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Dr. Benedict Wilmes University of Düsseldorf, Germany Expanding the Horizons of Aligner Therapy with TADs
Dr. Benedict Wilmes University of Düsseldorf, Germany
Expanding the Horizons of Aligner Therapy with TADs
Aligner
Difficult Tasks: - Bodily movements Distalization
Aligner
Difficult Tasks: - Bodily movements Distalization Mesialization
Aligner
Difficult Tasks: - Bodily movements Distalization Mesialization - Molar Intrusion
Aligner
Difficult Tasks: - Bodily movements Distalization Mesialization - Molar Intrusion
à Can TAD´s help us?
Aligner and TAD´s
Phase 1: TAD Appliance - Bodily movements Distalization Mesialization - Molar Intrusion
Phase 2: Finishing with Aligners
Finishing
Difficult Case Easy Case
Aligner and TAD´s
Molar Mesialization
Molar Distalization
Beneslider Pendulum B
Mesial-Distalslider
Mesialslider
RME Hybrid Hyrax
Forced Eruption of impacted…
Molar Intrusion
Front Teeth Molars
Especially in the maxilla
Aligner and TAD´s
Wilmes B, Nienkemper M, Ludwig B, Kau CH, Pauls A, Drescher D. Esthetic Class II Treatment with the Beneslider and Aligners. J Clin Orthod. 2012
Beneslider & Aligner
Step 1: Distalization
Step 2: Alignment
Active Beneslider + Aligner
Passive Beneslider
Impression Scan
Beneslider & Aligner
Is it possible without
extraction?
Beneslider & Aligner
Beneslider & Aligner
Beneslider & Aligner
Beneslider & Aligner
Beneslider & Aligner
1y retention
Beneslider & Aligner
Beneslider & Aligner
Beneslider & Aligner
Beneslider & Aligner
Beneslider & Aligner
7 months
Beneslider & Aligner
Beneslider & Aligner
Beneslider & Aligner
Beneslider & Aligner
Beneslider & Aligner
à Band may be a problem for the Aligner fitting
Problem:
Beneslider & Aligner
Bene-Tube Dr.
Banach
Beneslider & Aligner
Beneslider and Aligner
Beneslider and Aligner
Ligature
Beneslider and Aligner
Active device à Passive device (molar anchorage)
Remove spring OR:
Connecting area is covered Connecting area is cut out
Clincheck Due to skeletal anchorage: à Simultaneous retraction of all teeth
36 Aligner 20 Aligner
Tooth by tooth retraction
Beneplate
Activation Lock
Closing Spring
Benetube Activation
Lock
Mini-Implants 2x9mm
2x7mm
Mesialslider
Mesialslider and Aligner
Mesialslider and Aligner
Mesialslider and Aligner
Mesialslider and Aligner
Mesialslider and Aligner
Mesialslider and Aligner
Mesial-Distalslider
Wilmes B, Nanda R, Nienkemper M, Ludwig B, Drescher D. Correction of upper-arch asymmetries using the Mesial-Distalslider. J Clin Orthod. 2013 ;47:648-55
Mesial-Distalslider
Finishing
Difficult case Easy case
TADs in combination with Aligners
Mesial-Distalslider
TAD´s and Aligner
Difficult Tasks: - Bodily movements Distalization Mesialization - Molar Intrusion
Molar Intrusion
CR
TPA
TPA
Beneplate with 0.8 mm wire à Control and adjust amount of force à Control and adjust line of force: Upright tipped molars
Molar Intrusion
7 months
Mousetrap mechanics
Take Home
message
Benefit System and Aligner– a good team!
Expanding the Horizons for Aligners
Space Closure
Molar Intrusion
Distalization
www.uniklinik-duesseldorf.de/kieferorthopaedie
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