NEW starting APRIL 24, 25, 26, 2020: Orthodontic Training Seminars of California, Dr. Larry Brown

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Place: 
Hotel Intercontinental Warszawa
City: 
Warszawa
Country: 
Poland
Dates: 
Fri 24 Apr 2020
Sat 25 Apr 2020
Sun 26 Apr 2020
Fri 5 Jun 2020
Sat 6 Jun 2020
Sun 7 Jun 2020
Fri 9 Oct 2020
Sat 10 Oct 2020
Sun 11 Oct 2020
Fri 4 Dec 2020
Sat 5 Dec 2020
Sun 6 Dec 2020
Fri 8 Jan 2021
Sat 9 Jan 2021
Sun 10 Jan 2021

   Orthodontic Treatment for Children and Adults Using the Straight Wire Appliance

The course consists of 5 separate, three-day sessions (15 days total) 

Program Schedule: Sessions 1 to 5 

Location:  Hotel Intecontinental, Warszawa, Poland 

Dates (Fri, Sat, Sun): 1. April 24, 25, 26  2020   2. June 5, 6, 7  2020  3. October 9, 10, 11   2020  4. December 4, 5, 6  2020   5.  January 8, 9, 10  2021 

Hours each day for the 3-days: 1st day: 9:30 to 17:30; 2nd day: 9 to 17; 3rd day: 9 to 16. Dr. Brown remains after the course each day to answer questions and to provide consultation and problem solving for the individual orthodontic cases of the course participants. There is a gourmet lunch served daily along with 2 breaks with drinks and snacks.

The Orthodontic Training Program is a comprehensive series of orthodontic seminars for the general dentist and for the orthodontist on how to use the Straight Wire Appliance (SWA). This complete program will enable the participant to learn the Art of Modern Orthodontics: that is the ability to recognize orthodontic problems as they develop in their own patients, to properly diagnose and then to treat these patients to the highest orthodontic and esthetic standards. The SWA (and variations thereof) is the most popular fixed orthodontic appliance used today. With this appliance the dentist has absolute control of the orthodontic treatment.

Using Dr. Brown’s system, you will be able to obtain for your patients: 1. An esthetic harmony of the face, lips, jaws, teeth and smile.   2. The treatment of most young patients without extracting teeth by using “Growth Modification”.   3. An optimal occlusion.   4. A beautiful smile and pleasing facial appearance. Dr. Brown’s system is time tested and is being successfully used by 1000’s of doctors worldwide. 

For your convenience to help you get started on the road to a career in orthodontics, all the necessary instruments and orthodontic materials needed for the workshops and to start patient treatments using Dr. Brown’s system can be ordered, at discounted prices, through LBOrthodontics.com or ordered directly at the course location. 

 

Session 1:   April 24, 25, 26 2020   (Fri, Sat, Sun)               

This 3 day session is organized so that the participating doctors will understand the Straight Wire Appliance (SWA) and why it works so efficiently.

The participating doctors will learn:

  • The correct techniques for Straight Wire Appliance (SWA) “direct bracketing” and for molar banding.
  • The various “bracketing schemes” that are used in treating different types of malocclusions in order to obtain the desired result.
  • The arch wire system of the SWA:

The Heat Activated Nickel Titanium (HA NiTi) wires use the most optimal force levels available today, have the greatest elasticity and obtain superior results. These are used during the beginning phase of treatment for leveling and then later for finishing.

The 19x25 steel wire, “The working Wire”: used during the treatment when heavier forces are used to move teeth and/or mandible.

  • How to place, fit and adjust the wires.
  • The basic auxiliaries of the SWA.
  • The instruments used in Dr. Brown’s system.

The 1st session Workshops will consist of the placement of:

  • brackets
  • molar bands
  • bondable molar tubes
  • various separators
  • elastomeric ligature ties
  • open-coil spring
  • springs for space closure
  • chain elastic
  • intra-oral elastics
  • molar bend-backs
  • arch wires  

Day 1

Lecture: The Straight Wire Appliance (SWA).

“Bracketing for Success” using the bracketing system of Dr Brown.

  • How and why it works so well.
  • Discussion, instruction and video demonstration on the placement of the brackets, molar bands and molar tubes of the SWA using light-cure adhesives.
  • The basic biomechanics of the SWA
  • Placing of the arch wires used in the “leveling/aligning phase” of most cases.
  • Demonstration of the instruments that are used.   
  • Instructional video showing these procedures on a patient.

Workshop on the typodont: The following exercises will be done on the Typodont: 

  • Placing the brackets and molar bands (using non-mix, light cure adhesives).
  • Placing/fitting arch wires that are used in the “leveling/aligning phase” of treatment for most cases.
  • Placing elastomeric ligature ties to “ligate” the wire to the brackets.

Additional exercises on the Typodont:

  • Placing of elastomeric Separators in preparation of band fitting
  • Open-coil spring to open spaces
  • Closed-coil spring (springs for space closure)
  • Chain elastic
  • Placing of molar bend-backs

Day 2

Workshop on the Typodont:

  • Continuing and Finishing the workshop from day 1 

Lecture:

  • 19x25 steel wire: “The Working Wire”
  • The biomechanics and the use of CLII and CLIII intra-oral elastics for the correction of malocclusions and for space closure in extraction cases.
  • “Special elastics” for specific situations such as settling-in the occlusion or closing-down an open bite.
  • Biomechanics of CLI forces: CLI intra-maxillary forces used for space closure.  
  • CLI elastics
  • NiTi Closing springs
  • Chain elastics.

Workshop on the typodont:

  • Placing the 19x25 steel wire on the maxillary arch. 
  • Placing CLI, CLII, CLIII and “special elastics” on the typodont.
  • Placement of a 200gr NiTi closing spring for “en masse, reciprocal space closure”.

Day 3

Lecture:

Clinical case presentations: These cases demonstrate how to diagnose and then to treat “step-by-step” typical orthodontic patients seen every day in dental practices.

  • Mixed dentition and adolescent aged patients:

Treating CLII and CLIII malocclusion patients using the SWA, archwires and intra-oral elastics.

  • Treatment of an extraction case using CLI “sliding mechanics” and “en masse” space closure.

At each session, patient clinical cases will be presented that demonstrate the changes in the patients that occur during treatment on a month-by-month basis as a result of the forces used. These cases instruct in the diagnosis and mechanical treatment planning, and as well they aid in learning to visualize the process and the final result of an orthodontic treatment before the treatment begins. For these cases, Dr. Brown will discuss:

  • The basic theory on “Human Growth Patterns” and the “development of orthodontic problems” 
  • The Esthetic Diagnosis” of Dr Brown
  • “Study model” evaluation   
  • Simplified and easy to use Cephalometirc x-ray and tracing analysis ( a computer program is available for purchase for quick and accurate resulsts)
  • The basics of the biomechanics involved in the treatment
  • The details of the actual mechanical treatment of the patient
  • The potential problems to be aware of during the treatment
  • Finishing the case to obtain an optimal occlusion along with an esthetic harmony of the face, jaws, teeth and smile.  

After Session 1 is finished, the participating dentists, even those who have never placed or used the SWA before, will be able to visualize how the SWA is used to treat malocclusions, will be able to better evaluate their patients before starting orthodontic treatment and once a diagnosis is made, the doctors will have the ability to start treatments. 


Session 2:  June 5, 6, 7  2020    

First half of Day 1:

Lecture:

“Cephalometics”

  • How to interpret the cephalometric x-ray and the cephalometric analysis.
  • Discussion and instruction of the cephalometric tracing and analysis.

Workshop:

  • Cephalometric Tracing workshop and analysis exercise will be performed by the participants.
  • The Dr. Larry Brown Cephalometric Tracing and Analysis computer program will be demonstrated. Using this program, one is capable of completing the basic tracing and a complete analysis in a matter of a few minutes.

Lecture:

  • The Esthetic Diagnosis: the “Esthetic Diagnostic Analysis” combined with the cephalometric analysis. 

Second half of Day 1

Lecture:

  • Discussion, instruction and live demonstration on how to adjust the 19x25 steel wire
  • The Biomechanics of the Working Wire

Workshop on the typodont:

Adjusting the 19x25 posted steel wire

  • Wire forming

     Making an “Accentuated Curve”  

     Wire “torque and de-torque” 

Workshop:

  • Demonstration of the use of “Lock-stops” for stopping teeth and also for moving teeth along the archwire when used in conjunction with NiTi open-coil springs.

Workshop on the Typodont:

  • Placing a 200gr closing-spring from 1st molar to a cuspid or premolar for space closure during extraction treatment.

Lecture

Clinical case presentation of Adolescent orthodontic treatment

The diagnosis, treatment planning, mechanics and biomechanics using the SWA and inter-maxillary elastics of  adolescent age patients:

  • CLII deep bite,
  • CLII open bite
  • CLIII.

Day 2:

First Part of Day 2:

Lecture:

  • Continuation: treatment of adolescent age patients 

Second part of Day 2 and Day 3

Lecture:

  • Extraction treatment of CLI and CLII malocclusions in adult patients:
  • Explanation and discussion of space closure using “sliding mechanics” with CLI, CLII and CLIII forces.
  • Camouflage CLII treatments
  • Explanation of the biomechanics of space closure
  • Various anchorage situations.
  1. Maximum anchorage
  2. Moderate anchorage
  3. Minimum anchorage
  • How to establish anchorage
  • En Masse space closure
  • Cuspid-First distalization using Closed-coil springs and CLI intra-oral elastics.
  • The 10 hour force theory: this idea can be applied for tooth movement and for anchorage.

Clinical case presentation:

CLI extraction treatments

Camouflage CLII extraction treatments

  • Use of different anchorage systems   
  • Use of intra-oral CLI and CLII elastics for extraction cases.
  • Use of NiTi Closing springs
  • Use of chain elastics

 

Session 3:  October 9, 10, 11   2020  

Day 1 and Day 2

Lecture:

  • The use of the intrusion wires (bite opening) in mixed dentition cases: the 16x22 Beta-Titanium (Beta-Ti) intrusion wire. The 16x22 Beta-Ti intrusion wires are used for incisor intrusion, bite opening and arch leveling in mixed dentition cases.
  • The use of the 17x25 NiTi Reverse Curve Wires” (RCS) for adolescent and adult deep bite cases. The pre-formed NiTi “RCS” wires are used for incisor intrusion, bite opening and arch leveling in adolescent and adult cases. 
  • The 16x16 Utility Arch Wire will be discussed and compared.  

Lecture:

Discussion of the use of the “Heat Activated Nitanium (HA NiTi) Trans-palatal Expander” and the “Heat Activated (HA NiTi) Trans-palatal Molar Rotator”.

  • Pre-fabricated and pre-programed to expand the palate, distal-rotate and distalize the molars in an automatic manner.
  • These are simple to place in the mouth.
  • Do not need adjustment once they are in place.
  • Biomechanically provide an “optimal, biological HA force” as opposed to heavy steel forces.

Workshop on the typodont:

  • Making and placing a 16x22 Beta-Ti intrusion wire. 
  • Placing a “Heat Activated Nitanium (NiTi) Trans-palatal Molar Rotator”
  • Demonstration of the placement a 17x25 NiTi RCS wire. 

Lecture:

  • Clinical case presentations of early to mid-mixed dentition cases using the intrusion wires for deep-bite correction (opening of a deep bite) and to close down an anterior open-bite.
  • Case presentations of adolescent age patients using NiTi RCS wires for bite opening and arch leveling. 
  • Clinical case presentations of early and mid-mixed dentition cases with severe malocclusions using the HA NiTi trans-palatal appliance, in conjunction with the SWA and the wires: this set-up works as a “fixed functional appliance” for growth modification and the reduction of soft tissue and skeletal dysfunctions. This system provides, in a biological manner, palatal expansion and molar distalization during tooth leveling and alignment.
  • The use of CLII and CLIII elastics to finish correcting skeletal and dental malocclusions. 

Day 3

Lecture:

Extraction treatment of CLIII malocclusions: Camouflage CLIII extraction treatments

  • Explanation and discussion of space closure using sliding mechanics with CLI, CLII and CLIII forces.
  • Camouflage CLIII treatments
  • Instruction on the biomechanics of space closure for CLIII cases.
  • Discussion of various types of anchorage situations
  • How to establish anchorage. 
  • En Masse space closure
  • Cuspid-First distaliation
  1. Biomechanics of CLI forces: intra-maxillary forces used for space closure.
  2. CLI intra oral elastics
  3. NiTi Closing springs
  4. Chain elastics.

Clinical case presentation of CLIII camouflage extraction treatments using different Anchorage situations. 


Session 4:  December 4, 5, 6  2020   

1st half of Day 1:

Lecture: 

Orthodontic treatment combined with Oral Surgery 

  • Description of the most common orthognathic surgeries used today.
  1. The Lefort I down-fracture
  2. The BSSO of the mandible
  3. The corticotomy of the palate (surgical expansion)
  4. The genioplasty
  • How to differentiate and to diagnose a surgical case from a non-surgical one.
  • Beware of the “Traps” that must be avoided: the cases with underlying skeletal situations that can land a practitioner in a difficult treatment situation.
  • The handling of surgical orthodontic cases (these cases are treated differently than routine orthodontic cases): What may be a simple GM treatment in a young patient becomes a surgical case in adults.
  • Maxilo-facial surgeries are combined with orthodontics to treat severe dento-facial problems of any type.
  • Surgical treatment is for those orthodontic problems that are so severe that neither Growth Modification nor camouflage extraction therapy offers an acceptable dental, occlusal and esthetic solution.
  • Surgery is used to correct skeletal problems of the jaws and/or the problems of the dento-alveolar segments.
  • Both jaws and the chin can be repositioned in all 3 planes of space.

Case presentation:

Cases using Orthodontic treatment combined with Maxilo-facial oral surgery 

2nd half of Day 1

Workshop on Typodont and demonstrations

  • Placing Kobayashi (Kobi) hooks
  • Placing metal ligature ties
  • Adding additional torque to the 19x25 steel wire using the “torqueing key instrument”.

Workshop demonstration and discussion in the use of:

  • Bite Ramps
  • Bondable cleats
  • Bondable lingual buttons
  • Bondable surgical attachments
  • Crimp hooks
  • Crimp stops

Workshop demonstration:

  • Demonstration of the fitting of the “NiTi CLII Corrector”: a fixed orthodontic and orthopedic appliance that is attached to the SWA – used in Growth Modification of the Mandible and Maxilla).

Discussion, demonstration or video of the intra-oral placement of the mini screw.

Workshop on typodont

  • Placement of the mini screw on a typodont 

Day 2:

Lecture: Difficult extraction cases

  • Continue the explanation and discussion of space closure using CLI, CLII and CLIII forces.

Clinical case presentations of difficult extraction cases which examine different anchorage situations and which compare the use of:

  • Intra-oral elastics, NiTi Closing springs and chain elastics.
  • The use of CLI, CLII and CLIII elastics in these difficult extraction cases.
  • Mini-screw (temporary anchorage device) used for additional anchorage. 

Day 3:

Case presentation

  • CLII “Long Face” mixed dentition cases the SWA, NiTi trans-palatal heat activated appliances, occipital-pull HG and the NiTi CLII corrector (NCC).
  • Using the NiTi CLII corrector (NCC) for CLII correction of non-cooperative patients.


Session 5:  January 8, 9, 10  2021

Day 1

Molar distalization

Molar distalisation using intra-oral fixed appliances:

  • The fixed, palatal-plate, anchorage appliance system: laboratory made, uses +300 gram molar distalizing springs along with a palatal anchorage plate that provides anchorage against the reactionary forces of the springs.
  • Mini-screws/implants which give “skeletal or boney anchorage” against the reactionary forces in a molar distalizing system that uses: the SWA and 300gram NiTi O-C springs compressed with Lock-stops.
  • The sliding yoke activated by CLII elastics or 200gr closed-coil spring as a molar distalizing system
  • Molar distalizers using O-C spring, lock-stops and CLII elastics.

Molar distalisation: extra-oral:

  • Headgear (The Cervical HG and the Combi HG) combined together with the intra-oral HA NiTi transpalatal expander.

Clinical case presentations demonstrating the use of all of the above techniques.

Workshop on the typodont

  • Discussion, instruction, biomechanics, live demonstration on the usage and placement of the sliding yoke/jig for molar distalization in late mixed dentition cases. There will be 2 demonstrations: 1. the “pre-formed sliding yoke”; 2. the sliding yoke made using a loop-bending pliers to bend a piece of steel wire into a yoke. Videos of these procedures will be provided to course participants. 1. Participants can purchase the pre-formed Yoke and fit and place the yoke on the typodont along with CLII elastics. 2. Using the loop-bending pliers to make/bend a yoke from a piece of steel wire (participants need to have the loop-bending pliers for this exercise).

Demonstration and protocol for the adjustment of Head Gear (HG) (face-bow, head-caps/neck straps).

  • The principles and biomechanics of HG.

Workshop on Typodont with demonstrations:

(The participants must have the correct pliers to do the exercise)

  • Step-up step-down bends.
  • Step-in step-out bends.
  • Demonstration of Self-ligating brackets 

Day 2:

Lecture:

Comprehensive Adult Treatment

Non-extraction Adult treatment

  • How to “visualize a good result” when presented with difficult cases
  • Beware of the “Traps” that must be avoided: the cases with underlying skeletal situations that can land a practitioner in a difficult treatment situation.

Adult orthodontics: Orthodontic preparation of adult cases before restorative dental treatment (crowns/veneers, bridges, implants) to enable superior final restorative results that cannot be obtained without using orthodontic treatment first.

Case presentation:

  • Adult non-extraction and extraction cases will be analyzed. 

Tooth Slenderizing, slicing and stripping

  • This can be used occasionally in place of extractions in borderline “extraction/non-extraction” situations as well as for camouflage treatment for mild CLIII and CLII adolescent and adult cases. Or used in maxillary mid-line correction.
  • Is used instead of premolar extractions to gain up to 3.5mm of space per quadrant.

Case presentation:

Difficult clinical cases will be analyzed using Slicing and Stripping in “problem solving”. 

Day 3:

Lecture:

Analysis of the Orthodontic Mini-screw used for different types of “temporary boney anchorage” for different types of tooth movements including the very difficult molar intrusion.

  • Pluses and the minuses of mini-screws (also known as TADs: Temporary Anchorage Device).

“Self- ligating” brackets: clinical cases demonstrating:

  • Pluses and the negatives of these brackets
  • “Passive” versus “active” philosophies

Using Bite Ramps

  • In CLII division II deep bite cases: used to open the bite for early bracketing of the lower arch. At the same time during the beginning leveling phase, they also aid in advancement of the mandible for an early orthopedic correction of CLII cases with deep bite.
  • Other uses of Bite Ramps for difficult situations such as for scissor-bite corrections.

Case presentation: cases showing the above topics 

The final phase of treatment.

Workshop demonstrations:

  • Removing the appliance
  • The placement of the “Fixed lingual retainer wire”

Review and questions

 

Info & subscribing: 

Information on the Orthodontic Training Seminars

-Price per session (includes coffee breaks and Gourmet Lunch at the Hotel Intercontinental): 2840pln. 

There is a reduced price for payment in full of 2740pln which applies if made:

1. Within two weeks from the inscription date (applies to the session 1 only)

2. No later than four weeks prior the course date (applies to the sessions 2 – 5)..

-For doctors repeating a "3-day session" the price is 2640pln.

-For university students in the Larry Brown Orthodontic Club the price is 2540pln. 

-The reduced fee for the Typodont and the basic workshop materials for the entire course is 250pln – this does not include the Heat-activated NiTi Trans Palatal Appliance or a pre-formed Sliding Yoke. The 250pln amount will be reimbursed to the doctors once all 5 sessions of the Training Seminars are completed by the participant.

-The Heat-activated NiTi Tansplalatal Appliance is used in the 3rd session workshop: these are “lent out” and shared amongst the doctors during the workshops. A participant may as well purchase a new appliance for the workshop and keep it for use later on a patient. The price of the transpalatal appliance is 44€; the pre-formed sliding yoke for the 5th session is 15€. These should be ordered 6 weeks before the session.

 

-All orthodontic instruments should be purchased as needed ahead of each session in order to be able to truly participate in the workshops (and of course later for patient treatments). As a service to our course participants, these are available from www.LBOrthodontics.com at much reduced prices to make it easier to get started in orthodontics. If you have questions about what instruments you need to bring or about the pricing, please call +48 602 71 73 58.  For further information on instruments, contact www.LBOrthodontics.com.  

Once ordered, the instruments will be delivered at the beginning of the first session. Instruments and orthodontic materials that are used in the system of Dr. Larry Brown can always be ordered at the course or on-line

-It is highly recommended that each participant purchase the orthodontic textbook: The Art of Modern Orthodontics by Dr. Larry Brown. This 700 page book should be read and used by each doctor as an accompaniment to the Orthodontic Training Seminars and for future reference in the years to come. It is the only book available that provides extensive and time tested knowledge about all aspects of everyday treatments when using the SWAppliance system of Dr. Brown. The price is reduced for all who follow the courses of Dr. Brown.

 

Information and inscriptions:  To inscribe or for further information in English or in Polish contact Rajmund Chmielewski: info@LBOrthodontics.com tel: +48 602 71 73 58 

Contact Dr. Larry Brown at dr.larry.brown@belgacom.net