Progressive Bite Jumping. Effective non-compliance & non-extraction treatment approach. Part 2

This effective cll II treatment by the means of fixed functional appliances is based on the functional condyle repositioning, the stepwise mandibular advancement as well as a sufficient retention.

Main indications are non-compliance patients, adolescent with sparse residual growth or with aplasia, class II cases with TMD or/and sleep apnea, and moderate adults non-surgical cases.

Furthermore the combined use of fixed class II appliances and Tad`s can help to treat extensive orthodontic and preprosthetic cases, and allows to avoid extractions and Headgears.

The basic principles of functional mandible advancement (bite jumping), indications and restrictions, and the dento-alveolar and skeletal effects will be presented and substantiated by practice-oriented treatment cases, and scientific evidence as well as issues of insertion, activation, retention and troubleshooting.

Learning Objectives:

- The three columns of the concept of the “progressive bite jumping”

- Defining the etiology of malocclusion and its correlation to TMD and airways disorders.

- The concept of the manual functional analysis as a preliminary procedure for a successful class II treatment.

- Management and solutions for patients with poor cooperation / poor oral hygiene.

- Management of unilateral class II asymmetries

- Management of aplasia and molars lost in adolescent class II cases

- Avoiding surgery in moderate class II adult cases

- Manual therapy and physiotherapy as accompanying treatment in severe cases.

- The importance of condyle capping and fossa shifting for the treatment of class II.

- Integration of orthodontics and orofacial orthopedics into comprehensive restorative treatment.

- Orthodontic treatment of moderate class II sleep apnea cases.

- Avoiding iatrogenic TMD during dental / orthodontic treatment.

- Pre-orthodontic bite determination, “the Aqua-Balance-Concept”

- Indications contraindications of imaging techniques ( CBCT / MRI/ etc.) for class II Treatment

- Indications contraindications of the instrumental diagnostic, Axiography, EMG for class II Treatment

- Fascination illusion of the digital workflow and 3D approach in the orthodontic treatment.

- Achieving the balance between scientific evidence Practice-oriented approaches.

- The retention concept of SARA-Splints

- Prevention and management of relapse

- Troubleshooting.