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Why Aligners Conferences Have Become in Surgery Conferences



The observation that aligner conferences seem to be increasingly focused on surgical interventions like microscrews and expanders, while neglecting proper aligner planning, raises a complex issue in the field of hybrid orthodontics. Here's a breakdown of the various factors at play:


Reasons for the Drift:


  • Expanding treatment options: It is thought Hybrid orthodontics aims to combine the benefits of aligners with other techniques to address various malocclusions. This naturally leads to discussions on incorporating additional tools like surgical interventions when aligners alone might sufficient.

  • Technological advancements?: Microscrews and expanders do not offer more predictable and efficient ways to achieve certain orthodontic movements. At most the same as the aligners. But unproven scientific predictability may be attractive to some professionals, leading them to show its use at conferences.

  • Marketing and financial considerations:  Companies that manufacture these additional devices may sponsor conferences or have a stronger presence, influencing the topics discussed.

Arguments for Proper Aligner Planning:


  • Minimally invasive approach: Aligners are often chosen for their patient-friendly, minimally invasive nature. Overusing surgical interventions can go against this philosophy.

  • Individualized treatment plans: Every patient is unique, and treatment plans should be tailored accordingly. Relying heavily on specific techniques like microscrews can lead to a "one-size-fits-all" approach.

  • Importance of expertise in aligner biomechanics: Achieving optimal results with aligners requires expertise in planning and understanding aligner mechanics. Conferences should emphasize this aspect.

Finding the Balance:


The ideal scenario would be to utilize aligner technology to its full potential without employing additional techniques unnecessarily. This requires:


  • Emphasis on thorough diagnosis and treatment planning:  Understanding the capabilities of aligners is crucial before venturing into more invasive methods.

  • Refining aligner design and manufacturing:  Focusing on advancements in aligner materials, design, and manufacturing can enhance their effectiveness for a wider range of cases.

  • Open discussions and research: Conferences should promote open discussions on the appropriate use or not of various techniques, including research on aligner biomechanics and treatment outcomes.

Ultimately, it's crucial to remember that the focus of aligner therapy should remain on achieving optimal results with minimally invasive approaches whenever possible. Using surgical interventions must be a well-considered decision, based on the specific needs of each patient and ultimately chosen.

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