1. DIFFERENCE 2 Outer stiffer laminate allows initial tooth movement. Inner softer laminate allows:...

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Transcript of 1. DIFFERENCE 2 Outer stiffer laminate allows initial tooth movement. Inner softer laminate allows:...

Page 1: 1. DIFFERENCE 2 Outer stiffer laminate allows initial tooth movement. Inner softer laminate allows: Greater flexibility, retention and patient comfort.

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Page 2: 1. DIFFERENCE 2 Outer stiffer laminate allows initial tooth movement. Inner softer laminate allows: Greater flexibility, retention and patient comfort.

DIFFERENCE

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Outer stiffer laminate allows initial tooth movement.Inner softer laminate allows:

Greater flexibility, retention and patient comfort.Longer duration of tooth movement per aligner.Less stress to teeth and bone.

Page 3: 1. DIFFERENCE 2 Outer stiffer laminate allows initial tooth movement. Inner softer laminate allows: Greater flexibility, retention and patient comfort.

NuBrace Treatment Difference

1. Each step clinician has option to:• Continue as planned.• Made additional changes.• Submit a new impression.

2. Hence: Dentist Exact Not Computer Projected.

Page 4: 1. DIFFERENCE 2 Outer stiffer laminate allows initial tooth movement. Inner softer laminate allows: Greater flexibility, retention and patient comfort.

Internal flexibility allows closer margins to minimize bacterial infiltration and improved retention

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Page 5: 1. DIFFERENCE 2 Outer stiffer laminate allows initial tooth movement. Inner softer laminate allows: Greater flexibility, retention and patient comfort.

BAR (Bracketless Anti Resorption)• Groove placed on digital model for additional orthodontic

movement which translate into BAR inside the aligner.• Upon insertion, BAR gradually recovers for greater

orthodontic movement.• Void of unsightly attachments, improved oral hygiene and

esthetics.

Page 6: 1. DIFFERENCE 2 Outer stiffer laminate allows initial tooth movement. Inner softer laminate allows: Greater flexibility, retention and patient comfort.

Upon insertion, BAR initially compresses gradually recovers for greater orthodontic movement.

Page 7: 1. DIFFERENCE 2 Outer stiffer laminate allows initial tooth movement. Inner softer laminate allows: Greater flexibility, retention and patient comfort.

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LOAD APPLICATION DURATION OF BILAMINATE ALIGNER MATERIAL

T. Kalili, A.A. Caputo, R. Mito, D. Nathanson, M. Matyas, S. Khalilnia

Page 8: 1. DIFFERENCE 2 Outer stiffer laminate allows initial tooth movement. Inner softer laminate allows: Greater flexibility, retention and patient comfort.

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NuBrace demonstrated more gradual and >2 times longer duration of tooth movement v. the alternative unlaminated aligner.

Page 9: 1. DIFFERENCE 2 Outer stiffer laminate allows initial tooth movement. Inner softer laminate allows: Greater flexibility, retention and patient comfort.

STAGES OF LAMINATE DECOMPRESSION

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Both laminates compress upon insertion.

Stiffer outer layer initiates tooth movement.

Inner layer allows additional movement

Page 10: 1. DIFFERENCE 2 Outer stiffer laminate allows initial tooth movement. Inner softer laminate allows: Greater flexibility, retention and patient comfort.

• #1 orthodontic concern is root and bone resorption minimized by gradual tooth movement.

• Longer duration of tooth movement leads to less chair time.

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DISCUSSION

Page 11: 1. DIFFERENCE 2 Outer stiffer laminate allows initial tooth movement. Inner softer laminate allows: Greater flexibility, retention and patient comfort.

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Biomechanics of Clear Aligner with Soft Inner Layer

T. Kalili,1 A.A. Caputo, et alUCLA School of Dentistry

Page 12: 1. DIFFERENCE 2 Outer stiffer laminate allows initial tooth movement. Inner softer laminate allows: Greater flexibility, retention and patient comfort.

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More fringe, greater stress

Less stress to teeth and bone

Page 13: 1. DIFFERENCE 2 Outer stiffer laminate allows initial tooth movement. Inner softer laminate allows: Greater flexibility, retention and patient comfort.

1270 Laminated Orthodontic Removable aligner for Molar

Uprighting

T. Kalili, A.A. Caputo, R. Mito, I. Nishimura, et al

Page 14: 1. DIFFERENCE 2 Outer stiffer laminate allows initial tooth movement. Inner softer laminate allows: Greater flexibility, retention and patient comfort.

Laminated Orthodontic Removable aligner for Molar Uprighting

Page 15: 1. DIFFERENCE 2 Outer stiffer laminate allows initial tooth movement. Inner softer laminate allows: Greater flexibility, retention and patient comfort.

ABOVE – Conventional molar uprighting appliance showing significant localized tensile stress which may be damaging to teeth and bone.

ABOVE – NuBrace showing more uniform areas of stress to allow for a more gradual load with less localized stress to teeth and bone.

Page 16: 1. DIFFERENCE 2 Outer stiffer laminate allows initial tooth movement. Inner softer laminate allows: Greater flexibility, retention and patient comfort.

ABOVE – Conventional molar uprighting appliance showing unwanted stress in the anterior sextant unrelated to molar uprighting.

ABOVE – NuBrace does not require attachments + or arch bows for tooth movement therefore, minimal stress in unrelated areas.

Page 17: 1. DIFFERENCE 2 Outer stiffer laminate allows initial tooth movement. Inner softer laminate allows: Greater flexibility, retention and patient comfort.

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