DentistryOnline courseOrthodontics
Hyperdivergent Class II, MARPE and aligner-TAD combinations — difficult orthodontic cases in 7 lessons
Four orthodontists who publish and lecture internationally — Benedict Wilmes, Kee Joon Lee, Armando Dias da Silva and Daniel Souza Pinto Ramos — share their approaches to the cases most practices refer out in Extreme in orthodontics: treatment of complex cases. Across 9 h 25 min you get total arch intrusion for long faces, miniscrew-assisted and surgical expansion, aligner biomechanics, skeletal anchorage and orthognathic planning with clear trays.
- 7lessons
- 9 h 25 minof video
- 4instructors
What you’ll be able to do
- Diagnose vertical excess from the soft tissue profile and plan total arch intrusion with miniscrews
- Classify the midpalatal suture on CBCT and choose between MARPE, SARPE and BAME
- Build a force system and attachments in aligner planning software with sensible overcorrection
- Place infrazygomatic and buccal shelf TADs with a digital, guided workflow
- Stage ortho-orthognathic cases with aligners from diagnosis to postoperative review
- Distalise and mesialise molars with Beneslider and Mesiaslider mechanics
Inside the course
Long faces without orthopaedics
Two lessons treat the hyperdivergent Class II patient: cephalometric and profile analysis, rotation of the occlusal plane around the centre of resistance, miniscrew placement and extraction space closure when incisors are retroclined.
Transverse problems in adults
The longest session (about 2.5 hours) covers tomographic transverse analysis, suture classification, device types and work protocols, and anatomy such as palatine artery and nasopalatine canal variations, with crossbite, open bite, Class II, Class III and impacted canine cases.
Aligners pushed further
Rules for diastemas, crowding, IPR, expansion, extraction, open and deep bites, then DSD-guided TAD planning and extra-alveolar anchorage used together with clear trays.
Surgery and distalisation
Decision algorithms for skeletal Class II and III orthognathic cases lead into palatal microimplants, two-step distalisation, asymmetry correction and long-term results.
Built for
- Orthodontists using TADsConcrete biomechanics for intrusion, expansion and molar movement.
- Aligner providersPlanning rules that expand what clear trays can do in difficult cases.
- Teams planning orthognathic surgeryFacially driven digital workflows shared between surgeon and orthodontist.
Curriculum
Total arch intrusion in hyperdivergent Class 2 face: a replacement therapy for orthopedic treatment (1 h 26 min) 12 topics
- 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
Non-surgical Treatment Approach of Hyperdivergent Class 2 with Retroclined Incisors (1 h 15 min) 5 topics
- 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
Working with MARPE and BAME devices. Using tomographic transversal analysis (2 h 28 min) 12 topics
- 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
Aligners Biomechanics Rules for Complex Cases (1 h 13 min) 18 topics
- 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
Skeletal Anchorage with Aligners (1 h 97 min) 11 topics
- 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
Ortho-Orthognathic Cases with Aligners (1 h 11 min) 9 topics
- 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
Distalization and space closure with aligners (1 h 38 min) 11 topics
- 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
Before you buy
Is lesson 5 really listed as 1 h 97 min?
That is how the running time appears in the lesson list; it is probably a typing error for roughly 1 h 37 min or 2 h 37 min.
Which faculty member pioneered MARPE?
Kee Joon Lee of Yonsei University is credited with first demonstrating the miniscrew-assisted rapid palatal expander in adults.
Do I get CME credit or a certificate?
No. Clinicapedia provides the educational content only — no CME or CE credits, MOC points or certificates of completion are included with this product.
Specifications
| Format | Online video course |
|---|---|
| Instructors | Lee, Ramos, Dias da Silva, Wilmes |
| Contents | 7 lessons |
| Duration | 9 h 25 min |
| Access | Lifetime, self-paced |
| Department | Dentistry |
| Delivery | Instant download · lifetime re-download |
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