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 the use of new techniques.
The use of clear aligners and digital planning of our treatments means that in many cases we "see" things that we could hardly appreciate with fixed orthodontics. One of them are the "back-and-forth" movements, also known as "round tripping", which with brackets and wires were
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) is based on a new approach.
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 teeth extracted, it is not necessary to remove them.
This protocol, popularized by Dr. Arturo Vela, is based on the classic principles of flattening the curve of Spee: search for space (by proinclination of incisors) and a mixture of relative and pure intrusion that is determined by the patient's initial situation. In any case, we must
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 proinclination component, the results are similar.
One of the "reproaches" that aligners have received the most in recent years is the fact that they are "not very predictable", where predictability is understood to mean that clinically the final digitally designed position is expressed exactly and accurately at the clinical level. This, which makes little clinical sense, has
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 orthodontics
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, because it would further strain the relationship between
Transverse malocclusions: space and crowding The most common situation in any of our patients is a dento-skeletal discrepancy, which creates a lack of space and crowding that needs to be solved from a biological perspective. In our Common Sense Aligners program we address this issue from the very beginning, because we believe that the