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Aligner Techniques in Orthodontics
Susana Palma Moya Javier Lozano Zafra
This edition first published 2021
© 2021 by John Wiley & Sons Ltd
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Library of Congress Cataloging‐in‐Publication Data
Names: Lozano Zafra, Javier, author. | Palma Moya, Susana, author.
Title: Aligner techniques in orthodontics / Javier Lozano Zafra, Dr Susana Palma Moya.
Description: Hoboken, NJ : Wiley‐Blackwell, 2020.
Identifiers: LCCN 2020024180 (print) | LCCN 2020024181 (ebook) | ISBN 9781119607229 (paperback) | ISBN 9781119607212 (adobe pdf) | ISBN 9781119607236 (epub)
Subjects: MESH: Malocclusion–therapy | Orthodontics, Corrective–methods | Orthodontic Appliance Design–methods
Classification: LCC RK523 (print) | LCC RK523 (ebook) | NLM WU 440 | DDC 617.6/43–dc23
LC record available at https://lccn.loc.gov/2020024180 LC ebook record available at https://lccn.loc.gov/2020024181
Cover Design: Wiley
Cover Image: Courtesy of Javier Lozano Zafra
Preface
I started to work with aligners in 2001 and immediatly I realized that they had a huge potential. It was easy for me to get familiar with the whole idea because I used to work with dental positioners at that time. In contrast, most of my colleagues were quite skeptical and did not consider aligners as a real orthodontic system.
Reviewing the literature we can see how the possibilities of the aligners have increased over the years. In 2001, there were limited tools available to solve mild crowded Class I malocclusions; however, several years after, we started to speak about extraction cases, Class II malocclusions, and open bites, which were treated more successfully each time. This situation was due to two factors: on the one hand, the continuous feedback the manufacturers use to make constant improvements, and on the other hand, the tremendous effort by many orthdontists who have been triyng to understand and explain what we call “the plastic biomechanics.” Therefore, the perception of using the aligners as an effective orthodontic method is improving due to the irrefutable fact that the results are getting better and better and, in many cases, they overtake the outcomes achieved by conventional orthodontics.
We are only beginning to understand how the aligners move teeth, and the learning curve is slower than we thought. Those are the reasons why their effectiveness is indisputably attached to academic training and experience. The professionals with greater knowledge and greater number of treated cases will achieve better results. This is no surprise as this is what happens when a new technique is introduced.
For all these reasons, as professionals, we are the ones who still establish our treatment goals. Aesthetics and the patient’s comfort should not conflict with the quality of the treatment results. This means that in quite a few situations, we need to use auxiliary techniques to complement the aligners deficiencies. It also means on the part of the practitioner a greater effort and dedication than usual to the occlusal and functional treatment finishing, and especially to training. I understand that leaving the comfort zone is not easy for those who have been treating patients the same way their whole life. This is where Dr. Palma and Dr. Lozano are absolutely exactly correct. This book fills a gap in our interpretation of the orthodontic movement with aligners. It offers a great number of essential keys to the understanding of the aligners biomechanics. It is the right publication at the right moment, with guides to treat different malocclusions with confidence, predictability, and quality. Following their solid biomechanics knowledge and experience‐based advice, the reader will be introduced to the treatment of more and more difficult cases, always keeping the traditional occlusal standards.
The book covers all the different malocclusions from the easiest mild crowding cases to the complex pre‐prosthetic treatments. It is written like an atlas, with specific cases fully explained step by step. The reader will also find an innovative and attractive video format of each treatment. For all these reasons, this book is a wonderful and easy tool for references suitable for beginners, but also for orthodontists well trained in aligners. Moreover, for the skeptical ones, the book, at least, will peak their curiosity. Is it really possible to perform a good quality orthodontics with aligners? This book will provide answers, and without doubt, many arguments for discussion.
We are at the beginning of a new technique. Previous and complete case planification through a powerful software has radically changed the way we work. This means we have to go back to school, but we have never had so many possibilities to train ourselves like today. In this way, the professional is able to become as competent as he or she wishes. However, it seems that some things never change; and I do not just mean the huge reluctance to accept new concepts or techniques (that is really frequent in our profession), I also mean the small percentage of people such as Dr. Palma and Dr. Lozano, whose great desire for self‐improvement and progress gives as a result the finding of new knowledge. The knowledge that they generously share serves as an example and guide for many people.
Dr. Arturo Vela Hernandez
About the Authors
Dr Susana Palma Moya is an Orthodontist running a private practice in Ciudad Real, Spain. She obtained her postgraduate degree in Orthodontics and PhD in Dentofacial Orthopaedic and Orthodontics from the University of Madrid in 2002.
Was among the first group of Spanish Invisalign Providers in 2001.
International Invisalign Speaker since 2015.
Assistant professor for the postgraduate's program in orthodontics at U.C.M University in Madrid from 2003 to 2007, and currently teaching orthodontics at Salamanca University.
University degree in Orthodontics with Surfery from the International University of Cataluña UIC 2007
University degree in lingual Orthodontics by Valencia University 2009‐ 2011
Invisalign peer award 2015 (first international Award) and Invisalign peer award 2017(second European Award).
Member of the EMEA teen global group and member of Ortodoncis group in Spain
Invisalign Diamond II practitioner since 2015 and lectured in Invisalign treatment throughout Spain and Europe.
Dr Javier Lozano Zafra is an Orthodontist running a private practice in Murcia, Spain.
Degree in Dentistry, Murcia University
PhD, Murcia University
Postgraduate programme in Orthodontics, San Pablo CEU University
Honorary lecturer, Seville University, Spain
Invisalign International Speaker
Invisalign Diamond Practitioner
Honorary Member of the French Society of Aligners
Member of the Invisalign TEEN global group and member of Ortodoncis group in Spain
Acknowledgements
My thanks must go first to my husband Paco who has worked just as much as I on the preparation of this book. He has worked tirelessly in gathering together the evidence from videos and other photographic material required. I also want to thank him for his love and understanding which have given me the inspiration and strength to write it.
To my children Marta and Paco for the time I have stolen from them and the continuous inspiration and strength they provide to enable me to get the best from myself: thank you.
To my parents, Mercedes and Paco, whose love and effort encouraged me to become an orthodontist and who have been pillars of strength throughout my life.
To Align Technology for believing in me and giving me the opportunity to share my orthodontic experience with other practitioners from 2015 onwards.
I also want to thank all my orthodontics team, because without them we could not get the results we see today, which we are able to demonstrate in the book.