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ePaper created 2016-04-19, 11:44:05 | version 1.38.0
Carriere Class III Motion Appliance trends & applications | 15 ortho 1 2016 The changes we can achieve in adult cases are amaz- ing. It is a great alternative to surgery in adult cases and something that is going to establish a new treat- ment option for Class III patients. Youcallyournewseriesoflectures“faciallydriven treatment for Class II and III”. What are your key factsinthismatter,andwhyshouldthefacial,ske letal and dental factors not be isolated during treatment? In orthodontics, we focus on good occlusion of the molarsandthecanines,lookingoutformidlinecorrec- tion,overbite,overjetandwhethertherearetoomany teeth.Thepatient’sface,teethandbonepositionhave tobecorrectlyadjustedandbalanced.Thepatienthas to be left with an attractive face, as well as facial pro- portions and relations. We should never forget that behind the face there is a human being who wants to be successful in life, form natural social relationships and have the opportunity to establish a relationship withthepersonheorshehasfalleninlovewith.Weas orthodontists are fully responsible for the patient’s face and this is very important to consider. The Carriere system is all about this and together with Henry Schein Orthodontics worldwide we are trying to spread this message. We, the orthodontists, are able to manage the patient’s soft-tissue profile in a positive way. How do we do that? Instead of using synthetic material like an aesthetic surgeon, we con- centrate on bone and teeth and bring the soft tissue into a better and more natural position. We are also able to balance the relation between the mandible and the maxilla. By balancing the patient’s face, we are also balancing his or her life, bringing him or her self-confidence and restoring happiness. However,wecouldalsototallyruinthepatient’slife byextractingteethunnecessarily.Iamconvincedthat nowadays we cannot consider orthodontics only as treatmentoftheteeth.Ourpatientsarehumanbeings and we have to give recognition to that. WiththeCarrieresystem,theMotionappliance,the Carriere SLX bracket, the wire sequence, respect for the tissue and the physiology of the orthodontic movement,andconsideringthepatient’sface,weaim to benefit our patients. Many profiles have been af- fectedinthepast,soourobjectiveistocreatetoolsto be added to the orthodontic armamentarium that help us in this direction. So you are saying that the orthodontist should place much more emphasis on harmony of the pa tient’s face. The orthodontist is responsible for the patient’s face. In my understanding of the specialty, he or she has to be an expert on moving teeth into the correct position, as well as on balancing profiles. He or she is responsible for the harmonisation of the soft-tissue and, if necessary, for sculpting the lips with dermal fillers. Nobody understands bet ter than an ortho- dontist the anatomy and proportionality of the lips. Orthodontists also have to be experts on the use of Botox for excessive gingival display in those patients withaparticularlygummysmile,blockingthelevator labii superioris alaeque nasi muscle to retain the correct arch for a beautiful smile. However, we are not only responsible for the face. Ithinkwealsohavetotrainsocietyonthecorrectway togainabeautifulfacialappearance.Insteadofseek- ing treatment from an aesthetic surgeon, they would dobettertovisitanorthodontist.Heorshewillbeable togivethemanaturalandelegantaestheticoutcome, including an attractive facial profile. If they are not satisfied, they can always visit an aesthetic surgeon later. If society comprehends the importance of ortho- dontics for the face, far more patients will opt for orthodontic treatment. That is why we have to start upgrading our specialty. Orthodontics is all about aesthetics, art and science. Thank you very much for the interview. Figs.13a & b: Initial intra-oral shot with integrated Motion™ Class III Appliance (a) and after (b) 5 months of treatment. Fig.13a Fig.13b 12016