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ePaper created 2016-04-19, 11:44:05 | version 1.38.0
Carriere Class III Motion Appliance trends & applications | 11 ortho 1 2016 maxillaryorthemandibularincisorsinordertoeasily align the maxillary teeth or the mandibular anterior teeth without protrusion while accomplishing what we term a “Super Class I posterior occlusion”. For me, thisisanelegantandefficientapproachtocasesthat dramatically reduces the period for which brackets arewornbyourpatients.Reducingthetimeforwhich the patient has to wear brackets is a very important factor for many patients nowadays. With clear systems like invesalign this appliance works amazingly well for simplifying treatment and dramaticallyshorteningthealignerperiod.Thisway, many complex Class II or III cases can easily be re- solved with Invisalign Lite treatment with less than fourteenaligners.Thisalsomakestreatmentcheaper for patients and boosts the reputation of clinicians, as they are able to treat complex cases using very simple procedures. ThecombinationoftheMotionappliancewithour new passive self-ligating bracket Carriere SLX and archwire sequence truly makes complex treatment simpler while creating a dynamic and efficient sce- nario in our treatments. We are very pleased with the new Carriere SLX. Technically speaking, it was a challenge, as we needed to create a masterpiece of precision. Our engineers did their best work and we achieved the highest level of technical bracket out- comes. It is a real game-changer. Howmanycaseshavebeentreatedwiththeappli ance so far? In our office, around 100 cases have already been treated with the Motion Class III Appliance. It is as- tonishing to see the extraordinary change to the patient’s face every time, changes that one could imagine have been accomplished surgically, yet wereachievedwithoutasingleextraction.Ithinkthe reasonforthiseffectisthebalancedcombinationof distalisation of the mandibular posterior segments, change of the posterior occlusal plane, and anti- clockwise rotation of the mandible that completely changes the relation between the mandible and the maxilla. Distalisation in the mandible is extremely fast and efficient mainly because there is an almost empty channel between the external and internal cortical bone. That is the reason we need very low force elastics in terms of traction. We only use 6 oz, ¼ inch, and we normally never use 8 oz in Class III cases, which is what we normally use in Class II cases. Looking at the occlusal plane, in Class III cases, we intrude the mandibular molars with the Motion appliance and extrude the canines. This intrusion of molars and extrusion of canines is necessary in ClassIIIcasestochangetheocclusalplane.Thisway, we bring the mandible into a better functional and aesthetic position. The change between the mandi- ble and the maxilla that occurs in Class II and III cases isthemainreasonthatwerenamedtheappli- ance from Distalizer to Motion. Not everything can be attributed only to distalisation. TheCarriereMotionAppliancechangestherela- tionbetweenthemandibleandthemaxillatosome extent by altering the posterior occlusal plane, thereby moving the mandible and the maxilla into a better functional position while balancing the face in Class II and III cases. Figs.2a&b:CarriereMotion™ClassIII AppliancewithnewPad-Lock™Base(a). Fig.3: Designed to be minimally invasive,the appliance is intended to treat Class III malocclusions without extractions,orthognathic surgery, or facemasks. Fig.2b Fig.2a Fig.3 12016