Please activate JavaScript!
Please install Adobe Flash Player, click here for download

Ortho Tribune Middle East & Africa No.1, 2017

Dental Tribune Middle East & Africa Edition | 1/2017 ORTHO TRIBUNE E3 ◊PageE2 Fig. 3. The digital model of each patient’s lower occlusion shows the shape and size of the cortical limits of the mandibular bone. Fig. 4. Insignia customized placement gauges offer the benefit of direct view bonding, putting the brackets in the right placewithout adjustment. Iinitiallycomparedtheresultsofthis evaluation with my previous seven years of experience treating patients with direct-bonded Damon System appliances. This comparison helped me evaluate customized Insignia SL withwhatIusedtodoinmyoffice— direct bonding. These 41 customized Insignia cases treated in an average time of 12.5 months — a full five months (28%) shorter than my esti- mate of 17.5 months (Fig. 5). I based the estimates on my previous seven years of experience with the Damon System appliance but before I had had any experience with Insignia. In my opinion, this difference alone at- tests to the efficiency of customized Insignia SL treatment. Another value indicator was the number of reposi- tioned brackets needed to finish the customized Insignia SL cases, which was 50% less than my cases with direct-bonded stock Damon System appliances. After completing the evaluation, I compared the results with compara- ble patients I later treated with Insig- nia using stock Damon appliances. This second comparison assisted me inplacingavalueonthepatient-spe- cific customized torques of the cus- tomizedInsigniaSLappliance.The41 customized Insignia SL cases in the evaluation finished in 22% shorter treatmenttime(at12.5months)than the next consecutive 41 cases using Insignia with stock Damon brackets that I treated in my private practice (16.1 months). The average number of appointments for the 41 Insignia stock Damon cases was 10.2 versus 8 appointments for the 41 customized InsigniaSLcases. In terms of quality, a subjective evaluation I grant you, I feel that my customized Insignia SL cases finish with quality that equals or exceeds my direct-bonded Damon System cases or my Insignia cases using stock Damon brackets yet in less time and with significantly less effort. I have felt confident enough with the customized Insignia case results to have shown them in pres- entationsaroundtheworldandhave been so pleased with the results that Inowtreat70%ofmycaseswithcus- tomized Insignia SL appliances. I still treat 30% of my patients with direct- bonded stock Damon appliances, primarily those who start treatment in late mixed dentition, but for all those cases for which customized Insignia SL applies, it is now my ap- plianceofchoice. Thisarticlehighlightsafewofthepa- tients I treated in the clinical evalu- ation, demonstrating the quality of the results and efficiency of treat- ment. Dr. Kozlowski obtained his DDS degree in 1996 and a certificate in orthodontics at State University of NewYork at Buffalo in 1998. His practice, Kozlowski Orthodon- tics,haslocationsinNewLondonandEast Lyme,Connecticut.Hehaslecturedexten- sively all over the world, including for the AAO and its various constituent societies and universities and study clubs as well as annually at the US Damon Forum and European Damon Symposium. His topics includeefficiencyandexcellenceinortho- dontics,earlytreatmentandfacialesthet- ics. He has also been published in several orthodontic journals, including Seminars in Orthodontics and the Journal of Clini- calOrthodontics. A fitness advocate, he has completed five Ironman Triathlons, more than a dozen Half-Ironman Triathlons and numerous marathonsandendurancecyclingevents, including the grueling Mt. Washington Bicycle Hill Climb seven times. He and his wife, Amy, a pediatric dentist, have two children:AmeliaandJake. Easy bonding of orthodontic brackets ByMedivanceInstrumentsLtd. Abrasion has long been discussed as atreatmentinallareasofdentistry. With AquaCare, UK-based Velopex International has introduced an in- novative and contactless way to abrade and polish teeth and ortho- donticappliances. The unit combines four powder car- tridge systems with an easy-touse multi-function handpiece–that can even double via the foot control as a 3-in-1.AquaCareiscapableofdeliver- ing abrading and prophylaxis media all via the same handpiece. Among the many applications areas, ortho- dontists can use AquaCare for bond- ingorthodonticbrackets. Theenamelofthetoothtobetreated canbe‘etched’totheexactsizeofthe orthodontic bracket at the place of attachment.Thisisachievedbyhold- ing the cutting nozzle 2 mm above the surface of the tooth and gently moving it in a circular motion over the required area. This will result in adry‘etched’surface,readytoaccept New abrasion technique thebondingagent. The risk of saliva contamination is greatly reduced because the alu- miniumoxidedriesthesurrounding mucosa. The same technique can be used to clean the orthodontic brack- ets. Therefore, AquaCare is a superior tool for incognito lingual brackets as it is able to reach difficult internal surfaces in order to clean and attach thebrackets.

Pages Overview