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EspañolFunctional Therapy with the Eptamed Device
The protocol calls for the use of four Eq. Eptamed devices, which can be customized to meet the patient's specific needs.
To optimize results, speed up recovery, and enhance the effectiveness of treatment, you can incorporate Special Equipment, specifically designed for clinical cases that require targeted functional support.
Eq. STARTER
NASAL Eq.
FROM THE BEGINNING OF THERAPY
Eq. LINGUAL
FROM THE BEGINNING OF THERAPY
Changes
The Eptamed system allows for a high degree of customization, designed to further improve the device's performance and adaptability based on the patient's individual characteristics.
Materials and Compounds
Formulation selected based on the stage of treatment and clinical needs
Start treatment:
for postural problems
or general malaise
Intermediate blend: "
" is the most widely used
End of treatment,
improved alignment
or presence of bruxism
Monitoring the Long-Term Use of the Eptamed Equation
The appearance of the Eptamed device changes over time depending on the frequency of use and the patient’s adherence to proper hygiene practices. Observing its surface characteristics provides valuable assistance to the clinician in assessing the patient’s adherence to the prescribed regimen.
Proper use is defined as when the patient wears the Eptamed device for at least 8 hours at night, for at least 1 hour during the day in passive mode, and performs at least 15 minutes of active exercises daily.
The Eq. Eptamed is designed to highlight gradual changes that reflect its actual level of use. In fact, after about 3 months, you may begin to notice the first signs of wear on the Eq. Eptamed. At 6 months, wear becomes more evident, and the Eq. Eptamed must be replaced.
MONTH 3
MONTH 6
With minimal use, Eptamed remains virtually unchanged, retaining its transparency and showing no obvious signs of wear or discoloration.
MONTH 3
MONTH 6
With moderate use, a slight dulling of the surface and the first signs of wear become apparent.
MONTH 3
MONTH 6
Optimal use results in more widespread opacity, accompanied by initial yellowing and the presence of surface deposits.
In cases of heavy and continuous use, the device shows significant yellowing, noticeable cloudiness, and signs of wear, along with a buildup of saliva and residue.
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Index of Protocols with Eq. Eptamed
Distance Between Palatal Cuspids — Measurement Chart
UNIVERSAL SEQUENCE (continued from page 8)
The sequence takes into account:
- only the distance between the palatal cusps of teeth 14 and 24
In pediatric patients, treatment begins with the Starter appliance (lingual NIKI), and the treatment sequence is then determined based on the patient's age.
In Class I and II patients aged 14 years and older with a palatal cusp distance of ≥ 26 mm, in addition to the Starter appliance (lingual NIKI), Universal appliances are always used as the 1st and 2nd equity appliances, and Series I - Semiline (SL) Series devices as the third and fourth equators.
For Class III patients aged 7 years and older, when measuring the distance between palatal cusps 14–24, in addition to the Starter appliance (lingual NIKI), it is recommended to use a sequence consisting primarily of Series III - Prognathus (3) appliances with the -S code (example: 3.3-S neutral).
MANUAL CHANGES: As per the change protocol
Narrow Arch
Rounded Arch
Square Arch
INTERMEDIATE SEQUENCE (from page 14)
The sequence takes into account:
- the distance between the palatal cusps of teeth 14 and 24
- the shape of the arch in its final stage (narrow, rounded, or square)
- the dental class and the type of malocclusion (deep bite, open bite, overjet)
For pediatric patients, the universal protocol is followed, but more adjustments are made to the Eq.
In Class I patients, in addition to the Starter appliance (nasal or lingual NIKI), the Universal appliance is always used as the first appliance. The selection of the second, third, and fourth appliances is based on the distance between the palatal cusps and the shape of the arch.
In Class II patients, in addition to the Starter appliance (nasal or lingual NIKI), the Universal appliance is always used as the first expansion appliance. The selection of the second and third expansion appliances is based on the distance between the palatal cusps and the type of malocclusion. The selection of the fourth appliance is based on the distance between the palatal cusps and the shape of the dental arch.
For Class III patients, the standard protocol is followed, but the lower anchor is modified as shown in the illustration.
MANUAL CHANGES: As per the change protocol
Dolichocephalic Skull
Mesofacial Skull
Brachyfacial Skull
ADVANCED SEQUENCE (starting on page 20 — support available via the Eptamed Pro app)
The sequence takes into account:
- the distance between the palatal cusps of teeth 14 and 24
- the shape of the arch in the early stages (narrow, rounded, or square)
- the dental class and the type of malocclusion (deep bite, open bite, overjet)
- the shape of the skull in the final stage (dolichocephalic, mesofacial, brachycephalic)
- Both NIKI Starter devices (nasal and lingual) are used
- You can use the E-Fit and Aligner devices
- highly individualized adjustments for the patient
MANUAL CHANGES: As per the change protocol
Medical Group 1. UNIVERSAL SEQUENCE IN EQUILIBRIODONTICS
It takes into account only the distance between the palatal cusps of teeth 14 and 24
For patients aged 14 and older with a distance between the palatal cusps of teeth 14 and 24 of ≥ 26 mm
UNIVERSAL SEQUENCE - DENTAL CLASSES I AND II
The universal sequence takes into account:
- only the distance between the palatal cusps of teeth 14 and 24
In Class I and II patients aged 14 years and older with a palatal cusp distance of ≥ 26 mm, in addition to the Starter appliance (lingual NIKI), Universal appliances are always used as the 1st and 2nd equity appliances, and Series I appliances - Semiline (SL) Series devices as the third and fourth equators.
1. CHANGES TO THE UNIVERSAL SEQUENCE
- 1.1 Shortening the Eptamed Equation
- 1.2 Yield Strength of the Eptamed Alloy
- 1.3 Drilling Ventilation Holes
- 1.4 Reduction of the vestibular walls
Table of Palatine Cusp Distances — Measurement
LINGUISTIC EQUIVALENCE
-30 days
Eq. UNIVERSAL
blue
0 days · 1st EQ.
Eq. UNIVERSAL
orange
6 months · 2nd EQ.
SEMILINE (SL)
orange / neutral
12 months · 3rd EQ.
SEMILINE (SL)
green / white-green
18–24 months · 4th EQ.
EXAMPLE OF A 14-YEAR-OLD PATIENT WITH A PALATINE CUSP DISTANCE OF 26 mm:
| Equation 1 | Equation 2 | Equation 3 | 4th Eq. | |
|---|---|---|---|---|
| Ex. 1 — NIKI 2 | Blue U3 | U3 Orange | SL3 orange | SL3 green |
| Ex. 2 — NIKI 2 | Blue U3 | U3 orange | SL3 neutral | SL4 white-green |
For patients who grind their teeth, we recommend starting with an orange-colored, medium-hardness Eq.
Ex. 1: Example of less pronounced transverse expansion · Ex. 2: Example of more pronounced transverse expansion
Medical Group 1. UNIVERSAL SEQUENCE IN EQUILIBRIODONTICS
It takes into account only the distance between the palatal cusps of teeth 14 and 24
For patients aged 7 and older, by measuring the distance between palatal cusps 14 and 24
UNIVERSAL SEQUENCE - DENTAL CLASS III
The universal sequence takes into account:
- only the distance between the palatal cusps of teeth 14 and 24
For Class III patients aged 7 years and older, when measuring the distance between palatal cusps 14–24, in addition to the Starter appliance (lingual NIKI), it is recommended to use a sequence consisting primarily of Series III - Prognathus (3) appliances with the -S code (example: 3.3-S neutral).
1. CHANGES TO THE UNIVERSAL SEQUENCE
- 1.1 Shortening the Eptamed Equation
- 1.2 Yield Strength of the Eptamed Alloy
- 1.3 Drilling Ventilation Holes
- 1.4 Reduction of the vestibular walls
Table of Palatine Cusp Distances — Measurement
LINGUISTIC EQUIVALENCE
-30 days
Eq. PROGNATHUS (3)
white
0 days · 1st EQ.
Eq. PROGNATHUS (3)
orange
6 months · 2nd EQ.
Eq. PROGNATHUS (3)
neutral / green
12 months · 3rd EQ.
Eq. PROGNATHUS (3)
white / green
18–24 months · 4th EQ.
EXAMPLE OF AN 8-YEAR-OLD PATIENT WITH A PALATINE CUSP DISTANCE OF 22 mm:
| Equation 1 | Equation 2 | Equation 3 | 4th Eq. | |
|---|---|---|---|---|
| Ex. 1 — NIKI 1 | 3.1-S* blue | 3.2-S* orange | 3.2-S* green | 3.2 orange |
| Ex. 2 — NIKI 1 | 3.1-S* blue | 3.2-S* orange | 3.2 orange | 3.2 green |
EXAMPLE OF A 35-YEAR-OLD PATIENT WITH A PALATINE CUSP DISTANCE OF 30 mm:
| Equation 1 | Equation 2 | Equation 3 | 4th Eq. | |
|---|---|---|---|---|
| Ex. 1 — NIKI 2 | 3.3-S* white | 3.3-S* orange | 3.3-S* green | 3.4-S* white |
| Ex. 2 — NIKI 2 | 3.3-S* white | 3.3-S orange | 3.4-S* orange | 3.4-S* green |
*Class III models with an "-S" at the end are slightly smaller, exert less pressure on the lower incisors, and do not have a lingual pin.
For patients who grind their teeth, we recommend starting with an orange-colored, medium-hardness Eq.
Medical Group 1. UNIVERSAL SEQUENCE IN EQUILIBRIODONTICS
The sequence is determined based on the patient's age
For pediatric and adolescent patients aged 1 to 14 years
UNIVERSAL SEQUENCE - PEDIATRIC PATIENTS
In pediatric patients, treatment begins with the Starter appliance (lingual NIKI), and the treatment sequence is then determined based on the patient's age.
6-year-old girl
HOME
AFTER 4 YEARS
8-year-old girl
HOME
AFTER 4 YEARS
1–3 years
Eq. KIDS 1.0
Ages 1–3
Ages 3–8
LINGUAL Braces
PRE-THERAPY
Eq. KIDS 1.05
Ages 3–5
Eq. KIDS 1.1
Ages 5–8
Ages 8–13
LINGUAL Braces
PRE-THERAPY
Eq. YOUNG 1.2
Y
Ages 8–9
Eq. YOUNG C3P
Y
Ages 8–10
Eq. YOUNG SL3
Y
Ages 9–10
YOUNG U4
Y
Ages 10–11
Eq. YOUNG C4P
Y
Ages 11–12
Eq. TEEN C4P
T
ages 12 and up
Eq. TEEN SL4
T
ages 13 and up
UNIVERSAL "
" SEQUENCE
Minimum number of devices to use
5 Eq. Eptamed
Duration of treatment
2 years
Recommended minimum cost to the patient (annual)
€1,200.00 + VAT
INTERMEDIATE "
" SEQUENCE
Minimum number of devices to be used
5–6 Eq. Eptamed
Duration of treatment
2 years
Recommended minimum cost to the patient (annual)
€1,600.00 + VAT
ADVANCED "
" SEQUENCE
(Support available via the Eptamed PRO app)
Minimum number of devices to use
6–7 Eq. Eptamed
Duration of treatment
2 years
Recommended minimum cost to the patient (annual)
€2,000.00 + VAT