Orthotown December 2019 - 38
Fig. 4
Acceleration treatment #2: HFV
Discover more about
MOPs and earn
CE credit!
Dr. R. Bruce McFarlane's
online CE course, MicroOsteoperforation: Orthodontic
Acceleration Becomes
Mainstream, reviews the evolution
of the system, the biology behind
it, the logistics of use and its
clinical applications. To watch
the course and take the quiz
to earn 1.5 CE credits, go to
orthotown.com/ce.
38
DECEMBER 2019 // orthotown.com
Tracking issues are problematic for many aligner movements,
including deep bites. No matter how well the aligners are
preprogrammed, if they don't fully seat, their effect will not be
expressed. Subsequent aligners will multiply the problem, and the
case will go off the rails.
HFV addresses this by causing the aligner to be fully seated
and to adapt as closely as possible to teeth and attachments (Fig. 5).
Moreover, HFV continues the biological activation of osteoclasts
and bone remodeling. When patients gently bite on the VPro
Series mouthpiece for five minutes per day, its high-frequency
vibration activates the biology, causing a reduction in treatment
time by up to 64%, obtunds pain and ensures ultimate aligner
seating. This is of utmost importance when it comes to leveling
stubborn curves of Spee.
HFV enables clinicians to expand case selection with aligners.
Currently, clinicians choose to treat about 45% of cases with aligners
alone. Adding HFV enables me to treat more than 90% of cases
effectively with aligners, and with fewer attachments. For very
difficult cases, I find that MOPs and HFV have a synergistic effect,
and I recommend that they be used together when battling deep
bites with aligners: MOPs activate the bone biology, and HFV makes
sure the aligners express most profoundly the tooth movements in
the awakened bone and continue the biologic activation.
Conclusion
The addition of micro-osteoperforation and high-frequency
vibration to my practices has resulted in much more predictable,
profound and timely deep-bite corrections. Less-frequent aligner
tracking loss and fewer case refinements have increased patient
and practitioner satisfaction remarkably. ■
http://www.orthotown.com/ce
http://www.orthotown.com
Orthotown December 2019
Table of Contents for the Digital Edition of Orthotown December 2019
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