دانلود کتاب مناقشات در درمان تراز کننده شفاف

Since the introduction of the Invisalign appliance in 1999, clear aligner therapy has gradually become a significant modality of orthodontic treatment for the modern orthodontist and an area of intensive scientific research in the orthodontic field. The first clear aligners were limited to the treatment of mild malocclusions in adult patients. In the last 20 years, technological developments in clear aligner software, improvements in aligner materials and their functionality, and innovations in treatment methods have expanded the capabilities of clear aligner therapy for the treatment of complex malocclusions in children, adolescents, and adults. Clear aligner therapy is rapidly evolving and represents one of the next frontiers for orthodontic treatment. Despite these advances, clear aligner therapy remains limited by significant deficiencies resulting in clinical dilemmas for the practitioner, from the use of clear aligners for interceptive treatment, complex movements, Class II therapy, overcorrection, to the treatment of vertical problems. With the rapid growth of clear aligner therapy within the field, there has arisen a dense forest of contradictory and controversial opinions and methodologies for treatment. Our own experience with clear aligner therapy has been a humbling but enlightening process, one in which we have had to negotiate the appliance’s limitations over the course of its evolution. Additionally, aside from a limited number of systematic reviews and meta-analyses, there are few texts that deeply engage with the limitations of clear aligner therapy and their implications. Therefore, there exists a need for a critical appraisal of the current body of knowledge to determine viable treatment approaches in addressing these dilemmas. To address this need, we do not intend this book to be an exhaustive survey of clear aligner therapy or a stepwise guide with generalized formulas for the management of malocclusions with clear aligners. Instead, our aim is to provide rigorous, scientific evidence-based evaluations of the current status of knowledge regarding controversial dilemmas within clear aligner therapy, while mapping out solutions for their management. Each chapter will focus on a dilemma, which we have frequently encountered in clinical practice and the scientific literature. We will comprehensively analyze each dilemma with a discussion of the current state of affairs in the context of the latest research, its clinical implications including the limitations the dilemma bears on the treatment of specific malocclusions, and our strategies for solutions. As learning tools, we have included numerous cases for study with their virtual setups. Additionally, we have incorporated a series of prototypes, figures illustrating suggested technological modifications, and future clinical applications with clear aligners. Because we aim to be as impartial and comprehensive as possible in our evaluations of these dilemmas, we have included discussions of clear aligner systems alternative to Invisalign. However, this is not always possible because certain aspects of clear aligner therapy with the Invisalign system are currently significantly advanced and not yet available in the alternative systems, such as a developed bite jump function or optimized attachments. Nevertheless, we believe these alternative systems, in addition to clinician-printed aligners (via in-office 3D printers), will become increasingly viable for the treatment of both simple and complex malocclusions. This book seeks to address the ambiguity and confusion surrounding the most pressing and troubling clinical dilemmas in clear aligner therapy. It intends to provide the clinician greater clarity and understanding on these dilemmas, as well as paradigms for their resolution. We hope this book can serve as a valuable contribution to the discussion surrounding these topics and that it will assist readers in making more informed and effective clinical decisions in their delivery of clear aligner treatments.