Day1 分析、諮詢與風險評估_workflow|consultation|risks

學習目標

  • 1-1 矯正學習藍圖與流程Workflow
    Case study:bimaxillary protrusion with scissors bite/functional deviation_90º twist bend in front of L7

    Case study:chin deviation with unilateral scissors bite/skeletal deviation_CCWR for facial improvement

  • 1-2 牙齒的矯正移動與解剖極限OTM & anatomical limits
    Case study: major root movement in Class III_anterior torque reinforcement by twist bend

    Case study: orthopedics of Class II deficiency_Twin-block TB*

  • 1-3 矯正可能遭遇的極限與風險_Risks

  • 1-4 資料收集_Data collection
    問卷分析/有效諮詢方法論/阻斷性矯正*
    現代矯正治療所需影像分析規格/essential-five
    環口片、測顱與重疊等基本分析要項
    治療計劃擬定合理性、治療順序安排與說明
    Case study: eruption disorders

實作項目

  • 精簡必備的矯正器械與使用法_YDM EVERfine plier set

  • 自鎖式矯正器的開關操作_Active self-ligating Mini-Clippy-R

  • 鎳鈦線熱處理器使用方式_DERHT感應面板與腳踏式

  • 第一條線的線尾回彎處理_0.016”SE bend-back

  • 末端臼齒錯咬_1622L&H twist bend on L7

  • 前牙扭矩加強_1825L&H anterior twist bend

  • 臼齒扶正前移延伸勾_1725TMA molar extension arm

  • 測顱分析與精簡分析結論_key tracing & folding ruler

  • 如何靈活使用初診諮詢表_consultation sheet

器械材料

  • Acrylic model/typodont holder THB (Dentos)

  • Soarer-X/.016”SE (Tomy)

  • Soarer-X/1622 L&H (Tomy)

  • loop-forming plier/1622 TMA (G&H)

  • Archform chart (OPA-K,Tomy)

  • Leslie’s exclusive consultation form

  • Leslie’s workshop kits (*provided by course organizer, not included in the tuition)

  • ABO gauge/protractor/analytic sheet/0.5 HB pencil (optional*)

  • 課程提供實作所需YDM EVERfine器械與Dentos模型,於課程結束後清點歸還


Day2 符合解剖與力學的定位法_mep positioning

學習目標

  • 2-1 臉型分析_Facial analysis

    微笑設計概念/肌群復健訓練導入MFT
    難易度評估/如何判定咬合或臉型的鐵板難症、挑選適合入門病例?

  • 2-2 空間分析_Space management
    空間控制/保守性治療/全齒列後移WAR

  • 2-3 拔牙觀念_Extraction
    拔不拔牙的概念、邊緣性病例或正顎與否的邏輯思考/從二次與接手矯正體悟到的道理
    Case D2-3: severe crowding/ext. pattern?

  • 2-4 主動式自鎖矯正器臨床特點與應用_ASLB

  • 2-5 必備直接黏著技術_Bonding procedure
    有效率與邏輯地黏著流程
    不足空間的附件使用/bonded accessories

  • 2-6 如何決定位置私技_MEP concept
    不對稱拔牙區域黏著考量/atypical dentition

實作項目

  • 下顎前牙如何初步給扭矩_lower ant. torque

  • 下顎前牙區如何線材擴大_ ant. resistant form

  • 黏著位置的定位概念形態咬合學_CA line

  • 矯正器定位與黏著流程標準化_bonding workflow

  • 增取空間與初期施力牽引_tip-back bend

  • 暫時性墊高咬合要有邏輯想法減少副作用_bite raiser with Ultra-BandLok

  • 連續結紮兩種綁法_figure-8 tie & SLT

  • 增加控制與減少阻力的做法

器械材料

  • Acrylic model (Dentos)/mini-Clippy bracket set (Tomy)

  • Case model for bonding (Mr.Lin SH)

  • Bonding ktis/bkt & tube tweezers,explorer

  • 3M Transbond XT/3M Super glue gel & 118 VHB foam type for model

  • Marking pen/Ultra-BandLok compomer (Reliance)

  • .009” ligature wire/twister/.014” & .016” SE (Y)

  • Soarer-X heat bender machine (Tomy)


Day3 超彈性與硬線矯正力學_archwire mechanics

學習目標

  • 3-1 錨定準備_Anchorage preparation
    口內,顎間,骨釘錨定的優劣

  • 3-2 力量給予_Force application
    牙弓型態對矯正的影響/archform
    牙弓形狀控制/archform control

  • 3-3 選擇適當矯正線材的邏輯_Wire selection
    溝槽尺寸的優劣/slot size
    矯正線與溝槽的交互作用/wire&slot
    反史畢氏曲線與咬合平面/RCOS&OP
    打開深咬的策略選擇/bite raising
    不鏽鋼線材的扭矩給予/TQ on SS
    Case: upper single arch extraction

  • 3-4 超彈性線與不銹鋼線_ISW&SSW
    超彈性線與不銹鋼線的性質差異
    非小臼齒拔牙病例的牙弓擴大
    單顆牙齒的扭矩給予
    Case: TSALD without premolar extraction

  • 3-4 拔小臼齒區空間關閉_Premolar extraction

    每次回診的矯正線調整/拔牙三寶
    滑動機制的力學設計與負效應救援
    需要摩擦力的矯正步驟
    分段後移減少副作用的技巧/sectional arch
    Case: sectional arch for severe crowding
    Case: self-aided wire mechanics

實作項目

  • 超彈性鎳鈦合金線的形變彎折_DERHT method by heat bender

  • 弓線模板的使用練習_OPA-K resistance archform chart

  • 易懂的不鏽鋼弓線形狀調整與彎折

  • 迅速精確的扭距弓線_quick bending of torqued archwire

  • 下壓輔助線彎折_cantilever arm accessory

  • 高力矩雙圈弓線的難症應用_Mega-helice for molar uprighting

  • 線尾處理之必要細節_bend-back, tie-back, cinch-back & flush-end

器械材料

  • Acrylic model/ typodont holder THB (Dentos)

  • OPAK arch form chart/ Resistant form (essential)

  • .016”X.022” & .018”X.022” L&H Titan/.016”X.022” SS

  • .016”X.022” TMA (cantilever arm)

  • Arch & loop forming pliers/Soarer-X/*foot switch /marking pen (red)


Day4 安全可靠的骨釘植入法_double-film methods

學習目標

  • 4-1 骨釘植入與訣竅_Insertion tips
    植入方式的差異與優劣/insertion gesture
    避免骨釘斷裂經驗/screw fracture
    植入部位選擇與骨釘樣式應用/sites&sizes
    手持與電動骨釘植入器械介紹/manual&e-driver
    增加骨釘植入成功率?
    減少骨釘矯正不適感的處置
    Case: takeover bimax./MIA fx

  • 4-2 雙片植入確認法_Double-film method (獨家詳解)
    後牙區骨釘植入/5^6,6^7
    前牙區骨釘植入/ant. MIA
    前牙區唇繫帶重新置位/frenum reposition

  • 4-3 骨釘矯正的力學設計_MS-assisted mechanics
    需要骨釘助攻的病例選擇/case selection
    骨釘自助型遠距矯正治療/self-aided Tx
    Case: 4-MS&lever-arm for severe bimax.

實作項目

  • 各部位模型植入正確姿勢操作

  • 全齒列後移機制設計/WAR

  • 拔牙病例機制設計/2 or 3-MS

  • 套索式綁法/lasso-tie technique

  • 局部臼齒下壓/regional intrusion

器械材料

  • Acrylic model/typodont holder THB (Dentos)

  • PH131206,SH131206 (MIA,Dentos)

  • Hand driver/explorer (YDM)

  • Engine driver (e-Driver/Osstem) *optional

  • Super chain S&M/flowable resin or SoftFlow resin/light-curing machine


Day5 骨釘位置與力學設計_Miniscrew mechanics

學習目標

  • 5-1 不同骨釘位置帶來的效應_Mechanics from different miniscrew position

  • 5-2 顎內與顎間機制所造成的旋轉效應_Rotational effects from intra-arch & inter-arch mechanics

  • 5-3 如何設計對應的治療機制?How to design proper/indicated mechanics?

  • 5-4 為何要留意露齒笑與切勿過量後縮前牙?Why not to over-retract anterior dentition?

實作項目

  • setup the miniscrew mechanics

  • lasso-tie on archwire

  • bilateral retraction within alveolar housing

  • prepare 1622SS resistance archform

器械材料

  • Dentos model with miniscrew

  • 1622 L&H, 1622SS, archform chart

  • closed-type SuperChain(light,blue)

  • mosquito forcep & explorer

  • .009” ligature wire(posterior SLT)


Day6 非拔牙矯正_non-extraction protocol

學習目標

  • 6-1 非拔牙矯正的病例適應症_Why non-extraction is indicated?

  • 6-2 如何做齒列側方扶正爭取空間?_How to perform lateral uprighting?

  • 6-3 齒列側方擴大同時追加鄰接面去釉達到早期前牙改善_Early anterior improvement by simultaneous protocol

  • 6-4 瞭解非拔牙矯正缺點極限與患者不滿意的抱怨_Shortcuts & unsatified results from non-extraction plan

實作項目

  • lower lateral uprighting by using upper archform

  • anterior space regaining by reciprocal force from open coil spring

  • introduce IPR protocol & kits

  • MS for U/L whole arch retraction

器械材料

  • .016”SE & 1622L&H(UA)

  • NiTi open coil spring

  • MIA sh131206

  • .009” ligature wire

  • 1/4” 3oz elastics(inter-arch elastics)


Day7 改臉型矯正_facial improvement

學習目標

  • 7-1 為何選擇拔牙改臉?_Why choose extraction for face?

  • 7-2 分段或整體後移的優缺點_Staged or group/retraction protocol (*HOTS觀念做法)

  • 7-3 垂直控制的重要性_Reduce side effects from over-retraction by vertical control

  • 7-4 垂直控制式後縮力學設計 _*MIB molar intrusion bar (創新發想)
    Case: VME/6-6 gummy smile/3-MS/first MIB innovation

  • 7-5 咬合干擾的影響與處理手法_Interferences in horizontal & vertical control

實作項目

  • ISW retraction archform/UL

  • selective heat treatment

  • torqued plain archwire

  • modified en masse retraction(buccal)

  • modified en masse retraction(palatal)

  • high-pull MS & MIB

  • intrusive retraction mechanics

器械材料

  • 1622 L&H Accuform, Soarer-X

  • 1725 SS Trueform, Tweed plier

  • .009” ligature wire for SLT

  • closed-type SuperChain(blue)


Day8 咬合微調與維持_occlusal detailing & retetion

學習目標

  • 8-1 雙側犬齒角度調整_Canine position

  • 8-2 中線調整的技巧_Midline correction

  • 8-3 前牙型態微調_Anterior esthetic position

  • 8-4 前牙去除干擾接觸_Avoid interference contact

  • 8-5 剩餘空間關閉_Residual space closure

  • 8-6 維持器的觀念與設計_Concept & design of retainers

實作項目

  • 13,23 single twist bends on 1622L&H

  • resistance archform & unilateral SLT with MS or inter-arch elastics

  • 12-22 in-out, angulation & artistic bends on 1622SS

  • X-elastics (5/16” 3oz) for space closure on 1622SS

  • V-elastics (5/16” 3oz) for lateral occlusion

器械材料

  • 1622 L&H Accuform, Soarer-X

  • 1622 SS Trueform, Tweed plier

  • .009” ligature wire for SLT

  • 5/16” 3oz elastics