2018 JCEG X Meeting Summary

Wednesday

Thursday

Behrents

Clear plastic devices to move teeth – is the orthodontist critical?

What should educators be doing?

New practice designs, e.g. ULab in house manufacturing and boutique stores

Faster or not faster??????

? real differences between aligner tx and fixed tx (marketing). Diagnosis by experts

Impact on applications to ortho specialty programs

In specialty practice, more retreatments and increased difficulty of cases

CODA standards 1. Increase clear aligner training in ortho proposals?

2. for predocs increased emphasis on diagnosis independent of appliance?

Maybe JCEG should send suggestions to CODA for postgrads and predocs

Class action suits against Align, but 510K intended use is very broad

Dan Castner

ORMCO (12 years)  Lancer (sold to 3M, Incognito)  3M  private equity  Forestadent US

Inside fabrication

Invisalign has >50% orthodontic market, has 1200 technicians in Costa Rica

U-Line o- artificcal intelligence software

Printable aligners – Envisiontech being evaluated by FDA for internalizing fabrication, not too far away

Caster study of treatment records: 50% don’t go to completion, the time from scan to first aligner is 55 days. Invisalign is #1 overhead item in large practices.

Look at Envisiontech.com/3d_printing_industries/medical/orthodontic

Ideal system

Printing – 1. Print in office, 2. Printable material, shape memory plastics, FDA-approved biocompatibility, 3. printer & material must match. (Track, Zendura, Great Lakes) Some clinicians prefer Trutain retainers to allow settling, thicker Essix does not.

At least six companies similar to Smile Direct exist, including Europe

Foreverretainer.com?, goes to a provider

Software - 1. Fast automated, segments quickly

2. integrated with CBCT, e.g. Onyxceph (German) uses CBCT infor for implant guides

3. ? ultrasound scanner does both crown & roots & facial crestal bone

Individual control in 3D by ortho provider (clincheck.pro with library of roots, Motionview 3D, 3Shape, Insignia). Root library is a compromise

Medical modeling uses radiopaque markers both in CBCT & intraoral scanning

Carter doesn’t do Invisalign alone, does hybrid trearment only. 6-12 months fixed for roots and rotations, then finishes with his own aligners without attachments. Note – can use aligners to intrude posterior teeth in mild openbite. Also posterior occlusal buildup.

Manuel questioned limits of expansion with alignners.

Carter talked about nitinol mesh aligner, Carbon 3D Company.

Expiration of Invisalign patents.

Dan Knoch

Orthodontists are looking over general dentists’ work

Trend – orthodontists providing consulting services for general dentists

Dolphin superimposition screen (Ken Gladstone)—Hard tissue translucent, do each side separately, tilt image to reorient reference box because box doesn’t tilt, need to show canal in images (but can’t highlight yet)

Space shortcuts

Page tree

Wednesday

Thursday

Friday

SUMMARY

See Also

Interesting links sent out by Dan Knoch