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Understanding Modern Bioprogressive Orthodontics.

Born in 2012 as an open-source pedagogical project, Orthoprogressive views orthodontics not just as treating teeth, but as a system of interconnected relationships. This bioprogressive philosophy seeks harmony, function, and aesthetics while respecting each patient’s biological timing and integrating modern technology.

Modern bioprogressive orthodontics promotes an objective and comprehensive approach to diagnosis and treatment planning, minimizing bias and emphasizing cephalometry—enhanced through ARCUS (Analysis of Relationships and Cephalometric Unified System)—for a more integrated and AI-assisted evaluation of craniofacial relationships.

Understanding facial biotypes is essential for accurate diagnosis and prognosis, as specific malocclusions are often associated with particular patterns. Through ARCUS-enhanced cephalometric analysis, clinical situations can be evaluated in depth, allowing every orthodontic movement to be clearly justified..  We will see many clinical situation  objectively  and deeply into cephalometric studies, justifying every single dental movement.

Because we will be closer to success when our decisions are fundamentally  more objective  that  subjective.

Structured Learning Sequence

Step 1

Comprehensive diagnosis and cephalometric

Step 2

Understand the growth pattern and Biotypology

Step 3

Fundamental principles and specific appliances

Step 4

Functional stability as a final goal.

 

 

 

Step 1. Comprehensive Diagnosis and Cephalometric

Orthoprogressive has a comprehensive approach that emphasizes the importance of individualized treatment plans, quantifying alterations through cephalometry, supported by ARCUS (Analysis of Relationships and Cephalometric Unified System). The approach goes beyond dental occlusion and also seeks long-term facial aesthetic and functional balance.

Step 2. Understand The Grow Pattern and Biotypology

Accurate growth prediction is crucial in Orthoprogressive. By understanding growth patterns and biotypology, the orthodontist can anticipate with specific cephalometric data and address potential dental and skeletal problems from early stages, as well as adult patients without growth remnants.

Step 3. Fundamental Principles and Specific Appliances

Orthoprogressive embraces the latest technological advances, starting from the premise of light and specific forces and other fundamental principles. Not being necessary to make changes in the protocol in aligner systems, super-elastic wires, orthopedic appliances, self-ligating and low-friction brackets, etc, which will be our tools for precision and efficiency in treatments for patients with both mixed and permanent dentition.

Step 4. Funtional Stability as a Final Goal

Each patient is unique: their motivation, expectations, social background and attitude have a decisive influence on the success of the treatment. Incorporating these dimensions guarantees better clinical results both in the active stage and in the retention stage.                                                                                                 

The ideal treatment will be at the intersection between what the patient wants and what they really need.

Step 1. Comprehensive Diagnosis and Cephalometric

Orthoprogressive has a comprehensive approach that emphasizes the importance of individualized treatment plans, quantifying alterations through cephalometry, supported by ARCUS (Analysis of Relationships and Cephalometric Unified System). The approach goes beyond dental occlusion and also seeks long-term facial aesthetic and functional balance.

Step 2. Understand The Grow Pattern and Biotypology

Accurate growth prediction is crucial in Orthoprogressive. By understanding growth patterns and biotypology, the orthodontist can anticipate with specific cephalometric data and address potential dental and skeletal problems from early stages, as well as adult patients without growth remnants.

Step 3. Fundamental Principles and Specific Appliances

Orthoprogressive embraces the latest technological advances, starting from the premise of light and specific forces and other fundamental principles. Not being necessary to make changes in the protocol in aligner systems, super-elastic wires, orthopedic appliances, self-ligating and low-friction brackets, etc, which will be our tools for precision and efficiency in treatments for patients with both mixed and permanent dentition.

Step 4. Funtional Stability as a Final Goal

Each patient is unique: their motivation, expectations, social background and attitude have a decisive influence on the success of the treatment. Incorporating these dimensions guarantees better clinical results both in the active stage and in the retention stage.                                                                                                 The ideal treatment will be at the intersection between what the patient wants and what they really need.

Assessment of all points of view and Confirmation Bias

On numerous occasions, when I first started talking about bioprogressive at conferences, classes, and clinical consultations, many modern dentists and orthodontists weren’t really open to hearing an approach labeled as “old-school.” I’ve spoken so many times about bioprogressive orthodontics that it might seem like a tired topic. But it isn’t. Based on the scientific and clinical support you’ll find on this platform the concepts that will help you understand bioprogressive orthodontics in a clear, structured and current way. One of the most well-known and popular aspects of bioprogressive therapy has been its great, though irregular, diffusion throughout the world, in Spain and France, has had and It has a great reputation, as it does in many Latin  American countries. The great strength of bioprogressive therapy is the early treatments in mixed dentition. In this aspect, the identification of a growth pattern can predict and treat dental and or skeletal alterations that will consolidate in the end of adolescence. 

“The Idea Of Being An Orthodontist Goes Beyond Straightening Teeth; You Have To Be A Philosopher, With A Global Perspective On Life, Aware Of How Lucky We Are And How Responsible You Must Be When Working With Children.” 2001  – RM Ricketts.

“the Roth prescription”

Dr. Ronald Roth, is known for his contributions to the field of orthodontics. introduced his “Roth Prescription” for straight wire brackets and is also known for his philosophy, which includes the correction of malocclusion in harmony with functional occlusion.

MBT (McLaughlin, Bennett and Trevisi)

Dr. Hugo Trevisi, a Brazilian leader in international orthodontics, along with American James McLaughlin and Englishman John Bennett, officially developed the MBT system for pre-programmed devices, a technique that has spread successfully throughout the world.

Robert.M Ricketts

Growth prediction with his cephalometric system is one of the topics emblematic of  Dr. Ricketts his gestation It goes back decades and continues, even in more recent articles, giving it a value extraordinary in the treatment plan.

   Following the career  of Robert M Ricketts and contemporary leaders such as Ronald Roth,  Hugo Trevisi, Thomas Pitts  as well as the widespread use of low-friction systems and clear aligners, current orthodontic approaches by the way  are mainly focused on permanent dentition.

Contemporary orthodontics is characterized by the coexistence of multiple therapeutic philosophies, biomechanical systems, and commercially driven innovations.  Our discipline has evolved into a highly diversified and technologically sophisticated field.

While this diversity has broadened treatment possibilities, it has simultaneously increased the susceptibility of clinicians to cognitive biases—particularly confirmation bias—in diagnosis and treatment planning.    Read More.

THE EDITOR'S CORNER

 Adherence to a single philosophy or technique may lead to confirmation bias, restricting the consideration of alternative approaches. Therefore, it is essential to adopt an open and critical perspective that integrates multiple orthodontic concepts.                                                                                             In this context, the author proposes combining modern technologies with our orthodontic philosophy.            Read More.

Dr. David Salomon Sotomayor,  founder of Orthoprogressive obtained his dental degree from the Metropolitan University , Colombia (Unimetro) in 1997. He then attended John F. Kennedy University in Buenos Aires (BA), Argentina (Kennedy U.), where he completed his orthodontic training and received his specialist degree in orthodontics in 2004. After completing his thesis work related to facial biotypologies, Dr. Sotomayor is proud to have received a direct invitation from the academic committee to join the faculty at Kennedy U, working uninterruptedly in the area of ​​cephalometric diagnosis and Ricketts bioprogressive clinic for 13 years. Wanting to improve the success rate of his orthodontic treatments, in 2006 he completed a postgraduate degree in minor implant surgery at the  Circulo Argentino de Odontología (CAO). Introducing the new for that time  the temporary anchorage screws TADs . This allowed him to teach theoretical and practical courses both at his alma mater and at various institutes in Buenos Aires.

Finally began medical studies in 2011 at the Universidad Abierta Interamericana (UAI) with the goal of furthering his surgical training.  Those formative  years allowed him to improve his understanding of the human body more comprehensively, understanding and confirming that our patients are not just a bunch of crooked teeth but rather physiologically connected systems.

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