Orthotown November 2019 - 55
Fig. 3: After 25 weeks.
The patient agreed, and we started his
treatment with Ormco's Damon passive
self-ligation system because it allows us to
use variable torque on multiple teeth, and
I need to have a very high torque bracket
for these canines.
Adding high-frequency vibration
Because the patient's wife had used
the Propel VPro high-frequency vibration
device to accelerate her aligner treatment, he
inquired about using it with his treatment
early in the process. I often recommend this
device for an improved orthodontic experience, whether bracket or aligner therapy,
because high-frequency vibration (HFV)
breaks down the bone during treatment,
builds bone in retention, can get a retainer
vibrated back into place (retention guarantee),
and it works very well in increasing predictability and aiding discomfort, particularly
in adults. It also allows me to get to that
ideal smile a bit faster, which is always a
plus for my patients.
While this patient wouldn't be able to
see the acceleration benefit of HFV quite as
strongly as his wife did with the shortened
aligner intervals, I did recommend it for a
more predictable and comfortable treatment,
to which he agreed.
Treatment
Because I had confidence that the
patient's movements would express quickly
and predictably, I decided to shorten his
appointment intervals from my normal eight
weeks down to six weeks, and eventually
five weeks. I did the normal amount of
appointments, over a much shorter time.
As an adult, the patient appreciated that
he had braces on for the least amount of
time possible. After this, I went back to
a standard three-month timeframe in the
finishing stainless steel wires.
orthotown.com \\ NOVEMBER 2019
55
http://www.orthotown.com
Orthotown November 2019
Table of Contents for the Digital Edition of Orthotown November 2019
Orthotown November 2019 - Cover1
Orthotown November 2019 - Cover2
Orthotown November 2019 - 1
Orthotown November 2019 - 2
Orthotown November 2019 - 3
Orthotown November 2019 - 4
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