The world changes. New technologies come to modify the way we work. In these presentation, I will show you how my evolution in the treatment of classes III came about.
From the maxillary disjunction with mask in children, the wonderful self-ligating brackets and, finally, the great orthodontic revolution of the 21st century, the clear aligners.
I will show you numerous tips to correctly manage these complex malocclusions.

Different options of digital orthodontic services have been currently offered to orthodontists worldwide. There is no doubt that the professional should consider reliable and consistent factors for deciding to routinely use these resources. LightForce technology will be presented, addressing features that can optimize orthodontic treatment with fixed accessories instead of clear aligners for specific clinical situations.

The use of digital resources will be evaluated with confidence and precision. Clinical outcomes with conventional and 3D printed brackets will be simulated. We will be talking about the role of IDB trays and how to use FaceMap to integrate 3D Brackets set ups to a Digital Smile Design. And finally we will highlight the modalities of orthodontic treatment concerning aligners, brackets and hybrid appliances.

The aim of our work is to present a contemporary way of fabricating orthodontic appliances using modern CAD/CAM technology in order to minimize clinic visits and chairside time for the patient. The task is to design and print different tooth- and bone-borne orthodontic appliances like a hybrid hyrax or a lingual arch digitally. Intraoral scans of both jaws and occlusion converted to STL files and digital radiographs were used. The appliances were virtually designed and 3D printed using the Additive Manufacturing Technique of Selective Laser Melt/Sinter technology (SLM/SLS). This presentation will address the following: (1) Introducing a digital workflow for CAD/CAM designed and fabricated metal orthodontic devices. (2) Pointing out the efficiency of the described approach of reducing the number of needed appointments. (3) Presentation of cases treated by using CAD/CAM fabricated appliances in combination with skeletal anchorage.

The lecture will discuss how temporary skeletal anchorage can help us in our daily practice. These useful tools will be introduced by clinical cases, such as abalakov mandibular distalization, easy upper molar distalization technique and few tips

Class 2 is by far one of the most frequent kind of anomalies, and so it is the most common in our daily practice, being either inherited or gained from different causes both in adults and children.
The therapeutic approach is extremely wide and different in every patient.
In this presentation I have synthesized the main treatment directions in adults, by showing a few clinical cases treated with skeletal anchorage.

Orthodontic treatment with dental extractions lasts on average two and a half years. Surgical, physical and biomechanical maneuvers have been developed to minimize it. The accelerated space closure procedure (“Closing-First”) is a modification of the traditional mechanical sequence with the aim of shortening the treatment time, improve the tissue response and increase biomechanical efficiency. It consists of performing the dental extraction and beginning by closing the extraction space. This decreases the treatment time by taking advantage of the regional acceleratory phenomenon (RAP) of dental extraction surgery and prevents bone loss due to atrophy. Then continue with the rest of the treatment stages depending on the diagnosis and the technique of preference. The procedure is effective and safe and has a number of advantages (and a few drawbacks) in comparison with the current technical maneuvers of treatment acceleration.

There is no doubt that skeletal anchorage has come to revolutionize orthodontics by providing new treatments options and improving clinical outcomes.
One of the possibilities arised by skeletal anchorage is pure intrusion.
In this presentation, different clinical applications of intrusion supported by skeletal anchorage will be approached: from a single tooth intrusion to total maxillary intrusion.

Anchorage control is one of the most important factors for the succes of an orthodontic treatment. After the exact diagnosis, depending on the anchorage need, we should decide to use the right devices and mechanics. The invention of the mini implant has carried the quality and the limits of the orthodontic treatments far beyond the expectations. Today many types of mini implants can be used at different places of the jaws for several reasons (intrusion, uprighting, distalization, expansion, mesialization, etc.). In addition the selection of wires in terms of the material and the design also affects the anchorage in a positive way. Nowadays, clinicians have various treatment modalities using different arch wires; posted hooked, looped or springs. In this presentation, the importance of mini implant usage combine with proper mechanics (DKL, T loops, uprighting springs, etc..) and its factor for the success will be shown. To get the stable and functional occlusion, we have to combine what we have.

The lecture will elucidate (1) MARPE`s background and history and (2) the Transverse Tomographic Diagnosis: Penn Analysis. Why you should (3) from MARPE to BAME appliances. And how (4) the DS Xpander was development, how to place it with a step-by-step instruction. Followed by (5) further tips and conclusions.

Class II malocclusion is one of the most common problems in an orthodontic practice. The most common characteristic is mandibular skeletal retrusion. The Class II disharmony does not tend to self-correct with growth and therefore intervention to correct the underlying skeletal discrepancy is necessary. Removable functional appliances are often the preferred modality of treatment in patients with growth potential. But non-compliance and a rising age the treatment process may lead in unsatisfactory results. Modern methods like fixed functional appliances, carrier distalizer and mini screw are currently being used to overcome the problem of patient cooperation to reach satisfactory results. Clinical cases will be presented for these models.

Why are basically all treatments where more specialists are involved more demanding and prove to be more challenging? First of all, all the team members should have the same vision, the same treatment principles, in other words, they all should aim at the same treatment outcome and understand the complexities of each situation. This means, they should speak the same language, from diagnostics throughout planning. Second, it’s important that each of them understands what the other one can and cannot do, this way, they can find many ways to help each other and make the treatment more efficient, maybe get to a better outcome.
And last but not least, it’s all about communication, about learning from each treatment, finding better solutions and finally improving as a team.
Because I have had the opportunity of treating many interdisciplinary ortho-prostho cases, I was faced with many problems of the above myself. The aim of my presentation is to go through some of these points and to share what I have learned.

Orthodontic-periodontal interactions are mutually beneficial. The lecture will provide the dental practitioner with basic understanding of the interrelationship between periodontics and orthodontics. It will give an update on this topic by demonstrating the most recent opinions concerning perio-ortho interrelationships.
Specific areas reviewed are: The ability of orthodontic treatment to gain some degree of protection against periodontal breakdown. Short term and long term effect of orthodontic treatment on the periodontium.

The gummy smile, where the gingiva is exposed more than 3 mm, is an esthetic concern, especially for young people, which is more prevalent among females. One of the more frequent etiological factors for this condition is maxillary vertical excess. The traditional therapeutic approach for this anomaly involves the combined orthodontic and orthognathic therapy. However, patients can be overwhelmed by the prospect of such complex treatments, leading to the rejection of the proposed treatment plan. Luckily, with recent advancements in clinical orthodontics and related research, it has been shown that temporary skeletal anchorage devices (miniimplants and miniplates) can successfully be used for aesthetic and functional improvements among patients with a gummy smile, caused by maxillary vertical excess. Additionally, post-orthodontic prosthetic treatments, like crown lengthening techniques and ceramic veneers, can help the patient and the medical team achieve the desired aesthetic results, while also establishing proper function and long-term stability.

Orthodontics integrates with Orthognathic Surgery for facially driven treatment goals. Cases will ilustrate the step by step to diagnosing, planning and executing cases in patients with Dentofacial Deformities.
Team approach, patient’s motivation and use of skeletal anchorage in pre surgical preparation will be presented. Current treatment protocols transform Orthognathic Surgery into Ortofacial Surgery with many plastic surgery procedures being incorporated, including fat transference among others. Virtual planning allows better communication between professionals.

The risk for development of recession type defects in conjunction with orthodontic tooth movement is present only if the tooth has been moved out of the alveolar bone housing. Orthodontic patients with moderate or severe skeletal discrepancies are candidates to be treated with different compensatory orthodontic techniques, orthognathic surgery, or a combination of both. Compensatory orthodontic treatments performed to treat this type of skeletal discrepancies are associated with a series of periodontal complications. The Surgical Orthodontic Concept is the combination of the use of skeletal anchorage and a series of periodontal and regenerative surgical techniques applied to orthodontics that, used together, facilitate treatment in orthodontic patients with moderate skeletal discrepancies in the 3 planes of space. This different vision requires a close collaboration and teamwork between the surgeon and the orthodontist; If this concept is properly applied, excellent results may be obtained.

Iatrogenics are unwanted effects unintentionally induced by treatment-Rolf G. Behrents.
Poor choice of dental procedures, incorrect treatment indication, adoption of hazardous treatment strategies, inadequate treatment performance, wrong estimation of treatment time, not changing treatment plan when necessary, and not establishing good communication with the patient are failures that may significantly affect outcomes, quality, and stability of correction. Moreover, these factors delay the treatment by a significant amount of time.
Most lectures and topics revolve around successful treatments. In this lecture, we would deal with treatment failures and more importantly how to set them right.
I will highlight a range of iatrogenic effects ranging from roller coaster effects to root exposures, creating deep bites, open bites, crossbites etc. and many more issues caused inadvertently while trying to treat a malocclusion. This lecture would consist of my cases with different iatrogenic issues and more importantly, how I corrected them in order to get a satisfactory occlusion and esthetics in the end.

Excellence in orthodontics means initial accurate diagnosis, an individual treatment plan and usage of appropriate force systems during the treatment. Beginning with the analysis of the occlusogram, the orthodontic movement of each tooth is already determined, having the end in mind with various appliance configurations. We will discuss the force system. Finishing with a custom made appliance in which the anchorage unit was strategically separated from the active unit to optimize the force system and create predictability for the final result.

CBCT in orthodontics – a check list for diagnostics. Understanding of compensation mechanisms and biological limits.
Neural network in orthodontics – a routine processes, that we can automate today.
3D superimpositions and morphological analysis. New ways of looking at the treatment outcomes.

Enjoy your stay at the congress and discover the city of Porto with the simplyORTHO family. The predominance of the Baroque, the connection to the Douro River, details that make Porto unique – such as Port wine, and places to visit, such as the innovative Casa da Música, the emblematic Lello bookshop or the famous Torre dos Clérigos.

Experience all of Porto’s bridges on this cruise of Porto’s six bridges. Coast down the peaceful waters of the Douro River by boat as you see Porto to one side and Gaia to the other, and all of Porto’s stunning bridges connecting the two cities. You’ll quickly notice that no two bridges are alike, each with their own architecture and personality, making for stunning photo backdrops. As you sail the UNESCO river, you’ll see why this is one of the most unique ways to experience Northern Portugal.