BioprogressiveDr. Franco Bruno

Visiting Professor Cagliari University Orthodontic School Director: Prof. Vincenzo Piras

Thanks for the Invitation

UPDATE on

FIXED THERAPY

Bioprogressive Movement

I do hope… not only because it’s cool

to have the Bioprogressive in a Congress…

Bioprogressive in 2015?

UPDATE or MEMORIES?

Bioprogressive

Bioprogressive Philosophy

TMJ Freedom Understanding Before Acting With the End in Mind

Bob Ricketts’ HeritageFrom static diagnosis to dynamic forecasting and objective designing VTO (1950)

Twin bracket (1951)

Molar Tubes (1951)

APo (APg) plane as a reference for lower incisors compensation of facial patterns (1952)

The first esthetic evaluation. The E line (1954)

The first fully preformed-preadjusted formulation (1959)

The first preformed continuous archwires (1960)

Preformed bands and pre-adjusted brackets (1962 AAO Annual Session)

The computerized cephalometry (1966)

Self-ligating brackets and snap-channel concept (1970s)

.018 slot early straightwire bracket concept

The discover of the same shape for Archwires in upper and lower arch (1976)Robert Murray Ricketts

1920-2003

Bioprogressive in 2015 or

What’s Bioprogressive for me

Bioprogressive, it’s a issue of feeling…

TMJ Management Functional Matrix

Health First! Controlled Mechanics

End in Mind

Patient First

Market … maybe

Today Topics

Functional Matrix Management or Modify the Function can Modify the Anatomy?

Arches Reshaping or The Well Thought-Out Use of the Quad-Helix

The End in Mind or The Logical Use of the Utility Arch

The Functional Matrix Management

Silvia

Class2, V Shape Maxilla

Where is the Problem?

Treatment Design

Breathing Correction Functional Appliance Quad Helix SL Straight Wire

Start with Quad Helix and Functional

Expansion Therapy: 7 months

11 months

Active Therapy 13 months

It’s This one The Result

We are Looking For?

Not in Bioprogressive!

The Bioprogressive Goal

The Main Result

Key Point Maxilla/Mandibular Relationship

is an Adaptation

The Maxilla is

The Mirror Image of the Functional Matrix

Malocclusion as a Mirror Image of the “environment”

This is not Esclusive of the Bioprogressive Movement but

! We Act For… !

Nothing New Under the Sun -Solomon

Bioprogressive is Prevalence of Diagnosis

BUT, also… the prevalence of the result on the mechanic choice

AND, even… the prevalence of knowledge and research on marketing

TREAT your Patient! Don’t Sell an Appliance - Bob Ricketts

Bioprogressive Diagnostic Contribute to Orthodontics

Cephalometry

Functional Matrix Exam

Muscular Diagnosis (EMG)

Cone Beam

Breathing Diagnosis

Our Contribute to Bioprogressive Diagnostic Flow

The Use of PAT in Orthodontics

Methodological considerations and practical recommendations for the application of peripheral

arterial tonometry in children and adolescents

Bruyndonckx L, Radtke T, Eser P, Vrints CJ, Ramet J, Wilhelm M, Conraads VM.

Int J Cardiol. 2013 Oct 9;168(4):3183-90

They conclude that Endo PAT which assesses microvascular function providesa non-invasive method which avoids the user dependence of flow-mediated dilation (FMD), which evaluates nitric oxide dependent vasodilation in large vessels

From Diagnosis to Mechanics…

The Functional Matrix Mechanics

The Association of the Classic Bioprogressive Appliances with

Functional Appliances

The System

21

3

Function Changes and…

Again…

We Are here for the Mechanic

Quad-Helix + Bi-Helix + Functional

The End

The Modern Concept of Early Treatment in Bioprogressive

is “Act for an EASY Phase 2”

Early Treatment

Double Reshaping + Functional

Ready for Phase 2

Reshaping or

The Quad-Helix

The Quad-HelixNO Quad

NO

Bioprogressive!

JCO Interviews Dr. Robert M. Ricketts on Early Treatment, Part 2

SIDNEY BRANDT

JCO-VOLUME 13 : NUMBER 02 : PAGES (115-127) 1979

The Quad-Helix has born here!

In Adults “ALSO”

The Bioprogressive Reshaping

The Effect could be really dramatic

But not so Dangerous

The End in Mind

Control your Mechanics for the Treatment Objectives

The Utility Arch in 2000s era

Utility Arch

Utility Arch

Utility Arch

Effects of mandibular incisor intrusion obtained using a conventional utility arch vs bone anchorage

Esen Aydogdu; Omur Polat Ozsoy

Angle Orthod. 2011;81:767–775

Incisor intrusion that was achieved using an implant-supported segmented archwire was no different than the movement achieved with a conventional intrusion utility arch. The only difference between the two methods was in the molar movement

How to Control the S.W.

Piggy Back Mechanics

Class 2 Mechanics

The End

The Mechanic Effect Of the Piggy-Back

Reshaping + Controlled S.W.

21 Months Therapy

If I Have to mention ONE thing that is the Heritage of

Bioprogressive I say “SUPERIMPOSITIONS”

“Bob Ricketts”

Superimpositionon CC

NO ROTATION!

Superimpositionon

Xi-Pm

Superimpositionon

Palatal Plane

Superimpositionon

Subnasal Vertical

Conclusions

The Bioprogressive

The Principles of Bioprogressive are still the same

The Mechanics Evolves according to the changes in the market

The Mechanic System is not the main problem

Is the “wanted” result the main goal in Bioprogressive