Publication of the books:
Dr Sachin Chhatwani, specialist dentist for orthodontics, works in his own practice in Lüdenscheid and as a senior physician at the University of Witten/Herdecke. He is a graduate of the two-year modular training programme of the FACE (functional and cosmetic excellence) group under the direction of Dr Domingo Martin and Dr Renato Cocconi. Because his scientific activities, Dr Sachin Chhatwani is active on the editorial advisory board of the journal "Kieferorthopädie", Quintessenz Verlag, Berlin and the editorial board of the "Journal of Aligner Orthodontics", Quintessence Publishing, London. He is also a board member of the working group for craniomandibular and musculoskeletal medicine. His research focuses on three-dimensional imaging and craniomandibular and musculoskeletal medicine.
Next Level Aligner Therapy – Implementation of Jaw Tracking in Virtual Treatment Planning
Conventional aligner procedures have so far only offered the static, habitual occlusion as the starting point for virtual treatment simulation (VTS). With most providers, the respective occlusion is determined virtually using the "best-fit" procedure. A change in the occlusal relationship in the course of the VTS can therefore only be shown using the "best-fit" method and neglects the dynamics of the temporomandibular joint and therefore a realistic treatment simulation.
The in-office aligner treatment gives the orthodontist complete freedom in contrast to conventional systems. Each planning and treatment step is carried out in the own clinic and laboratory setting under the direct control of the orthodontist. In addition to the selection of different aligner materials, monolayers or multilayers in various thicknesses and shape memory materials, the aligner length can be determined to improve the quality of treatment. A further step towards individualizing aligner therapy is the integration of jaw tracking systems and the virtual articulator.
Individual, digitally recorded movement and joint space data using jaw tracking systems such as DMD (Ignident, Germany) and Modjaw (Modjaw, France) can be used to transfer the relationship of the temporomandibular joints into treatment planning. This allows reliable simulation of the aligner planning, taking into account the individual jaw movement, and ensures an efficient result that takes functional concepts into account. If a pathological joint situation is present, a therapeutic starting position can be determined for treatment using occlusal splints or directly for the VTS. This procedure offers maximum individualization of treatment planning and expands the range of functional, dynamic treatment goals that can be efficiently implemented.
This course covers
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