Tecnique

Orapix is organized in several parts:

The scanner and the visualization of the 3D models

Thanks to a high-technology laser scanner, the models are scanned in 3D. The visualization software 3Dxer, includes tools which help you to make diagnosis, like index calculations and measurements cuttings.

Advantages:
• Manipulation of models
• Assistant to the diagnosis
• Observation of the occlusion relationship
• Communication tool with the patients and the dentists

Virtual set-up

The software 3Txer allows the building of virtual Set-up:
• Teeth are automatically aligned according to the prescription which you selected
• Several options of treatment can be tested before the placement of brackets
• Thanks to the " Collision Test " every tooth is moved to obtain the best occlusal contacts
• Via internet you can control virtual Set-Up: you become your own technician
• By a simple click of the mouse, it is easy to optimize the orientation of teeth to obtain the best smile
• You and your patient can visualize the wished final result

Virtual bracket Positionning

• We select in our virtual library the brackets which you wish to use
• The bracket placement is completely individualized according to your prescription
• The distance of brackets to the lingual faces is minimal and personalized to adapt itself to the forms of teeth and allow the use of straight wires: it is the Orapix straight-wire technique
• Over-corrections can be applied to every brackets: corrections of angulation, of torque, height and rotation.

Customized transfer jigs

• Jigs serve to create a link, at first virtual then real, between every bracket and the tooth on which it will be bonded
• We use the CAD / CAM technology and a Rapid Prototype Machine to build Jigs.
• Each Jig adapts itself on every tooth of the models with an unequalled precision
• Jigs is used to bond brackets on the models in the same position that on the virtual Set-up
• Once brackets are bonded on initial models, a silicone tray is prepared to allow the bonding of all the brackets of an arch at the same time. Extensions in composite of resin-pads can be realized to make unitary transfer trays.

Sequence of individualized wires

Thanks to the particular position of bracket realized with Orapix, a completed sequence of wires, formed from the ideal position of teeth on the Set-up, is supplied for every case:
All the wires are flat, straight and without bends.


Advantage of the Orapix-straight wire system
•No archwire bending
•Placement of brackets on the virtual set-up
•More comfortable bracket placement
•Better transverse and vertical control
•Incisors brackets placed more closed to the enamel
•Easier mechanics for extracion case


Advantage of the user
•Visualization and analysis of the 3D models for the diagnosis
•Control of the set-up and the location of brackets
•Individualized performed wires
•Easy and precise in office re-bonding
•Spectacular reduction of the bonding failures
•Decrease of the chairtime


How to use Orapix


1 The package to be sent to Eurapix

a ) Preparation of the models
We prefer to receive models in plaster rather than impressions, it allows you to verify the quality of the models before sending them to us.
Indeed protect the plaster models by using boxes with bubble wrap. We recommend you to reuse a part of the boxes Eurapix which we use to send you the models with the trays of bonding and wires.
b ) The prescription form
Give the maximum of information about the treatment plan, the construction of the virtual set-up, the choice of brackets, the brackets placement and choice of wires.
Join the prescription form to the plaster models.
The prescription form can be downloaded.

c ) Brackets
We prefer to receive the brackets with the models, because the cost of brackets are not the same for all the countries and for all the practitioners.

Do not forget:
- Plasters models or silicon impressions
- Occlusion wax
- Prescription form and Brackets

2 Reception of parcel at Eurapix

From reception of your parcel, we verify the models, the brackets and your prescription.
We send you an email to confirm that your parcel has been received and in reply we will inform you of the return date.
(4 weeks are necessary for a normal case, we shall need an additional week if you wish to verify, via Internet, the virtual set-up)

3 The sending of the appliance

We shall send to you in a protected box:
• The software 3Txer for your 1st case (who allows to view the set-up)
• Trays for bonding
• Archwires
• Initial plaster models
• Transfer Jigs to rebond a bracket
• The individualized template to prepare new wires
Clinical Help



The Orapix straight-wire system is going to amaze you:

• By the speed of alignment and expansion obtained with straight-wire
• By the ease and the speed to obtain the ideal occlusion which you chose on the Set-up
Because it is the most opened 3D digital system which we can find:
- Possibility of verifying the set-up before the bracket placement
- Choice of brackets
- Choice of wires
- Possibility of mixed treatment (Lingual / labial)
- Choice of the procedure of bonding
- Rebonding easy and precise at surgery
• Because you are free from long sessions of adjustment and bending wires
• By the spectacular reduction of bonding failures
• By the easier mechanics extraction and the decrease of the risk of Bowing Effect

Procedure of bonding

We use the Kommon Base system of Dr Komori. A fluid composite is spread on the lingual surface to increase the adhesion of brackets, which reduces considerably the percentage of bonding failures.
An index form of bonding can be downloaded.


Easy Rebonding to the office

With every bonding we send back models and Jigs to allow you to prepare new bracket if necessary .
This procedure is easily realized in your practice, this releases you from any dependence of the Orapix center.


Recommended archwire sequence

Alignment-Leveling
012, 014, 016 NiTi
Archform Modification
016 TMA
Torque Control
016 x 016 NiTi, 0175 x 0175 TMA
En masse retraction
Combination 018 x 025 / 018, Combination 017 x 025 / 017
016 x 022 S.S.


Courses


Didier Fillionis teacher at Paris V university for the lingual orthodontic Post-graduate students, Adjunct Clinical professor at the university of New York, Visiting professor in the Master of Lingual Orthodontics of the University of Ferrara ( Italy).
He practices exclusively lingual orthodontics for more than 22 years.

Download List of Courses


Course Program by Dr. Didier Fillion

One Year Program Files
- Session January
- Session September

Benefits

This full and intensive One-Year Program:
- Includes all efficient ways to train and educate orthodontists
- Has been proven to enhance the results of lingual orthodontics
- Gives the keys to treat successfully all malocclusions
- Helps you increase the profitability of your practice
It will give you access to our Annual User Meeting where we will show the latest developments of the Orapix-Straight wire technique.
We will give you the opportunity to participate to the program and discuss your ideas with your colleagues. During this program and after, Doctor Fillion will be ready at any time to provide you efficient support to make you an “Happy Lingualist”.

“Share his unique full-time lingual orthodontic practice experience since 24 years”


1 - Two-Day Basic Course
This two-day course is an introduction to the Orapix-Straight Wire system. It will give you the necessary knowledge to offer this system to all you patients. Numerous case presentations will show the simplicity of use and the clinical advantages of this system.

Course Topics
• Characteristics of Lingual Orthodontics
• Virtual Set-up building
• Customized Virtual bracket positioning according to the treatment objectives
• Indirect Bonding procedure with Kommon base system
• In office rebonding with Transfer Jigs
• Archwires sequences and clinical procedures for alignment and rotation correction
• Archwires sequences and clinical procedures for extractions cases

During this course the procedure for virtual Set-Up Check up will be demonstrated. It is recommended to bring a laptop. A syllabus will be provided. After this Basic Course any orthodontist will be able to start lingual orthodontic cases.


2 - Two day Advanced course
These  two-day Advanced Courses will provide the necessary information to treat all malocclusions, even the most difficult that you could face with your patients.

Course Topics
• Orapix system evolution
• Archwire sequences for non-extraction, Dep-bite, Open-bite cases
• Archwire sequence for extraction cases:
- CL II
- CLII/2
- CLIII
- Surgical cases
- Multidisciplinary cases and difficult cases
• Anchorage selection
• Sliding mechanics
• Frictionless mechanics
• Finishing
• Debonding procedure

These two-Advanced Courses are designed to provide the ability to treat the most difficult lingual cases.

This program includes:
• a two-day Basic Course in January
• a two-day Advanced Course in June
• a two-day Advanced Course in December
• a two-day Assistance at Chair
• an half-day Laboratory Procedure Demonstration in January
• one-day Treatment Plan Study in December


3 - One-Year Program / in 3 sessions
Two-Day Basic Course in January / First session
This two-day course is an introduction to the Orapix-Straight Wire system. It will give you the necessary knowledge to offer this system to all you patients. Numerous case presentations will show the simplicity of use and the clinical advantages of this system.

Course Topics
• Characteristics of Lingual Orthodontics
•Virtual Set-up building
• Customized Virtual bracket positioning according to the treatment objectives
• Indirect Bonding procedure with Kommon base system
• In office rebonding with Transfer Jigs
• Archwires sequences and clinical procedures for alignment and rotation correction
• Archwires sequences and clinical procedures for extractions cases

During this course the procedure for virtual Set-Up Check up will be demonstrated. It is recommended to bring a laptop. A syllabus will be provided. After this Basic Course any orthodontist will be able to start lingual orthodontic cases.

Two-Day Advanced Courses in June and December / Second & Third sessions
These  two-day Advanced Courses will provide the necessary information to treat all malocclusions, even the most difficult that you could face with your patients.

Course Topics
• Orapix system evolution
• Archwire sequences for non-extraction, Dep-bite, Open-bite cases
• Archwire sequence for extraction cases:
- CL II
- CLII/2
- CLIII
- Surgical cases
- Multidisciplinary cases and difficult cases
• Anchorage selection
• Sliding mechanics
• Frictionless mechanics
• Finishing
• Debonding procedure

These two-Advanced Courses are designed to provide the ability to treat the most difficult lingual cases.



• Assistance at Chair
The participants asssist Doctor Fillion at chair during two-days before a course or at any time during the year. The number of participants at chair is limited to two participants.

• Diagnosis and Clinical Aid
One day will be devoted to discuss treatment plans and follow the progression of your cases.

• Organisation and registration
Three or four stays in Paris will be necessary.
To make this program the most beneficial possible, the number of participants is limited to 8 orthodontists.

The total cost of this program is € 6,000
50 %  must be paid at registration
In order to register please contact our Courses Departement:
Phone : 00 33 1 40 72 59 96
Email : info@eurapix.com

If the cancellation arrives one month before the beginning of the session, team of Eurapix will pay off to you 30 % of your registration, if that this arrives unless month a 20 % refund will be possible.

• Benefits
This full and intensive One-Year Program:
- Include all efficient ways to train and educate orthodontists
- been proven to enhance the results of lingual orthodontics
- Give the keys to treat successfully all malocclusions
- Helps you increase the profitability of your practice

It will give you access to our annual user meeting where we will show the latest developments of the Orapix-Straight wire technique.

We will give you the opportunity to participate to the program and discuss your ideas with your colleagues

During this program and after, Doctor Fillion will be ready at any time to provide you efficient support to make you an “Happy Lingualist”.

“Share his unique full-time lingual orthodontic practice experience since 23 years”

• References
The Orapix system in Lingual Orthodontics, G.Scuzzo, K.Takemoto:
A new Approach Using STb Light Lingual System & Lingual Straight Wire. Qiuntessence Publishing

D.Fillion:
Clinical advantages of the Orapix-Straight wire technique.

International Orthodontics 2010:
8: 125-151
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