CAD-based functional therapy during aligner treatment: the “En-Nova”-protocol (technical report)

Functional orthodontic therapy represents a fundamental element of orthodontic therapy, intending to correct skeletal discrepancies of growing patients by changing their neuromuscular patterns on the long run. To date, consequent functional orthodontic therapy is the first part of a two-phase treatm...

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Main Authors: Segnini, Cristiano (Author) , D'Anto, Vincenzo (Author) , Valetta, Rosa (Author) , Lux, Christopher J. (Author) , Roser, Christoph (Author)
Format: Article (Journal)
Language:English
Published: February 2025
In: Seminars in orthodontics
Year: 2025, Volume: 31, Issue: 1, Pages: 110-114
ISSN:1558-4631
DOI:10.1053/j.sodo.2024.06.009
Online Access:Verlag, kostenfrei, Volltext: https://doi.org/10.1053/j.sodo.2024.06.009
Verlag, kostenfrei, Volltext: https://www.sciencedirect.com/science/article/pii/S1073874624000823
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Author Notes:Cristiano Segnini, Vincenzo D'Anto, Rosa Valetta, Christopher J. Lux, Christoph J. Roser
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Summary:Functional orthodontic therapy represents a fundamental element of orthodontic therapy, intending to correct skeletal discrepancies of growing patients by changing their neuromuscular patterns on the long run. To date, consequent functional orthodontic therapy is the first part of a two-phase treatment protocol, which is followed by subsequent dental alignment. For aligners several features are present, which aim to integrate functional therapy into aligner treatment. Examples include inclined planes (“precision wings”) incorporated into the aligners or elastics, both trying to force a mandibular advancement. However, all of them suffer from a rather small skeletal effect, which is why the development of new approaches, which allow for more growth control during aligner therapy, is justified. Against this background, the present article describes a new treatment concept which consists of a CAD-based functional orthodontic appliance overlaying over the aligners during the entire treatment time. By increasing the skeletal control, it is intended to guarantee a consequent functional orthodontic treatment while saving treatment time.
Item Description:Online verfügbar 2 July 2024, Version des Artikels 28 January 2025
Gesehen am 22.07.2025
Physical Description:Online Resource
ISSN:1558-4631
DOI:10.1053/j.sodo.2024.06.009