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This book is the first evidence-based evaluation of the present limitations and controversies in clear aligner therapy. It discusses problems in software, mechanotherapy, attachment optimization, interceptive treatment, the mandibular advancement appliance, complex movements, interproximal reduction, extraction therapy, deep bite/open bite correction, finishing, and overcorrection. Unlike current available texts on clear aligner therapy, this book features a nonpartisan, critical analysis of the problems of the technique and demonstrates their clinical implications. Unique solutions to the current limitations of clear aligner therapy are presented, and systematic strategies and protocols for addressing a vast range and complexity of malocclusions commonly confronted by practitioners are introduced. The book helps orthodontists, dentists, dental students, dental educators, technicians, and bioengineers to investigate prevailing misconceptions, and to address significant controversies and dilemmas in clear aligner therapy.
For almost 20 years, clear aligners have seen growing popularity in addressing patients' demands for orthodontic treatment that is also discreet and esthetically inconspicuous. Especially for the adult patient, these almost invisible systems are in considerable demand. Supported by solid clinical evidence, this new work introduces and discusses all the presently available thermoplastically formed products that apply a predetermined strain to the teeth and jaw, with the goal of correcting malpositioned teeth, while also being esthetically acceptable for the patient. Key Features: More than a dozen contributions by top international experts Includes the most recent guidelines on clinical management with aligners Scientific approach presents evidence from material properties research, forces generated with aligners, and treatment outcome assessments Valuable information on changes in oral microbiota, potential side effects, biocompatibility, and more Orthodontic Aligner Treatment will be welcomed by all orthodontic specialists, as well as graduate students, researchers, and clinical faculty in the field.
Clear aligners, as a transparent and removable appliance, offer an alternative to conventional fixed appliance to patients with high demands for esthetics and comfort. Only a few investigations have focused on the efficacy of clear aligner therapy in controlling orthodontic tooth movement. Furthermore, the stability after treatment has not been thoroughly investigated. The purpose of this chapter was to update the knowledge of the available evidence about effectiveness and stability of clear aligners in non-growing subjects. Searches was made in different databases from January 2015 to January 2021. Relevant articles that met the inclusion criteria were selected. The level of evidence of the studies was moderate. The vertical movements of tooth were difficult to accomplish. Mesiodistal tipping showed the most predictability (82.5%) followed by vestibulolingual tipping. Molar distalization was also recorded as the highest accuracy. Derotation was difficult to accomplish with aligners especially of rounded teeth. The effectiveness of aligners in achieving the simulated transverse goals was 45%. The stability of clear aligner therapy was assessed by only two studies. Refinements are likely needed in almost all cases and to ensure treatment stability a retention period using a specific protocol is necessary.
Unlike conventional fixed orthodentic treatment approaches, Invisalign is a system that uses diagnostics data to create a three-dimensional image of the desired course of tooth movement; a series of custom-made, clear plastic aligners are then fabricated and used to achieve the treatment goal. This book explains the technique.
Présentation de l'éditeur : "Clear aligners are the future of orthodontics, but digital orthodontics evolves so rapidly that it is hard to keep pace. This book approaches clear aligner treatment from a diagnosis and treatment-planning perspective, discussing time-tested orthodontic principles like biomechanics and anchorage and demonstrating how to apply them to orthodontic cases using these appliances. Each chapter explains how to use clear aligners to treat a given malocclusion and teaches clinicians how to program a suitable treatment plan using available software, how to design the digital tooth movements to match the treatment goals, and finally how to execute the treatment clinically and finish the case well. This clinical handbook will prepare orthodontists and dental students to exceed patient expectations with the most esthetic orthodontic appliance currently available."
This book provides evidence-based guidance on the clinical applications of digital dentistry, that is, the use of dental technologies or devices that incorporate digital or computer-controlled components for the performance of dental procedures. Readers will find practically oriented information on the digital procedures currently in use in various fields of dental practice, including, for example, diagnosis and treatment planning, oral radiography, endodontics, orthodontics, implant dentistry, and esthetic dentistry. The aim is to equip practitioners with the knowledge required in order to enhance their daily practice. To this end, a problem-solving approach is adopted, with emphasis on key concepts and presentation of details in a sequential and easy to follow manner. Clear recommendations are set out, and helpful tips and tricks are highlighted. The book is written in a very readable style and is richly illustrated. Whenever appropriate, information is presented in tabular form to provide a ready overview of answers to frequent doubts and questions.
This book presents useful tips and strategies on how to integrate the Invisalign system successfully into clinical practice. The authors review the diagnostic protocols and the biomechanics of aligners before presenting Invisalign treatment protocols. With the support of accompanying case documentation, discussion of each malocclusion includes information on the associated symptoms, the rationale behind the selected treatment approaches, and the various outcomes achieved. The last section of the book deals with the advantages of the Invisalign system, and is intended to decide help patients and clinicians whether this system can provide optimal treatment outcomes in particular clinical situations. This is a practical manual for any clinician interested in the novel treatment modality of aligner orthodontics.
As esthetic dentistry continues to grow in popularity, dentists are offered an opportunity to expand their practices and attract new patients. Esthetic Dentistry in Clinical Practice provides dentists with the skills to take advantage of that opportunity. Clearly outlining esthetic procedures, the book enables dentists to treat patients in an efficient and clinically sound manner, bringing esthetic dentistry to everyday practice.