonticS










































EUROPEAN SOCIETY OF



BEST SE

LLER


PROLOGUE










CONTENTS







CONTENTS

Proacutelogo






















CONTENTS

PRIMERA PARTE

I Introduccioacuten







4 Aparataje

II Diagnostico







5 Haacutebitos

6 Reeducacioacuten







IV Fotografiacuteas

1 Introduccioacuten




V Radiografiacuteas



SEGUNDA PARTE







6 Mordida Abierta



TERCERA PARTE

APARATOLOGIA

1 Placas removibles


3 Auxiliares


5 Elastodoncia


7 Retencioacuten


CUARTA PARTE

A ARCOS Y BRACKETS

1 Brackets

2 Arcos




1 Alambres


3 Instrumental

QUINTA PARTE


B Reglas de Oro


D ATM






5 Asimetriacuteas






































NOVELTY

wwwsuresmilecom

Why not use

state-of-the-art

diagnostics








design

treat

Visualize

simulate


of oRthodonticS





EUROPEAN SOCIETY OF



BEST SE

LLER


PROLOGUE










CONTENTS







CONTENTS

Proacutelogo






















CONTENTS

PRIMERA PARTE

I Introduccioacuten







4 Aparataje

II Diagnostico







5 Haacutebitos

6 Reeducacioacuten







IV Fotografiacuteas

1 Introduccioacuten




V Radiografiacuteas



SEGUNDA PARTE







6 Mordida Abierta



TERCERA PARTE

APARATOLOGIA

1 Placas removibles


3 Auxiliares


5 Elastodoncia


7 Retencioacuten


CUARTA PARTE

A ARCOS Y BRACKETS

1 Brackets

2 Arcos




1 Alambres


3 Instrumental

QUINTA PARTE


B Reglas de Oro


D ATM






5 Asimetriacuteas






































NOVELTY

wwwsuresmilecom

Why not use

state-of-the-art

diagnostics








design

treat

Visualize

simulate


of oRthodonticS


BEST SE

LLER


PROLOGUE










CONTENTS







CONTENTS

Proacutelogo






















CONTENTS

PRIMERA PARTE

I Introduccioacuten







4 Aparataje

II Diagnostico







5 Haacutebitos

6 Reeducacioacuten







IV Fotografiacuteas

1 Introduccioacuten




V Radiografiacuteas



SEGUNDA PARTE







6 Mordida Abierta



TERCERA PARTE

APARATOLOGIA

1 Placas removibles


3 Auxiliares


5 Elastodoncia


7 Retencioacuten


CUARTA PARTE

A ARCOS Y BRACKETS

1 Brackets

2 Arcos




1 Alambres


3 Instrumental

QUINTA PARTE


B Reglas de Oro


D ATM






5 Asimetriacuteas






































NOVELTY

wwwsuresmilecom

Why not use

state-of-the-art

diagnostics








design

treat

Visualize

simulate


of oRthodonticS


CONTENTS







CONTENTS

Proacutelogo






















CONTENTS

PRIMERA PARTE

I Introduccioacuten







4 Aparataje

II Diagnostico







5 Haacutebitos

6 Reeducacioacuten







IV Fotografiacuteas

1 Introduccioacuten




V Radiografiacuteas



SEGUNDA PARTE







6 Mordida Abierta



TERCERA PARTE

APARATOLOGIA

1 Placas removibles


3 Auxiliares


5 Elastodoncia


7 Retencioacuten


CUARTA PARTE

A ARCOS Y BRACKETS

1 Brackets

2 Arcos




1 Alambres


3 Instrumental

QUINTA PARTE


B Reglas de Oro


D ATM






5 Asimetriacuteas






































NOVELTY

wwwsuresmilecom

Why not use

state-of-the-art

diagnostics








design

treat

Visualize

simulate


of oRthodonticS





CONTENTS

Proacutelogo






















CONTENTS

PRIMERA PARTE

I Introduccioacuten







4 Aparataje

II Diagnostico







5 Haacutebitos

6 Reeducacioacuten







IV Fotografiacuteas

1 Introduccioacuten




V Radiografiacuteas



SEGUNDA PARTE







6 Mordida Abierta



TERCERA PARTE

APARATOLOGIA

1 Placas removibles


3 Auxiliares


5 Elastodoncia


7 Retencioacuten


CUARTA PARTE

A ARCOS Y BRACKETS

1 Brackets

2 Arcos




1 Alambres


3 Instrumental

QUINTA PARTE


B Reglas de Oro


D ATM






5 Asimetriacuteas






































NOVELTY

wwwsuresmilecom

Why not use

state-of-the-art

diagnostics








design

treat

Visualize

simulate


of oRthodonticS





CONTENTS

PRIMERA PARTE

I Introduccioacuten







4 Aparataje

II Diagnostico







5 Haacutebitos

6 Reeducacioacuten







IV Fotografiacuteas

1 Introduccioacuten




V Radiografiacuteas



SEGUNDA PARTE







6 Mordida Abierta



TERCERA PARTE

APARATOLOGIA

1 Placas removibles


3 Auxiliares


5 Elastodoncia


7 Retencioacuten


CUARTA PARTE

A ARCOS Y BRACKETS

1 Brackets

2 Arcos




1 Alambres


3 Instrumental

QUINTA PARTE


B Reglas de Oro


D ATM






5 Asimetriacuteas






































NOVELTY

wwwsuresmilecom

Why not use

state-of-the-art

diagnostics








design

treat

Visualize

simulate


of oRthodonticS






































NOVELTY

wwwsuresmilecom

Why not use

state-of-the-art

diagnostics








design

treat

Visualize

simulate


of oRthodonticS

























NOVELTY

wwwsuresmilecom

Why not use

state-of-the-art

diagnostics








design

treat

Visualize

simulate


of oRthodonticS













NOVELTY

wwwsuresmilecom

Why not use

state-of-the-art

diagnostics








design

treat

Visualize

simulate


of oRthodonticS


wwwsuresmilecom

Why not use

state-of-the-art

diagnostics








design

treat

Visualize

simulate


of oRthodonticS


Documents

Tribuna Books Ripano 3 (Eng)