{"id":3421,"date":"2009-01-19T14:00:00","date_gmt":"2009-01-19T13:00:00","guid":{"rendered":"https:\/\/www.zerodonto.com\/en\/2009\/01\/invisible-orthodontics-2\/"},"modified":"2017-11-28T12:18:52","modified_gmt":"2017-11-28T11:18:52","slug":"invisible-orthodontics-2","status":"publish","type":"post","link":"https:\/\/www.zerodonto.com\/en\/2009\/01\/invisible-orthodontics-2\/","title":{"rendered":"Invisible Orthodontics"},"content":{"rendered":"<p>&nbsp;<\/p>\n<p>SPACES OPEN THROUGH THE ACTIVE RETAINERS USE<\/p>\n<p>&nbsp;<\/p>\n<p>In case of dental crowding an alignment can be made, with or without stripping, by using pre-activated retainers. Lingual orthodontics without attacks has been originally created by Dr. Aldo Macchi and Dr. Nunzio Cirulli and has also been successfully performed by other authors. This innovative technique is based on the use of retainers constituted by 5 interweaved wires of 0.0175 inches thick, shaped and activated in order to obtain the desired dental movements. Active retainers, similarly to the passive ones, are bonded on the lingual surface of the teeth. Therefore, there are invisible and they represent an ideal treatment for all patients that don\u2019t favor the classic orthodontic therapy. Moreover, active retainers are very thin and more comfortable compared to the smaller lingual attacks. They don&#8217;t induce phonetic changes even in the first days of therapy. Thanks to all these characteristics, active retainers are actually more and more requested.<\/p>\n<p>With the active retainers technique all malocclusion types may be solved: first class malocclusion with dental-basal discords, in excess or in fault, and II or III class more complex malocclusions for the latter, we also use other invisible devices such as micro screws).<\/p>\n<p>Now, let&#8217;s see how it can be possible treating dental crowding with the use of active retainers. In case of a minimum dental crowding, with an inter-proximal surface overlap smaller than 0,5 mm, step folds are sufficient to develop the necessary power to align the arch. In case of a greater dental crowding it is necessary to increase wire elasticity by shaping the vertical folds in a \u201cU\u201d mode. Thus, charge\/deflection relation is decreased, resulting in a bigger and more long-lasting activation.<\/p>\n<p>In order to prepare the dental surface to the adhesion, teeth are first cleaned. Then, surfaces to be bonded are etched for 30sec and an adhesive is applied and polymerized for 20sec.<\/p>\n<p>In the following figures we analyze some activations for opening spaces in case of crowding.<!--more--><\/p>\n<p><b>Figure 1:<\/b> the pre-shaped retainer with U folds between n.31 and n.41 and between n.42 and n.43 is bonded on n.31. A very charged fluid composite is used.<\/p>\n<p>&nbsp;<\/p>\n<p><a href=\"https:\/\/www.zerodonto.com\/en\/wp-content\/uploads\/2008\/02\/espasione-1.jpg\"><img loading=\"lazy\" decoding=\"async\" title=\"lingual therapy without brackets\" src=\"https:\/\/www.zerodonto.com\/en\/wp-content\/uploads\/2008\/02\/espasione-1-300x225.jpg\" alt=\"lingual therapy without brackets\" width=\"590\" height=\"442\" border=\"0\" \/><\/a><\/p>\n<p><b>Figure 2:<\/b> by closing the handle of about 2 mm between n. 31 and 41 the retainer is bonded on n. 42. In this phase it is important to keep the vertical plan of the wire, checking with another utility tool (tweezers) that the wire doesn&#8217;t move up when the handle is closed. Attention must be paid, not to let fluid composite flow in the inter-dental space and at a gingival level in order to avoid periodontal problems. Obviously, the fluid composite must never be positioned at a handle level. To notice that retainer, after being bonded on n. 31 and 41, is more moved towards the lingual surface compared to n.41.<\/p>\n<p><a href=\"https:\/\/www.zerodonto.com\/en\/wp-content\/uploads\/2008\/02\/espansione-2.jpg\"><img loading=\"lazy\" decoding=\"async\" title=\"lingual orthodontic without phonetic problems\" src=\"https:\/\/www.zerodonto.com\/en\/wp-content\/uploads\/2008\/02\/espansione-2-300x225.jpg\" alt=\"lingual orthodontic without phonetic problems\" width=\"590\" height=\"442\" border=\"0\" \/><\/a><\/p>\n<p><b>Figure 3:<\/b> the retainer is pulled over through an utility tool at n. 41, moving it from a lingual to a vestibular way and it is bonded.<\/p>\n<p><a href=\"https:\/\/www.zerodonto.com\/en\/wp-content\/uploads\/2008\/02\/espansione-2ter-copia.jpg\"><img loading=\"lazy\" decoding=\"async\" title=\"comportable lingual therapy\" src=\"https:\/\/www.zerodonto.com\/en\/wp-content\/uploads\/2008\/02\/espansione-2ter-copia-300x225.jpg\" alt=\"comportable lingual therapy\" width=\"590\" height=\"442\" border=\"0\" \/><\/a><\/p>\n<p>&nbsp;<\/p>\n<p><b>Figure 4:<\/b> alignment is obtained when the handle creates a space through the expansion and n.41 is moved lingually.<\/p>\n<p><a href=\"https:\/\/www.zerodonto.com\/en\/wp-content\/uploads\/2008\/02\/espansione-3-copia.jpg\"><img loading=\"lazy\" decoding=\"async\" title=\"invisible teeth leveling\" src=\"https:\/\/www.zerodonto.com\/en\/wp-content\/uploads\/2008\/02\/espansione-3-copia-300x225.jpg\" alt=\"invisible teeth leveling\" width=\"590\" height=\"442\" border=\"0\" \/><\/a><\/p>\n<p>&nbsp;<\/p>\n<p>In the following video we analyze a handle bonding sequence example to obtain the expansion and alignment.<\/p>\n<p align=\"center\"><span style=\"font-size: 180%;\"><strong>RETAINER ASSEMBLING VIDEO<\/strong><\/span><\/p>\n<div style=\"margin: 0px; display: inline; float: none; padding: 0px;\">\n<div style=\"margin: 0px; padding: 0px; display: inline;\">\n<div><a href=\"http:\/\/www.youtube.com\/watch?v=64Z1aYMHZCk&amp;feature=youtube_gdata_player\" target=\"_new\"><img decoding=\"async\" style=\"border-style: none;\" src=\"https:\/\/www.zerodonto.com\/en\/wp-content\/uploads\/2009\/01\/video018efb3ac590-25255B5-25255D-300x168.jpg\" alt=\"\" \/><\/a><\/div>\n<\/div>\n<\/div>\n<p><b>References<\/b><\/p>\n<p>1.Macchi A, Cirulli N. &#8220;Fixed Active Retainer for Minor Anterior Tooth Movement&#8221;. Journal of Clinical Orthodontics, 2000.<\/p>\n<p>2.Macchi A, Rania S, Cirulli . &#8220;Una proposta per la gestione di disallineamenti anteriori: il mantenitore attivo di contenzione (MAC)&#8221;. Mondo Ortodontico, 1999.<\/p>\n<p><strong>For further information:<\/strong><\/p>\n<p><strong><a href=\"mailto:zerodonto@gmail.com\">zerodonto@gmail.com<\/a><\/strong><\/p>\n<p><strong>tel. 0039 081 2451805<\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"<p>&nbsp; SPACES OPEN THROUGH THE ACTIVE RETAINERS USE &nbsp; In case of dental crowding an alignment can be made, with or without stripping, by using pre-activated retainers. Lingual orthodontics without attacks has been originally created by Dr. Aldo Macchi and Dr. Nunzio Cirulli and has also been successfully performed by other authors. This innovative technique is based on the use of retainers constituted by 5 interweaved wires of 0.0175 inches thick, shaped and activated in order to obtain the desired dental movements. Active retainers, similarly to the passive ones, are bonded on the lingual surface of the teeth. Therefore, there are invisible and they represent an ideal treatment for all patients that don\u2019t favor the classic orthodontic therapy. Moreover, active retainers are very thin and more comfortable compared to the smaller lingual attacks. They don&#8217;t induce phonetic changes even in the first days of therapy. Thanks to all these characteristics, active retainers are actually more and more requested. With the active retainers technique all malocclusion types may be solved: first class malocclusion with dental-basal discords, in excess or in fault, and II or III class more complex malocclusions for the latter, we also use other invisible devices such as micro [&hellip;]<\/p>\n","protected":false},"author":3,"featured_media":2689,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[47],"tags":[],"coauthors":[33,23,39],"class_list":["post-3421","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-invisible-orthodontics"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.7 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Invisible Orthodontics | Zerodonto | Dentistry in Blog<\/title>\n<meta name=\"description\" content=\"INVISIBLE ORTHODONTICS\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, 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She attended a Postgraduate Retraining Course in Orthodontics in 2004\\\/2005 at the University \u2018Federico II\u2019 of Naples. Then she specialized in Orthodontic in 2010 at the Catholic University of the Sacred Heart of Rome. Founder of the dental blog Zerodonto \u201chttps:\\\/\\\/www.zerodonto.com\\\/en\\\/\\\" with Dr. Fabio Cozzolino and Dr. Roberto Sorrentino. Author of a book on lingual orthodontics:\u00a0\u201cAtlas of bracketless fixed lingual orthodontics\u201d, Quintessences publishing Italia. Author of national and international orthodontic publications. Lecturer at several national and international Conferences, Courses and Master Courses in different Universities about Orthodontics and multidisciplinary approach. Her main clinical interest is bracketless invisible fixed lingual orthodontics. She works as private practitioner in Naples at Cozzolino Dental Office. 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Mariniello"},"description":"Graduated with full marks and honors in Dentistry in 2004 at the University \u2018Federico II\u2019 of Naples. She attended a Postgraduate Retraining Course in Orthodontics in 2004\/2005 at the University \u2018Federico II\u2019 of Naples. Then she specialized in Orthodontic in 2010 at the Catholic University of the Sacred Heart of Rome. Founder of the dental blog Zerodonto \u201chttps:\/\/www.zerodonto.com\/en\/\" with Dr. Fabio Cozzolino and Dr. Roberto Sorrentino. Author of a book on lingual orthodontics:\u00a0\u201cAtlas of bracketless fixed lingual orthodontics\u201d, Quintessences publishing Italia. Author of national and international orthodontic publications. Lecturer at several national and international Conferences, Courses and Master Courses in different Universities about Orthodontics and multidisciplinary approach. Her main clinical interest is bracketless invisible fixed lingual orthodontics. She works as private practitioner in Naples at Cozzolino Dental Office. Complete resume here.","sameAs":["https:\/\/www.zerodonto.com\/en\/author\/annamariniello\/","https:\/\/www.facebook.com\/AnnaMariniello"],"url":"https:\/\/www.zerodonto.com\/en\/author\/annamariniello\/"}]}},"_links":{"self":[{"href":"https:\/\/www.zerodonto.com\/en\/wp-json\/wp\/v2\/posts\/3421","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.zerodonto.com\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.zerodonto.com\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.zerodonto.com\/en\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/www.zerodonto.com\/en\/wp-json\/wp\/v2\/comments?post=3421"}],"version-history":[{"count":6,"href":"https:\/\/www.zerodonto.com\/en\/wp-json\/wp\/v2\/posts\/3421\/revisions"}],"predecessor-version":[{"id":17441,"href":"https:\/\/www.zerodonto.com\/en\/wp-json\/wp\/v2\/posts\/3421\/revisions\/17441"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.zerodonto.com\/en\/wp-json\/wp\/v2\/media\/2689"}],"wp:attachment":[{"href":"https:\/\/www.zerodonto.com\/en\/wp-json\/wp\/v2\/media?parent=3421"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.zerodonto.com\/en\/wp-json\/wp\/v2\/categories?post=3421"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.zerodonto.com\/en\/wp-json\/wp\/v2\/tags?post=3421"},{"taxonomy":"author","embeddable":true,"href":"https:\/\/www.zerodonto.com\/en\/wp-json\/wp\/v2\/coauthors?post=3421"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}