Aligners Academy

Do we make fewer extractions than we should?

In 2024, with almost a quarter of a new century behind us, orthodontics continues to undergo major technical changes that involve alternatives that were unthinkable a few years ago, mainly due to the incorporation into our daily routine of skeletal anchorage as a complement to treatment with fixed orthodontics or aligners, and even for the approach to orthodontic treatment.

Do we make fewer extractions than we should? Read More "

Does anyone know how to integrate RNO with aligner treatments?

During the last few years we have seen how in many cases the integration of neuro-occlusal rehabilitation with aligners has been raised in congresses and conferences on treatments with aligners. Bearing in mind that the whole philosophy of ORN developed by Pedro Planas (and that it cannot be extended in any other way or with any other intention), we have to take into account the fact that the following is a very important point.

Does anyone know how to integrate RNO with aligner treatments? Read More "

Can we consider ALL of our patients' treatments without dental extractions?

The clearest answer to this question has only one word: NO. No, if we want to ensure the final position of the teeth within their bony bases, avoiding recessions and fenestrations by moving them totally or partially out of the jaws. Although it is "logical" that patients "prefer" not to have their teeth extracted, it is the orthodontist who

Can we consider ALL of our patients' treatments without dental extractions? Read More "

Why is mandibular advancement with aligners better?

The literature is consistent in the results of mandibular advancement with aligners, indicating that this offers better results than those achieved with functional appliances. Although the evidence is limited, practically all of it points to the same aspect: while the classic appliance achieves advancement with a marked lower dentoalveolar proinclination component, the aligners

Why is mandibular advancement with aligners better? Read More "

Does it make sense to alternate the hardness of the aligners you put on your patients?

Recently, several aligner manufacturers (ClearCorrect, Spark, Angel Aligner) using ZENDURA FLX plastic have proposed alternating "soft" aligners with "rigid" aligners, arguing that rigid aligners help promote root movement. This is proposed with an analogy to what is done with fixed orthodontics: flexible nitinol archwires.

Does it make sense to alternate the hardness of the aligners you put on your patients? Read More "

Expansion by torque change

In the alignment of simple cases, such as this one, we may encounter several challenges, particularly in adult patients who have pre-existing recessions, which should be analyzed in depth to distinguish their origin. It is important to understand that in such cases a mass expansion would be inadvisable, as it would further strain the root-cortical relationship.

Expansion by torque change Read More "

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