Dr. Benedict Wilmes University of Düsseldorf, Germany

Expanding the Horizons of Aligner Therapy with TADs

Aligner

Difficult Tasks: - Bodily movements Distalization

Aligner

Difficult Tasks: - Bodily movements Distalization Mesialization

Aligner

Difficult Tasks: - Bodily movements Distalization Mesialization - Molar Intrusion

Aligner

Difficult Tasks: - Bodily movements Distalization Mesialization - Molar Intrusion

à Can TAD´s help us?

Aligner and TAD´s

Phase 1: TAD Appliance - Bodily movements Distalization Mesialization - Molar Intrusion

Phase 2: Finishing with Aligners

Finishing

Difficult Case Easy Case

Aligner and TAD´s

Molar Mesialization

Molar Distalization

Beneslider Pendulum B

Mesial-Distalslider

Mesialslider

RME Hybrid Hyrax

Forced Eruption of impacted…

Molar Intrusion

Front Teeth Molars

Especially in the maxilla

Aligner and TAD´s

Wilmes B, Nienkemper M, Ludwig B, Kau CH, Pauls A, Drescher D. Esthetic Class II Treatment with the Beneslider and Aligners. J Clin Orthod. 2012

Beneslider & Aligner

Step 1: Distalization

Step 2: Alignment

Active Beneslider + Aligner

Passive Beneslider

Impression Scan

Beneslider & Aligner

Is it possible without

extraction?

Beneslider & Aligner

Beneslider & Aligner

Beneslider & Aligner

Beneslider & Aligner

Beneslider & Aligner

1y retention

Beneslider & Aligner

Beneslider & Aligner

Beneslider & Aligner

Beneslider & Aligner

Beneslider & Aligner

7 months

Beneslider & Aligner

Beneslider & Aligner

Beneslider & Aligner

Beneslider & Aligner

Beneslider & Aligner

à Band may be a problem for the Aligner fitting

Problem:

Beneslider & Aligner

Bene-Tube Dr.

Banach

Beneslider & Aligner

Beneslider and Aligner

Beneslider and Aligner

Ligature

Beneslider and Aligner

Active device à Passive device (molar anchorage)

Remove spring OR:

Connecting area is covered Connecting area is cut out

Clincheck Due to skeletal anchorage: à Simultaneous retraction of all teeth

36 Aligner 20 Aligner

Tooth by tooth retraction

Beneplate

Activation Lock

Closing Spring

Benetube Activation

Lock

Mini-Implants 2x9mm

2x7mm

Mesialslider

Mesialslider and Aligner

Mesialslider and Aligner

Mesialslider and Aligner

Mesialslider and Aligner

Mesialslider and Aligner

Mesialslider and Aligner

Mesial-Distalslider

Wilmes B, Nanda R, Nienkemper M, Ludwig B, Drescher D. Correction of upper-arch asymmetries using the Mesial-Distalslider. J Clin Orthod. 2013 ;47:648-55

Mesial-Distalslider

Finishing

Difficult case Easy case

TADs in combination with Aligners

Mesial-Distalslider

TAD´s and Aligner

Difficult Tasks: - Bodily movements Distalization Mesialization - Molar Intrusion

Molar Intrusion

CR

TPA

TPA

Beneplate with 0.8 mm wire à Control and adjust amount of force à Control and adjust line of force: Upright tipped molars

Molar Intrusion

7 months

Mousetrap mechanics

Take Home

message

Benefit System and Aligner– a good team!

Expanding the Horizons for Aligners

Space Closure

Molar Intrusion

Distalization

www.uniklinik-duesseldorf.de/kieferorthopaedie

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