Advanced Treatment Planning Invisalign with MA and Class 3 Protraction Facemask- Class 2 and Class 3
StraightSmile Solutions Ortho Coach for Dentists
[{'start': '0.000', 'end': '5.520', 'text': "straight Smile Solutions straight\xa0\nSmileSolutions.com let's ask the sensei i'm"}, {'start': '5.520', 'end': '10.400', 'text': "really not a sensei but I feel like I'm a wise one\xa0\ntoday let's give some wisdom about the treatment"}, {'start': '10.400', 'end': '17.680', 'text': 'timing for class 3 correction eg the only one that\xa0\nreally works is bringing the maxilla forward and'}, {'start': '17.680', 'end': '26.240', 'text': 'breathic retroathic maxilla to stimulate the\xa0\nmaxillary growth and to fix a class 3 that way'}, {'start': '26.240', 'end': '33.520', 'text': "it's not possible to fix a mandibular elevated jaw\xa0\ngrowth um I know they make chin cups and stuff but"}, {'start': '33.520', 'end': '38.240', 'text': "those n the research is junk it doesn't really\xa0\nwork you can't stop nature let's put it that"}, {'start': '38.240', 'end': '44.400', 'text': 'way but we can stimulate an upper jaw to grow\xa0\nso see all my videos if you want to know more'}, {'start': '44.400', 'end': '49.040', 'text': "about class three treatment in a growing child\xa0\nremember you can't do it you can't can't change"}, {'start': '49.040', 'end': '54.560', 'text': "bones in an adult you're done growing you're done\xa0\ngrowing so um without jaw surgery you can change"}, {'start': '54.560', 'end': '61.760', 'text': "teeth but you can't change the bones which are the\xa0\nscaffolding or the foundation for the teeth right"}, {'start': '61.760', 'end': '67.040', 'text': "so if the the foundation isn't there you can't\xa0\nmove the teeth without a foundation so you got"}, {'start': '67.040', 'end': '70.880', 'text': "to have the foundation that's on so there's only\xa0\nso much you can do within the limitations of where"}, {'start': '70.880', 'end': '76.000', 'text': "the foundation is hopefully that makes sense okay\xa0\nso that's your maxillary jaw growth now keep in"}, {'start': '76.000', 'end': '81.840', 'text': "mind a maxilla has sutures right you've got your\xa0\npal palatine suture the one that runs along the"}, {'start': '81.840', 'end': '87.440', 'text': "midline and you've got your other sutures in\xa0\nthe back i think there's like a zyogax suture"}, {'start': '87.440', 'end': '95.920', 'text': "i don't remember this was long time ago i took\xa0\nhead and neck anatomy in 2001 so but there are"}, {'start': '95.920', 'end': '100.560', 'text': 'definitely sutures so if you know anything about\xa0\ndistraction osteiogenesis you can look that up'}, {'start': '100.560', 'end': '107.040', 'text': "if you want to that is a term that is used in for\xa0\nwith orthopedic surgeons i didn't say orthodontist"}, {'start': '107.040', 'end': '112.000', 'text': 'i said orthopedic that means like your regular\xa0\nlike bone surgeons that do legs and arms stuff'}, {'start': '112.000', 'end': '116.560', 'text': "like that in the in the hospital broken legs\xa0\nbroken arms if you've ever seen anyone that has"}, {'start': '116.560', 'end': '120.320', 'text': "like a major growth disorder or they have like a\xa0\nlimb issue or one's shorter than the other they"}, {'start': '120.320', 'end': '125.440', 'text': 'do something called distraction osteiogenesis but\xa0\nthey also do it in your face so that is where they'}, {'start': '125.440', 'end': '131.040', 'text': "put some pins in and they stimulate um the link\xa0\nusually they if there's no suture they're going"}, {'start': '131.040', 'end': '138.320', 'text': 'to actually have to make a break in the bone then\xa0\nslowly turn these screws in order to move the two'}, {'start': '138.320', 'end': '142.480', 'text': "units apart but you can't like make it like super\xa0\nfar apart right because the bone's not just going"}, {'start': '142.480', 'end': '148.480', 'text': 'to fill in it has to be like millimeters like\xa0\nfractions of millimeters a little bit at a time'}, {'start': '148.480', 'end': '155.680', 'text': 'so essentially it that is what an RP is or a um\xa0\nexpander a palal expander assuming the patient is'}, {'start': '155.680', 'end': '161.200', 'text': "still growing and and there's something called a\xa0\nMARPY or an MSSE where you do it in adults where"}, {'start': '161.200', 'end': '168.080', 'text': 'they actually will throw implants in and they\xa0\nwill literally break the suture always risks'}, {'start': '168.080', 'end': '171.920', 'text': "i'm not helping you with those cases but in kids\xa0\nthe suture is not fused so it's just easy you"}, {'start': '171.920', 'end': '177.920', 'text': 'just turn this the screw and just pops open and\xa0\nthe bone fills it not a problem um no blood no'}, {'start': '177.920', 'end': '181.760', 'text': "pain assuming you're not doing it too fast not a\xa0\nproblem little gap between your teeth works great"}, {'start': '181.760', 'end': '189.680', 'text': 'right and it also since the pallet is the floor of\xa0\nthe nose it also gives you a better airway so um'}, {'start': '189.680', 'end': '194.560', 'text': "you get a little more volume at the floor of the\xa0\nnose helps people breathe it's just a win-winwin"}, {'start': '194.560', 'end': '199.360', 'text': "so that's why the people who have really really\xa0\ntiny maxillas that just didn't grow right due to"}, {'start': '199.360', 'end': '204.240', 'text': "habits or poor diet when they were little um you\xa0\nknow if they don't get their ortho done before"}, {'start': '204.240', 'end': '207.600', 'text': "they finish growing they're going to have a very\xa0\ncompromised outcome and a lot of these people are"}, {'start': '207.600', 'end': '212.320', 'text': "struggling right now um and they're trying to get\xa0\nsurgeries and stuff when they get older do all"}, {'start': '212.320', 'end': '216.560', 'text': "these different types of funky things that are out\xa0\nthere which I won't make an opinion on but if you"}, {'start': '216.560', 'end': '221.680', 'text': 'want to know they are in my YouTube channel you\xa0\ncan look up adult expansion i that again this is'}, {'start': '221.680', 'end': '227.280', 'text': "just my opinion as a provider not disparaging\xa0\nbecause I've been sued before not disparaging"}, {'start': '227.280', 'end': '232.320', 'text': "any companies specifically i'm just giving you my\xa0\nblanket statement some of the stuff works some of"}, {'start': '232.320', 'end': '237.520', 'text': "the stuff doesn't be careful i'm not helping you\xa0\nwith it in adults at least okay boom let's move on"}, {'start': '237.520', 'end': '241.520', 'text': 'but there are people who will so I can refer you\xa0\nto people i do have a little I do know people who'}, {'start': '241.520', 'end': '248.160', 'text': "can help you with those cases it just won't be me\xa0\ni choose not to okay so in comparison that is your"}, {'start': '248.160', 'end': '252.560', 'text': "face mask therapy there's also tandem there's lots\xa0\nof I have lots of content in my YouTube channel"}, {'start': '252.560', 'end': '258.480', 'text': 'you can look up class 3 growing or class 3 tandem\xa0\nclass 3 face mask i have a lot of content on face'}, {'start': '258.480', 'end': '262.240', 'text': "masks i've done lots of face masks in my life\xa0\nthat's me with a face mask on my head no I did"}, {'start': '262.240', 'end': '267.920', 'text': "not wear one okay let's move on let's talk about\xa0\nclass two changes that was class three changes now"}, {'start': '267.920', 'end': '272.560', 'text': "we're talking about class two changes oh back to\xa0\nthe class three sorry class three i've had luck"}, {'start': '272.560', 'end': '277.760', 'text': 'i those that it fixes really nicely as long as\xa0\nthe child is still growing or within a year or'}, {'start': '277.760', 'end': '282.960', 'text': "two of when they finish growing and they wear the\xa0\ndamn thing and and assuming you've loosened the"}, {'start': '282.960', 'end': '286.800', 'text': "sutures with an RP of course it's always good to\xa0\nloosen them first i always get better outcomes if"}, {'start': '286.800', 'end': '292.960', 'text': "I do um assuming they've you picked the right\xa0\nelastics the patient actually wore them 14 to"}, {'start': '292.960', 'end': '300.800', 'text': '16 hours a day not just night time 14 to 16 bare\xa0\nminimum 14 for the and you had the right elastics'}, {'start': '300.800', 'end': '307.680', 'text': 'the orientation of the elastics was right the way\xa0\nthat you set the head and the chin was right etc'}, {'start': '307.680', 'end': '314.000', 'text': "um it works that's all I got to say it works okay\xa0\nso if you're not seeing a change of at least 0.25"}, {'start': '314.000', 'end': '320.480', 'text': "25 to 0.5 millimeters during every time they come\xa0\nin from I'd say every five to six weeks they're"}, {'start': '320.480', 'end': '324.720', 'text': "lying they are not wearing it or you did something\xa0\nwrong you know you either didn't you didn't loosen"}, {'start': '324.720', 'end': '331.840', 'text': "the sutures you didn't pick the right elastics\xa0\num you didn't orient the elastics right um or"}, {'start': '331.840', 'end': '335.840', 'text': "you didn't set this up right so definitely get\xa0\na consultant if you don't know what you're doing"}, {'start': '335.840', 'end': '340.480', 'text': "okay move on they work so anyone that says it\xa0\ndoesn't work I will let you know is a liar liar"}, {'start': '340.480', 'end': '347.440', 'text': "pants on fire okay next let's talk about MA\xa0\ninvisalign with MA has changed over the years"}, {'start': '347.440', 'end': '352.640', 'text': "so all my previous videos shows the wings this\xa0\nis the blocks okay haven't seen a block case yet"}, {'start': '352.640', 'end': '356.800', 'text': "supposedly they're rolling it out slowly i have\xa0\nnever had a doctor that's had a block case we"}, {'start': '356.800', 'end': '361.680', 'text': "haven't had a block case but I supposedly they're\xa0\ncoming and they're marketing it so I'm not quite"}, {'start': '361.680', 'end': '366.320', 'text': "sure if I love the blocks just because the photos\xa0\nI photos I've se seen shows that they're one on"}, {'start': '366.320', 'end': '370.720', 'text': 'top of another and not like ramps like they are\xa0\nin a twin block and I feel like the bite is open'}, {'start': '370.720', 'end': '374.480', 'text': "in the front and I'm worried about mouth breathing\xa0\nand I'm worried about that i'm not saying it's not"}, {'start': '374.480', 'end': '378.480', 'text': "going to grow a jaw but I'm afraid it's going\xa0\nto do vertical things too and already MA does"}, {'start': '378.480', 'end': '385.120', 'text': "crazy vertical stuff um so don't know again this\xa0\nis just what I've seen this is just my concern"}, {'start': '385.120', 'end': '394.880', 'text': "okay so MA I have not seen as much success um it\xa0\ndoesn't matter MA twin block any type of class 2"}, {'start': '394.880', 'end': '401.040', 'text': 'growth modification i have not first of all you\xa0\ngot to wear this thing 24/7 24/7 or at least 237'}, {'start': '401.040', 'end': '408.160', 'text': "it's not no nighttime only sorry for my English\xa0\num or anything like that 23 to 24 hours a day you"}, {'start': '408.160', 'end': '413.760', 'text': 'will see the same results the 0.25 millimeters per\xa0\nmonth if the child is still growing or was still'}, {'start': '413.760', 'end': '419.440', 'text': 'in the puberty growth spurt and if they actually\xa0\nwear it properly it does work okay so I want to'}, {'start': '419.440', 'end': '423.360', 'text': "let you know that of course you're also aligning\xa0\nteeth at the same time which is nice right um you"}, {'start': '423.360', 'end': '427.440', 'text': "can do the same thing with a face mask you just\xa0\nat this moment there's no way to do to hook a face"}, {'start': '427.440', 'end': '431.760', 'text': "mask onto an Invisalign or an aligner not that\xa0\nI know of maybe someone's jimmy rigged something"}, {'start': '431.760', 'end': '437.360', 'text': "but they haven't come up with something i'm sure\xa0\nthey will in time um so it's nice so you have to"}, {'start': '437.360', 'end': '441.520', 'text': "do it first which is kind of a pain in the butt\xa0\nand there's no way to hook it on to like an IP"}, {'start': '441.520', 'end': '445.040', 'text': "that would be amazing if you could hook it on i'm\xa0\nall the things I want everything I always ask for"}, {'start': '445.040', 'end': '450.240', 'text': "in Invisalign always ends up showing up um I'm\xa0\nnot saying that they're taking my ideas because"}, {'start': '450.240', 'end': '456.240', 'text': "they're probably the same ideas every orthodontist\xa0\nhas but I'm just saying it would be nice um if we"}, {'start': '456.240', 'end': '461.760', 'text': "could do that but moving on yes MA does work as\xa0\nlong as the patient is still growing i'm not sure"}, {'start': '461.760', 'end': '466.800', 'text': "if it works a year or two after i mean elastics\xa0\nwork but they tip teeth right they don't really"}, {'start': '466.800', 'end': '471.280', 'text': "grow a jaw if you look at the seph afterwards um\xa0\nremember with MA there's always a little bit of"}, {'start': '471.280', 'end': '474.960', 'text': "shiftiness and it's hard to tell sometimes people\xa0\nthink they overcorrected and then they end up"}, {'start': '474.960', 'end': '479.200', 'text': "relapsing because it's just muscle memory so it\xa0\nis sometimes difficult to know when to stop and"}, {'start': '479.200', 'end': '484.560', 'text': "I've seen some cases that have overgrown you know\xa0\nso you just got to sometimes you got to like stop"}, {'start': '484.560', 'end': '489.520', 'text': 'pause deprogram settle check again you know which\xa0\nis why you never ever want to do an MA case with'}, {'start': '489.520', 'end': '493.440', 'text': "a limited amount of refinements these suckers\xa0\ntake a while okay but they're they're amazing"}, {'start': '493.440', 'end': '498.240', 'text': "and they do work so I'm a huge fan so that is my\xa0\nthoughts about when to do it and oh back to like"}, {'start': '498.240', 'end': '503.680', 'text': "how early I've seen these work as young as 67\xa0\nI've seen these work as young as 67 I mean we"}, {'start': '503.680', 'end': '511.680', 'text': "were using these in in PAT patients who the same\xa0\nthing as twin block right so I've done twin blocks"}, {'start': '511.680', 'end': '515.360', 'text': 'in five six seven i mean as long as they have\xa0\ntheir six-y old mers in and they work great so'}, {'start': '515.360', 'end': '522.320', 'text': "matter of fact some people think you have to\xa0\ndo it um you know once they're like in their"}, {'start': '522.320', 'end': '527.040', 'text': 'peak growth spurt 12 13 risky very risky because a\xa0\nlot of times you get to peak growth spurt age and'}, {'start': '527.040', 'end': '531.920', 'text': "they're not going to wear it at school which is\xa0\nwhy I would much maybe it works a little faster"}, {'start': '531.920', 'end': '537.040', 'text': "but nine times out of 10 the patient's not being\xa0\ncompliant at 12 13 14 and boys that might be 15"}, {'start': '537.040', 'end': '542.640', 'text': "16 oh there's no way they they will not wear it\xa0\ni'm going to tell you flat out they lie so it's"}, {'start': '542.640', 'end': '546.560', 'text': "very rare that you found a boy that's going to\xa0\nwear it and I could just tell by looking at the"}, {'start': '546.560', 'end': '551.120', 'text': "boy if they're going to wear it so there's just\xa0\nthings ways I I know a lot about teenage boys i"}, {'start': '551.120', 'end': '557.040', 'text': "have to have teenage boy i've had three brothers\xa0\nteenage boys are very different than teenage girls"}, {'start': '557.040', 'end': '562.880', 'text': 'in terms of orthodontics so um I would prefer\xa0\nto do it earlier all right thanks so much to out'}]