Training day: Pitts 21 + IZS mini-screw
The aim of these training days is to deepen your understanding of the Pitts Protocol, based on the use of passive self-ligating (PSL) orthodontic brackets, not only as a bracket with a door that opens and closes, but as a tool within a complete system.
In a second part, we will discuss the use of extraradicular mini-screws. Why? When? And how to use them? Combined with the Pitts Protocol, they will make your complex cases much easier to manage.
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Introduction to the Pitts Protocol
- Tom Pitts’ 14 keys to aesthetics
- Face-centred diagnosis
- Importance of photos & videos in aesthetic analysis, the aesthetics of “Pink and White”.
- Smile arc and placement of brackets following SAP bonding
- Active early principle
- Disarticulation: how to use Turbo bites
- Use and purpose of immediate elastics
- Case management and finishing
- Cases treated with the Pitts protocol
Extraradicular mini-screws
- Recap and history of the evolution of bone anchors.
- Purpose of extraradicular mini-screws
- Overview of the biomechanics of the infra-zygomatic screw (IZC).
- Insertion site
- Types of movements
- Different insertion methods for the Buccal shelf (BS) screw, Ramus Screw
- Complications and mistakes to avoid. Clinical cases
- Workshop: Placement of IZS + BS TADs on skulls