50- How to Transition from Functional to Fixed Appliances
Show notes
Transition from Functional Appliances to Fixed Braces: Key Points
Importance: Smooth transition prevents stalled progress.
Risks: Most relapse occurs during transition.
Strategies:
Plan for overcorrection.
Timely transition to fixed appliances.
Consider anchorage options like headgear.
Customize each transition based on individual needs.
…………………….
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Show transcript
00:00:00: This content features my AI-generated voice and an AI avatar.
00:00:03: The content, opinions & professional assessments are entirely MY OWN AND ARE BASED ON MY ORIGINAL MATERIALS.
00:00:08: Using advanced technology allows me to bring your new content more quickly, more consistently and even more upto date insights!
00:00:13: Now enjoy watching & listening!
00:00:17: In today's video we'll talk about how to make that transition smooth, efficient and comfortable for both the clinician and patient.
00:00:37: Today I want a paper by Fleming Scott & DBAs from two thousand seven published in The Journal of Orthodontics.
00:00:45: It deals with problem we all recognize what happens after successful class-to correction with functional appliance.
00:00:53: The authors remind us that most relapse occurs right at this point.
00:01:00: The mandible slides back, the maxillary teeth upright and within weeks that beautiful class I can disappear.
00:01:10: They propose several principles.
00:01:13: First plan for overcorrection.
00:01:15: Aim for a slide Class III incisor relationship.
00:01:19: It's your safety margin against relapse.
00:01:22: Second time the transition carefully.
00:01:26: If patient is cooperative and hygiene good, move straight into fixed appliances.
00:01:32: any pause increases risk of postural relapse.
00:01:36: Third think in terms of anchorage headgear still valuable especially high angle or maxillary protrusive cases.
00:01:46: In others, you can maintain the postured byte with a part-time functional where or an inclined byte plane built into your retainer.
00:01:56: They also discuss hybrid approaches such as integrating fixed appliances with a cut down twin block Or using a dynamic system that let's move directly in to fix treatment without losing class two correction.
00:02:11: One particularly useful reminder concerns extraction planning.
00:02:16: After functional therapy, lower incisors are often proclaimed so anchorage requirements change.
00:02:23: Fleming and colleagues caution against assuming the case behaves like a standard class two from start because it doesn't anymore.
00:02:31: their message is simple there's no single formula.
00:02:34: each transition must be planned individually.
00:02:36: balancing growth pattern compliance end occlusal goals.
00:02:40: even today in the digital era, these fundamentals hold true.
00:02:46: Managing that transition phase actively not passively makes a difference between stability and relapse.
00:02:54: That's the clinical wisdom of this.
00:02:55: two thousand seven paper concise logical And still entirely relevant to daily orthodontic practice.
00:03:02: Thanks for watching.
00:03:03: I'm Dr.
00:03:03: Martin Baxman.
00:03:04: Let's bring science back.
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