COURSE OUTLINE FOR DR. RAPHAEL GREENFIELD
The C.A.D.™ (Coordinated Arch Development) Philosophy
- Defined & Illustrated
- Nonextraction/extraction controversy
- Cetlin (1st molar) vs. Tweed (lower incisor) philosophy
- Efficacy of cephalometric analysis
Stability
- Control of transverse, sagittal, and vertical dimensions
- Archform
- Occlusion/function
- Soft tissue function/dysfunction as it relates to occlusal stability
The C.A.D.™ Technique: Defined & Illustrated
- Timing of treatment for Class I, Class II, and Class III malocclusions
- Early treatment
- Sequence of treatment
“C.A.D. Appliances
- Molar distalization
- Lip bumpers (Mandibular & Maxillary)
- Incisor/molar instrusion
- Retraction (noncompliant & compliant) with the “CG” nonextraction prescription bracket system
- Expansion
- Transpalatal bars
Hands-on Session
Case Presentations
Q & A
Course Description
Achieving long term stability requires controlled upper and lower 1st molar movements, simultaneously, in all three planes. Light, continuous forces of similar magnitude are utilized to “coordinate” these movements. The final orientation of the molars creates occlusal forces through the long axes with the absence of deflective contacts during function. The molars are placed well within cancellous bone and the “neutral zone” to enhance their compatibility with the periodontium and soft tissue envelope. The resultant position of the anterior segment provides proper incisal guidance and maximizes facial and dental esthetics.
Dr. Greenfield will present the “Coordinated Arch Development” Philosophy and Technique based on his experience using it in children and adults. He will present the malocclusions to illustrate the versatility, stability and optimal dental and facial esthetics of this approach. He will discuss the integration and advantages of the recently introduced GAC “CG” (Cetlin/Greenfield) nonextraction bracket prescription for self-ligating brackets.