Adjunctive

intermediate · 5 min

Class II Elastics Choreography With Aligners: Timing and Force

Class II elastics with aligners run on precision cuts on the upper canines and buttons on the lower molars, 4.5oz to 6oz, 20 hours a day.

intermediate · 5 min

Class III Elastics With Aligners: A Camouflage Technique

Class III elastics camouflage a mild skeletal Class III by proclining uppers and retroclining lowers, a dental fix, not a skeletal one.

intermediate · 5 min

Corticotomy-Facilitated Orthodontics (PAOO): Acceleration and Bone

PAOO surgery combined with bone grafting accelerates tooth movement by 2, 3× and expands the alveolar envelope, for the right selective cases only.

intermediate · 5 min

IPR Instruments and Technique: Strips, Discs, Burs

IPR is a millimetre-precision procedure. Strips for anterior, discs for premolars, burs for posterior, with radiographic verification of enamel thickness first.

intermediate · 5 min

MARPE: Mini-Screw-Assisted Rapid Palatal Expansion in Adults

MARPE splits the mid-palatal suture in skeletally mature patients, a 2, 7mm skeletal expansion aligners alone cannot achieve.

intermediate · 5 min

Micro-Osteoperforations (MOPs): The Minimally-Invasive Acceleration Option

MOPs are 3, 7mm cortical punctures that trigger a regional acceleratory phenomenon, the evidence is mixed but the technique is low risk.

intermediate · 5 min

Surgery-First Orthognathic Workflow With Aligners

Surgery-first swaps the classical sequence, orthognathic surgery corrects the skeleton, then aligners level the occlusion. Faster, but plan-sensitive.

intermediate · 5 min

TAD Failure Management: When a Mini-Screw Loosens

Loose TADs come out cleanly, the site heals in 2, 3 weeks, and re-insertion 5mm away restores anchorage. Failure ≠ case failure.

intermediate · 5 min

TAD Placement Protocol: A Chair-Side Walkthrough

Local anaesthesia, tissue-punch technique, 30-degree insertion angle, 5, 10 N.cm insertion torque, the concrete steps.

intermediate · 5 min

Buccal Shelf TADs for Aligner Molar Distalisation

Buccal shelf mini-screws anchor the mandible for aligner distalisation, unlocking Class II correction without headgear or elastics dependence.

intermediate · 5 min

Infrazygomatic Crest TADs: Upper Arch Distalisation

IZC mini-screws deliver whole-arch upper distalisation, the maxillary answer to buccal shelf anchorage.

intermediate · 5 min

Provisional Crowns During Aligner Treatment

When a broken cusp needs a crown mid-treatment, a well-contoured provisional lets aligners keep tracking without a re-scan.