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
Paper Download