Dr. Esfandiar Modjahedpour
Orthodontist + Master of Science in Lingual Orthodontics
Born 21.09.1969 Düsseldorf / Germany
Since 1997 Specialist of Orthodontics and dentofacial orthopedics
Since 2001 Private Orthodontic Practice in Krefeld / Germany
Since 2008 Master of Science in Lingual Orthodontics – Medical University Hanover, Hanover
Invited keynote lecturer European Society in Lingual Orthodontics and World Society in Lingual Orthodontics
2012-2013-2014-2015 voted as one of the Top 150 Orthodontist in Germany by the News Magazin
-Focus- / Germany
2014- 2015 President of the German lingual orthodontic society
Title : Finish what you started !
The last phase of every multibracket therapy before debonding is the finishing phase. The intention is, to optimize the treatment results and correct persisting problems such as angulation, torque control and vertical problems. With contemporary labial technics relatively little finishing is required.
The high accuracy of the treament outcomes with fully customized lingual bracket systems has been proven and published in several clinical journals. Based on this relatively little finishing is required. Still the lingual practitioner needs to be able to handle the persisting adjustments that are necessary in the final stage of treatment.
When ordering lingual appliances finishing wires in different sizes and qualities are available. There are certain critiria to choose the right wire for finishing.In my lecture i will discuss these criteria.
After having placed the finishing wire the clinical outcome should match the target set up. If not the practitionar should be able to handle the situation by bending the wire or ordering a new wire with correctional bends. Intra and intermaxillary elastics are also used to finalize and improve the occlusion.
The higher the inital precision of the appliance is, the better tooth control during treatment can be achived and as a result the number of finishing problems can be reduced.
Using the most innovative digital tools as part of the laboratory procedure may reduce the number of finshing problems due to high accuracy in the production chain