lecture about bioprogressive EOS Venice 2015

2. Bioprogressive
Dr. Franco Bruno
Visiting Professor Cagliari University Orthodontic School
Director: Prof. Vincenzo Piras

3. Thanks for the Invitation

4. UPDATE
on
FIXED
THERAPY

5. Bioprogressive Movement

6. I do hope…
not only because it’s cool
to have the Bioprogressive
in a Congress…

7. Bioprogressive in 2015?
UPDATE or MEMORIES?

8. Bioprogressive

9. Bioprogressive Philosophy
TMJ Freedom
Understanding Before Acting
With the End in Mind

10. Bob Ricketts’ Heritage
From 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

11. Bioprogressive in 2015
or
What’s Bioprogressive for me

12. Bioprogressive, it’s a issue of feeling…
TMJ Management
Functional Matrix
Health First!
Controlled Mechanics
End in Mind

13. Patient First
Market … maybe

14. 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

15. The Functional Matrix
Management

16. Silvia

17. Class2, V Shape Maxilla

19. Where is the Problem?

20. Treatment Design
Breathing Correction
Functional Appliance
Quad Helix
SL Straight Wire

21. Start with Quad Helix and Functional

22. Expansion Therapy: 7 months

23. 11 months

24. Active Therapy 13 months
It’s This one
The Result
We are Looking For?

25. Not in Bioprogressive!

26. The Bioprogressive Goal

27. The Main Result

28. Key Point
Maxilla/Mandibular Relationship
is
an Adaptation
The Maxilla
is
The Mirror Image of the Functional Matrix

29. 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

30. 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

31. Bioprogressive Diagnostic Contribute to Orthodontics
Cephalometry
Functional Matrix Exam
Muscular Diagnosis (EMG)
Cone Beam
Breathing Diagnosis

32. Our Contribute to Bioprogressive Diagnostic Flow
The Use of PAT in Orthodontics

34. 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 provides
a non-invasive method which avoids the user dependence of flow-mediated
dilation (FMD), which evaluates nitric oxide dependent vasodilation in large
vessels

35. From Diagnosis to Mechanics…

36. The Functional Matrix Mechanics
The Association of the Classic Bioprogressive Appliances
with
Functional Appliances

37. The System
21
3

39. Function Changes and…

40. Again…

41. We Are here for the Mechanic

42. Quad-Helix + Bi-Helix + Functional

43. The End

45. The Modern Concept
of Early Treatment in Bioprogressive
is
“Act for an EASY Phase 2”

46. Early Treatment

47. Double Reshaping + Functional

48. Ready for Phase 2

49. Reshaping
or
The Quad-Helix

50. The Quad-Helix
NO Quad
NO
Bioprogressive!

51. 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!

52. In Adults “ALSO”

53. The Bioprogressive Reshaping

54. The Effect could be really dramatic

55. But not so Dangerous

56. The End in Mind
Control your Mechanics
for the Treatment Objectives

57. The Utility Arch in 2000s era

58. Utility Arch

59. Utility Arch

60. Utility Arch

61. 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

62. How to Control the S.W.

65. Piggy Back Mechanics

66. Class 2 Mechanics

67. The End

70. The Mechanic Effect Of the Piggy-Back

72. Reshaping + Controlled S.W.

73. 21 Months Therapy

75. If I Have to mention
ONE thing that is the Heritage of
Bioprogressive
I say “SUPERIMPOSITIONS”
“Bob Ricketts”

76. Superimposition
on
CC
NO ROTATION!

77. Superimposition
on
Xi-Pm

78. Superimposition
on
Palatal Plane

79. Superimposition
on
Subnasal Vertical

80. Conclusions

81. 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