Digital Precision Meets Skeletal Anchorage Expertise at BOC 2026.

Join Dr Richard Cousley and Professor Giuseppe Perinetti at the British Orthodontic Conference for two must-see lectures exploring the latest advances in bone anchorage, digital workflows and maxillary expansion. In this blog, we also examine a clinical case that demonstrates how digital planning and skeletal anchorage were combined to deliver predictable expansion in a young adult approaching skeletal maturity.

Fully supported by DB Orthodontics and DB Digital Laboratory, this forward-thinking Satellite Symposium will demonstrate:

• When to add MARPE bone anchorage in adolescents and surgical adjuncts in adults
• The digital workflow to create custom made MARPE appliances
• The single visit protocol using guidance stents to ensure accuracy
• Patient-specific protocols for successful expansion in mature patients
  

Two Symposium Lectures You Won’t Want to Miss

Dr Richard Cousley, developer of the Infinitas™ System, and Professor Giuseppe Perinetti, an internationally recognised expert in palatal anchorage, will share their clinical expertise and demonstrate how these techniques can be incorporated into modern orthodontic practice.

Lecture 1: 
Dr Richard Cousley
When and how to use 3D printed RME & MARPE in adolescents and young adults.

Lecture 2:
Dr Giuseppe Perinetti
Adult maxillary expansion and surgical adjuncts.

• Thursday 24 September 2026
• 10:40am–12:40pm
• Skyline Room, Brighton Centre

The Satellite Symposium runs alongside the BOC Thursday morning programme.

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From Digital Planning to Predictable Expansion: Case Study By Dr Richard Cousley

This case involves a 19 year old male patient who presented with a mild Class III malocclusion, on a mild Class III skeletal relationship, complicated by increased lower anterior vertical proportions. He had bilateral buccal crossbites and a left functional mandibular displacement.

A CBCT showed that his mid-palatal suture was in the late stage of maturation prior to bony fusion, and that the upper molars were buccally inclined (along with clinically visible lingual tipping of the lower buccal teeth).

The 3D digital planning process, by DB Orthodontics DB Digital Laboratory, involved merging of the CBCT with a digital model to create a fully customised hybrid RME appliance utilising bone anchorage in the anterior palate. This expander was then fitted at the patient's second-ever clinical appointment and the first expansion turn was performed by him on the same day. This single-visit approach was only feasible with the use of a matching mini-implant guidance stent created by the same digital planning process.

The patient underwent three weeks of expansion, at the rate of two turns (0.4 mm) per day. A midline diastema opened by day six, and reached 6.5 mm at the crestal level by day 21. There was almost parallel palatal suture opening of up to 5 mm radiographically. The expander was then activated by a further 1mm.

Dr Cousley's case highlights how skeletal anchorage and accurate digital planning can deliver efficient and predictable expansion, even in patients approaching skeletal maturity.

Don’t miss this opportunity to learn from two clinicians at the forefront of digital orthodontics and skeletal anchorage. We look forward to seeing you in Brighton!