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ORTHOTRIBUNE The World’s Orthodontic Newspaper · United Kingdom Edition Published in London www.dental-tribune.co.uk Vol. 10, No. 1+2 INTERVIEW Dr Graham Gardner about the European Aligner Society and the importance of aligners in ortho- dontics. ” Page 20 MANAGEMENT Practice consultant Lina Craven, Dynamic Perceptions, explains what it takes tobuild theultimate practice team. ” Page 21 SHORT-TERMORTHODONTICS Conservative smile design for the general dentist. Three cases involving the Inman Aligner ap- pliance. ” Page 22 Asadentalpractitioner,helpingyour patient look to improve their smile by undergoing orthodontic treat- ment with one of the many aligning systems available can be a very daunting decision to make when it comes to choosing the right system. Whatever their lifestyle, the attrib- utes most commonly sought after are typically comfort, discreteness and for the treatment time to be as speedy as possible. Depending on the case, it can sometimes be quite difficult to achieve all of these aims within one single aligning system, as each are designed to achieve very specific and individual movements, and not all are designed to do this with the whole arch. As an orthodontic laboratory, we are introduced to hundreds of very individual cases on a weekly basis, where more often than not patients will have specified that the above attributes are key to their decision making process when we assess for theappliancesthatwillbebestsuited to their particular case. After having been faced so regularly with the task of assisting our clients to make the decision that will benefit their pa- tients in as many aspects as they can, we had a thought—what if the advantages of each of these aligning systems were combined, and the disadvantages eliminated? It was from this that the idea of our brand newNimrodAlignerstemmed. Designed to move from 5-5 in all directions,andalsowidenthemolars (Fig.1),theNimrodAlignercomprises of lingual and labial arch wires at- tachedtoindividualcupsthatseaton each tooth with the aid of a compos- ite anchor, and a connecting bar to seatonthepalateorthelingualarea, thatareattachedtomolarcups.After having spent four years researching the most effective components and combining them using prototypes with3-Dprinters,wehavecombined the biomechanics of straight wire, Clear Aligners and a spring aligner to reduce the downsides of having treatment considerably and focus moreonthepositivefeatures. Typically most common with adolescents, fixed brackets appear to be decreasing in popularity, mostly due to the fact that they are not particularly aesthetically pleas- ing and can therefore encourage a feelingofembarrassmentforadults when in public. Combined with hours of clinical time spent fitting and repositioning the individual brackets, hygienic problems owing to not being able to brush or floss properly,aswellasthediscomfortof their often sharp exterior both labi- ally and lingually, it is no surprise that they are not as often requested as more popular removable align- ers. The NimrodAligner has the fixed brackets arch wires biome- chanics incorporated within the re- movable appliance so clinical time isextremelyminimal.Theteethand gums can also be cleaned to the proper standard and at only 2 mm in thickness (Fig. 5) – as opposed to the standard 3 to 3.5 mm thickness offixedbrackets–sotheoverallfeel isveryanatomicallyfriendly. Clear Aligners are the most anatomically friendly appliances on the market today, and are mostlypopularbecauseofjusthow discreet they are. Despite these advantages, the force and pressure induced during the initial days of wear can be very painful. Although a sign that they are working as they should, the aligners tend to become passive as time passes and are typically only at their most active in just the first seven days. On the other hand with the NimrodAligner, NiTi wires ensure that the pressure is gentle, yet pro- vide continuous support. Multiple Clear Aligner trays can also become very tedious for both patient and dentist, particularly when frequent appointments are necessary and stages of interproxi- malreduction(IPR)havetobecarried out. IPR can be a huge factor in the progress of Clear Aligners as each aligner is made to incorporate the necessaryIPRaftereachstageandthe fit of following trays will be affected if not enough has been done. This is notaproblemfortheNimrodAligner as it will not affect the fit of the ap- plianceiftherehasbeeninsufficient IPR on the previous appointment. The patient can continue to wear it and IPR can be completed where necessaryonthenextappointment. Similarly, spring aligners can also continue to be worn and fit correctly in between appoint- ments if not enough IPR has been done previously, however they’re widely known for limited move- menttojustfourincisors.Itmaybe good for labial/lingual movement usingthe‘squeeze’effect,andsome rotation, but Clear Aligners can often be required to finish. From straightforward to complex cases The new NimrodAligner and why it can be the ultimate orthodontic removable aligning system ByNimrodTal&LaurenFlannery 1 Why exhibit at SCANDEFA? SCANDEFA is a leading, professional branding and sales platform for the dental industry. In 2016 we are pleased to present Scandefa with ƋƵŅü±ĜųÚ±ƼŸ±ĹÚ±ĵŅųåāåƻĜÆĬåÏŅƚųŸåŞųŅčų±ĵĵå at the Annual Meeting. In addition to sales, branding and customer care, the new format gives you the ŅŞŞŅųƋƚĹĜƋƼüŅųĹåƋƵŅųĩĜĹčØŸƋ±ýϱųåØŞųŅü域ĜŅűĬ inspiration and competence development. SCANDEFA is organised by Bella Center and held in collaboration with the Annual Meeting organised by the Danish Dental Association (tandlaegefore- ningen.dk). How to exhibit Please book online at scandefa.dk or contact Sales- ¼ )ƻĘĜÆĜƋĜŅĹ a±Ĺ±čåų aĜ± ĬåĵåĹƋ ŅŸåĹƴĜĹčå mro@bellacenter.dk/+45 32 47 21 33. Who visits SCANDEFA? In 2015 over 7,500 dentists, dental hygienists, den- tal assistants and dental technicians visited SCAN- DEFA. For further statistical information please see scandefa.dk Where to stay during SCANDEFA? Two busy fair days require a lot of energy, and therefore a good night’s sleep and a delicious breakfast are a must. å Ņüüåų ±ĬĬ Ņü Ņƚų åƻĘĜÆĜƋŅųŸ ± ŸŞåÏĜ±Ĭ ŞųĜÏå üŅų both our hotels, AC Hotel Bella Sky Copenhagen – Scandinavia’s largest design hotel – and Hotel Crowne Plaza – one of the leading sustainable hotels in Denmark. We also offer free and easy shuttle service trans- port between the airport, the two hotels and Bella Center. scandefa.dk SCANDINAVIAN DENTAL FAIR 28 - 29 APRIL 2016 SCANDEFA invites you to exclusively meet the Scandinavian dental market and sales partners in wonderful Copenhagen. Fc{FeFkcØ¥Fc:ec% c)kUFc: - welcome to the leading annual dental fair in Scandinavia % AD Figs. 1–5: Designed to move from 5-5 in all directions, and also widen the molars, the NimrodAligner com- prises of lingual and labial arch wires attached to in- dividual cups that seat on each tooth with the aid of a composite anchor, and a connecting bar to seat on the palate or the lingual area, that are attached to molar cups. 2 3 5 4 DTUK0116_17-18_OTNimrod 25.02.16 15:12 Seite 1 mro@bellacenter.dk/+4532472133. 23 DTUK0116_17-18_OTNimrod 25.02.1615:12 Seite 1