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Extreme in orthodontics: treatment of complex cases

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Benedict Wilmes
Kee-Joon Lee
Daniel Souza Pinto Ramos
Armando Dias Da Silva
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7 lessons (10h 22min)

9.25 CE Credits

9.25 CE Credits

English

Access to the record for Membership period

Description

Extreme in orthodontics, or how to treat complex clinical cases!

 

An online course in which famous lecturers will share protocols of:


– treatment of hyperdivergent Class 2
– combined use of aligners and TADs
– application of MARPE, SARPE, BAME
– surgical and orthodontic impaction treatment of premolars and canines
– orthognathic approach in complex treatment with aligners.

 

Incredibly effective practical solutions await you!

Lesson 1.Total arch intrusion in hyperdivergent Class 2 face: a replacement therapy for orthopedic treatment

– Difficulties faced by clinicians in the treatment of hyperdivergent Class 2 face

– Cephalometric analysis of hyperdivergent Class 2 patients

– Facial profile analysis of hyperdivergent Class 2 patients

– Facial profile vs. occlusion. Does occlusion reflect on the facial profile?

– Normodivergent, hypodivergent, and hyperdivergent facial type

– Central of resistance and arbitrary rotation of occlusal plane

– Biomechanics for treatment of patients with hyperdivergent face

– Protocols for the use of skeletal anchorage in the treatment of hyperdivergent Class 2 face

– How to diagnose vertical problem from soft tissue profile

– Total arch intrusion protocols for the treatment of hyperdivergent Class 2 face

– How to determine miniscrew positions and apply correct biomechanics

– Analysis of various clinical cases.

 

Recommended for: Orthodontists, General dentists.

Lesson 2.Non-surgical Treatment Approach of Hyperdivergent Class 2 with Retroclined Incisors

– Diagnosis and treatment planning:

 

- Facial profile analysis

- Radiological analysis

- Treatment options analysis.

 

– Biomechanics behind treatment of hyperdivergent Class 2 with retroclined incisors:

 

- Occlusal plane rotation

- Space closure protocols when treating with extraction.

 

– Evaluation of the incisors position in hyperdivergent Class 2

– Total arch intrusion protocols for the treatment of hyperdivergent Class 2 cases

– Analysis of various clinical cases. 

 

Recommended for: Orthodontists, General dentists.

Lesson 3.Working with MARPE and BAME devices. Using tomographic transversal analysis

– Why using the transverse tomographic analysis? 

– Surgical assisted rapid palatal expansion (SARPE) 

– Main anatomic resistance 

– Transverse tomographic diagnosis:

 

- Importance 

- Measurements 

- Features in children 

- Indications.

 

– Midpalatal suture classification 

– Maxilla expansion in adults 

– MARPE device:

 

- History

- Types

- Work protocol.

 

– BAME device:

 

- Indications 

- Digital planning 

- Work protocol.

 

– DS expander: step-by-step work protocol 

– Greater palatine artery anatomic variations

– Naso-palatine canal variations 

– Clinical cases:

 

- Posterior crossbite

- Open bite

- Class 3

- Class 2

- Impacted canines.

 

Recommended for: Orthodontists.

Lesson 4.Aligners Biomechanics Rules for Complex Cases

– The 6 steps to create better Digital Ortho Plannings for Aligner

– The ideal strategy in the software

– The magnitude of force aligner therapy

– Overcorrection protocols in aligner therapy

– Diastema and space closure with aligner therapy or aligners and resto therapy

– Diastema closure tips with aligners

– Crowding treatment concept with aligners

– Interproximal reduction in aligners therapy

– Upper and lower jaw expansion biomechanics: crossbite treatment

– Extraction treatment with Aligners

– Open bite treatment protocol with aligners

– Deep bite treatment protocol with aligners

– The ideal strategy in the ClinCheck software:

 

- creating the force system

- attachment selection.

 

– Class 2 biomechanical protocols with aligners

– Class 3 biomechanical protocols with aligners

– The key factors to improve predictability

– Understanding the limits of aligners' plastic

– Step-by-step protocol for creating accurate digital planning.

 

Recommended for: Orthodontists, General Dentists.

Lesson 5.Skeletal Anchorage with Aligners

– Skeletal Anchorage in your Ortho Routine: indications and advantages

– The success rate of Temporary Anchorage Devices (TADs)

– Ortho treatment planning guided by DSD: DSD tool within Clincheck 

– DSD and TAD analysis

– The digital workflow for guided insertion of TADs

– Extra-alveolar TADs: infra-zygomatic crest (IZC) and buccal shelf (BS)

– Distalization and mesialization with TADs

– The success rate of infra-zygomatic crest miniscrews

– Step-by-step demonstration of IZC and buccal shelf TADs placement

– TADs biomechanics with Aligners

– Clinical Cases.


Recommended for: Orthodontists, General Dentists.

Lesson 6.Ortho-Orthognathic Cases with Aligners

– Decision making algorithms and treatment planning of skeletal Class 2 and Class 3

– Step-by-step protocols of digital diagnosis

– CBCT and cephalogram evaluation and analysis

– Indications for Orthognathic approach

– Clinical and biomechanical tips for orthognathic cases with aligners

– The importance of the facially driven digital planning for ortho-orthognathic cases

– Class 2 ortho-orthognathic cases. From treatment planning to postoperative evaluation

– Class 3 ortho-orthognathic cases. From treatment planning to postoperative evaluation

– Clinical cases analysis.


Recommended for: Orthodontists, General Dentists.

Lesson 7.Distalization and space closure with aligners

– Bodily movement with aligners

– Combined use of microimplants and aligners

– Installation of microimplants in the palate: indications, tools, installation features

– 2-steps distalization and mesialization protocols: TADs+aligners

– Non-extraction distalization

– Clinical tips for the use of aligners and microimplants

– Asymmetry treatment protocol

– Molar distalization with Beneslider

– Long-term results of tooth distalization using aligners

– Molar mesialization with Mesiaslider

– Using Surgical Guides to MI installation.


Recommended for: Orthodontists.

Course includes next lessons:

1h 26min
Lesson 1

Total arch intrusion in hyperdivergent Class 2 face: a replacement therapy for orthopedic treatment

Kee-Joon Lee
1h 15min
Lesson 2

Non-surgical Treatment Approach of Hyperdivergent Class 2 with Retroclined Incisors

Kee-Joon Lee
2h 28min
Lesson 3

Working with MARPE and BAME devices. Using tomographic transversal analysis

Armando Dias Da Silva
1h 13min
Lesson 4

Aligners Biomechanics Rules for Complex Cases

Daniel Souza Pinto Ramos

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Lecturers 4

Professor and Deputy Director of the Department of Orthodontics at Heinrich Heine University Düsseldorf, Germany (Professor since 2013). Specialist in orthodontics and dentofacial orthopedics with focus on non-compliant and invisible treatment strategies including temporary anchorage devices (TADs), lingual orthodontics, and clear aligner therapy. Maintains private orthodontic practice in Düsseldorf alongside academic position.

 

Over 20 years of clinical and academic experience treating complex orthodontic cases using skeletal anchorage systems and digital workflows. Pioneer in developing innovative TAD applications including palatal TADs with exchangeable abutments for transverse expansion, orthopedic protraction, and molar distalization. Research focuses on digital orthodontics, CAD/CAM technologies for customized appliances, biomechanics of skeletal anchorage, and treatment efficiency in adult orthodontics. Expert in combining TADs with aligners for predictable complex tooth movements.

 

Active Member of the Edward H. Angle Society of Orthodontists (Eastern Component). Recipient of First Prize from the German Orthodontic Society (DGKFO, 2007), First Prize from the European Orthodontic Society (EOS, 2009), and First Prize from the German Society for Lingual Orthodontics (2018). Author of over 200 peer-reviewed publications and textbook chapters on TADs, lingual orthodontics, and digital orthodontics. Reviewer for numerous international orthodontic journals including American Journal of Orthodontics and Dentofacial Orthopedics, Angle Orthodontist, European Journal of Orthodontics, and others. International lecturer having delivered over 300 lectures and courses in 70 different countries worldwide on skeletal anchorage, digital treatment planning, and contemporary orthodontic biomechanics.

 

DMD from Heinrich Heine University Düsseldorf, Germany. Postgraduate degree (Dr. med. dent.) in Orthodontics and Dentofacial Orthopedics from Heinrich Heine University Düsseldorf. Professor appointment at University of Düsseldorf (2013).

 

Professor and former Dean of the Department of Orthodontics, Yonsei University College of Dentistry, Seoul, South Korea. President of the World Implant Orthodontic Association (since 2024). Honorary President of the Korean Cleft Lip and Palate Association (since 2023). Leading authority in skeletal anchorage systems and temporary anchorage device (TAD) applications in orthodontics.

 

Over 25 years of clinical and academic experience treating complex orthodontic cases using miniscrew-driven biomechanics. Pioneer in demonstrating the miniscrew-assisted rapid palatal expander (MARPE) for adults, publishing the landmark MARPE study in American Journal of Orthodontics and Dentofacial Orthopedics (AJO-DO), which has been extensively cited internationally. Research focuses on clinical biomechanics of TAD applications, non-extraction treatment in adults, lingual orthodontic mechanics, surgery-first approaches using TADs, and bone/suture responses to orthodontic forces. Expert in total arch distalization, treatment of non-erupting teeth, and management of hyperdivergent facial patterns.

 

Selected as the 2025 Kokich-Shapiro Lecturer and 2025 Nanda Lecturer, prestigious honors in orthodontics. Adjunct Professor at the Department of Orthodontics, University of Pennsylvania (2010-2011, 2016-2019) and Temple University (2010-2011). Visiting Scholar at the Department of Biochemistry, University of Pennsylvania School of Dental Medicine (2002-2004) and the Children's Hospital of Philadelphia (2010-2011). Author of numerous peer-reviewed publications in leading orthodontic journals including multiple cover issues in AJO-DO. Editorial reviewer for AJO-DO, Angle Orthodontist, European Journal of Orthodontics, Progress in Orthodontics, Orthodontics and Craniofacial Research, Journal of Orthodontics, and Korean Journal of Orthodontics. International lecturer presenting worldwide at major orthodontic conferences.

 

DDS and PhD from Yonsei University College of Dentistry, Seoul, South Korea. Certificate in Orthodontics from Yonsei University Dental Hospital. International Member of the American Association of Orthodontists. Member of the World Federation of Orthodontists.

 

Master Degree in Orthodontics since 2002 (PUCRS Brazil). Guest Faculty at iHDS Houston-USA and UCAM (Spain). Speaker and KOL for Invisalign, DSD and Propel and provided international lectures in several countries such as USA, Mexico, Portugal and Spain about digital orthodontics with Aligners.

 

DSD Planning Center (Madrid-Spain) Orthodontics Clinical Manager since 2019.

 

Post graduated in Orthodontics
MSc in Orthodontics
Phd Medicine (in progress)
Specialist in Orthodontics N?. 38 (OMD)
President of Portuguese Orthodontic Society
External colaborator at Faculty of Medicine/University of Oporto
President of organising committee of Faculty of Medicine/University of Oporto Orthodontic Congress

 

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