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Bioprogressive therapy as an answer to orthodontic needs. Part II.
American Journal of Orthodontics
|October 1, 1976
Summary
Introducing bioprogressive therapy, a novel orthodontic approach using lighter, sequential force applications. This method integrates biologic factors and mechanical forecasting for efficient clinical procedures in patients of all ages.
Area of Science:
- Orthodontics
- Biomechanical Engineering
Background:
- Traditional edgewise therapy serves as a foundation, but bioprogressive therapy represents a significant departure.
- Bioprogressive therapy emphasizes a sequential order of force application, integrating biologic factors into treatment planning.
- The technique is applicable across a wide age range, from very young to elderly patients.
Purpose of the Study:
- To introduce and describe the principles and application of bioprogressive therapy.
- To examine and prioritize biologic factors crucial for the successful implementation of this new orthodontic technique.
- To highlight the integration of mechanical, physiologic, and growth forecasting in treatment.
Main Methods:
- Utilizes a progressive banding and sequential event progression approach.
- Employs specific Elgiloy wire sizes (0.016x0.016 inch, 0.016x0.022 inch, 0.018x0.022 inch) for controlled tooth movement and detailing.
- Incorporates three-plane control for precise positioning and intrusion/extrusion of teeth, along with cortical anchorage.
- Segments continuous arches to manage complex movements and optimize anchorage, often involving orthopedic correction.
Main Results:
- Bioprogressive therapy offers a practical and efficient clinical procedure, comparable or superior to other multibanded methods.
- Eliminates the need for soldering auxiliaries and heat treating wires, simplifying the mechanical process.
- Achieves precise tooth control, including intrusion, extrusion, and alignment, with a limited use of round wires for specific corrections.
- Excels in managing overtreatment and delivering anchorage through segmented arches and shifted anchorage points.
Conclusions:
- Bioprogressive therapy represents a distinct advancement in orthodontic treatment, integrating biologic considerations with mechanical efficiency.
- The technique's structured approach, including progressive banding and sequential force application, facilitates predictable outcomes.
- Its ability to provide precise three-plane control and adaptable anchorage makes it a versatile and effective method for various orthodontic challenges.