transcript – FORESTADENT Campus365 | The all new FORESTADENT Learning platform

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Federico Orozco: Welcome, Federico, and welcome to everybody. It’s a real pleasure to be here with all of you. So many attendees. I can see online. And so I’m really excited to have all of you from all this country, from us, from Europe, from Asia, and so on. So it’s a real pleasure to be here. And thank you so much, Federico, for this extraordinary set and extraordinary really pro atmosphere, I feel a little bit freezed.

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Federico Orozco: Okay, I can feel the feeling. Yeah, sure it’s not easy. I’m standing in front of this camera. So pro. But I like so much to be with all of you, and I want to know if you’re ready. I am ready. And I want to start our today. Webinar. So our webinar of today is about facts. My mission of today will be to guide you into the magic word of fats for instant aligner system

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Federico Orozco: in order to drive you from the diagnosis to the treatment plan in the most important skillness and the most important features of this product and of this appliance I would say, of this system.

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Federico Orozco: 1st of all, I will. This is an introductory course. This means that I want to share with you which are the pro which are the cons, and which are the main feature of this system.

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Federico Orozco: But I want to also to let you understand and let you know how to start your next new patient, so I will start with the feature, and then I will drive you into the detail to the portal, and how to start your next new patient.

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Federico Orozco: But what is fast and what are the strength of this this system?

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Federico Orozco: Fas, of course, was born some years ago, and his major strengths are a lot, the 1st one, according to me, the most important one.

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Federico Orozco: It has been created, not from a company, not by a company, but from us, from alternative

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Federico Orozco: to orthodontists. So it’s a system of aligners that is created by the mind of orthodontists. So, coming from the real orthodontic field, it was created by 2 big guys, Domingo, Martin Alberto canabes. They shared their thinking, and they started by fixed appliance in order to put all their knowledge into the world of aligners.

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Federico Orozco: So

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Federico Orozco: everything was born by the mind of Domingo and Alberto, and

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Federico Orozco: directly put into the world of liners. This is very important, so we don’t have to manage with something different from orthodontics. It’s by orthodontist

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Federico Orozco: the second.

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Federico Orozco: If I ask you all of you, I cannot have your answer. I cannot speak with you, but if I ask you, all of you, okay, which is the most important thing, I’m sure you will say to me, Jojo, the most important thing is in orthodontics is Dionysis. I strongly believe in this, and that’s why I love so much to understand that Dionysis is one of the most important

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Federico Orozco: features of fuss. What does this mean?

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Federico Orozco: You don’t have just to put the records on to put online, and then you have alliance. No, it’s not the way

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Federico Orozco: you have to follow a very strict flow chart for Dianasis, so we call it wizard. What is wizard? It’s like waves for the car.

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Federico Orozco: It means that they drive you

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Federico Orozco: how to do diagnosis. They don’t do dialysis for you. You have to do it. You are the clinician. You are the alternative. They just give you some notes.

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Federico Orozco: some question to understand.

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Federico Orozco: Hey, Guy, what is in this patient and this and this and this?

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Federico Orozco: What does this mean? This means that wizard? So Dianetes

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Federico Orozco: starts from vertical dimension. And so they ask you, what about vertical dimension?

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Federico Orozco: How you want to manage vertical dimension? And I will explain you in very good details. In a few slides they show to you how you want to

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Federico Orozco: analyze the spec curve, the upper spec curve, the lower spec curve. So do you want to intrude your incisor? Do you want to extrude your incisor? Do you want to extrude bicaspid, premolar, molar, and so on.

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Federico Orozco: So the

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Federico Orozco: they report so well. What do you want at the upper arch

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Federico Orozco: and at the lower arch?

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Federico Orozco: So you are the driver you have to know, and you have to say to them what you want. This is very important for me, since the the treatment that you are going to do is planned on your specific diagnosis.

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Federico Orozco: So they start with a vertical dimension.

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Federico Orozco: vertical dimension.

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Federico Orozco: And so in relation to 2 major factors, the speck curve and the position of upper incisor to the smile line, the exposure of gum. If you want to intrude, if you don’t want to intrude

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Federico Orozco: the position of lower incisor, if you want

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Federico Orozco: intrusion of lower incisor. If you can procline, you cannot procline, and so on

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Federico Orozco: the vertical dimension. Finally, if you can increase vertical dimension

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Federico Orozco: to solve your d byte, for example, or if you want to decrease your lower dimension, since you are treating an open byte of your

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Federico Orozco: if you want to maintain your vertical dimension.

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Federico Orozco: after that they ask you if you have canting in your specification. This means, if you have one side on the other side, if there is symmetry or there is no symmetry.

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Federico Orozco: so you can intrude one side more than the other side, and so you can correct your canting. You can do this at the upper jaw, or you can do this at the lower jaw. You can say where you want to intrude or extrude

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Federico Orozco: more

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Federico Orozco: on one side than the other.

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Federico Orozco: Then we go to the transversal dimension. So point one vertical dimension

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Federico Orozco: point 2 transversal dimension.

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Federico Orozco: When you work on transversal dimension. Of course.

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Federico Orozco: if you, if for you in your specific case it’s not so relevant. It’s not so important. You can say to them.

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Federico Orozco: you can do as you want.

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Federico Orozco: I don’t suggest you to do this. You are the driver.

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Federico Orozco: you are the doctor, you are the clinician. So, to be honest, I never say

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Federico Orozco: to the

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Federico Orozco: to the computer to do by himself. I won’t

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Federico Orozco: to control my treatment.

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Federico Orozco: This means that after vertical dimension I go to transversal dimension, and I have to say, Where is my upper middling.

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Federico Orozco: Do I want to shift upper midline? No, in this patient my upper midline is centered, so please maintain my upper midline.

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Federico Orozco: or if I want to shift, since it is shifted. I can say to them, please, I want to shift upper midline to the right or to the left, and so on, and so on. So I normally start from upper midline.

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Federico Orozco: I can say, Don’t change, I can say move to the right, I can say Move to the left, or you can say as needed as needed means. Do by yourself.

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Federico Orozco: I strongly suggest you to start from the upper midline, so you evaluate your upper midline

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Federico Orozco: in relation to the face of the patient, to the vertical midline of the patient.

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Federico Orozco: So in this patient, for example, you can see that my upper midline is centered to the face.

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Federico Orozco: so I will say, please don’t move up on Mila.

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Federico Orozco: but if I see the teeth what you can see, I see that my midline lower midline is shifted. There is no perfect matching midline are mismatched, and so I say, I want to center the midline. But please don’t move the upper one. I want to move the lower one.

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Federico Orozco: And so this means that I want to move in this specific case, the lower one, for example to the left, so I will, Mark. Don’t change upper midline and move to the left, the lower one.

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Federico Orozco: Good.

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Federico Orozco: So I am the driver.

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Federico Orozco: Then we have to continue in transversal dimension. We have to remark, if I want expansion, and if I want expansion, which kind of expansion I’m speaking about

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Federico Orozco: dental expansion, of course, but which kind? I want symmetric expansion. I want more expansion on the right side. I want more expansion on the left side, dental expansion, and each point you can remark as you want, or you can say as needed as needed. They will do for you. But you lose.

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Federico Orozco: You’re no, you’re no more the driver you lose the control.

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Federico Orozco: Finally.

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Federico Orozco: crossbite. If in your patient there is crossbite.

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Federico Orozco: you can say I want to correct it.

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Federico Orozco: or I don’t want to correct it.

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Federico Orozco: probably want to correct it, to have a good occlusion, or in other cases I don’t want to correct it, since, for example, it’s a skeletal problem, and I cannot correct, and they refuse to do something more difficult. And so I don’t want to correct. I want to correct. I don’t want to correct, or

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Federico Orozco: I can in this case doesn’t matter, since I don’t have Crosswand so vertical dimension.

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Federico Orozco: transversal dimension.

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Federico Orozco: upper midline, lower Midline

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Federico Orozco: Crossbite, and that kind of expansion.

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Federico Orozco: We are doing diagnosis. You can see this is a kind of

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Federico Orozco: a kind of a map route, a kind of guideline. They are driving you into the magic world of Dionysus.

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Federico Orozco: Then they continue

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Federico Orozco: vertical

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Federico Orozco: Sajito

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Federico Orozco: vertical transversal Sagitto.

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Federico Orozco: Very detailed.

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Federico Orozco: of course, as I said.

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Federico Orozco: you can also remark as needed.

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Federico Orozco: if your remark as needed. They will do as they want. But, as I said you before, normally.

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Federico Orozco: in 99% of cases, I don’t want to say as needed. I want to go in detail. Since I want to drive my car, I want to drive my orthodontic treatment.

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Federico Orozco: And so about sagital dimension. You can see.

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Federico Orozco: I think you can read much better than me, since I see very small in the in the computer. But you can see that they asked you in which kind of occlusion you want to close. 1st of all. 1st of all, I say, I want to close in class One

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Federico Orozco: on the right side on the Mola, and I want to close. I want to finish my case on class One

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Federico Orozco: on canine

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Federico Orozco: on the right side. So they asked you about the molar.

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Federico Orozco: and they ask you about canine. Normally, I say, or it depends from the case. In this case, for example, it’s a class 2. I can say to them, hey, Guy, I want to finish in Class One on the molar. I want to finish in class One on canine, or, of course you know much better than me. If it’s an extraction case just at the upper arch, you can say I want to finish in Class One on canine. I want to finish in Class 2 on the molar. You are the doctor.

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Federico Orozco: They have to follow your indication due to diagnosis after dialysis. There is a treatment plan that is focused and based

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Federico Orozco: on your diagnosis.

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Federico Orozco: So they ask you in which occlusion you want to finish on the molar and on canine, not just this.

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Federico Orozco: which kind of movements.

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Federico Orozco: how you want to, how you want to gain your specific occlusion.

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Federico Orozco: What does this mean? This means how you want to get in Class one

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Federico Orozco: I want. For example.

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Federico Orozco: I want to meseline lower molar. I want to distalize upper molar on right side, on left side. I want to derotate.

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Federico Orozco: I want to visualize. I want to digitalize. I don’t want to change

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Federico Orozco: or as needed. So you have several options.

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Federico Orozco: If you are, for example, in Class one, you say, don’t change. If you have molars that are a lot mistated, you can say, please rotate them, or if you want to misalize, or you want to digitalize, and so on, and so on. So you say to them, in which class in which relationship you want to finish

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Federico Orozco: class one class 2 on the molar, on canine. And how you want to gain this occlusion.

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Federico Orozco: Metalization, dissalization, rotation don’t change.

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Federico Orozco: So Dianus is vertical

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Federico Orozco: transversal sagito.

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Federico Orozco: We continue they continue asking you about the spaces, and so the Bolton. If there is a Bolton discrepancy in your case.

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Federico Orozco: Oh, so if there is a Bolton discrepancy in your case. They ask you how you want to manage this Bolton discrepancy. For example, you want to do. Ipr.

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Federico Orozco: you want to do Ipr in the opposite arch. You want to do posterior? Ipr, you want to do anterior. Ipr, you want to do it on the right, or you want to do it on the left, or you, of course you can remark as needed, and they will do it for you, or probably in other cases.

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Federico Orozco: You don’t want to do a prayer.

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Federico Orozco: since, for example, just, for example, you have a narrow lateral incisor.

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Federico Orozco: So you have that your Bolton index is alterated.

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Federico Orozco: You have narrow, small, lateral upper incisor. But I don’t want to do so much. Ipr at lower, since perhaps the patient teeth are already small, or I don’t like to do it. So what I can do I can say to them that I want to restore at the end of my treatment my lateral incisor, just, for example. So I will say to them, guys, please, I want to leave some spaces

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Federico Orozco: on this tooth on the lateral incisor, on the 12, on the 22, just, for example.

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Federico Orozco: And so I can personalize my treatment plan. And I can say to them, I want to finish with an overbite of

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Federico Orozco: 1, 2 and I want to finish with a overjet of 2, 3 you can decide. Overbide overjet

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Federico Orozco: in every case, and you can decide if you want all the spaces closed, or you want to leave some spaces in case of Bolton Index alterated to make restoration

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Federico Orozco: very important. So

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Federico Orozco: diagnosis treatment plan. Once again, Bolton index is alterated. You can do Ipr

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Federico Orozco: on opposite arch. You can do it anterior. You can do it posterior, or you can restore your teeth. For example, your incisor or your canine as you want, and you can say to them, I want to restore these teeth in this dimension.

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Federico Orozco: Please leave the space to do it.

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Federico Orozco: and we can continue.

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Federico Orozco: We can continue with attachment, since there are.

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Federico Orozco: of course, if you say do it for me, then we’ll do it for you. But

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Federico Orozco: you can say, Hey, Guy, in this specific patient, please. I don’t want attachment on the smaller.

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Federico Orozco: Why, for example, while I was coming here this morning while I was waiting in the airport, and I was working on my laptop, and I was sending a case, and I said to them, I don’t want the attachment on this molar, since it was a periodont patient, and I didn’t want so much retention on this tooth.

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Federico Orozco: So I said, Hey, Guy, don’t put attachment on this molar.

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Federico Orozco: You can do it. You can specify the

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Federico Orozco: toot where you don’t want, and you can individualize your kind of attachment.

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Federico Orozco: but you can do also more. They ask you how you want your last alignment.

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Federico Orozco: I want my last alignment with attachment on or without attachment on. This is very important, otherwise you will have your last alignment. For example, without attachment.

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Federico Orozco: Your patient has the attachment on, and it doesn’t fit. So if you want to remove

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Federico Orozco: all your attachment

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Federico Orozco: in your patient before your last.

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Federico Orozco: All I know

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Federico Orozco: you asked to them my last alignment I wanted without attachment.

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Federico Orozco: In my protocol, for example, I normally ask with attachment.

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Federico Orozco: because I want to control my patients until the last attachment. Very good control. And so I ask them, wait attachment. But it is up to you on my protocol. Normally, I say, weight, attachment.

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Federico Orozco: We continue with the feature of this product of this system, and they ask you which are the teeth to be extracted?

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Federico Orozco: Do are you planning for extraction does not apply? I don’t play. I don’t want to do extraction in this case, or yes, I want to extract.

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Federico Orozco: I want to extract the

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Federico Orozco: Turdomola, or I want to extract back aspid, or I want to construct. I don’t know.

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Federico Orozco: What do you want to extract

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Federico Orozco: diagnosis and treatment plan.

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Federico Orozco: So, according to me, the major strength of us are, first, st as you can see from the beginning, it is done from orthodontist to orthodontist.

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Federico Orozco: Secondly, the wizard. I love Wizard, since it is like for a student.

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Federico Orozco: it’s a guided roadmap for Dionysis

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Federico Orozco: Dude.

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Federico Orozco: Every one of you

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Federico Orozco: in the room knows so well that if you work with a liner after

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Federico Orozco: 20 aligner, 15 aligner

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Federico Orozco: defeating of the liar is not the best.

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Federico Orozco: It’s our experience, everybody of us.

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Federico Orozco: So we receive normally in the office. I don’t know 40, 50, 60 h, and so on, Alina, but after 20 the fitting is no good, and then we have to waste all this, Alana.

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Federico Orozco: and ask for new one, scanning and ask for new, so why to waste them? We know it before, so I like it so much they created. Stop and go. What does this mean? This means that we don’t receive a box with all the aligner.

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Federico Orozco: Normally they ask to you, where do you want to stop? And normally, I say, I want to stop in my protocol around 20,

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Federico Orozco: since I know from the literature that

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Federico Orozco: around

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Federico Orozco: 20 aligner the fitting will start decreasing and will be not the best. So I want to control always at the best. So I say to them, please stop

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Federico Orozco: at 20

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Federico Orozco: what you can do. Stop and go. Do I need to do risk scanning?

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Federico Orozco: No, you don’t, do.

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Federico Orozco: You don’t need

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Federico Orozco: you check your patient.

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Federico Orozco: There are patients very compliant, really compliant.

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Federico Orozco: And in this patient, I say, I check the fitting. Everything is perfect, fitting on the attachment fitting on the edges.

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Federico Orozco: Everything is perfect, and so I just push the button. Please go to the next phase, and they will immediately ship to my office the next phase. So I will continue with the line of 2122, 23, and so on.

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Federico Orozco: Otherwise, if the feeding is not the best.

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Federico Orozco: probably for the kind of movement.

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Federico Orozco: or probably for

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Federico Orozco: the compliance of the patient. I don’t know, I don’t know.

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Federico Orozco: but sometimes the feeling is not the best. So I arrive to the end, and I say

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Federico Orozco: you know what I do. I rescan, so I take new scanning. I take new picture, and I send all the data to the company, and they will send me a new

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Federico Orozco: set, our liner, and as I showed you later, they asked me.

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Federico Orozco: Where do. Do you want to create a new

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Federico Orozco: planning? Or do you want to continue the planning of before just with the new phase new starting?

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Federico Orozco: And I normally can take both in consideration.

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Federico Orozco: So stopping goal is very important, since a stop and go gives to you the best fitting and the best control of your treatment.

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Federico Orozco: So, according to me, the 3 major feature

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Federico Orozco: of this system, 1st made by alternatives to alternatives, secondly, but I would say.

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Federico Orozco: probably the 1st wizard, I like so much wizard and accurate Dionysis.

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Federico Orozco: 3, rd stop and go. Very, very important to have a very good control of your car during the road.

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Federico Orozco: Finally, we have a specialist consultation. This means that when you send a case it is done by a specialist in orthodontics there is a supervisor that is, a specialist in orthodontics, and every time you ask for a question there is not a dealer on the other side of the computer. There is not a marketing man. There is a specialist in orthodontics. So

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Federico Orozco: he speaks the same language of you orthodox.

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Federico Orozco: so we can share opinion. We can share ideas. We can evaluate something, and I like it so much.

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Federico Orozco: I like it so much, since specialists support the wool treatment from the beginning to the 1st

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Federico Orozco: orthodontic planning to the hand of the treatment.

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Federico Orozco: This is very, very important.

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Federico Orozco: So how do I suggest to you to start?

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Federico Orozco: Of course I don’t suggest you to take the strongest and hardest case of your office, and tomorrow morning to send it to the company for new aligner. No.

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Federico Orozco: it’s not the way, and every time I go all around Europe and all around the world. And they say to me, I sent difficult case, and so and so and so, please.

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Federico Orozco: you are starting something new

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Federico Orozco: start easy.

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Federico Orozco: and you will finish strong.

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Federico Orozco: You know. My daughter Lara last summer was starting to

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Federico Orozco: to use the bike to cycle, and she’s 8.

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Federico Orozco: She cannot do something like this. Of course it’s not possible.

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Federico Orozco: Probably in some years she will. But if you start cycling like this, probably you will hate your bike you will not love. You have to start with something easy. What’s easy in your office? Relax number one.

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Federico Orozco: Everybody of us have some relapse. I have a lot. So they come to my office and say, Doctor, you know there are some spaces. My retainer is broken, was broken, and so I have this diastema! I don’t like so much. Can you fix it? Yes, I can.

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Federico Orozco: Dr. Butter no way. I don’t want braces. Can you manage? Yes, I can

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Federico Orozco: so relapse.

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Federico Orozco: I suggest you to start from this kind of treatment.

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Federico Orozco: The second one is minor crowding

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Federico Orozco: this one

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Federico Orozco: minor crowding. You have minor crowding. You can manage so well. So you start having good feeling with the appliance work with it. And 3, rd I suggest you to work with the class one occlusion. You don’t have to work so much with elastic digitalization, protocol, and so on, and so on. And that’s why you can easily

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Federico Orozco: add a good feeling and start managing this system.

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Federico Orozco: So my suggestion is.

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Federico Orozco: firstly, start with easy cases.

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Federico Orozco: Secondly, when you are thinking to start a new case

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Federico Orozco: dentistry before orthodontics, so your patient has to be healthy. This healthy means that we want no cavity. Of course, if there are cavity you have to do cavity before, otherwise you will change the shape of the teeth, and the line of feeding will be no good.

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Federico Orozco: So you have to complete all the restoration.

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Federico Orozco: Furthermore, please no Tmd symptoms before the treatment, and we are dealing with a lot of adults, with Alina and adults, you know so well have

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Federico Orozco: a great part of them

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Federico Orozco: have temporomandibular disorders. They can have

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Federico Orozco: articular problem. They can have muscular problem. But in both cases you have to manage

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Federico Orozco: before the treatment. And you you can send to the company the records, and to start the treatment just when

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Federico Orozco: your patient is healthy, without any kind of signs and symptoms.

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Federico Orozco: Tmd. Is important.

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Federico Orozco: Neutology is important.

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Federico Orozco: Periodontics is very important. So no active periodontal disease. If you are dealing with an adult patient with a periodontal problem, you have to stop or fix it

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Federico Orozco: before starting, you have to manage the

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Federico Orozco: control of plaque, you have to manage the bleeding. You have to manage the periodontal status before sending the case. You have to send just cases that are healthy.

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Federico Orozco: What? Which record I need. You needs 3 kind of records.

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Federico Orozco: extraorial and intro picture.

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Federico Orozco: X-ray impression or oral scanning.

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Federico Orozco: Let’s go deep

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Federico Orozco: Xoral picture. What is manatery?

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Federico Orozco: What is optional.

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Federico Orozco: mandatory? You need them. Otherwise you cannot do the treatment, and you need a frontal fascial at rest. So without a smile, a frontal fascial

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Federico Orozco: smiling, and a facial profile without smiling. These are mandatory. If you don’t have this picture you cannot start your treatment.

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Federico Orozco: The other one is optional. It’s a smile with retractors. And Domingo and Alberto introduced this in order to see the face and the smile inside the face of the patient really nice, but it’s not mandatory.

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Federico Orozco: It’s very important to me to share with you what’s mandatory, what’s optional? You have to know what you really need

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Federico Orozco: to start, are you what you need? But you can also not use

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Federico Orozco: about the radiograph

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Federico Orozco: you have radiograph. There are mandatory. The 1st one is

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Federico Orozco: panoramic. Your panorax is mandatory for every case your lateral cef is optional.

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Federico Orozco: If you want to send good, there is a specialist in orthodontics that will help you and support you to evaluate it, and so on.

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Federico Orozco: You can also share your video visualization of the treatment objects

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Federico Orozco: if you want.

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Federico Orozco: or you can also share a Cbct. But please remember, these are optional. So you don’t need Cbct. To do fast.

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Federico Orozco: You need a panorax, a panoramic X-ray.

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Federico Orozco: But in fast we can use

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Federico Orozco: also a treatment planning with the teeth or a treatment planning with the teeth and roots.

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Federico Orozco: of course, real roots. And if you want a treatment planning with the roots on.

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Federico Orozco: You need a Cbct. Otherwise we don’t have your roots. So if you want a treatment plan with the roots.

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Federico Orozco: since

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Federico Orozco: your treatment, according to. You needs this kind of evaluation. You need a Cbct. And you can send them a Cbct. But it’s not mandatory.

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Federico Orozco: Of course, if you sell a Cbct.

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Federico Orozco: Your panorax is not

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Federico Orozco: more, is no more mandatory is not requested.

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Federico Orozco: so panic is requested.

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Federico Orozco: Accepted the case. You want to send

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Federico Orozco: Cvct. To obtain the roots. It’s very easy.

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Federico Orozco: Then we go to the vertical nomination.

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Federico Orozco: You can register your vesticle dimension

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Federico Orozco: guys pay attention, you can

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Federico Orozco: not. You have to. It’s different.

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Federico Orozco: So if you don’t want to register your vertical dimension, don’t do it.

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Federico Orozco: If in your patient you normally don’t register.

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Federico Orozco: if you don’t use, if you are not

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Federico Orozco: use to register it. Don’t do it, you can say, and you can, mark. Do as you want

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Federico Orozco: are as needed.

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Federico Orozco: but he feels that

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Federico Orozco: you, in your way of thinking.

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Federico Orozco: Vertical dimension is important, and normally in your office. You register it

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Federico Orozco: in this kind of system, in this kind of a liner system you can transfer this kind of information to the system

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Federico Orozco: they will take in consideration, and how you can transfer in 3 different ways, mainly the 1st one, Axio Parisa.

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Federico Orozco: the second one

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Federico Orozco: Mojo.

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Federico Orozco: the 3rd one with mounting articulator.

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Federico Orozco: All these options you can

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Federico Orozco: give to the company the registration of vertical dimension. But once again. Please don’t forget it’s green, it’s optional

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Federico Orozco: you don’t need. So the question, do I need Jojo? Do I need to buy Axio freezer? Do I need to buy Mojo to start with first.st No, you don’t need

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Federico Orozco: you don’t need to be honest. I don’t have in my office. I don’t have

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Federico Orozco: yet. I don’t have yet.

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Federico Orozco: Mojo.

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Federico Orozco: I would like so much to have it.

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Federico Orozco: and now I don’t have. But if you have it and you normally use it, you can share this information, and this is so cool, according to me.

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Federico Orozco: But let’s go now into the portal, and let’s analyze how you can start your next new patient.

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Federico Orozco: You go to the portal. You can write on Google fast Aligner and Google drive you to this page fast aligner system. You ask for your username. Don’t use mine, please, and you put your username. They give you username and password, and then you put your username password and then you push on login.

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Federico Orozco: and then you have the portal. This is the portal.

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Federico Orozco: You can see the portal in this way. Normally, the portal starts like this on the on the right part. You can see your name here. You can see your patient, but I will describe every, every, every tricks and detail.

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Federico Orozco: Starting from yourself.

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Federico Orozco: This is my account. When you open you can see there is. There is an arrow here you push the arrow, and there is a nice trick.

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Federico Orozco: You can edit your profile, of course, my profile, my route, and so on. My vat vat number, and so on. This is not so important. But what is important is my clinical preferences. This is very important

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Federico Orozco: clinical preferences I will describe, and notification I want to be. I want to have notification for every staff

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Federico Orozco: for any changes for anything they write for anything they change. Please write me, send me an email, and then I have my clinical preferences. What else this means? Clinical preferences.

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Federico Orozco: the 1st one they ask you, when do you want to have

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Federico Orozco: the

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Federico Orozco: Ipr.

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Federico Orozco: Do you want to do? Ipr in phase 0.

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Federico Orozco: You want to do it later. Later, for example, in my protocol.

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Federico Orozco: I prefer to do it later

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Federico Orozco: in my office. I don’t like so much to do Ipr in the same appointment when I give

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Federico Orozco: the aligner to the patient. So normally I put the attachment on, and I give the liner to the patient. I don’t do Ipr, so what I do.

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Federico Orozco: If you see on the screen up here, I say

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Federico Orozco: in my protocol, I prefer to delay. Ipr to

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Federico Orozco: all I know at least

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Federico Orozco: number 3. So this means that I don’t want Ipr in number one in Number 2. I want from Number 3, and you can put number that you want you want to do Ivr. From the beginning you can put 0. You can put one, or you can do as you want, as you prefer. It’s important, since I don’t have to write every time. Please don’t do. Ipr, no, they know for every case. I don’t do ivr until Liner number 3

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Federico Orozco: dead.

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Federico Orozco: When do you want attachment for me? In my protocol? In my office? I want attachment.

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Federico Orozco: At the beginning

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Federico Orozco: there is irrational. There is a reason.

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Federico Orozco: since I strongly believe that I send my stl file my scanning. This is the moment where the feeding of the lion is the best, so the reliability and accuracy of my attachment will be the best

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Federico Orozco: if I see

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Federico Orozco: I don’t want to put attachment in the number one. I put attachment on Number 3, for example.

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Federico Orozco: and I give the liner number one and number 2 to the patient, and

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Federico Orozco: they don’t use.

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Federico Orozco: They start using only during night. I have some patient, or they start not complying.

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Federico Orozco: or they create problem.

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Federico Orozco: Or I do know

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Federico Orozco: what happened, that the fitting of the template for Aligner will be not the best. That’s why, in my protocol, in my specific protocol, according to me, I call it my way in my way. Ipr is never before the number 3, aligner.

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Federico Orozco: aligner number 3,

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Federico Orozco: and

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Federico Orozco: attachment always in every case on a line and number one. These are my preferences, but you can do as you want in your preferences you can share with them.

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Federico Orozco: Then you can continue.

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Federico Orozco: and you can analyze other feature. For example, you can say where you want to put your buttons. If you need buttons, I want to delay to the phase number. I don’t know. No, I want it in middle immediately. You can say which kind of track you want. If you want soft or you want hard.

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Federico Orozco: if you want, in case you send some cases, I said, you relapse. If you send cases with retainer. I want standardly to remove the retainer or not.

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Federico Orozco: and mainly important. What do you want to do for stuff and go

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Federico Orozco: stuff and go? You want to always visually remove all the attachment, and this is the

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Federico Orozco: is high

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Federico Orozco: suggested.

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Federico Orozco: I recommend it, since the accuracy will be the best.

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Federico Orozco: are

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Federico Orozco: for other protocol. You want to maintain your

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Federico Orozco: attachment that are ready in your patient, and so you say to them, please maintain all the attachments that are on the Stl.

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Federico Orozco: Finally.

335

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Federico Orozco: you can say the trim that you want standard or reduced, but I will share you very in detail. So these are all the preferences. Ipr.

336

00:44:59.590 –> 00:45:07.700

Federico Orozco: When attachment, when bottom, when kind of a plastic, and so on, and so on, and so on.

337

00:45:09.580 –> 00:45:19.760

Federico Orozco: When you set your clinical preferences for all your cases, they will look like this, so I don’t have to say to them once again, and this is so cool, according to me.

338

00:45:19.950 –> 00:45:21.040

Federico Orozco: so nice.

339

00:45:21.550 –> 00:45:23.170

Federico Orozco: Now I’m ready to work.

340

00:45:23.340 –> 00:45:27.760

Federico Orozco: So this is the portal. They have my preferences. I can start

341

00:45:28.250 –> 00:45:36.039

Federico Orozco: when you start, you can see that I have different options. I have all this means that these are all my cases

342

00:45:36.470 –> 00:45:37.800

Federico Orozco: in progress.

343

00:45:38.010 –> 00:45:41.839

Federico Orozco: Just the progress, the pro, the cases that are in progress

344

00:45:42.230 –> 00:45:48.529

Federico Orozco: pending input what does this means? I will show you in detail. It means that something is missing.

345

00:45:48.900 –> 00:45:49.870

Federico Orozco: and

346

00:45:50.650 –> 00:46:00.419

Federico Orozco: they continue with a pending response. They make you some question, and you didn’t answer, or pending acceptance. They created a treatment

347

00:46:00.520 –> 00:46:02.460

Federico Orozco: program, a treatment option.

348

00:46:02.780 –> 00:46:09.440

Federico Orozco: an occlusal design. And you didn’t yet accept it and finished all the cases that are finished.

349

00:46:09.750 –> 00:46:11.800

Federico Orozco: Let’s start all you see, all

350

00:46:11.810 –> 00:46:13.270

Federico Orozco: what’s in progress

351

00:46:13.350 –> 00:46:19.639

Federico Orozco: in progress are all the cases that are now in an active phase.

352

00:46:19.820 –> 00:46:23.340

Federico Orozco: This does not mean all the cases that you are trading.

353

00:46:23.540 –> 00:46:29.940

Federico Orozco: Pay attention. This means, you see there, and it’s very important. Just the case

354

00:46:30.470 –> 00:46:35.379

Federico Orozco: that needs something. For example, you ask for new aligner.

355

00:46:36.110 –> 00:46:38.800

Federico Orozco: You have the patience. There

356

00:46:38.940 –> 00:46:43.169

Federico Orozco: you are waiting for occlusal design. The patience is there.

357

00:46:43.230 –> 00:46:45.060

Federico Orozco: They are waiting for

358

00:46:45.120 –> 00:46:52.160

Federico Orozco: records, and so on, and so on. Patients that are doing something that are in an active phase of the treatment.

359

00:46:54.320 –> 00:47:01.019

Federico Orozco: So I can see, for example, here the 1st patient I see it’s gray grey means

360

00:47:01.110 –> 00:47:02.510

Federico Orozco: I have to do nothing.

361

00:47:03.020 –> 00:47:08.500

Federico Orozco: It’s on manufacturer. They are working and they are producing. It’s on production.

362

00:47:08.600 –> 00:47:11.739

Federico Orozco: But the other patient you can see it’s blue.

363

00:47:12.040 –> 00:47:23.679

Federico Orozco: What’s blue. It means that I have to do something. That’s why. Every day I say more than every day. Twice a day I open the laptop, and I open this section

364

00:47:24.560 –> 00:47:44.579

Federico Orozco: in treatment, in progress. Since I have to see the color. Gray is good. They are working for me, blue. I have to do something. What I have to do is blue pending response. So they did a question to me, and I have to answer, if I don’t answer, the case is blocked. So it’s stopped. They know they don’t continue.

365

00:47:45.840 –> 00:47:46.730

Federico Orozco: So

366

00:47:47.180 –> 00:47:49.250

Federico Orozco: there is the history of the case

367

00:47:50.110 –> 00:47:50.950

Federico Orozco: here.

368

00:47:53.710 –> 00:47:55.060

Federico Orozco: There is the chart.

369

00:47:55.930 –> 00:48:11.860

Federico Orozco: so all the questions they write you here the question, you can simply edit your answer and send it in order to understand which is the problem, and share your idea with the supporting

370

00:48:11.970 –> 00:48:12.810

Federico Orozco: grip.

371

00:48:12.920 –> 00:48:25.349

Federico Orozco: So I reply to them, dear. So I reply to your question by email, asking to you the version number 2 to proceed, and so on, and so on, and so the case will continue.

372

00:48:26.760 –> 00:48:30.590

Federico Orozco: They answer immediately to my question, and so the case is on.

373

00:48:30.840 –> 00:48:46.689

Federico Orozco: So I have all cases I have in progress. And you see that after I replied, what happened now? My case is no more blue, it’s gray, so they are no more waiting for something. They are manufactured. So they are producing my case.

374

00:48:48.260 –> 00:48:54.769

Federico Orozco: After this you can see all cases in progress pending input pending. Input

375

00:48:55.010 –> 00:49:23.949

Federico Orozco: I said to you, I was working at the airport. I put online a new patient pictures, X-oral intraoral scanning. And I said, Come on, Guy, I don’t have X-ray. So if I check this patient. Now you can see that my patient is missing. Something is missing. X-ray. So over there, in this yellow level you can see all the cases that are missing some records, or probably your records, are not good enough.

376

00:49:26.770 –> 00:49:38.180

Federico Orozco: Furthermore, pending response pending response is blue. I said you before this means that they sent to you a question, and you did not yet answer to the question. So they are waiting for you.

377

00:49:38.400 –> 00:49:48.750

Federico Orozco: Finally, the red, the red, is pending acceptance. So they created a treatment plan. The treatment plan we call it occlusal design. So they created an occlusal design.

378

00:49:48.770 –> 00:49:51.720

Federico Orozco: and you did not accept. Yet.

379

00:49:52.170 –> 00:49:56.910

Federico Orozco: of course, green is finished, all the keys that are already finished.

380

00:49:58.890 –> 00:50:23.449

Federico Orozco: Then you can go. These are the patients. But after the patient you have the demo case, so you don’t know how to work. You don’t know what to do. You kept all the demo cases of all the gamma that you can work, and you can select them, and you can see them. You have all the concerns. It means all the questions and all the answer, and of course you have all the helps with

381

00:50:23.740 –> 00:50:30.230

Federico Orozco: group and all the video, how to take impression, how to take scanning, and so on, and so on, and so on.

382

00:50:30.270 –> 00:50:39.019

Federico Orozco: But let’s go now to the in progress section. You can see all my cases. You can see fast target, fast, pro fast, compact. But

383

00:50:39.040 –> 00:50:42.530

Federico Orozco: let’s see, what does the what does this means, let’s start together.

384

00:50:42.960 –> 00:51:09.830

Federico Orozco: Let’s start to get a new patient. I start a new patient, and so you put the name of the patient, the surname of the patient. And this is you. This is my office, and so I send, I say, create a new patient. When you create a new patient, everything is green. I removed the detail of my patient, of course, for privacy of the patient, but you say you can read it’s green. Green means that there is, names are name, and so on, and so on.

385

00:51:10.140 –> 00:51:17.260

Federico Orozco: After that you have a green pop-up. So success patient is created. Everything is good. Go

386

00:51:17.790 –> 00:51:24.950

Federico Orozco: after that you have to select your own product, you see some something like a Christmas tree.

387

00:51:25.100 –> 00:51:29.769

Federico Orozco: This means all the gift that you have. Gift means the kind of product.

388

00:51:29.940 –> 00:51:34.149

Federico Orozco: I will describe one by one with all the features.

389

00:51:34.200 –> 00:51:45.430

Federico Orozco: Let’s start from the 1st one case, evaluation. If you are in depth, you are not so expert, or you want to ask for a second opinion, you can check for a case evaluation.

390

00:51:45.520 –> 00:51:47.230

Federico Orozco: You send just

391

00:51:47.600 –> 00:51:54.129

Federico Orozco: the records and they will evaluate the case for you. It’s something nice, since

392

00:51:54.950 –> 00:51:59.690

Federico Orozco: it’s free, free of charge, and they say to you.

393

00:52:00.310 –> 00:52:08.519

Federico Orozco: according to us, it’s possible to be done with aligners, or it’s not, or you need this kind of auxiliaries, or you need it. Or

394

00:52:09.920 –> 00:52:31.020

Federico Orozco: some days ago I said, Hey, guys, I would like to do a flex. What do you mean? What do you think about it? And they? Said, Giorgio, no way, I think compact is better. So you can ask a second opinion. Second opinion on the possibility to treat it. The way to treat it, and the kind of product that it could be good. Of course.

395

00:52:31.570 –> 00:52:34.610

Federico Orozco: don’t think about it. Don’t be

396

00:52:34.640 –> 00:52:36.330

Federico Orozco: so focused on this.

397

00:52:36.350 –> 00:52:44.319

Federico Orozco: If you ask for a kind of product, and it’s not enough, they will, they will say to you, they will write to you.

398

00:52:44.760 –> 00:53:01.539

Federico Orozco: dear doctor, probably this is not enough. You have to change your product, so anyway, they will do it for you. But you can ask for a second opinion case, evaluation, free of charge, and to ask for a case evaluation. The minimum records that are required are

399

00:53:02.180 –> 00:53:04.829

Federico Orozco: pictures, photo and

400

00:53:04.880 –> 00:53:07.029

Federico Orozco: panorex of the patients.

401

00:53:07.300 –> 00:53:10.689

Federico Orozco: Photos and X-ray are required.

402

00:53:12.080 –> 00:53:14.229

Federico Orozco: After the second opinion.

403

00:53:14.560 –> 00:53:17.390

Federico Orozco: you can go to the products.

404

00:53:17.460 –> 00:53:38.489

Federico Orozco: The smallest products is the for smallest movement. It’s called fast Flex. Small movements means that are really small, crowding, less than 3 small diastem, less than 1 you want to just do correct rotation like the relapse that I showed you before this could be fast flex.

405

00:53:38.870 –> 00:53:42.850

Federico Orozco: Why not? Rotation have to be limited to 10 degree

406

00:53:42.900 –> 00:53:45.430

Federico Orozco: expansion? No more than 1

407

00:53:45.510 –> 00:53:47.740

Federico Orozco: and you can ask

408

00:53:47.760 –> 00:53:58.679

Federico Orozco: for fast flags, also for minor movements, for example, before minor movements, before prosthetics or before aesthetics, and so on. I say, minor movements.

409

00:53:59.360 –> 00:54:02.319

Federico Orozco: This kind of movements. Fast flex, is the answer

410

00:54:02.700 –> 00:54:14.580

Federico Orozco: you can ask for. You can mark here I accept the items, and you say, check out. So you ask for fast flex just for small moments.

411

00:54:14.600 –> 00:54:16.149

Federico Orozco: You will receive it

412

00:54:16.550 –> 00:54:23.680

Federico Orozco: a planning in 4 days, and they evaluate the manufacture time in 8 days.

413

00:54:24.620 –> 00:54:25.960

Federico Orozco: But if you’re

414

00:54:25.990 –> 00:54:32.050

Federico Orozco: work is a little bit harder. You have. Target target is a good part of my patient.

415

00:54:32.280 –> 00:54:38.109

Federico Orozco: You have target and target is, what does this mean? Target means that you have 20 aligners

416

00:54:38.140 –> 00:54:43.780

Federico Orozco: plus 5 aligners to do a recovery, or to do a finishing.

417

00:54:43.860 –> 00:54:56.240

Federico Orozco: of course, per arch, so 20 at the upper 20 at the lower, and then 5 at the upper 5 at the lower. In total, we have 25, aligner, upper, 25, Alan. Lower.

418

00:54:56.520 –> 00:54:59.270

Federico Orozco: In my experience you can correct.

419

00:54:59.960 –> 00:55:04.880

Federico Orozco: I don’t want to say a big part, but a nice part of the patient with this.

420

00:55:05.090 –> 00:55:33.849

Federico Orozco: of course, which is the protocol they suggest to you. When you are working with the fast target, they suggest you to change your aligner every 14 days. This is the protocol that is recommended, and we recommend to you fast target in all the cases that present crowding that is lower than 5 as this is reported on the portal on the website. But if you want, you can do a screenshot to this slide. So fast, target is

421

00:55:33.990 –> 00:55:42.539

Federico Orozco: crowding less than 5 diastema, less than 2 leveling less than 1 expansion, less than 2

422

00:55:42.680 –> 00:55:47.420

Federico Orozco: lower minor rotation, less than 25 degree

423

00:55:48.520 –> 00:55:56.509

Federico Orozco: less than 2 of overbyte and correction, less than 1 of open byte correction, and you can see it so well.

424

00:55:57.060 –> 00:56:01.460

Federico Orozco: Protocol for fast target changed the liner every 14 days.

425

00:56:01.520 –> 00:56:03.930

Federico Orozco: Of course, to be honest, I have

426

00:56:03.970 –> 00:56:11.020

Federico Orozco: also some different indication for the specific patient. I don’t have the same protocol for all the patients, but this is

427

00:56:11.230 –> 00:56:12.720

Federico Orozco: something more.

428

00:56:13.500 –> 00:56:23.940

Federico Orozco: I don’t want to say. It’s not introduction. It’s when you want to go deep in the topic. But standardly, if you want to use fast target every 2 weeks is the change.

429

00:56:24.320 –> 00:56:27.720

Federico Orozco: Then, after fast target, you have

430

00:56:29.470 –> 00:56:30.540

Federico Orozco: fast, compact.

431

00:56:30.680 –> 00:56:33.569

Federico Orozco: fast, compact. I would say it could be

432

00:56:33.790 –> 00:56:43.689

Federico Orozco: probably 50% of the cases. And the protocol suggests is to change every 10 days. You have 25 alana at the beginning

433

00:56:43.810 –> 00:56:47.990

Federico Orozco: you can. This does not mean that you have all at once.

434

00:56:48.040 –> 00:56:50.590

Federico Orozco: but you have 25 learners.

435

00:56:51.140 –> 00:56:52.810

Federico Orozco: then you have plus

436

00:56:52.950 –> 00:57:09.200

Federico Orozco: finishing with 15 aligners and a second finishing with other 5. So per arch you have 2515, and 5. This means that you have 45 aligners per arch, so you can manage

437

00:57:09.460 –> 00:57:22.360

Federico Orozco: mainly the grid part of your patients. You can see I don’t want to take your time you can see. So here all the detail, the crowding less than 6 up to 6 we can manage with a compact

438

00:57:22.510 –> 00:57:27.510

Federico Orozco: and diastema leveling expansion, rotation to 30 degree, and so on.

439

00:57:27.620 –> 00:57:29.100

Federico Orozco: All this product.

440

00:57:29.410 –> 00:57:35.209

Federico Orozco: compact and on you can have with roots or without roots.

441

00:57:35.900 –> 00:57:44.810

Federico Orozco: There is no difference for the company no difference in price. You, if you want the roots you send the Cbct. It’s up to you. It’s up. What you want

442

00:57:46.760 –> 00:57:48.860

Federico Orozco: after compact

443

00:57:49.870 –> 00:58:05.890

Federico Orozco: you have pro pro is for hard cases. When I work. Every one of you know that I love so much to work with the sket anchorage. If you want to work with the sketal anchorage or difficult cases, extraction cases, corticotomy case or difficult cases.

444

00:58:06.400 –> 00:58:07.560

Federico Orozco: You need pro.

445

00:58:07.670 –> 00:58:18.500

Federico Orozco: You need to be a pro, and you need a pro product, and pro is mainly, I would say, let me say, unlimited, unlimited does not means

446

00:58:19.080 –> 00:58:38.800

Federico Orozco: infinite, but you can have all the aligner that you need for your case, you can change it up to 7 up to 10 days. There are also some protocols to be honest, that I normally that I change over every 7 days, and you have. You can manage all the case that you want.

447

00:58:40.110 –> 00:58:53.580

Federico Orozco: You accept it, and you can have it. Finally, you can ask also for a retainer, upper lower, or both, or if your patient has a breakage, or you lose one retainer.

448

00:58:54.910 –> 00:59:05.689

Federico Orozco: Every one of you knows that you can use the previous one the next one, or, if you really need it, you can ask also to redo it. Single arch retainer, you can reorder it.

449

00:59:06.130 –> 00:59:09.069

Federico Orozco: So this is all the gamma that you can have

450

00:59:09.110 –> 00:59:20.289

Federico Orozco: case evaluation free of charge, fast flags, fast, target, fast, compact, with or without roots, fast pro with and without roots, the retainer and the replacement of one single arch.

451

00:59:22.170 –> 00:59:27.200

Federico Orozco: Now we send the keys, and is added to do

452

00:59:27.220 –> 00:59:31.720

Federico Orozco: this case, and so everything is all the has been done.

453

00:59:31.770 –> 00:59:38.770

Federico Orozco: so we have to put the records, and we have to do. The wizard wizard is Dianesis. Let’s do together the wizard.

454

00:59:39.850 –> 00:59:43.759

Federico Orozco: They ask to you which arch which arches you want to be treated.

455

00:59:43.770 –> 00:59:50.709

Federico Orozco: both of them, upper and lower, mainly to in my office, is both of them, but you can also select upper or lower.

456

00:59:50.830 –> 00:59:56.319

Federico Orozco: and in which kind of a closer relationship you are sending the case, you can send

457

00:59:56.620 –> 01:00:13.380

Federico Orozco: centric byte. You can send maximum interpretation, archival closure. What you want in my office, in my office. It’s maximum interpretation, but as you want archival closure, if you use it, occlusion, if you use it, and so on.

458

01:00:13.480 –> 01:00:21.250

Federico Orozco: and at the same time they ask you which kind of a mandibular rotation axis are you using arbitrary

459

01:00:21.300 –> 01:00:26.190

Federico Orozco: or dynamic or simplicity, and so on.

460

01:00:26.620 –> 01:00:34.170

Federico Orozco: In my, you can use the protocol you want. You don’t need it. I remember you. It’s not mandatory, it’s optional.

461

01:00:35.400 –> 01:00:37.320

Federico Orozco: Then you said next.

462

01:00:37.610 –> 01:00:47.939

Federico Orozco: So important my patient is, both in this case and arbitrary and maximum intercutation, since my scanning is in maximum intercutation.

463

01:00:49.390 –> 01:00:58.950

Federico Orozco: you can also send, if you want the vertical dimension. If you have Axiopresia or you have Mojo, you can send to them to have your vertical dimension in your dynamics.

464

01:00:59.070 –> 01:01:07.789

Federico Orozco: As I said you before. Vertical dimension. Let’s analyze. You can say as needed. They will do like you want like they want. Sorry.

465

01:01:07.790 –> 01:01:34.360

Federico Orozco: I normally say, for this patient, and for all my patients the tail instruction. The tail instruction means that for this patient, according to me, there is a high angle tendency, so I don’t want to change. For example, in this case, my vertical position, or, in other case, you want to increase, or, in other case, you want to reduce. In this case, I say, please don’t change, since, according to me, the Lower 3rd is a little bit increased.

466

01:01:34.900 –> 01:01:38.980

Federico Orozco: Little bit of a poster clockwise rotation. So please don’t move.

467

01:01:39.540 –> 01:01:41.009

Federico Orozco: How do you want to

468

01:01:41.020 –> 01:01:44.389

Federico Orozco: level the spec curve? What do you think of this phase?

469

01:01:45.270 –> 01:01:58.069

Federico Orozco: Do you want to intrude? Upper incisor? Do you want to intrude lower incisor. So they say how you want to level the lower spec curve. I say, lower spec curve, please don’t move the Mola.

470

01:01:58.400 –> 01:02:04.999

Federico Orozco: I don’t want extrusion according to my angle tendency. So don’t move the molar, and please

471

01:02:05.230 –> 01:02:08.770

Federico Orozco: don’t move back as bit, and please

472

01:02:09.080 –> 01:02:10.979

Federico Orozco: intrude lower incisor.

473

01:02:11.320 –> 01:02:13.220

Federico Orozco: This is what I think for this passion

474

01:02:14.120 –> 01:02:16.520

Federico Orozco: I can decide. Are you?

475

01:02:16.720 –> 01:02:19.780

Federico Orozco: Don’t know. You can say as needed.

476

01:02:20.950 –> 01:02:27.290

Federico Orozco: Then they ask you what you want, how you want to manage your upper specure.

477

01:02:27.800 –> 01:02:32.070

Federico Orozco: And so you can decide. If you want to

478

01:02:32.540 –> 01:02:36.630

Federico Orozco: intrude, you want to extrude, you want to.

479

01:02:41.200 –> 01:02:48.319

Federico Orozco: how you want to shift your, how you want to correct your specul.

480

01:02:53.060 –> 01:03:00.049

Federico Orozco: Freddy. I think I need a little bit of technical support from you to change the slide.

481

01:03:01.660 –> 01:03:03.370

Federico Orozco: I’m so sorry.

482

01:03:12.450 –> 01:03:14.700

Federico Orozco: No way to change the light.

483

01:03:19.650 –> 01:03:20.420

Federico Orozco: Hope

484

01:03:21.140 –> 01:03:24.379

Federico Orozco: will restore immediately.

485

01:03:30.970 –> 01:03:35.840

Federico Orozco: Yeah, if you give me just 1 min. I’m sorry I have to see

486

01:03:36.250 –> 01:03:37.929

Federico Orozco: how to change my slide.

487

01:03:38.170 –> 01:03:39.100

Federico Orozco: Thank you.

488

01:03:53.300 –> 01:03:56.700

Federico Orozco: How you know. Do you know how to

489

01:06:25.020 –> 01:06:26.869

Federico Orozco: let me know where we are aligned?

490

01:06:40.770 –> 01:06:44.240

Federico Orozco: Hello, everyone! And sorry for this inconvenient technical.

491

01:06:44.360 –> 01:06:56.610

Federico Orozco: I had a little problem with my computer, but it was good for you to take some water or some soda or some no, beer is not the time. But why not just relax a little bit during the webinar.

492

01:06:56.710 –> 01:07:11.449

Federico Orozco: and let’s go on. I was saying to you how we can solve the upper spec curve, and how we can solve the lower spec curve. And so in my patient, I said, I don’t want to extrude a molar. I don’t want to extrude the back aspect. I want to extrude the

493

01:07:11.550 –> 01:07:22.759

Federico Orozco: lower in size and also at the upper. Very, very important. What do you think of my patient here? Do you want to intrude? No, I have a deep bite, so I don’t want to intrude

494

01:07:23.130 –> 01:07:31.580

Federico Orozco: upper incisor, since the exposure is just good, so please don’t move, incisor.

495

01:07:31.810 –> 01:07:43.629

Federico Orozco: Please don’t move back aspid. Please don’t move, Ola, so, George, or you want to solve the divide by intrusion of lower incisor. So Dianesis and treatment plan.

496

01:07:44.080 –> 01:07:56.800

Federico Orozco: And what about the canting in this patient. I don’t have canting, but if you have canting, you can intrude one side or intrude the other side, or extrude as you want one or the other in this patient. I don’t have canting, so I say.

497

01:07:57.120 –> 01:08:04.009

Federico Orozco: maintain and maintain, maintain the right, maintain the left, upper and lower. I don’t have any problem.

498

01:08:04.180 –> 01:08:08.900

Federico Orozco: Let’s go to transversal dimension of this patient. You can see that there is a shift of the midline.

499

01:08:09.420 –> 01:08:15.580

Federico Orozco: So I have to understand the mismatching of the mainline, how you want to control and how you want to manage

500

01:08:16.740 –> 01:08:19.220

Federico Orozco: so transversal dimension

501

01:08:19.250 –> 01:08:22.709

Federico Orozco: as needed. They will do it for you. I don’t like this

502

01:08:22.729 –> 01:08:37.170

Federico Orozco: detail instruction. So the tail instruction, I say, upper midline. So I take the picture big of my patient, and I see my upper midline. My upper midline is here. Here means that he is perfectly center. So

503

01:08:37.200 –> 01:08:39.089

Federico Orozco: offer me like, please

504

01:08:39.390 –> 01:08:45.089

Federico Orozco: move to the left. Since I want to recenter to the face of the to the face of the patient.

505

01:08:45.290 –> 01:08:48.099

Federico Orozco: and a mismatching lower midline

506

01:08:48.810 –> 01:09:00.210

Federico Orozco: move to the right in order to resenter. So I want to shift the upper in this specific patient, and I want to shift the lower in this specific patient. I have to decide.

507

01:09:00.359 –> 01:09:02.910

Federico Orozco: Then I want a symmetric expansion.

508

01:09:03.200 –> 01:09:08.640

Federico Orozco: and I don’t have crossed, so don’t apply to this case.

509

01:09:09.890 –> 01:09:12.869

Federico Orozco: Sagital relation. You can say as you want.

510

01:09:12.899 –> 01:09:22.490

Federico Orozco: No, I don’t like detail instruction. I want to finish in class one on the right mullah, and I want to finish in Class One on the right canine Ra class one on the right side.

511

01:09:22.510 –> 01:09:30.030

Federico Orozco: I don’t want to extract. So I want to finish in Class One on the left, smaller, and I want to finish it in left. Can I class one

512

01:09:30.340 –> 01:09:31.860

Federico Orozco: how you want to obtain

513

01:09:32.460 –> 01:09:36.960

Federico Orozco: in this specification? You want to crystallize, to solve the class 2.

514

01:09:36.970 –> 01:09:40.970

Federico Orozco: You want to misalize the Louver. What do you want to do? I say.

515

01:09:40.990 –> 01:09:44.829

Federico Orozco: hey, Guy, upper right you. You remember that my

516

01:09:45.120 –> 01:09:53.480

Federico Orozco: upper midline is shifted to the right of the patient, so my molar on the right side has to be derotated

517

01:09:53.720 –> 01:09:58.990

Federico Orozco: since on the right side you can see I’m almost in class One, just the rotate

518

01:09:59.050 –> 01:10:00.360

Federico Orozco: and

519

01:10:00.920 –> 01:10:11.179

Federico Orozco: upper left molar on the left side. It’s a class 2 I want to distalize. If I distalize the left Moolah, I will create space and recenter the middle. It’s

520

01:10:11.400 –> 01:10:14.279

Federico Orozco: a convenient for me. It’s good.

521

01:10:14.850 –> 01:10:16.339

Federico Orozco: What about the lower?

522

01:10:16.610 –> 01:10:26.340

Federico Orozco: I don’t want to move the lower molar. It’s almost in class one good, and I want to mesialize the lower on the left side, since it is in Class 2.

523

01:10:27.690 –> 01:10:29.479

Federico Orozco: There is Bolton.

524

01:10:29.780 –> 01:10:47.379

Federico Orozco: I say, as needed, or I can have also the tail instruction. I give the tail instruction. In this case I want a little bit of expansion, but I tendency to angle. So I want also. Ipr please, not so much expansion. I want also Ipr. Anterior and posterior for this case.

525

01:10:48.030 –> 01:11:07.600

Federico Orozco: Then they ask you if you want to do Ipr in the opposing arch, or you want to leave some spaces in this case. Ipr, since I don’t want any kind of space in this specification, I don’t need to do restoration. I want to finish with an overjet of one in this case, and overjet or byte of one.

526

01:11:08.400 –> 01:11:13.959

Federico Orozco: then attachment. In this case I don’t have problem of attachment, so

527

01:11:13.980 –> 01:11:19.450

Federico Orozco: I say as needed as you want, and I want my last liner with attachment on.

528

01:11:20.000 –> 01:11:21.699

Federico Orozco: Do you want a cruiser? Stop!

529

01:11:21.820 –> 01:11:36.060

Federico Orozco: I can have occlusive stuff in anterior area. Different protocol, of course, but when you have deep bite, but in some cases of open bite or tendency to eye angle, I can help me help myself in controlling the vertical dimension with

530

01:11:36.260 –> 01:11:44.840

Federico Orozco: what I ask, occlusal stops on the molar. So here I say to them guys, yeah, I want some Simon

531

01:11:45.220 –> 01:11:47.410

Federico Orozco: Occlusal staff on the molar

532

01:11:48.320 –> 01:11:50.409

Federico Orozco: then tea to be extracted.

533

01:11:50.720 –> 01:12:12.229

Federico Orozco: Do you want to extract? No, in this case I don’t want to extract, so don’t apply. Don’t apply to this case. I don’t need to extract. I don’t want to extract. If you want to extract you say the teeth that you want to extract. And when do you want to extract if you want at the beginning, or you want to extract in a line number 1, 2, 3, 4, and so on. In which step in which phase of your treatment.

534

01:12:12.630 –> 01:12:27.589

Federico Orozco: then they ask you if you want to do corticotomy, and if you want, they also ask if you like. You can ask for a specialist consultation. If in this case needs or not corticotomy

535

01:12:27.790 –> 01:12:35.610

Federico Orozco: in this case I don’t want, so does not apply. I don’t want corticotomy. I don’t want to do surgery in this case.

536

01:12:35.910 –> 01:12:37.660

Federico Orozco: Do you need a skeletal anchorage

537

01:12:37.850 –> 01:12:43.710

Federico Orozco: sometimes? Yes, you remark not in this case I will not use scatter language. So no.

538

01:12:44.030 –> 01:12:50.459

Federico Orozco: and last, but not least, are you thinking to use some braces, some auxiliaries? Not in this case.

539

01:12:51.240 –> 01:12:57.790

Federico Orozco: Do you want button cutouts? Yes, I want. I want a buckle cutout on the 23

540

01:12:57.860 –> 01:13:06.300

Federico Orozco: different option. You can have a bottom buckle bottom, or you can have elastic holders. It depends from your protocol.

541

01:13:06.850 –> 01:13:10.539

Federico Orozco: It can be vocal lingual, and

542

01:13:11.050 –> 01:13:19.040

Federico Orozco: we can continue with a trim line. You can have 2 different trim line in fast align. You can have a straight

543

01:13:19.060 –> 01:13:20.310

Federico Orozco: streamline

544

01:13:20.820 –> 01:13:22.540

Federico Orozco: that is, 2

545

01:13:22.660 –> 01:13:26.569

Federico Orozco: over the Gingiva, over the Gingiva level, over the gun.

546

01:13:26.600 –> 01:13:29.429

Federico Orozco: or you can have a lower.

547

01:13:29.510 –> 01:13:32.709

Federico Orozco: a reduced hate that is below

548

01:13:32.840 –> 01:13:34.700

Federico Orozco: that Gingiva will imagine

549

01:13:35.330 –> 01:13:43.860

Federico Orozco: which you have to use. Of course, also, in this case I have different protocol, but mainly you have to consider that the

550

01:13:45.530 –> 01:13:53.979

Federico Orozco: The land is very important from the biomechanical point of view. It’s not my way of thinking you can see in this paper.

551

01:13:54.190 –> 01:14:19.470

Federico Orozco: They evaluated the trimming line, and they compare the straight just over the margin, the straight 2 over the margin, the scalloped and reduced, and what they reported that the straight, extended design of a liner trimming was the one that was exhibiting the more uniform force transfer and the stress distribution so

552

01:14:19.470 –> 01:14:26.159

Federico Orozco: very, very important. It was also confirmed by this other paper similar design, with a similar result.

553

01:14:26.160 –> 01:14:38.869

Federico Orozco: straight extending trimming line as the best force distribution. So my favorite, in mainly the greatest part of patients, is the high extended, straight line.

554

01:14:39.810 –> 01:14:48.730

Federico Orozco: Then, if you have some consideration, so if you have some notes, I normally write a lot of notes about attachment about everything.

555

01:14:48.790 –> 01:14:51.560

Federico Orozco: I suggest you to put everything you want here.

556

01:14:52.110 –> 01:14:54.699

Federico Orozco: You can do. Give all the instruction.

557

01:14:54.770 –> 01:14:58.709

Federico Orozco: then you say, submit, and then you have to submit the records

558

01:14:59.450 –> 01:15:00.819

Federico Orozco: which are the records

559

01:15:02.240 –> 01:15:10.710

Federico Orozco: xural. You can see they are red. Red means that they are mandatory. So you start from fascial frontal

560

01:15:13.320 –> 01:15:32.280

Federico Orozco: smile, fascial frontal rest and fascial profile. But please don’t forget that to put this on the portal you have to ask for the consent of your patient, so you allow the company to have these pictures, and you have the permission. You have the consent of your

561

01:15:32.280 –> 01:15:43.700

Federico Orozco: patient. So we start with explorer. You can drag and drop. So you take your folder, I take my facial X roller picture and drag and drop on it very easy.

562

01:15:44.890 –> 01:15:46.020

Federico Orozco: my smile

563

01:15:46.940 –> 01:15:48.050

Federico Orozco: profile.

564

01:15:48.480 –> 01:15:56.459

Federico Orozco: and then like, Let’s go to the intro. I go very fast. I don’t want to take your time intro, or frontal intro, or right intro or left

565

01:15:56.580 –> 01:16:01.550

Federico Orozco: occlusal up occlusal lower. You see that there is one that is gray.

566

01:16:01.580 –> 01:16:08.560

Federico Orozco: The one that is gray is frontal bite. Gray means not needed optional. As I said you before

567

01:16:09.580 –> 01:16:14.670

Federico Orozco: now, no more rat. I go to the X-ray, I

568

01:16:15.100 –> 01:16:27.799

Federico Orozco: inserted, I added, external aura. And now it’s the time for X-ray. You can see that video is grey. Cbct is grey is gray. Lateral Saf is gray.

569

01:16:27.900 –> 01:16:35.230

Federico Orozco: The only one that is mandatory is panorax. Panorex is mandatory, so drag and drop. I take my folder and drag and drop here.

570

01:16:35.910 –> 01:16:38.570

Federico Orozco: Finally, the Stl. You

571

01:16:38.910 –> 01:16:57.760

Federico Orozco: at Stl. Please just pay attention, drag and drop is allowed to facial picture, to interval. Picture not in every case to the stl. So I suggest you to go to the plus here, push plus, and take the file from your laptop.

572

01:16:57.890 –> 01:17:12.080

Federico Orozco: You add, when you add, you can see here, my model have been added, Upper, added the lower, and I can continue. You can also, you added. You can also add Mojo, if you have, but it’s not read. It’s not mandatory.

573

01:17:12.660 –> 01:17:19.000

Federico Orozco: Then you have the chat you can discuss with the patient and all the history with the planning center.

574

01:17:21.830 –> 01:17:26.340

Federico Orozco: Here the planning center sent to me a

575

01:17:26.630 –> 01:17:33.900

Federico Orozco: occlusal design. So a visualization of the treatment and I receive. I click it. And I have this.

576

01:17:33.980 –> 01:17:47.499

Federico Orozco: so I can see here all the movements in this case without roots, so that you can see the number of the staging and the number of the aligner in all the orientation that you like, and that you want.

577

01:17:47.680 –> 01:18:06.090

Federico Orozco: But you can see a little, much more. You can push here on staging when you push on staging. You can see there are the number of the teeth. So these are all the teeth, 1716, 15, and so on, and so on, and so on. And you have all the movements. But it’s a little bit crowd this picture.

578

01:18:06.620 –> 01:18:11.340

Federico Orozco: since too many movements. You can push on one on it, and

579

01:18:12.290 –> 01:18:35.130

Federico Orozco: it enlarge zoom. And so you have for each Alina the kind of movement. So I know that here my upper right canine is translating with a speed of 0 point 1 4 per alina, and so on, and so on, and so on, at the same time is rotating, and at the same time, and so on. I can see in each stage for each tooth.

580

01:18:35.850 –> 01:18:38.890

Federico Orozco: which is the moment that I’m going to have.

581

01:18:40.190 –> 01:19:01.140

Federico Orozco: Then I can have also a sum up. I go here, and I see the movements, but I have the movements on the crown, or I can mark root, and I have the movement on root. I have the number, the millimeter, or the degree of movement, and if they are no marked, it’s good. If they are red, it’s a little bit not

582

01:19:01.160 –> 01:19:02.420

Federico Orozco: so predictable.

583

01:19:02.940 –> 01:19:06.520

Federico Orozco: If they are black, they are totally unpredictable.

584

01:19:07.010 –> 01:19:14.039

Federico Orozco: I can see that on the Crown mainly my treatment plan is good on the root is very good, really reliable.

585

01:19:14.060 –> 01:19:30.219

Federico Orozco: Then I can check the contact. I can see the color of the contact, and I can see a little bit of a high contact here on the posterior. Probably I can reduce. No, I have a light contact on the front. I can check all the contact. I can see the Bolton Index.

586

01:19:30.290 –> 01:19:33.530

Federico Orozco: upper lower total anterior posterior.

587

01:19:33.960 –> 01:19:43.420

Federico Orozco: I can have canine line and midline line in order to see where, if the matching is perfectly respected and so on.

588

01:19:44.450 –> 01:20:09.419

Federico Orozco: Then I can change the view. I can see this view, or I can see also without the model. Just the pink is before the treatment, and in this way I can overlap. Pink is before white is later, and so I have a visual, a visualization of before and after. The kind of movement is so clear here on the right canine you can see

589

01:20:09.550 –> 01:20:11.439

Federico Orozco: with this is the kind of movement

590

01:20:11.650 –> 01:20:17.109

Federico Orozco: I have the number I have the degree. I have also the visualization of this kind of movement.

591

01:20:17.650 –> 01:20:34.210

Federico Orozco: then I can continue. I can print a report. I can print a rebel in order to understand which are the movement and which are the degree of movement on the single teeth, on the root and on the crown. Then I can have also a three-dimensional overlapping.

592

01:20:34.780 –> 01:20:40.819

Federico Orozco: and I can also write some comments. So I say to them, hey, dears, could you kindly?

593

01:20:41.150 –> 01:21:09.520

Federico Orozco: I try to be to do my best, so could you kindly, perfectly center, the final lower midline. Jojo is almost perfectly, but almost I want much. I owe it better so, please. Could you make better? Could you improve the 5, since here the 5 is not perfect. And could you reduce the final overjoy? Many thanks, Jojo. Okay. So you see that my v, 1 version number one is gray, so

594

01:21:09.610 –> 01:21:11.929

Federico Orozco: I don’t like it. So I send back.

595

01:21:12.240 –> 01:21:15.250

Federico Orozco: and then they give me a version number 2.

596

01:21:15.540 –> 01:21:17.090

Federico Orozco: I check the number 2.

597

01:21:17.250 –> 01:21:25.239

Federico Orozco: Of course, if you want, you can also do by your oven with a 3D. Control, you can do all the movement that you want

598

01:21:25.250 –> 01:21:33.590

Federico Orozco: from the beginning, or you can modify them, you intrude, you can modify, you can do what you want, you save, and they will do it for you, or

599

01:21:33.680 –> 01:21:35.930

Federico Orozco: you send back with your commands.

600

01:21:36.030 –> 01:21:38.859

Federico Orozco: they reply with a new version.

601

01:21:39.100 –> 01:21:53.390

Federico Orozco: I check the occlusion. I don’t want to take so much time for you. And now I say, Oh, okay, okay. Now, I like the midline. And now I like the 5. And now I like the occlusion. And now it’s good. So now I accept. And if I accept, it’s green.

602

01:21:53.520 –> 01:21:56.290

Federico Orozco: So now I can go.

603

01:21:57.650 –> 01:22:00.130

Federico Orozco: This is how I use fast.

604

01:22:00.580 –> 01:22:05.819

Federico Orozco: And let’s see, in the last 15 min a real case.

605

01:22:06.280 –> 01:22:08.439

Federico Orozco: I want to introduce you. Stefania

606

01:22:08.580 –> 01:22:29.130

Federico Orozco: Stefania was a patient of mine that came some year ago in my office. He was 48, and he said, Doctor, I would like to improve my smile. I complain about my diastema, and I, said, Stefania, I see your teeth. We can improve it, sure the smile.

607

01:22:29.140 –> 01:22:37.710

Federico Orozco: sure, the diastema. But let’s check the occlusion. There is a big diastema in the front, there is rotation on the left lapar incisor

608

01:22:37.980 –> 01:22:53.949

Federico Orozco: diastema at the upper diastema, at the lower. You can see that orally gene of my patient is not the best. She’s a high smoker, and so I say, Stefania, we I can give you a smile, but you can give you a promise. You have to promise to me. I don’t want to stop smoking.

609

01:22:53.950 –> 01:23:19.349

Federico Orozco: But please reduce. Okay, doctor, I can try. Let’s try together, and you have also to improve your whole hygiene. Let’s try together. Of course she’s a periodontal patient, so you can see that it’s a class one on the right side. She lost her second back aspect, and she at the upper jaw, and she lost also the second back aspect on the left quadrant of the lower jaw. You can see here the molar.

610

01:23:20.070 –> 01:23:30.099

Federico Orozco: I almost see the fork. There is a big gum resorption here, and also gum and bone resorption. But you can see the static of Stefania is completely

611

01:23:30.550 –> 01:23:33.690

Federico Orozco: alterated by this diastem

612

01:23:35.630 –> 01:23:49.440

Federico Orozco: little bit crowding at the lower, and I take X-ray. You can see there is a bone resorption. It’s a periodontal patient. So we do a charting periodontal, and we start from the periodontal.

613

01:23:49.570 –> 01:23:57.039

Federico Orozco: After that, after controlling the oral gene and the periodontal status we can start. We can start the Wizard

614

01:23:57.070 –> 01:24:01.850

Federico Orozco: what I said to you. Let’s start with the Wizard so transversal.

615

01:24:01.980 –> 01:24:17.720

Federico Orozco: Where do you see? You see the face of Stefania? Of course you don’t see the eyes, but you see the face, you see the diastem, and you see her upper central incisor, where is the midline midline is perfectly centered to the mesial portion of the right central incisor. So

616

01:24:18.030 –> 01:24:19.449

Federico Orozco: you can say to me.

617

01:24:19.460 –> 01:24:21.070

Federico Orozco: Do I want to move

618

01:24:21.210 –> 01:24:23.150

Federico Orozco: upper right incisor

619

01:24:23.320 –> 01:24:37.070

Federico Orozco: everyone I can hear. No, Jojo, don’t move upper central Incisor. I want to move left. So I have to close this diastema moving the left incisor to the right of the face of the patient. This is dialysis. This is treatment plan.

620

01:24:37.180 –> 01:24:40.170

Federico Orozco: So I say to them.

621

01:24:41.450 –> 01:24:42.490

Federico Orozco: guys.

622

01:24:42.730 –> 01:24:44.400

Federico Orozco: transverse acceleration

623

01:24:44.470 –> 01:24:47.069

Federico Orozco: upper midline. Don’t move

624

01:24:47.500 –> 01:25:02.760

Federico Orozco: lower midline as needed. And I remark, here, I don’t know if you can read it. It’s written guys don’t move upper central incisal, move the left one and close the astema on the mesial portion of the right incisal.

625

01:25:03.130 –> 01:25:07.930

Federico Orozco: So they give me an occlusal design after the wheezer, and this is the occlusal design.

626

01:25:08.030 –> 01:25:16.190

Federico Orozco: I can see that, you see left incisor is moving, closing. The stimma and right incisor is freezed is blocked. Good.

627

01:25:16.960 –> 01:25:18.890

Federico Orozco: but I don’t trust in this.

628

01:25:19.430 –> 01:25:22.400

Federico Orozco: It’s a movie, it’s playstation.

629

01:25:23.560 –> 01:25:41.039

Federico Orozco: I don’t trust in this. I trust in number. So I see the superimposition and good. I see that center incisor is not moving, and the left incisor is moving is closing the Stemmer, and I want to check it. I see the midline. I see the midline before

630

01:25:41.400 –> 01:25:58.870

Federico Orozco: the pink one, and later the white one. So the green one is the midline of the face of Stefania, and you see the movement of the central upper left central incisor, and I want to see also in grade how many millimeter I can evaluate. Each

631

01:25:59.320 –> 01:26:03.949

Federico Orozco: each square is 1 I can evaluate.

632

01:26:04.080 –> 01:26:10.610

Federico Orozco: and I can evaluate the number, the kind of movements I can evaluate, the closer contact. Since it’s a

633

01:26:11.290 –> 01:26:17.689

Federico Orozco: periodontal patients. So I have very light contact. You can see green light contact.

634

01:26:17.820 –> 01:26:23.149

Federico Orozco: And so I can start. I say, Okay, they give me the aligner. I start

635

01:26:23.650 –> 01:26:30.139

Federico Orozco: pushing her to brush it the best, and you can see here what you can see attachment

636

01:26:30.970 –> 01:26:35.790

Federico Orozco: and the aligner number one, or probably this is number 2.

637

01:26:37.290 –> 01:26:47.459

Federico Orozco: After 3 months. It’s a line on Number 5. You can see the aesthetics is so good, so good, and the compliance of the patient is so good.

638

01:26:48.520 –> 01:26:55.640

Federico Orozco: just a horrible gene. She needs to be better, but diastema is going to be closed. Lower arch

639

01:26:55.730 –> 01:26:58.489

Federico Orozco: is going to. Man is going to be managed. The crowding.

640

01:26:58.980 –> 01:27:16.049

Federico Orozco: I said to them. I don’t want to correct the class. 2 tendency on the left side. I don’t want to put elastics, since superior dont of patient leave the molar here, and I just want to close the estema and center the middle and give the aesthetic to the patient.

641

01:27:16.130 –> 01:27:19.160

Federico Orozco: 5 months later, Aligner number 11,

642

01:27:19.400 –> 01:27:23.289

Federico Orozco: the data stem is going to be closed. You can see it’s

643

01:27:23.460 –> 01:27:28.879

Federico Orozco: aligner number 11, upper and lower. You can see the crowding is almost

644

01:27:28.950 –> 01:27:30.160

Federico Orozco: corrected

645

01:27:31.100 –> 01:27:34.379

Federico Orozco: with the liner on and without, you see, today’s thema

646

01:27:34.690 –> 01:27:40.179

Federico Orozco: is almost completed, and the central incisor on the right side no movement at all.

647

01:27:40.960 –> 01:27:43.460

Federico Orozco: On the right side, on the left side

648

01:27:43.900 –> 01:27:45.240

Federico Orozco: you can see the

649

01:27:45.260 –> 01:27:46.659

Federico Orozco: call her over the teeth

650

01:27:46.870 –> 01:27:50.829

Federico Orozco: in part is smoke, in part is chlorexine fat.

651

01:27:51.070 –> 01:28:12.389

Federico Orozco: She could be better. But anyway, you can see the crowding is almost solved, and 9 months later we are at Aligner, number 14, aligner number 14. My protocol in periodontal patient is very slow. I change every 2 weeks every 14 days. In this kind of patient the istema is almost closed. I am in Aligner number 14, you

652

01:28:12.460 –> 01:28:15.209

Federico Orozco: can see, and then I continue.

653

01:28:17.370 –> 01:28:19.490

Federico Orozco: All the Stemm is almost closed.

654

01:28:19.540 –> 01:28:25.020

Federico Orozco: and this is Stefania. After 13 months of treatment before and later.

655

01:28:25.680 –> 01:28:27.759

Federico Orozco: I think we need something very

656

01:28:27.770 –> 01:28:30.219

Federico Orozco: good and very interesting for her

657

01:28:30.260 –> 01:28:32.679

Federico Orozco: for her health and for her life.

658

01:28:33.050 –> 01:28:42.219

Federico Orozco: we completely changed her aesthetics. We gave to her what she wanted. She closed the stomach, she gave a good

659

01:28:42.380 –> 01:28:45.449

Federico Orozco: alignment and good aesthetic. But please

660

01:28:45.610 –> 01:28:48.630

Federico Orozco: look here at the midline

661

01:28:49.010 –> 01:28:52.259

Federico Orozco: Midland at the center of the face.

662

01:28:52.320 –> 01:28:53.500

Federico Orozco: Dioyndes

663

01:28:53.760 –> 01:28:59.230

Federico Orozco: treatment plan so upper, middle and center don’t move it. They didn’t move it.

664

01:28:59.530 –> 01:29:02.760

Federico Orozco: The the profile of the patient.

665

01:29:03.070 –> 01:29:09.190

Federico Orozco: the spine on profile of the patient, and the 3 quarter view without Stima.

666

01:29:09.270 –> 01:29:11.740

Federico Orozco: Let’s compare the interaural.

667

01:29:11.880 –> 01:29:18.810

Federico Orozco: I like so much to share with you the upper right incisor, I said. Don’t move no move.

668

01:29:19.450 –> 01:29:27.500

Federico Orozco: All the Sm has been closed with movement, visualization, and rotation of the left upper incisor with the 21.

669

01:29:28.430 –> 01:29:29.970

Federico Orozco: As I requested.

670

01:29:30.530 –> 01:29:34.019

Federico Orozco: we close the estima canine in class one

671

01:29:34.620 –> 01:29:39.730

Federico Orozco: class, one occlusion on the right side. She can put it in plan when she want

672

01:29:39.920 –> 01:30:03.000

Federico Orozco: as soon as possible, we corrected, but not at the best left, since I don’t want elastics, and I didn’t want to correct completely the class for the periodontal problem. Upper Arch. All the stem are completely closed, completely resolved, and the crowding at the lower very good, solving no problem at all. The aesthetic on the frontal area.

673

01:30:03.190 –> 01:30:04.250

Federico Orozco: upper

674

01:30:05.230 –> 01:30:06.250

Federico Orozco: and lower.

675

01:30:08.150 –> 01:30:09.430

Federico Orozco: all the crowding.

676

01:30:09.480 –> 01:30:10.619

Federico Orozco: all the

677

01:30:10.710 –> 01:30:12.060

Federico Orozco: knees, alignment.

678

01:30:12.160 –> 01:30:16.359

Federico Orozco: all the leveling has been corrected very quick treatment.

679

01:30:16.380 –> 01:30:18.070

Federico Orozco: very compliant, patient.

680

01:30:18.420 –> 01:30:20.280

Federico Orozco: But, most importantly.

681

01:30:20.450 –> 01:30:25.650

Federico Orozco: what I what I had is what I wanted from my Diana.

682

01:30:26.040 –> 01:30:47.270

Federico Orozco: Of course, comparison of X-ray. You can compare the level of the bone before and later all the diastema have been closed. She can put an implant or prosthetics on quadrant one and quadrant 3 when she will be able. You can see the overjet has been corrected, the overbite has been corrected, and all

683

01:30:47.440 –> 01:30:52.270

Federico Orozco: the occlusion that we wanted has been obtained

684

01:30:52.530 –> 01:30:53.780

Federico Orozco: dirty months.

685

01:30:54.370 –> 01:30:56.549

Federico Orozco: we obtain what we planned.

686

01:30:57.090 –> 01:31:10.629

Federico Orozco: I thank you so much, Federico, 1st of all for very high pro support, and I’m sorry for the technical mistake and the technical problem with my laptop. And I thank all of you so numerous and so many people

687

01:31:10.630 –> 01:31:35.229

Federico Orozco: on this webinar. And here I leave you with my email address, you can write me for any kind of request or anything you want. I don’t know any support. If you want to share an idea, or I strongly suggest you to follow me on Instagram. You can follow me on Instagram, please. We can be friend on Instagram, and you can write me and share

688

01:31:35.400 –> 01:31:56.599

Federico Orozco: your idea on your patient, your feedback on your patient, and, most importantly, your feedback on schedule anchorage and fast aligners. Thank you so much to forest. Thank you to mark and to all the people. Thank Federico, and, thanks to all of you, if you have any kind of question, we have 4 more minutes you can write me. I’m here for you. Thank you.

689

01:31:59.160 –> 01:32:28.349

Federico Orozco: Perfect. Thank you, Giorgio, as always, very great, a great presentation, a great topic about fast aligners. We had some questions. We already answered, some of them directly, with the help of Mark Kohler. He’s behind the stage helping us with this broadcasting. So great job, Mark. Thank you very much for your support here. So if we have another question, Dr. Alexandra

690

01:32:28.370 –> 01:32:36.389

Federico Orozco: Ronkov. Thank you. Very good. She made a question, and Mark put the answer that was, Mark put the answer in the chat.

691

01:32:36.810 –> 01:32:37.680

Federico Orozco: and

692

01:32:38.730 –> 01:32:43.439

Federico Orozco: let me see, Professor Giodic, in what cases do you use

693

01:32:43.630 –> 01:32:58.890

Federico Orozco: the load trim line also, in fast pro cases. Do you choose to change? The aligner sets every 10 days, or do you change them every 14 days? Thank you for the presentation.

694

01:32:58.890 –> 01:33:19.830

Federico Orozco: Great as always. Thank you so much for the nice question, and I wanted to share with you what is the standard protocol suggested by the company, but I want to also answer to your question, and to share my protocol. I say it my way. My way is in periodontal patient.

695

01:33:20.860 –> 01:33:37.140

Federico Orozco: I want, or in patient with a reduced periodontal support or reduced bone support. I want to go slower. So my protocol is change. Every 2 weeks in conventional patients. I start changing every

696

01:33:37.200 –> 01:33:38.360

Federico Orozco: 2 weeks

697

01:33:38.370 –> 01:33:43.330

Federico Orozco: and since. To be honest, don’t say to my patients, but I don’t trust in them.

698

01:33:43.370 –> 01:33:46.950

Federico Orozco: so I want to try. I want to

699

01:33:47.150 –> 01:34:00.429

Federico Orozco: check their compliance. They come back to my office normally after 4 weeks. So they are online number 2. I check the feedback. I check the fitting. I check all the

700

01:34:00.750 –> 01:34:10.940

Federico Orozco: question and all the compliance, such like everything. If they are complaining, and say I don’t put her. I say also to them a little trick, please. Can you remove your alana?

701

01:34:11.430 –> 01:34:22.930

Federico Orozco: And can you put it back? I see how they manage, and if I say that they don’t wear, they are not so compliant. I continue with 2 weeks also in commercial patients.

702

01:34:22.940 –> 01:34:28.079

Federico Orozco: If they are good, I start my protocol with 10 days, and then, if they are very good.

703

01:34:28.440 –> 01:34:36.769

Federico Orozco: really compliant, really good means really compliant. I go for 7 days. My favorite protocol is 7 days, but just for

704

01:34:36.780 –> 01:34:43.500

Federico Orozco: really compliant patients. So my favorite is 7 days. My standard could be

705

01:34:43.670 –> 01:34:49.169

Federico Orozco: between 7 and 10 days, a few periodontal patients or no compliance. 2 weeks

706

01:34:50.000 –> 01:35:09.669

Federico Orozco: about the trimming line. I prefer normally the high, straight, trim line. In 90% of cases I use the low trim line in periodontal patients in order to let them to clean better, if possible, and to reduce also the amount of forces.

707

01:35:10.740 –> 01:35:22.000

Federico Orozco: Also. The attachment will be specific in this kind of patient, but I can continue speaking, I think, for 1 h, and Federico can kill me.

708

01:35:23.000 –> 01:35:49.390

Federico Orozco: So we have another question here from Dr. Runkoff. Thank you, Mark, for your answer. So if I already have a fast case developing, and I did not choose stop and go without attachment. But I will want to change something in the treatment plan after. Stop and go? Can I keep the lasa lining with the attachment on? And when I receive the new template and sets.

709

01:35:49.660 –> 01:35:55.090

Federico Orozco: I can remove the old attachments in the same session, and apply the new ones.

710

01:35:55.650 –> 01:36:10.060

Federico Orozco: Yes, of course you can. You can maintain all the attachment on. Then, when you receive the new one you remove and and make the new attachment. This is the best that you can do best. What does it mean? Most accurate and most precise.

711

01:36:10.560 –> 01:36:11.510

Federico Orozco: But

712

01:36:11.650 –> 01:36:19.030

Federico Orozco: the problem is, if you have asked at the beginning without attachment, if you see your last

713

01:36:19.280 –> 01:36:24.589

Federico Orozco: aligner will be without attachment, so if you don’t remove

714

01:36:24.620 –> 01:36:30.139

Federico Orozco: the attachment the patient cannot wear. So 2 major suggestions

715

01:36:30.320 –> 01:36:34.170

Federico Orozco: in my protocol in my office I ask for with attachment.

716

01:36:34.810 –> 01:36:46.630

Federico Orozco: If you did it already, you can write, and you can say to them another aligner with attachment on, I don’t suggest you. You don’t need it. You can.

717

01:36:47.510 –> 01:37:07.669

Federico Orozco: You can do 2 trick. The 1st one. You stop one aligner before you have a 15 aligner, you stop after the 14, you have all the attachment on you. Stop there and you scan and ask for a new aligner with a new attachment, and you stop at the not the last, the one before little trick.

718

01:37:08.100 –> 01:37:15.289

Federico Orozco: or you remove all the aligner. You give the last aligner, and then you you will do the new attachment.

719

01:37:15.300 –> 01:37:19.020

Federico Orozco: So these are the skill, the tricks that I can give you.

720

01:37:19.160 –> 01:37:21.250

Federico Orozco: and you can solve the real problem.

721

01:37:22.970 –> 01:37:34.749

Federico Orozco: We have another question here. Any kind of intra intramural, I think, is intraoral. 3D. Scanner will work with fast. We only need stl files.

722

01:37:34.800 –> 01:37:57.189

Federico Orozco: No, they only need stl files, so all the scanners are good you can use in my office. I don’t know if I can see, but I think I can say everything I want. So I have in my office. I have 3 shape, but I also use with Itero. I also use with medit, and I also use with

723

01:37:57.320 –> 01:38:08.219

Federico Orozco: some other shining, and so on. So they also they only need stl. Of course, stl of good quality. This means that to be honest.

724

01:38:08.390 –> 01:38:25.820

Federico Orozco: sometimes they reply to me, Jojo, this is scanning, not scanning mainly they reply to me, there is no correspondence between the occlusion and the pictures that you sent to me, and so I go back to my office and I check the occlusion. And I say.

725

01:38:25.880 –> 01:38:42.949

Federico Orozco: probably you are right. I will take another occlusion, or probably no, you are not right. You can continue. If you say I strongly believe in this record, they will continue. It’s just a question they do so they need stl of good quality with all the scanner that you want

726

01:38:44.640 –> 01:38:47.890

Federico Orozco: perfect. We have here another question

727

01:38:47.980 –> 01:39:04.690

Federico Orozco: from various student, do we need to take a certification course to start a treatment with fast system? Are there any needs prerequisite?

728

01:39:04.980 –> 01:39:30.539

Federico Orozco: Well, it depends from the country you are working, but I can say that in major part of the world you don’t need certification, or probably you already did it with this webinar. So now you know how to use it. Now you know the portal, so you can use it. Of course I strongly suggest you, even though you are a postgraduate student, and I’m sure that you can do orthodontics. Probably I can.

729

01:39:30.780 –> 01:39:52.200

Federico Orozco: I can suggest you to do some curses, especially with fast, just to understand the skill, the protocols and the major tricks that we can use. But you can start your 1st case, and on the next curse, probably I will do it, and we can share our opinion. You can say to me how you did it, and

730

01:39:52.400 –> 01:39:55.449

Federico Orozco: why not? I can learn something about from you.

731

01:39:56.070 –> 01:40:12.059

Federico Orozco: Perfect. We have a special request from Stefan Forster. Stefan. How are you? Thank you, Giorgio, for the nice presentation. Will you play one of the guitars in the background to the end of the webinar. Of course, Stefan, but just if you come for the drums.

732

01:40:12.510 –> 01:40:35.430

Federico Orozco: so I think we have no questions anymore. So Giorgio, as always, great presentation. Thank you very much. Thank you, all of you, to be here with us this 90 min doing this broadcast. Live from the studio for studio. It was very nice. It was a pleasure. Giorgio, again.

733

01:40:35.550 –> 01:40:41.299

Federico Orozco: Thank you very much. See you. Thank you, Federico, and thank you all. See you the next time.