Clinical Lingual Orthodontic Course
Dr. Vittorio Cacciafesta
I like to work with the 2D Lingual appliance!
Aims of the course
So far lingual orthodontics were supposed to be extremely difficult to apply and that only a few specialists would have the ability and time to prepare for the necessary setup for the indirect bonding procedure.The 2D lingual appliance which was studied for a long period and successfully applied from the Insubria study group in Varese/ Italy has the outstanding advantage that it can be applied directly to the mouth of the patient without the need of doing any setup procedure in a dental laboratory. Furthermore this appliance is extremely flat so that the adaption for the patient becomes much easier. With the Forestadent 2D lingual appliance a good portion of all lingual cases can be treated successfully. During the clinical seminar in Dr. Cacciafesta's office in Milano the participants will understand the special biomechanical questions of lingual orthodontics, study some cases which were successfully treated, practically learn how to individualize the necessary NiTi lingual archwires and train on a wax typodont The outstanding character of this seminar however is that Dr. Cacciafesta will invite a good number of his patients to allow the participants to see for themselves different stages of the 2D Lingual treatment chairside on patients and learn about Dr. Cacciafesta's tricks to successfully finish lingual cases.
The speaker
Dr. Vittorio Cacciafesta received his dental training at the University of Naples "Federico II", Italy. From July 1995 until August 1996 he was Research Fellow at the Department of Orthodontics, Humboldt- University of Berlin, Germany. From September 1996 until August 1999 he was Orthodontic Resident at the Department of Orthodontics, Royal Dental College, Aarhus University, Denmark, where he received the Specialty and Master of Science in Orthodontics.He is "Dottore di Ricerca" (Research Doctorate) in Biotechnology of Dental Materials. From 1999 to 2009 he was Assistant Clinical Professor at the Department of Orthodontics, University of Pavia, Italy. From 1999 until 2002 he was Visiting Professor at the Department of Orthodontics, Aarhus University, Denmark, and Visiting Professor at Temple University, Philadelphia, USA. He has published over 100 refereed publications, 1 book and 4 book chapters. He is Co-Editor of "Ortodonzia Clinica", Associate Editor of "Progress in Orthodontics", and Referee for the following scientific journals: "American Journal of Orthodontics and Dentofacial Orthopedics", "Angle Orthodontist", "European Journal of Orthodontics", "Journal of Clinical Orthodontics", "Orthodontics and Craniofacial Research", "Ortognatodonzia Italiana". His main research interests are bonding materials, brackets, metallurgy, friction between brackets and wires. His main clinical interests are biomechanics, lingual orthodontics and orthodontic treatment of adults. He has been lecturing extensively in Europe, Middle East, Asia and North and South America
Scientific program
The 2D Lingual Bracket . Main characteristics of 2D lingual brackets . Comparison with STB and other Systems . Different designs and versatility of 2D Lingual brackets . Instruments and tools . Opening and closing of 2D Lingual brackets (video and live demo) . Direct bonding: clinical procedure (video and live demo) . Indirect Bonding: clinical procedure (video and live demo) Treatment mechanics Simple arch mechanics . Levelling, aligning, control of rotations. . Use of lazo elastics Classical Mechanics . Control of Rotations . Control of Angulations . Vertical Control . Torque Control Hands-on session on the typodont: bracket bonding Clinical session on patients: bracket bonding Double arch mechanics: . T ooth intrusion . Tooth Rotation . Impacted canines . Space closure Use of Lingual Utility archwires . Incisor intrusion and proclination . Molar distal tipping Use of auxiliaries in the Torque mechanics . New 2D Plus Lingual brackets for additional torque control Use of Loops and Power arms in the space closure mechanics Use of Fiber Reinforced Composites (FRCs) for anchorage Use of Miniscrews. Incisor intrusion and retroclination . Molar intrusion . Molar uprighting . Space closure Advanced Case Reports with 2D Lingual brackets . Periodontally involved patients . Class III malocclusions . Intrusion of maxillary and mandibular front teeth . Impacted canines . Extraction of a mandibular incisor . Orthognathic Surgery cases . Non extraction cases . Extraction cases Hands-on session on the typodont: archwire fabrication and management Clinical session on patients: archwire fabrication, change and management, bracket repositioning and rebonding