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Innovation of orthodontics
in the new millennium
DR TED NAING
BDS,MDSc
Tha kha 1067
CDE talk,KawThaung ,6.12.19
CDE talk,KawThaung ,6.12.19
CDE talk,KawThaung ,6.12.19
CDE talk,KawThaung ,6.12.19
Orthodontic
bracket
CDE talk,KawThaung ,6.12.19
Evolution of orthodontic bracket
CDE talk,KawThaung ,6.12.19
CDE talk,KawThaung ,6.12.19
CDE talk,KawThaung ,6.12.19
CDE talk,KawThaung ,6.12.19
Lingual/invisible
braces
CDE talk,KawThaung ,6.12.19
Lingual braces
CDE talk,KawThaung ,6.12.19
Lingual orthodontic society(2006)
CDE talk,KawThaung ,6.12.19
Aligner orthodontics
CDE talk,KawThaung ,6.12.19
Orthodontic
bonding
CDE talk,KawThaung ,6.12.19
Evolutions in orthodontic bonding
• In the mid 1960s-
Dr George Newman from Newjersey,USA and
Prof;Fujio Miura fromTMDU ,Japan pioneered the
bonding of orthodontic bracket to the enamel.
CDE talk,KawThaung ,6.12.19
CDE talk,KawThaung ,6.12.19
Orthodontic bonding products
CDE talk,KawThaung ,6.12.19
Application of Nanotechnology in
orthodontics
• application of nanotechnology in orthodontics, including
nanodesigned orthodontic bonding materials,
• possible nanovectors for gene delivery for mandibular
growth stimulation, and nano-LIPUS devices.
• Also, nanomechanical sensors can be fabricated and
incorporated into the base of orthodontic brackets and
tubes in order to provide real-time feedback about the
applied orthodontic forces. This real-time feedback allows
the orthodontist to adjust the applied force to be within a
biological range to efficiently move teeth with minimal side
effects.
(Tarek El-Bialy, in
Nanobiomaterials in Clinical Dentistry (Second Edition), 2019)
CDE talk,KawThaung ,6.12.19
Biomechanics in
orthodontics
CDE talk,KawThaung ,6.12.19
3D-4D Biomechanics in orthodontics
CDE talk,KawThaung ,6.12.19
Orthodontic force control
CDE talk,KawThaung ,6.12.19
Tooth
movement
•
• the choice of appliance does not seem to influence
tooth movement. Furthermore, the skill of the
operator is likely to affect the outcomes.
CDE talk,KawThaung ,6.12.19
Accelerated
tooth movement
CDE talk,KawThaung ,6.12.19
Methods of accelerating tooth
movement
• Biological approach
• Device-assisted treatment
• Surgical approach
CDE talk,KawThaung ,6.12.19
Biologic approach
PG,;prostaglandin
RANKL;receptor
activator of nuclear
factor kappa B ligand
PTH;parathyroid
hormone
Ca; calcium
IL1;interlukin 1
Vit D;vitamin D
CDE talk,KawThaung ,6.12.19
Device-assisted treatment
stimulant
• Direct electric current(7 Volt)
• Vibrational stimulation
(60 Htz,1m/s,2-8min/day)
• Resonance vibration
(20-30 Htz,20 min/day)
• Low-level laser
(diode laser and continuous wave)
CDE talk,KawThaung ,6.12.19
Direct electric current
CDE talk,KawThaung ,6.12.19
Vibrational device
• ACCELEDENT
CDE talk,KawThaung ,6.12.19
Vibrational device(Propel)
CDE talk,KawThaung ,6.12.19
Low-level
LASER
CDE talk,KawThaung ,6.12.19
Surgical approach for accelerated tooth
movement
• Micro-osteo perforation
• Alveolar corticormy
• Piezocision with soft tissue grafting
• Distraction osteogenesis
CDE talk,KawThaung ,6.12.19
Ultrasonic micro-saw OT 7 for the
vertical corticotamy
CDE talk,KawThaung ,6.12.19
Micro-osteoperforation
CDE talk,KawThaung ,6.12.19
Alveolar corticotomy
• Corticotomy with
micro-osteoperforation
CDE talk,KawThaung ,6.12.19
Distraction osteogenesis
CDE talk,KawThaung ,6.12.19
Surgery first approach in orthodontics
CDE talk,KawThaung ,6.12.19
Mechanism underlying orthodontic pain
CDE talk,KawThaung ,6.12.19
Digital
orthodontics
CDE talk,KawThaung ,6.12.19
Intra-oral scanning
• Triangulation: Optical triangulation measures
distances to objects without physically touching them.
• Active Wavefront Sampling: This system utilizes a
3D-in-motion technique. It captures the 3D data in a
video sequence and models the data in real time.
• Parallel Confocal Imaging: Using a system of “point
and stitch” reconstruction, laser light bounced off the
target surface is reflected back to the sensor.
• Accordion Fringe Interferometry: This system utilizes
two beams of laser light that create three projected
patterns — called fringe patterns — that strike the
target surface and take on new fringe patterns.
CDE talk,KawThaung ,6.12.19
Intra-oral
scanner for
digital model
CDE talk,KawThaung ,6.12.19
Temporary
anchorage
device(TAD)
CDE talk,KawThaung ,6.12.19
Skeletal anchorage devices
To overcome the treatment difficulty,
To modify the treatment mechanics
To reinforce the anchorage planning
To correct the unintentional anchorage loss
To reduce the treatment time
To adjunct the 3D control of movement
CDE talk,KawThaung ,6.12.19
Temporary anchorage devices(TADs)
CDE talk,KawThaung ,6.12.19
application of
new appliances
CDE talk,KawThaung ,6.12.19
New Bracket system
CDE talk,KawThaung ,6.12.19
New Class II appliance
CDE talk,KawThaung ,6.12.19
Mobile
Application in
orthodontics
CDE talk,KawThaung ,6.12.19
Mobile application for orthodontics
• Application for orthodonticst
• Applications of apatient education
• Application for orthodontic event
CDE talk,KawThaung ,6.12.19
THANK YOU!
CDE talk,KawThaung ,6.12.19

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Innovation of orthodontics in the new millennium