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Mucho Más Tratamientos Multidisciplinares – MMM Trataminetos

March 6 & 7, 2020

Madrid | Spain

inspired science


Inspiring smiles

Madrid | España
6 y 7 de marzo de 2020

Madrid | Spain
March 6 & 7, 2020










Dear Doctor,

Although the field of orthodontics is considered a specialty within the area of oral health care, it has always been true, and it is becoming increasingly clear, that it should not be performed separately from other disciplines.

Complete treatment often involves the cooperation of orthodontics, periodontics, dental restorations, maxillofacial surgery , and other related fields.

The challenge of this integration is to coordinate the different phases of the treatment to achieve a quality and long-term result in order to obtain results as efficient as possible for the patient.

It can be argued that orthodontists are in a unique position to coordinate multidisciplinary treatment because of their experience in understanding how different biological factors respond to different types of stimuli over time.

Therefore, important parts of an orthodontist’s education include the ability to develop a multidisciplinary treatment plan, be able to organize the sequence and timing of treatment and ensure fluid communication among all professionals throughout the multidisciplinary treatment.

Specialized training and open and fluid dialogue on multidisciplinary care can even introduce doctors to new treatment approach options.

The purpose of this congress is to gather up-to-date information and create an open dialogue that invites diverse perceptions, clinically proven techniques and practical advice on the management of multidisciplinary care that will better address comprehensive oral health care for patients

Dr. José Luis Gandía
Chairman of the event



March 6th 2020

09:45-10:15 | Welcome coffee/ Attendants registration

10:30-11:30 | Dr. Juan Carlos Pérez Varela
Complex multidisciplinary treatments. Success comes from protocols and teamwork

Nowadays around 60% of patients visiting an orthodontics clinic are adults. A large percentage of them have highly complex orthodontic issues which almost always require a multidisciplinary approach and, consequently, the work of various professionals to provide an aesthetic and functionally correct treatment.

There are often doubts about when each professional should intervene during the treatment not only to ensure that the result is optimal, but also to ensure that the patient has a positive perception at each stage of the treatment.

11:30-13:00 | Dr. Federico Hernández Alfaro and Dr. Patricia Solano
Surgical Management of The Smile: From Macro to Micro Aesthetics

Smile analysis assesses a variety of elements, most importantly the facial/skeletal pattern, lips, teeth and gums, understood as non-independent elements.
The growing trend in smile treatment is to take an interdisciplinary approach, which helps provide predictable results, where success lies in adequate/correct diagnosis and the treatment to sequence and planning. However, despite being widely studied and described in the literature, it is hard to find a decision tree to help in clinical practice. Thus a new approach needs to be proposed to help establishing a correct differential diagnosis and team treatment planning.

13:00-14:00 | Lunch

14:00-15:00 | Dr. Aránzazu Senosiain
Dream Team: Ortho-Perio-Prosto

Around 35-40% of adults need multidisciplinary dental treatment.
An increasing number of adult patients have complex dental problems and when seeking a global solution to their cosmetic or functional problem they want their malocclusion treated, diseased or old teeth restored and their edentulous space rehabilitated.

In addition, today, general dentists, prosthodontists and periodontists recognise the benefits of preprosthetic orthodontics and include orthodontists in their treatment plans to carry out better, more conservative restorations.

Teamwork in these cases is essential and the treatment plan should be decided on jointly (orthdontist-periodontist-prosthodontist).

15:00-16:00 | Dr. Oriol Quevedo
Planning surgical cases. From orthodontics to cosmetic rehabilitation, via surgery.

On many occasions, orthodontists should adopt the role of a ‘conductor of an orchestra’ at the start and during treatment of interdisciplinary cases. Working hand in hand with other specialists from day one should always be a priority, as, without doubt, it is the best way to achieve optimum results. However, this does not always happen and as orthodontics is the first step required for correct interdisciplinary treatment, it is the orthodontist who sees the patients first and guides them by providing an overview of what we believe the ideal outcome should be.

Cases where a patient requires orthodontic treatment combined with orthognathic surgery are always a challenge for the orthodontist. This is why it is essential from the start to have a clear idea of the basic aspects of planning, in order to take the reins at the interdisciplinary level. Concluding such cases with cosmetic/prosthetic rehabilitation may at times be necessary, while at others it helps to provide a good outcome.

16:00-16:30 | Coffee

16:30-17:30 | Dr. Abelardo Nores
Smile design in cosmetic orthodontics and its limitations

Smile design during treatment planning is essential for organising multidisciplinary treatment.

If all professionals involved in it are working along the same lines from the start, then we have a very powerful tool in daily practice that will provide  satisfaction for both the patients and all the professionals involved.

Although this approach can provide great satisfaction, it should also be managed responsibly and with clinical criteria to ensure an optimum outcome.

During this lecture we will use clinical cases to illustrate the key aspects and limitations that should be borne in mind, so the audience will have a clear idea of the ingredients of a smile produced through teamwork.

17:30-18:30 | Dr. María José Sánchez
Evidence and challenges in multidisciplinary treatments in adults

Treatments in adult patients have evolved in recent years thanks to 3D diagnosis, digital flow, skeletal anchorage and improvements to the various appliances. We will demonstrate all these new tools, which will help us not only in our treatment but also in providing increasingly accurate and individualised diagnoses, so we can offer each patient the best, tailored option for them.

21:00-23:00 | Dinner

March 7th 2020

09:00-10:00 | Dr. Vicente Sada
Orthodontics, an exciting hobby

Orthodontics has transformed over the course of a few short decades from an ugly duckling, sometimes excluded from multidisciplinary treatments as it was thought to be a speciality limited to children, into a swan that everyone now appreciates. It is now well known that orthodontics benefits adult patients’ health and boosts rehabilitation. Likewise, its wings are key to getting far, soaring over boundaries and discovering new horizons that could never have been dreamed of before.

In order to take flight and start a new journey towards multidisciplinary rehabilitation, and to know where the real limits are, it is essential to be well prepared and highly motivated. I will provide a step-by-step overview of everything you need to achieve success in working alongside other dentistry specialities, without which our goal would remain out of reach.

One of the limitations in treating patients is the loss of their smile’s aesthetic appeal during the rehabilitation process. The emergence of aligners and lingual orthodontics have solved this inconvenience, but when the issue is more complex, lingual orthodontics offer the most advantages.

10:00-11:00 | Dr. Pedro Braga
Dental midline deviations with infrazygomatic microimplants.

Symmetry is an important factor in facial aesthetics and a key factor in the ideal orthodontic outcome.

Diagnosis of the relation between the facial midline and midline deviations is an essential factor in obtaining the right diagnosis and treatment plan.

For upper dental midline deviations there are various orthodontic mechanisms that can be used successfully, in particular the use of skeletal anchorage with infrazygomatic microimplants in cases of asymmetric extractions.

11:00-11:30 | Coffee

11:30-12:30 | Dr. Raúl Ferrando
Clinical protocol for prosthetic restoration in multidisciplinary orthodontic treatment: ‘Resto First, Resto Early, Resto Post’

Adult patients increasingly demand orthodontic treatment. In addition, patients who require restoration treatment generally also need orthodontics. This paper will attempt to clarify in which situations we need to provide restoration for our patients before orthodontics, ‘Resto First’, during orthodontics, ‘Resto Early’, and after orthodontics, ‘Resto Post’, to obtain good results based on treatment goals.

12:30-13:30 | Dr. Daniel Díez
A new ‘DISCIPLINE’...?

In recent years, the on-going digitalisation process for our patients’ records has become unstoppable. It started with digital photography and radiology, but the real revolution came with 3D technology. DICOM files obtained from CBCT and STL files from intraoral scanners have made it possible to generate models that are virtually identical to our patients.

At the same time, software has been developed to interpret these models and use them in designing and implementing our treatment plans.

During the lecture, we will try to show how 3D technology enables us to integrate an initial OCCLUSAL model in a SKELETAL reconstruction, perform a pre-treatment SETUP, design the best positioning for braces and generate an indirect cemented splint to help provide maximum precision in pre-surgical preparation. We will try to explain our point of view on how incorporating this technology means an initial investment in time and money, but soon provides an exponential increase in the profitability of our practices.

13:30-14:30 | Lunch

14:30-15:30 | Dr. Carlos Grossi
Much more than orthodontics: keys to success

My experience as a manager of a specialist orthodontics clinic for 25 years has helped me identify what I think are the keys to success. I will outline the basic, fundamental elements that facilitate efficient, organised work in offering orthodontic treatment, while providing an excellent working atmosphere and maximising profits.

15:30-16:30 | Dr. María Orquin
Is your orthodontic clinic as you want it to be? Discover the 3 keys to get it that they didn´t tell you at university.

Now that you are able to move teeth, you may have realized that everyday clinical practice involves taking decisions that have little to do with orthodontics.

You may sometime have asked yourself… ‘How can I attract new patients?’. ‘Why have I failed to meet my patient’s expectations?, ‘I want to organise my orthodontic clinic better, but I don’t know how!’ ‘What are we doing wrong to keep repeating mistakes that should never occur in the orthodontic clinic?’

Through scientific evidence and my personal experience of over 15 years at Novasmile clinics, you will learn about the three keys to happiness and excellence in orthodontic clinical practice.

16:30-17:30 | Dr. Itamar Friedländer
Disruptive orthodontics in borderline cases - the "Surgical Orthodontic Concept"

Currently, orthodontic patients with moderate or severe skeletal discrepancies are candidates for treatment with a variety of compensatory orthodontic techniques, orthognathic surgery or a combination of the two.

Compensatory orthodontic treatment carried out in these types of skeletal discrepancies are associated with a number of periodontal complications arising from positioning the teeth outside the bone.

Apart from it’s inherent morbidity, orthognathic surgery can cause several severe complications, as described in the literature.

“SOC” is a combination of various periodontal and regenerative surgical techniques applied to orthodontics which, when used together, facilitate the treatment of the orthodontic patient with moderate skeletal discrepancies in 3 dimensions.

This new vision requires close collaboration and teamwork between the surgeon and the orthodontist. Correct application of the concept provides excellent results: firstly it reduces the morbidity associated with orthognathic surgery and secondly it avoids all the problems associated with periodontal health as a consequence of orthodontic compensation.




If you are interested in attending the event, please contact us directly at: secretary@terra-consultoria.com to be added to the waiting list.

Benefíciese de un

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50% de DESCUENTO en la inscripción:

326 € 163€ (IVA incluido)

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3MTM ClarityTM ADVANCED APC Flash-Free al 40% Dto.

• Comprando 5 casos de Brackets Cerámicos

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70% de DESCUENTO en la inscripción:

326 € 98€ (IVA incluido)

• Comprando 5 casos de Brackets Cerámicos

3MTM ClarityTM ADVANCED APC Flash-Free al 50% Dto.

• Comprando 5 casos de Brackets Cerámicos

3MTM ClarityTM ULTRA APC Flash-Free al 50% Dto.

• Comprando 3 casos de 3MTM IncognitoTM Appliance System por solo 5.595€

• Pack Accesorios al 50% (compra mínima 3.000€)


Fundación Francisco Giner de los Ríos
(Institución Libre de Enseñanza)

The Francisco Giner de los ríos Foundation is a Spanish pedagogical institution established on June 14, 1916, which preserves, disseminates and continues the historical legacy of the Institución Libre de Enseñanaza (ILE).

Paseo General Martínez Campos 14,
28010 Madrid

Public Transportation
Subway: Iglesia, Rubén Darío

Buses: 16,61, 5 and 3



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What to do in Madrid

Dr. Juan Carlos Pérez Varela



Dr. Federico Hernández Alfaro

Dra. Patricia Solano

Dra. Aránzazu Senosiain

Dr. Oriol Quevedo


Dr. Pedro Braga


Dra. Mª José Sánchez


Dr. Itamar Friedländer


Dr. Raúl Ferrando


Dr. Abelardo Nores

Dr. Daniel Díez

Sr. Carlos Grossi


Dra. María Orquín


Dr. Vicente Sada