For an Exquisite Finish: ''All you need to know about Digital Indirect Bonding''

Updated: May 24

Webinar

(Orthodontics Mastery Group with the support of the Glasgow Orthodontic Academy)

Session Title

Part III: All you need to know about Digital Indirect Bonding

Moderator: Dr Mohammed Almuzian


Knowledge connects people. Webinars support these powerful knowledge ''bridges''. Prof. Dalia El-Bokle (Egypt), DT&ME George Antonopoulos (Greece), an extraordinary moderator Dr Mohhamed Almuzian (UK), and special guest Dr Mark Weirthemer (South Africa)- (through Orthodontics Mastery Group & the support of the Glasgow Orthodontic Academy)- brought together more than 700 orthodontists from all over the world to share ideas and thoughts about DIBS. Orthodontic finishing may be challenging depending on the amount of errors made by the orthodontist in bracket placement, using the wrong prescription or due to use of improper Treatment Mechanics. For more follow us... Thank you so much Dr Mo! It was a wonderful experience!




Speakers:

Dr Dalia El-Bokle

BDS,MSc, PhD

Diplomate of the American Board of Orthodontics

&

DT. George Antonopoulos

CEO& Founder of ADOME, CTO of Digital Orthodontics at FN Orthodontics, Technical Consultant of Orthodontics at Unishape, ORCA AI Dental Industry Experts Committee, R&D Manager of Dalman Orthodontic project

Parts:

1st webinar: general concepts of bracket bonding

2nd: customized manual IDB.

3rd: All you need to know about Digital Indirect Bonding





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1st webinar: general concepts of bracket bonding

2nd: customized manual IDB.

3rd: All you need to know about Digital Indirect Bonding

Discussion:

More than 700 orthodontists and residents benefited and enjoyed the series of lectures that were presented by Prof. Dr. Dalia El-Bokle from Egypt who spoke today jointly with DT and ME Antonopoulos George from Greece.

weeks.

Orthodontic finishing may be challenging depending on the amount of errors made by the orthodontist in bracket placement, using the wrong prescription or due to use of improper Treatment Mechanics.

Dr Dalia El-Bokle said:

‘’To reduce errors in bracket placement, I have shifted from Direct Bonding to a customized manual Indirect Bonding technique, in order to guarantee leveled marginal ridges posteriorly & a consonant smile arc anteriorly.

I have also shifted from using the same appliance prescription for all my patients to a more customized one by selecting the adequate bracket torques & tip for each tooth according to its original position & the contemplated tooth movement & according to the size of the working arch wires.

In a quest for further improvement, I am trying to implement DIDB in my practice to reduce the human error & improve the accuracy of my bracket placement & to take advantage of the ability of new softwares allow for fine tuning bracket tip and torque despite the built-in prescription. In this case the composite pad thickness will compensate for the deficiency of the slot Rx.

But doing so, there are so many questions to answer: Do I do in house indirect bonding trays or send out to a special lab & pay per case? & If I opt for in-house, which scanner to get, which software to use & then which printer to purchase? do I also need a CBCT for visualizing root positions? and how can I achieve a smooth work flow?

Current DIB techniques comprise:

1. Clean base using a vacuum tray over a printed model with the brackets virtually positioned.

2. printed tray made of a biocompatible material

3. Custom Base using key pads: Brackets are placed manually on the 3D printed indexed models/Keypads; using bonding material to create the custom base: Labs create an indirect bonding tray through conventional lab techniques.

4. Custom base using printed jigs

Commercially available custom made appliances that use DIDB include

Insignia, KLOwen, Light Force, Inbrace & Brius.

From the technical and technological side, I personally have to say this:

For sure some of the certain advantages of the new DIBS methods, compared with traditional techniques, are the decreasing of the manufacturing stages and the bracket positioning optimization offered by the 3D technology This leads the clinicians to save time.

3D mechanics works with specific rules and protocols.

We have to understand and control all the details of the 3D know-how and work-flow. We also need to define limits and limitations according to these systems.

Randomized controlled trials are needed to compare the effectiveness of these techniques with traditional techniques.

Got a question about the conference?

For more information please contact us :

Dr Dalia El-Bokle: daliaelbokle@yahoo.com


George Antonopoulos : antonopoulosgr@gmail.com or info@adome.org


or you may chat us 24/7 at ADOME web page



We hope you are able to contact us for further questions