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ePaper created 2016-04-19, 11:44:05 | version 1.38.0
NimrodAligner industry report | 37 ortho 1 2016 components and combining them using proto- types with 3-D printers, we have combined the biomechanics of straight wire, Clear Aligners and a spring aligner to reduce the downsides of hav- ingtreatmentconsiderablyandfocusmoreonthe positive features. Typically most common with adolescents, fixed brackets appear to be decreasing in popularity, mostlyduetothefactthattheyarenotparticularly aesthetically pleasing and can therefore encour- age a feeling of embarrassment for adults when in public. Combined with hours of clinical time spent fitting and repositioning the individual brackets, hygienicproblemsowingtonotbeingabletobrush or floss properly, as well as the discomfort of their often sharp exterior both labially and lingually, it is no surprise that they are not as often requested as more popular removable aligners. The Nimrod Aligner has the fixed brackets arch wires biome- chanics incorporated within the removable appli- ance so clinical time is extremely minimal. The teeth and 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 of fixed brackets—so the overall feel is very anatomi- cally friendly. Clear Aligners are the most anatomically friendly appliancesonthemarkettoday,andaremostlypop- ular because of just how 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 Nimrod Aligner, NiTi wires ensure that the pressure is gentle, yet provide 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 interproximal reduction (IPR) have to be carried out. IPR can be a huge factor in the progress ofClearAlignersaseachalignerismadetoincorpo- ratethenecessaryIPRaftereachstageandthefitof following trays will be affected if not enough has been done. This is not a problem for the Nimrod Aligner as it will not affect the fit of the appliance if there has been insufficient IPR on the previous ap- pointment. The patient can continue to wear it and IPR can be completed where necessary on the next appointment. Similarly, spring aligners can also continue to be worn and fit correctly in between appointments if not enough IPR has been done previously, however they’re widely known for limited movement to just fourincisors.Itmaybegoodforlabial/lingualmove- ment using the ‘squeeze’ effect, and some rotation, but Clear Aligners can often be required to finish. In some instances, a separate expansion appli- ance may be required prior to treatment, which essentially boosts costs and adds time onto treat- ment overall. We have reduced this concern by offering this stage for such cases within the NimrodAligner singularly. Fig.3 Fig.4 Fig.5 12016