“it's a platform for mass customization”

“I think Lightforce system has more friction than it should right now.”

“We operationalize great outcomes.”

“People that need to have a Cochrane review to prove to themselves the sky is blue, those are not the people that should be using Lightforce right now”

Alfred and I discuss his digital bonding system, Lightforce, we explore the product as well as the strength of the claims around it. Alfred replies to criticisms of the product as we explore the emerging evidence of his digital bonding system. 

Alfred gives his opinion on the digital evolution within orthodontics, we have a candid discussion on the use of digital orthodontics and where there are still areas of significant improvement needed.

Join me for a look at CBCT and its use in the diagnosis of the transverse problem, and if it offers the solution to the debated topic. The podcast is based on a lecture by Chun Hsi Chung at this year’s AAO and appraises established methods of assessment, the Curve of Wilson and the WALA ridge line through the lens of a CBCT, as well as how to use a CBCT to assess the maxilla and mandible, which although revealed an ideal measurement, may not be telling the full story.

What is ideal?

inclination 

Curve of Wilson – CBCT study 

Andrews WALA ridge 2000

Normal width  CBCT

CBCT age 13 N = 79 Miner 2012

CBCT Age 22.7 years Koo 2017

CBCT 56 adults normal occlusion  Lee 2022 PENN STUDY

Without cbct can transverse diagnosis occur?

Issue with CBCT for diagnosis

Issue with study model transverse analysis from 4mm at the gingiva

Join me for a summary looking into the increasingly popular

OSA - Defined upper airway dysfunction causing complete or

Sleep = Slow wave sleep – constructive phase of sleep

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Outcomes to paediatric patients of SDB: (AASM)

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First line medical treatment – adenotonsillectomy 

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Effect palatal expansion

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c.       

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a.       

Expansion other outcomes -  school performance  Bariani 2024

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Mandibular advancement

Move mandible forwards and open space behind the tongue – oropharynx

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Orofacial features in children with obstructive sleep

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AADSM 2024 – consensus statement

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More about OSA?

To hear more about OSA, please check out the last interview

Interview

Join me for a summary looking at The Posterior Bolton Discrepancy,

Wayne Bolton established the Bolton’s ratio:

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What is the posterior Bolton’s ratio

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Ratio confirmed by Mongillo 2021

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The effect of 4 premolar extractions on the posterior

Study: Mongillo 2021 (extraction of all 4s) Holton 2023 (extraction

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Clinical options

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 Join me for a look into a recent digital innovation within

What is Lightforce

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Stages

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Other advantages

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What are the proposed advantages and claims around Lightforce

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Proposed advantages and claims around Lightforce ithout

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What are my thoughts?

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Papers and videos on Lightforce

https://www.jco-online.com/media/42415/2023_09_500_waldman.pdf

JCO retrospective study

https://www.jco-online.com/media/43897/2024_05_273_wheeler.pdf

Youtube videos from Lightforce company, Alfred Griffin

https://www.youtube.com/watch?v=zSNkYVgZ69I&t=2s&ab_channel=People%2BPractice

Disclaimer

The podcast is opinion and may not be 100% accurate or

Contributions

Contents and editing

Farooq Ahmed

Join me for a podcast summary looking at the effects of

PICO

Population adults, 22 maxillary arches, 20 mandibular arches

Intervention – expansion with aligners, average 3.7mm

Control – minimal expansion, average 0.6mm

Outcome – bone height and width from CBCT

What was the bone loss?

Maxilla

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Mandibular

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What movement took place of the incisors?

Maxilla

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Mandibular

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What were the overall changes?

Dental changes

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Similar bone loss with aligners expansion from other studies,

Should CBCT’s debate within the literature regarding voxel

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My thoughts: no difference in cbct and gold standard,

Predict bone loss

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Systematic review of orthodontics 48 articles de

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Does bone loss = gingival recession?

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Significant retraction of upper incisors and intrusion Kim

Hypothesis

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What I liked about Greg’s lecture was that he started with

“Airways are like TMD controversy on steroids”

“it amazes me we still think we can grow mandibles”

“We have an appliance (expansion) and are trying to fit it into a diagnosis”

“it is unethical to call yourself an airway orthodontist”

Sanjivan describes why there is controversy in

Click on the link below to view previous episodes, to refresh topics,

YouTube

https://youtu.be/m2NIp1XhnxQ

#orthodontics

#farooqahmed

#sanjivankandasamy

#westaustralianorthodontics

#airwayorthodontics

#airway

#OSA

#SDB

Join me for a summary exploring an innovation of the use of bone-anchored plates in class 2 correction. This was a clinically novel idea presented by Hugo De Clerck, who has been an innovator in the use of bone-anchored plates and has published seminal papers on the topic for class 3 treatment.

Join me for a summary looking into

Introduction

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Staging and synergistic movements can reduce

Incisor extrusion

Why is Incisor extrusion difficult?

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Incisor extrusion staging steps:

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2.    

3.    

4.    

Posterior intrusion

Why is it difficult?

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How to improve posterior intrusion

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Controlled expansion

Why is it difficult

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How to improve posterior intrusion

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Conclusion:

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Jay Bowman

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Contributions

Contents:

Edited

Join me for a



Moaiyad Pacha’s

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Advantage of Hanks Herbst

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Disadvantages

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Qualitative

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Conclusion was profound

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Time to reconsider, and having both options, as well as both