Hello dear friends of Face Revolution !!!

I am Lorenzo Puebla Ramos orthodontist from Cuautla, Morelos México.

I´m extremely pleased and grateful for the opportunity to show some of my work as a practitioner of Face Philosophy.

Without a doubt part of the success of Face is the way to diagnose and treatment our patients. The objectives to achieve an organic occlusion are clear, but first we must attend the TMJ.

Thank you FACE REVOLUTIONS ORTHODONTICS!!!!

Dear FACE Revolution Friends,

four months have passed since this adventure began, in which I had the opportunity to collaborate as an administrator, always with great affection and with the desire to share with the orthodontic community what for me is excellence in orthodontics.

However, to date I have not dared to share a case. I am especially fond of the case that I am going to share, because until I started collaborating with Domingo Martin, I thought that implants should always be placed at the end of treatment, or at most as a means of anchoring for some sagittal movements.

However Domingo taught me how to use them to perform the much needed vertical control that we are forced to use in many cases like the one I present. I encourage you all to share your cases so that we can learn from each other and spread throughout the world that orthodontics is more than just aligning teeth … #OCCLUSIONMATTERS.

Dear FB Revolution friends,

I want to share with you a case 7 years post treatment. Nowadays all of us use skeletal anchorage in our everyday practice. There is no doubt that our life as orthodontists is easier since screws and plates came into our practice. However, there was a period that we didn’t have these tools and we had to think in a different way to solve our orthodontic problems.

Today I would probably treat this patient in a different way, and I would use skeletal anchorage, but from time to time I have a patient that doesn’t allow me to use screws and I have to go back to the roots.

Thank you Domingo for teaching my this approach 17 years ago!!!!

I hope all of you to enjoy the case.

Hello everyone! Today I wanted to share this special case with you. It is an interdisciplinary case that I treated with two wonderful Prosthodontists and better people from Spain, Dr. Jose Maria Suarez Feito and her daughter Dr. Carlota Suarez Tuero. This patient came into their office with the desire of getting his smile back.

They referred the patient to us so we could treat him in the most conservative way with a prostho-ortho treatment. As we do with every patient we started with a Complete Diagnosis and stablish a Treatment Plan to complete the objectives of treatment that we all share in this group: Functional Occlusion, Stable Condylar Position, Periodontal Health, Prevent Tooth Wear, and an esthetic smile with the most stable treatment posible.

This case in particular is interesting for me because of the relation with the understanding of the Envelope of Function and how we can make sure we recover this important space for proper function. I hope you all enjoy this case!

Hi, FACE friends!

I remember that when I started the Roth-Williams course, Domingo kept telling us that if we wanted to treat our patients correctly, in the spirit of FACE orthodontic philosophy, we could not compromise. The patient, when necessary, must be treated, using everything needed: orthodontics, surgery, restorative prosthetic treatments.

This is an adult case, with hypoplastic maxilla, that was treated before, with 2 upper bicuspid extractions. The patient wanted a new orthodontic treatment because the previous treatment was not functionally and aesthetically satisfactory.

I’d like to share this case of surgical class III treated according to the principles as per FACE. Thank you very much to Dr. Domingo Martin for his invitation. All comments will be welcome. Hope you like it.

Can we use clear aligners as a treatment mechanics after splint therapy?

Hello everybody my name is Hande Biceroglu Demir and I am an orthodontist from Istabul, Turkey. I would like to share a case that we first stabilize with splint and after we treated with clear aligners.
She applied to our clinic with a consistant headache for nearly two years and limited mouth opening and pain in tmj. Her mother is a dentist and also she has many dentist relatives in her family. Before applying to our clinic she used soft/hard night guards for 1 years and muscle relaxants which didn’t help her situation. Also she is living in 600km away from our clinic.

She has a small asymmetry in her face with good incisor exposure at rest and a good smile line. Intraorally she presents Class1 occlusion with mild crowding in lower anterior. During examination we found out clicking in both tmj and her mandible was very hard to manipulate.

After we mounted the case on articulator she presented a Class 2 occlusion with a fulcrum in the posterior. In the cbct scan we saw resorption on her right condyle.

We offered her full time splint therapy because of pain and resorption and they accepted the treatment plan. She used full coverage splint nearly for one year 7/24. She visited our clinic every 2 week until her pain is relieved and after every 3 weeks until we reached the stabilization. (For the last 3 appointment we have taken wax records and checked on mpi).

After splint therapy all the complaints were releaved but she became more class 2 and we wanted to correct her bite and alignment. She did not want to wear braces so even the clear aligners are not our favorite treatment mechanics, we decided to use aligners. And inform the patient that if we fail with aligners we might use fix appliances to finish the treatment.

With the aligners the treatment plan was distalization for correction of class 2 and correcting the torque of second molars. For initial 29 aligners we achieved distalization and mounted the case to check if everything is well. We wanted additional 11 aligners for final refinement and after we mounted the case again.
As a result we achieved Class1 occlusion with good alignment which is in harmony with her TMJ. Once again clear aligner therapy are not our first choice but we can not refuse patients expectations many times. If we can achieve a stable occlusion we can utilize clear aligners in orthodontic treatment.

Best regards from Turkey

Ps: Her mother didn’t give permission for final cbct.

MANY YEARS AGO, a 7 yr old patient came to the office and from the minute I see her occlusion, her panorex and her facial esthetics I knew we needed to make decisions on the short and long term…..let’s see what I did

This is the case of a young girl (12 years), with Amelogenesis Imperfecta, open bite, hyperdivergent skeletal pattern, skeletal class III tendency.

Tx plan:

Phase 1: TAD supported RPE,
Phase 2: upper and lower fixed appliances; vertical control was facilitated by the loss of M1 (severely decayed)and the closure of the resulting spaces with minimum anchorage,
Phase 3: restorative tx, to regain function and aesthetics.

I am Carlos Becerra Martin from Santiago, Chile and I am presenting a mixed dentition case treated in two phases. Is it important to treat our patients early? In the face philosophy we strongly believe in this unique and great opportunity, not only because of the possibility that we have of redirecting growth, but also because we strongly reduce future treatment time and improve prognosis considerably. 👊