Dr. Julia Haubrich
Studies of dentistry at the University of Freiburg (Albert Ludwigs Universität) final exam 2001, dissertation 2002.
Working as general dentist in practices in Munich and Karlsruhe 2002-2003
Postgraduate student in Orthodontics in the private practice of Dr. Werner Schupp, Cologne from 2003-2005
2006 Postgraduate student in Orthodontics at the Universty of Berlin (Charité Universität), department of orthodontics, director Mr Prof. Dr. R.R. Miethke, certified specialist of “orthodontics” in 2007
Collaboration in the orthodontic private practice of Dr. Werner Schupp, Dr. Julia Haubrich and Dr. Julia Funke in Cologne- Rodenkirchen since 2007
International and national clinical Speaker for Align Technology since 2005
Founding member and Conference President of the German society of Aligner orthodontics (Deutsche Gesellschaft für Aligner Orthodontie, DGAO)
Member of the European society of Aligner Orthodontics
Lecturer Medical University Innsbruck, Austria
Co-Author of the book “Funktionslehre in der Kieferorthopädie” 2012 of Quintessence Publisher, Berlin
Author of the book ”Aligner Orthodontics” of Dr. Werner Schupp, Dr. Julia Haubrich, published 2015 of Quintessence Publisher, Berlin (translated in Japanese, Chinese, French, Spanish, Portuguese)
Editor of the journal „Journal of Aligner Orthodontics“ published first in 2017 by Quintessence publisher, Berlin
Numerous publications of articles concerning orthodontic aligner therapy in several national and international journals
General thoughts on Invisalign aligners treatment in young patients/ avoiding extractions with early aligner treatment
In patients with premature baby teeth loss and insufficient retention of spaces, the Leeway space can be reduced due to undesired neighbour tooth migration and space could become insufficient for the eruption of all permanent teeth. Various orthodontic treatment options may be used to reopen spaces and avoid potential extractions in the permanent dentition. One option is the treatment with aligner orthodontics, which allows an almost invisible and comfortable way of treating patients with fewer potential side effects than with conventional fixed appliances. This section will give an overview of general thoughts on aligner treatment in young patient and treatment options to gain space and avoid potential extraction treatments with the Invisalign system.
Class II treatment with Invisalign system and Mandibular Advancement approach
Class II non extraction treatment can be performed well with aligner orthodontics. Depending on the age of the patient, this includes the combined treatment of a skeletal class II in the growing patient as well as class II treatments with distalization in the maxillary arch.
When we want to perform distalization in the maxilla to transfer a class II relationship into a class I relationship, the biomechanics need to be considered and understood in detail.
In growing patients with a skeletal class II relationship, it is usual in the author’s practice to start treatment with a functional appliance. In patients with severe reclination of maxillary incisors, torque and/or proclination of the reclined incisors according to the Ricketts utility technique can be performed with aligners nowadays. As soon as the overjet is sufficient, a functional appliance or the mandibular advancement tool can be used during the eruption of the permanent dentition, followed by a further phase of aligner treatment after full eruption of permanent teeth. This section will give an overview of treatment possibilities before and during the change of the permanent dentition in class II patients with the Invisalign system and approach with the Mandibular Advancement tool.
Combination of Invisalign aligners orthodontics with other techniques/ impacted canines
To limit extractions and to turn a difficult class II occlusion into a simpler class I occlusion, the combination of aligner orthodontics with a motion appliance (formerly known as Carrière Distalizer) is another option to treat class II patients. Combinations of different techniques such as the Invisalign system with the motion appliance will be shown.
Maxillary canines and third molars are the most commonly impacted teeth and impacted maxillary canines occur in approximately 2% of the population. The most common treatment of an impacted canine has been the surgical exposing of the canine and allowing them to erupt naturally during early or late mixed dentition, as well as surgically exposing the teeth and moving the canine into the arch with a fixed Multibracket technique. This section will show examples of patient treatments with impacted canines and the Invisalign technique.