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DEMOGRAPHICS DIAGNOSIS TREATMENTTIMEMECHANICS
CASESTUDY
FEMALE14YEARSOLD
CLASSICROWDINGIMPACTEDUL3ANTERIORCROSSBITEMILDFACIALPROTRUSION
PROJECTEDTREATMENTTIME:22MONTHS
ACTUALTREATMENTTIMEWITHACCELEDENT:15MONTHS
Courtesyof Dr.StratyRighellis
HYBRIDPASSIVE&ACTIVESELFLIGATINGAPPLIANCEEXTRATION
ONDEMANDCEPROGRAMAcceleratingOrthodontics– FasterToothMovementwithPulsatileForcesPresenter:Dr.StratyRighellis
ADDITIONALRESOURCES
CASESTUDY
CourtesyofDr.StratyRighellis
BASELINE
DEMOGRAPHICSFEMALE14YEARSOLD
DIAGNOSISCLASSIWITHVERTICALGROWTHPATTERNCROWDINGIMPACTEDUL3ANTERIORCROSSBITEMILDFACIALPROTRUSION
MECHANICSHYBRIDPASSIVE&ACTIVESELFLIGATINGAPPLIANCEEXTRACTION
TREATMENTTIMEPROJECTEDTREATMENTTIME:22MONTHS
ACTUALTREATMENTTIMEWITHACCELEDENT:15MONTHS
CASESTUDY
CourtesyofDr.StratyRighellis
Seated Condylar Position Compared to Maximum Intercuspation
DEMOGRAPHICSFEMALE14YEARSOLD
DIAGNOSISCLASSIWITHVERTICALGROWTHPATTERNCROWDINGIMPACTEDUL3ANTERIORCROSSBITEMILDFACIALPROTRUSION
MECHANICSHYBRIDPASSIVE&ACTIVESELFLIGATINGAPPLIANCEEXTRACTION
TREATMENTTIMEPROJECTEDTREATMENTTIME:22MONTHS
ACTUALTREATMENTTIMEWITHACCELEDENT:15MONTHS
CASESTUDY
CourtesyofDr.StratyRighellis
DEMOGRAPHICSFEMALE14YEARSOLD
DIAGNOSISCLASSIWITHVERTICALGROWTHPATTERNCROWDINGIMPACTEDUL3ANTERIORCROSSBITEMILDFACIALPROTRUSION
MECHANICSHYBRIDPASSIVE&ACTIVESELFLIGATINGAPPLIANCEEXTRACTION
TREATMENTTIMEPROJECTEDTREATMENTTIME:22MONTHS
ACTUALTREATMENTTIMEWITHACCELEDENT:15MONTHS
CASESTUDY
CourtesyofDr.StratyRighellis
NoTreatment VTO
VerticalGrowthPatternCounterClockwiseRotator
DEMOGRAPHICSFEMALE14YEARSOLD
DIAGNOSISCLASSIWITHVERTICALGROWTHPATTERNCROWDINGIMPACTEDUL3ANTERIORCROSSBITEMILDFACIALPROTRUSION
MECHANICSHYBRIDPASSIVE&ACTIVESELFLIGATINGAPPLIANCEEXTRACTION
TREATMENTTIMEPROJECTEDTREATMENTTIME:22MONTHS
ACTUALTREATMENTTIMEWITHACCELEDENT:15MONTHS
CASESTUDY
CourtesyofDr.StratyRighellis
NoTreatment VTOwithExtractionsDEMOGRAPHICS
FEMALE14YEARSOLD
DIAGNOSISCLASSIWITHVERTICALGROWTHPATTERNCROWDINGIMPACTEDUL3ANTERIORCROSSBITEMILDFACIALPROTRUSION
MECHANICSHYBRIDPASSIVE&ACTIVESELFLIGATINGAPPLIANCEEXTRACTION
TREATMENTTIMEPROJECTEDTREATMENTTIME:22MONTHS
ACTUALTREATMENTTIMEWITHACCELEDENT:15MONTHS
CASESTUDY
CourtesyofDr.StratyRighellis
StrategiesforWireChangesStage1:Leveling/Aligning
Mechanics&Intervals1. BeginwithlargestNiTi wirepossible,closingclipseasily
.014or.018NiTi2. 4weekintervalschangingNiTi wires
.020square>.0195x.025NiTi3. Resetbracketsandbandsecondmolarspriortostage2
Variability:Amountofcrowding
Goal:<4months.0195x.025ss
DEMOGRAPHICSFEMALE14YEARSOLD
DIAGNOSISCLASSIWITHVERTICALGROWTHPATTERNCROWDINGIMPACTEDUL3ANTERIORCROSSBITEMILDFACIALPROTRUSION
MECHANICSHYBRIDPASSIVE&ACTIVESELFLIGATINGAPPLIANCEEXTRACTION
TREATMENTTIMEPROJECTEDTREATMENTTIME:22MONTHS
ACTUALTREATMENTTIMEWITHACCELEDENT:15MONTHS
CASESTUDY
CourtesyofDr.StratyRighellis
.022HybridApplianceAnteriorTeeth:ProdigyActiveSLBBicuspidTeeth:PassiveSLB
Wires:Upper:.014NiTiLower:.014NiTi
INITIALPLACEMENT
Stage1:Leveling/Aligning
DEMOGRAPHICSFEMALE14YEARSOLD
DIAGNOSISCLASSIWITHVERTICALGROWTHPATTERNCROWDINGIMPACTEDUL3ANTERIORCROSSBITEMILDFACIALPROTRUSION
MECHANICSHYBRIDPASSIVE&ACTIVESELFLIGATINGAPPLIANCEEXTRACTION
TREATMENTTIMEPROJECTEDTREATMENTTIME:22MONTHS
ACTUALTREATMENTTIMEWITHACCELEDENT:15MONTHS
CASESTUDY
Stage1:Leveling/Aligning
U/L.014NiTiInitialPlacement
U.020 sq L.018 sqNiTi4WeeksLater 8WeeksLater
U/L.0195x.025NiTi
12 Weeks Later
U/L.0195x.025NiTiBand7’s
4OfficeVisitsforLeveling/Aligning
CASESTUDY
4WeeksLaterU:.020squareNiTiL:.018squareNiTi
8 WeeksLaterU: .0195x.025NiTiL: .0195 x.025 NiTi
InitialPlacementU/L.014NiTi
12WeeksLaterBand7’sU: .0195x.025NiTiL: .0195 x.025 NiTi
Stage1:Leveling/Aligning
CASESTUDY
CourtesyofDr.StratyRighellis
StrategiesforWireChangesStage2:Working
Mechanics&Intervals1. ClosespaceswithNiTi springsforcontinuousforcelevels
.0195x.025ss2. 6 weekintervals
Variability:Overbite&overjetTransversetoothpositionsVerticalcontrolsPatientcooperation
SpaceClosureExpectations:MaximumAnchorage8to10monthsReciprocalAnchorage4to6months
DEMOGRAPHICSFEMALE14YEARSOLD
DIAGNOSISCLASSIWITHVERTICALGROWTHPATTERNCROWDINGIMPACTEDUL3ANTERIORCROSSBITEMILDFACIALPROTRUSION
MECHANICSHYBRIDPASSIVE&ACTIVESELFLIGATINGAPPLIANCEEXTRACTION
TREATMENTTIMEPROJECTEDTREATMENTTIME:22MONTHS
ACTUALTREATMENTTIMEWITHACCELEDENT:15MONTHS
CASESTUDY
WorkingStageStart
2.5MonthsintoWorkingStage
4MonthsintoWorkingStage
6MonthsintoWorkingStage
4OfficeVisitsforWorkingPhase
Stage2:Working TotalTreatment:10Months
4OfficeVisitsforWorkingPhase
TotalTreatment:4MonthsWorkingStageStart U:.0195x.025DKHL:.0195x.025SS
TotalTreatment:10Months6MonthsLater
CASESTUDY
Stage2:Working
CASESTUDY
CourtesyofDr.StratyRighellis
StrategiesforWireChangesStage3:Detailing
Mechanics&Intervals1. ReSetbrackets2. PlacelargestNiTi wireswithclipsclosed3. Progressto.0195x.025ss wires
3Points:1. Class12. OJ/OBwithin2mmofoptimal
3. Nointra-archspacesandlateralopenbites<2mm
Goal:MutuallyProtectedOcclusionBalancedprofilewithSmileEstheticsKeys
DEMOGRAPHICSFEMALE14YEARSOLD
DIAGNOSISCLASSIWITHVERTICALGROWTHPATTERNCROWDINGIMPACTEDUL3ANTERIORCROSSBITEMILDFACIALPROTRUSION
MECHANICSHYBRIDPASSIVE&ACTIVESELFLIGATINGAPPLIANCEEXTRACTION
TREATMENTTIMEPROJECTEDTREATMENTTIME:22MONTHS
ACTUALTREATMENTTIMEWITHACCELEDENT:15MONTHS
2 OfficeVisitsforDetailingbeforeDeband Appointment
CASESTUDY
4WeeksLaterTriangleelasticsU: .0195 x.025 SSL: .0195 x.025 SS
DetailingStartResetbracketsU: .0195 x.025 NiTiL: .0195 x.025 NiTi
Stage3:Detailing
3MonthsLaterDeband
TotalTreatment:15Months
CASESTUDY
CourtesyofDr.StratyRighellis
FINISH
DEMOGRAPHICSFEMALE14YEARSOLD
DIAGNOSISCLASSIWITHVERTICALGROWTHPATTERNCROWDINGIMPACTEDUL3ANTERIORCROSSBITEMILDFACIALPROTRUSION
MECHANICSHYBRIDPASSIVE&ACTIVESELFLIGATINGAPPLIANCEEXTRACTION
TREATMENTTIMEPROJECTEDTREATMENTTIME:22MONTHS
ACTUALTREATMENTTIMEWITHACCELEDENT:15MONTHS
CASESTUDY
CourtesyofDr.StratyRighellis LINGUALOCCLUSION
DEMOGRAPHICSFEMALE14YEARSOLD
DIAGNOSISCLASSIWITHVERTICALGROWTHPATTERNCROWDINGIMPACTEDUL3ANTERIORCROSSBITEMILDFACIALPROTRUSION
MECHANICSHYBRIDPASSIVE&ACTIVESELFLIGATINGAPPLIANCEEXTRACTION
TREATMENTTIMEPROJECTEDTREATMENTTIME:22MONTHS
ACTUALTREATMENTTIMEWITHACCELEDENT:15MONTHS
CASESTUDY
FINISH:15MONTHS1WEEK
BASELINE
TreatmentSummary
Stage1:Leveling&Aligning 4Months
Stage2:Working 7.25Months
Stage3:Detailing 4Months
CASESTUDY
CourtesyofDr.StratyRighellis
NoVisibleRootResorption
DEMOGRAPHICSFEMALE14YEARSOLD
DIAGNOSISCLASSIWITHVERTICALGROWTHPATTERNCROWDINGIMPACTEDUL3ANTERIORCROSSBITEMILDFACIALPROTRUSION
MECHANICSHYBRIDPASSIVE&ACTIVESELFLIGATINGAPPLIANCEEXTRACTION
TREATMENTTIMEPROJECTEDTREATMENTTIME:22MONTHS
ACTUALTREATMENTTIMEWITHACCELEDENT:15MONTHS
CASESTUDY
CourtesyofDr.StratyRighellis
PRE VTO ACTUAL
DEMOGRAPHICSFEMALE14YEARSOLD
DIAGNOSISCLASSIWITHVERTICALGROWTHPATTERNCROWDINGIMPACTEDUL3ANTERIORCROSSBITEMILDFACIALPROTRUSION
MECHANICSHYBRIDPASSIVE&ACTIVESELFLIGATINGAPPLIANCEEXTRACTION
TREATMENTTIMEPROJECTEDTREATMENTTIME:22MONTHS
ACTUALTREATMENTTIMEWITHACCELEDENT:15MONTHS