WITh ANTONINO G. seCChI in 2011, Dr. antonino SeCChi ... · Orthodontics is in the details. the accepted principles of leveling and aligning still hold true today, but there is a

OrthoWorld • Winter 2011-1210

in 2011, Dr. antonino SeCChi PartnereD With

DentSPLy gaC to ConDuCt 7 orthoDontiC

CourSeS. he LeCtureS aBout the neWeSt

aDVanCeS in ComPLete CLiniCaL orthoDontiCS.

CourSeS Were heLD in maJor CitieS aCroSS the

uniteD StateS anD Were attenDeD By hunDreDS

oF orthoDontiStS Who Were FoCuSeD on

Further inCreaSing their unDerStanDing

oF CCo anD hoW thiS ProgreSSiVe ConCePt

heLPS imProVe eFFiCienCieS anD Create Better

reSuLtS.

WITh ANTONINO G. seCChIdmd, ms

dr. secchi is Assistant professor of Orthodontics-Clinician educator

and Clinical director of the department of Orthodontics at the

university of pennsylvania, usA and visiting professor at the

university of los Andes, Chile. dr. secchi received his dmd,

Certificate in Orthodontics, and a master of science in Oral Biology

from the university of pennsylvania. dr. secchi is a diplomate of

the American Board of Orthodontics and member of the edward h.

Angle society of Orthodontists. At the university of pennsylvania,

he has developed and implemented courses on Orthodontic

Treatment mechanics, straight Wire Appliance systems and

Functional Occlusion in Orthodontics. In addition, he maintains an

active orthodontic practice in philadelphia.

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Since the early days of the orthodontic specialty,

we have looked for the best, fastest, most consistent

and easiest ways to achieve ideal orthodontic

correction. this continuous quest has allowed

emerging technologies to integrate, although

slowly sometimes, with existing practices until

they eventually become routine. As new materials,

improvements in appliance design and function and

innovative ideas transform the way we practice, it is

important for the contemporary orthodontist to be

cognizant of these changes, and to be able to embrace

and incorporate the best of them. Today’s fixed

orthodontic appliances are a blend of technologies

that have been around for decades. Straight Wire

Appliances, self-ligating brackets and low deflection

thermal-activated archwires are all examples of the

progress over the past one hundred years.

Complete Clinical Orthodontics represents a

further improvement that, when correctly applied,

enhances the capabilities of appliances, improves

treatment mechanics, and more importantly,

produces better results. to understand what

Complete Clinical Orthodontics or “CCO” is, let’s

start with a few words about what it isn’t. CCO is not

a technique or technology, but a unique way to treat

each and every case to achieve the most successful

clinical outcome for that patient.

By combining the knowledge amassed over

a century in clinical orthodontics with the best

technology currently available, the CCO system

is the answer to providing control, predictability,

and efficiency for all cases. The inclusive system

integrates sound orthodontic principles and proven

techniques from many of the brightest minds in

orthodontics (Angle, tweed, Ricketts, Andrews, Roth

Alexander, Mclaughlin and Damon to name a few)

to create a significant point of differentiation for you

and your practice.

today, we have a much deeper knowledge of how

and why some of the best appliances have worked,

and as a result, we have been able to improve

upon them. We have a more comprehensive

understanding of biomechanics with pre-adjusted

active self-ligating appliances, effective and efficient

early treatment, adult orthodontics with periodontal

challenges and esthetic considerations for each

patient’s face and smile.

Based on extensive and ongoing work, and with

the help of Dr. Antonino Secchi, DentSply GAC

now offers this comprehensive orthodontic system

that addresses diagnosis, treatment planning and

treatment delivery in a single inclusive approach;

a system that integrates the latest technological

advancements to best facilitate an effective new

overarching treatment philosophy.

By unifying these proven and time-tested

treatment planning strategies, the CCO orthodontic

system stresses 3D skeletal and dental diagnosis.

Additionally, CCO focuses on integrating concepts

from periodontics, restorative dentistry, and oral

surgery to provide a comprehensive treatment

planning system to propel the diagnostic scope of

your entire practice to an even higher level. Our

simple and efficient mechanical approach, combined

with state-of-the-art, active self-ligating appliances,

provides the necessary elements to consistently

deliver exceptional results, case after case.

Controlling the variables of what we do in

all aspects of our lives leads to productivity and

predictability of results. the CCO system commands

total orthodontic control through a logical treatment

the BeSt getS Better

In-Ovation® bracket systems haveprovided the best alternative forclinicians looking for an efficientand reliable “true” straight wire,active self-ligating appliance forover a decade.

New design features, plus a newprescription introduced by dr.secchi, will make In-Ovation® define the future of self-ligation.

part Art. part science. All Orthodontics.™

“I sometimes use this analogy:

in racing a high-performance car,

the engine is important, but does

nothing without the transmission

and a driver. The driver shifts the

transmission in a logical and consistent

sequence from first gear to second, to

third, etc., to achieve the maximum

performance from the engine and

the rest of the car. In orthodontics,

the bracket is the engine. The wires

are the transmission, being changed

methodically in specific sequence to

achieve the fastest, most predictable

result. As for which appliances you

choose: You can buy a Porche or a

Ferrari, but if you don’t know how to

drive it, you’ll either crash in the first

turn, or see no better performance

than you would from a toyota.”

Dr. antonino SeCChi

part Art. part science. All education™.

sequence – one that is easily determined through

planning and simulation – before ever initiating work

on a patient. Unlike traditional orthodontic treatment

where treatment strategies can vary on a visit-by-visit

basis, the objective of the CCO system is to emphasize

goal-directed treatment that ends in a pre-visualized

result. This not only instills confidence in the

practitioner for the patient, but leads to a more efficient

and higher quality outcome.

In his educational courses, which have been called by

many “the best courses in clinical orthodontics today,”

Dr. Secchi masterfully illustrates how the straight

wire appliance integrates with self-ligation, and how

the In-Ovation® appliance, combined with a specific

archwire sequence can help the orthodontist to more

efficiently correct different types of malocclusions.

Relevant characteristics of active self-ligating appliances,

a modified prescription, along with a specific wire

sequence for different orthodontic scenarios are among

other topics he discusses. “If I were to choose 10 cases

that accurately depict ‘everyday’ problems we face in

our practices, the treatment mechanics for all ten cases

can be divided into three stages: stage 1 - leveling and

alignment, stage 2 - working stage and stage 3 – the

finishing stage.

At each of these stages, there are specific movements

of teeth that will occur and specific goals that have

to be achieved before continuing to the next stage of

treatment. As you would expect, both the treatment

outcome and efficiency will be greatly improved if the

orthodontist follows the stages as recommended. the

stages of treatment mechanics, with their respective

wire sequences, have been tailored for active self-ligating

brackets, although they can be applied to any straight

wire appliance. that’s the beauty of CCO.”

Orthodontics is in the details. the accepted

principles of leveling and aligning still hold true today,

but there is a strong need for solid mechanics and a

unified approach to using proven methodologies capable

of treating every case individually. there are unique

challenges with every patient; every face is distinctive

in some way and we need to learn to diagnose and

treatment plan cases with those details in mind.

Again, the goal of CCO is to capitalize on the wealth

of knowledge available to us as orthodontists, and to

incorporate new technology and proven concepts to

achieve a higher level of efficiency. Excellent treatment

mechanics should allow the orthodontist to deliver

optimal treatment to the majority of his or her patients

and to do it in the most efficient and simple way that

maximizes an often-overlooked commodity — tIMe.

“When I think about the future of clinical orthodontics, I don’t think of a new technological discovery that will make us forget everything we have done in the past. I see an intelligent integration of the best concepts our predecessors gave us with the most efficient technologies we currently have.”


P a t i e n t h y g i e n e

patients who typically

present a high amount

of plaque, tartar or

calculus buildup can

inhibit the self-ligating

mechanism from operating

efficiently. Instruct these

patients to brush 2 or 3

times a week with

white vinegar.

mak

e a

note

...

Continued on page 14

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• Over one million patients treated• The market leader for ten years and counting• Trusted in treatment by over 4,000* orthodontists

The Standard By Which All Others Are Judged

Enough Brackets to GoFrom Your Practice to Space.

*Based on internal sales data: 20 brackets equal full treated case.

800.645.5530 | www.gacintl.comPart Art. Part Science. All Orthodontics™.

11-DGAC-112 In-Ovation R Proven Space Ad Seminars in Ortho FA.ai 11/4/11 12:12:04 PM

There’s a reason 32 million In-Ovation R brackets have been placed on over one million* patients. It’s the precision quality that delivers consistent, predictable results to help make you more successful. In-Ovation R is more than just a name. It’s a dedication to advancing the practice of orthodontics with every case you treat. When you partner with In-Ovation R, you are partner-ing with a leader.

32,772,652…

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32,772,652…

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OrthoWorld • Winter 2011-1214© 2010 Antonino G. secchi, dmd, ms

Cases treated by dr. secchi with the CCO protocols.

CaSe StuDy 1: iris K.Iris is a 12 year, 2 month old female who presented with a Class II end on molar and canine relationship. I treated her with a combination of orthopedic extraoral force, fixed appliances (In-Ovation® r), stripping of the lower incisors and short Class II elastics.

CaSe StuDy 2: Kamini d.Kamini is a 58 year, 11 month old female who presented with an anterior open bite and crowding of the lower arch. I treated her by intruding the molars utilizing a posterior segment with TAds, stripping of the lower arch and then leveling the maxillary and mandibular occlusal plane.

15

CaSe StuDy 3:joseph r.

joseph is a 11 year, 10 month old male who presented with an increased overbite and crowding of the lower arch. I treated him with fixed appliances (In-Ovation® r). Notice the leveling of the occlusal plane and optimal bracket position that allows for an ideal intercuspation with the appliance and wires still on!

FinaL reSuLtS


CaSe StuDy 4:Katherine C.

Katherine is a 12 year, 9 month old female who presented with a Class II end on molar, block out canine and crowding. I treated her with extraction of maxillary and mandibular first premolars. After proper inclination of anterior teeth was achieved and the occlusal plane was leveled, minimum anchorage mechanics was used to close spaces. This mechanics allowed good lip support and facial esthetics although extractions were performed.

FinaL reSuLtS

For more information about how you can attend an upcoming CCO

course and be on your way to taking full advantage of the technology

and resources we now have at our command in orthodontics, contact

your DentSply GAC territory Manager, or visit www.gacintl.com

Documents

WITh ANTONINO G. seCChI in 2011, Dr. antonino SeCChi ... · Orthodontics is in the details. the accepted principles of leveling and aligning still hold true today, but there is a