Day1 分析、諮詢與風險評估_workflow|consultation|risks
學習目標
1-1 矯正學習藍圖與流程Workflow
Case study:bimaxillary protrusion with scissors bite/functional deviation_90º twist bend in front of L7Case study:chin deviation with unilateral scissors bite/skeletal deviation_CCWR for facial improvement
1-2 牙齒的矯正移動與解剖極限OTM & anatomical limits
Case study: major root movement in Class III_anterior torque reinforcement by twist bendCase study: orthopedics of Class II deficiency_Twin-block TB*
1-3 矯正可能遭遇的極限與風險_Risks
1-4 資料收集_Data collection
問卷分析/有效諮詢方法論/阻斷性矯正*
現代矯正治療所需影像分析規格/essential-five
環口片、測顱與重疊等基本分析要項
治療計劃擬定合理性、治療順序安排與說明
Case study: eruption disorders
實作項目
精簡必備的矯正器械與使用法_YDM EVERfine plier set
自鎖式矯正器的開關操作_Active self-ligating Mini-Clippy-R
鎳鈦線熱處理器使用方式_DERHT感應面板與腳踏式
第一條線的線尾回彎處理_0.016”SE bend-back
末端臼齒錯咬_1622L&H twist bend on L7
前牙扭矩加強_1825L&H anterior twist bend
臼齒扶正前移延伸勾_1725TMA molar extension arm
測顱分析與精簡分析結論_key tracing & folding ruler
如何靈活使用初診諮詢表_consultation sheet
器械材料
Acrylic model/typodont holder THB (Dentos)
Soarer-X/.016”SE (Tomy)
Soarer-X/1622 L&H (Tomy)
loop-forming plier/1622 TMA (G&H)
Archform chart (OPA-K,Tomy)
Leslie’s exclusive consultation form
Leslie’s workshop kits (*provided by course organizer, not included in the tuition)
ABO gauge/protractor/analytic sheet/0.5 HB pencil (optional*)
課程提供實作所需YDM EVERfine器械與Dentos模型,於課程結束後清點歸還
Day2 符合解剖與力學的定位法_mep positioning
學習目標
2-1 臉型分析_Facial analysis
微笑設計概念/肌群復健訓練導入MFT
難易度評估/如何判定咬合或臉型的鐵板難症、挑選適合入門病例?2-2 空間分析_Space management
空間控制/保守性治療/全齒列後移WAR2-3 拔牙觀念_Extraction
拔不拔牙的概念、邊緣性病例或正顎與否的邏輯思考/從二次與接手矯正體悟到的道理
Case D2-3: severe crowding/ext. pattern?2-4 主動式自鎖矯正器臨床特點與應用_ASLB
2-5 必備直接黏著技術_Bonding procedure
有效率與邏輯地黏著流程
不足空間的附件使用/bonded accessories2-6 如何決定位置私技_MEP concept
不對稱拔牙區域黏著考量/atypical dentition
實作項目
下顎前牙如何初步給扭矩_lower ant. torque
下顎前牙區如何線材擴大_ ant. resistant form
黏著位置的定位概念形態咬合學_CA line
矯正器定位與黏著流程標準化_bonding workflow
增取空間與初期施力牽引_tip-back bend
暫時性墊高咬合要有邏輯想法減少副作用_bite raiser with Ultra-BandLok
連續結紮兩種綁法_figure-8 tie & SLT
增加控制與減少阻力的做法
器械材料
Acrylic model (Dentos)/mini-Clippy bracket set (Tomy)
Case model for bonding (Mr.Lin SH)
Bonding ktis/bkt & tube tweezers,explorer
3M Transbond XT/3M Super glue gel & 118 VHB foam type for model
Marking pen/Ultra-BandLok compomer (Reliance)
.009” ligature wire/twister/.014” & .016” SE (Y)
Soarer-X heat bender machine (Tomy)
Day3 超彈性與硬線矯正力學_archwire mechanics
學習目標
3-1 錨定準備_Anchorage preparation
口內,顎間,骨釘錨定的優劣3-2 力量給予_Force application
牙弓型態對矯正的影響/archform
牙弓形狀控制/archform control3-3 選擇適當矯正線材的邏輯_Wire selection
溝槽尺寸的優劣/slot size
矯正線與溝槽的交互作用/wire&slot
反史畢氏曲線與咬合平面/RCOS&OP
打開深咬的策略選擇/bite raising
不鏽鋼線材的扭矩給予/TQ on SS
Case: upper single arch extraction3-4 超彈性線與不銹鋼線_ISW&SSW
超彈性線與不銹鋼線的性質差異
非小臼齒拔牙病例的牙弓擴大
單顆牙齒的扭矩給予
Case: TSALD without premolar extraction3-4 拔小臼齒區空間關閉_Premolar extraction
每次回診的矯正線調整/拔牙三寶
滑動機制的力學設計與負效應救援
需要摩擦力的矯正步驟
分段後移減少副作用的技巧/sectional arch
Case: sectional arch for severe crowding
Case: self-aided wire mechanics
實作項目
超彈性鎳鈦合金線的形變彎折_DERHT method by heat bender
弓線模板的使用練習_OPA-K resistance archform chart
易懂的不鏽鋼弓線形狀調整與彎折
迅速精確的扭距弓線_quick bending of torqued archwire
下壓輔助線彎折_cantilever arm accessory
高力矩雙圈弓線的難症應用_Mega-helice for molar uprighting
線尾處理之必要細節_bend-back, tie-back, cinch-back & flush-end
器械材料
Acrylic model/ typodont holder THB (Dentos)
OPAK arch form chart/ Resistant form (essential)
.016”X.022” & .018”X.022” L&H Titan/.016”X.022” SS
.016”X.022” TMA (cantilever arm)
Arch & loop forming pliers/Soarer-X/*foot switch /marking pen (red)
Day4 安全可靠的骨釘植入法_double-film methods
學習目標
4-1 骨釘植入與訣竅_Insertion tips
植入方式的差異與優劣/insertion gesture
避免骨釘斷裂經驗/screw fracture
植入部位選擇與骨釘樣式應用/sites&sizes
手持與電動骨釘植入器械介紹/manual&e-driver
增加骨釘植入成功率?
減少骨釘矯正不適感的處置
Case: takeover bimax./MIA fx4-2 雙片植入確認法_Double-film method (獨家詳解)
後牙區骨釘植入/5^6,6^7
前牙區骨釘植入/ant. MIA
前牙區唇繫帶重新置位/frenum reposition4-3 骨釘矯正的力學設計_MS-assisted mechanics
需要骨釘助攻的病例選擇/case selection
骨釘自助型遠距矯正治療/self-aided Tx
Case: 4-MS&lever-arm for severe bimax.
實作項目
各部位模型植入正確姿勢操作
全齒列後移機制設計/WAR
拔牙病例機制設計/2 or 3-MS
套索式綁法/lasso-tie technique
局部臼齒下壓/regional intrusion
器械材料
Acrylic model/typodont holder THB (Dentos)
PH131206,SH131206 (MIA,Dentos)
Hand driver/explorer (YDM)
Engine driver (e-Driver/Osstem) *optional
Super chain S&M/flowable resin or SoftFlow resin/light-curing machine
Day5 骨釘位置與力學設計_Miniscrew mechanics
學習目標
5-1 不同骨釘位置帶來的效應_Mechanics from different miniscrew position
5-2 顎內與顎間機制所造成的旋轉效應_Rotational effects from intra-arch & inter-arch mechanics
5-3 如何設計對應的治療機制?How to design proper/indicated mechanics?
5-4 為何要留意露齒笑與切勿過量後縮前牙?Why not to over-retract anterior dentition?
實作項目
setup the miniscrew mechanics
lasso-tie on archwire
bilateral retraction within alveolar housing
prepare 1622SS resistance archform
器械材料
Dentos model with miniscrew
1622 L&H, 1622SS, archform chart
SuperChain light (blue) S & M
mosquito forcep & explorer
.009” ligature wire (posterior SLT)
Day6 非拔牙矯正_non-extraction protocol
學習目標
6-1 非拔牙矯正的病例適應症_Why non-extraction is indicated?
6-2 如何做齒列側方扶正爭取空間?_How to perform lateral uprighting?
6-3 齒列側方擴大同時追加鄰接面去釉達到早期前牙改善_Early anterior improvement by simultaneous protocol
6-4 瞭解非拔牙矯正缺點極限與患者不滿意的抱怨_Shortcuts & unsatified results from non-extraction plan
實作項目
lower lateral uprighting by using upper archform
anterior space regaining by reciprocal force from open coil spring
introduce IPR protocol & kits
MS for U/L whole arch retraction
器械材料
.016”SE & 1622L&H(UA)
NiTi open coil spring
MIA sh131206
.009” ligature wire
1/4” 3oz elastics(inter-arch elastics)
Day7 改臉型矯正_facial improvement
學習目標
7-1 為何選擇拔牙改臉?_Why choose extraction for face?
7-2 分段或整體後移的優缺點_Staged or group/retraction protocol (*HOTS觀念做法)
7-3 垂直控制的重要性_Reduce side effects from over-retraction by vertical control
7-4 垂直控制式後縮力學設計 _*MIB molar intrusion bar (創新發想)
Case: VME/6-6 gummy smile/3-MS/first MIB innovation7-5 咬合干擾的影響與處理手法_Interferences in horizontal & vertical control
實作項目
ISW retraction archform/UL
selective heat treatment
torqued plain archwire
modified en masse retraction(buccal)
modified en masse retraction(palatal)
high-pull MS & MIB
intrusive retraction mechanics
器械材料
1622 L&H Accuform, Soarer-X
1622 SS Trueform I, Tweed plier
.009” ligature wire for SLT
SuperChain light (blue) S & M
Day8 咬合微調與維持_occlusal detailing & retetion
學習目標
8-1 雙側犬齒角度調整_Canine position
8-2 中線調整的技巧_Midline correction
8-3 前牙型態微調_Anterior esthetic position
8-4 前牙去除干擾接觸_Avoid interference contact
8-5 剩餘空間關閉_Residual space closure
8-6 維持器的觀念與設計_Concept & design of retainers
實作項目
13,23 single twist bends on 1622L&H
resistance archform & unilateral SLT with MS or inter-arch elastics
12-22 in-out, angulation & artistic bends on 1622SS
X-elastics (5/16” 3oz) for space closure on 1622SS
V-elastics (5/16” 3oz) for lateral occlusion
器械材料
1622 L&H Accuform, Soarer-X
1622 SS Trueform, Tweed plier
.009” ligature wire for SLT
5/16” 3oz elastics