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Caaiere Motion 3D Class II Appliance

They call the Carriere Motion 3D™ Appliance a ‘game changer’. They are right.

So says Dr Pieter van Heerden, Specialist in Orthodontics and Fellow of the World Federation of Orthodontists. Here he tells us why.

Marketeers are prone to calling all sorts of products a ‘game changer’ as this is what they’re always hoping they’ll turn out to be. However, very few of those products ever manage to live up to the claim; the Carriere Motion 3D™ Appliance is one of the few.

I have been an orthodontic practitioner for about 35 years, yet I would say that introducing the Carriere Motion 3D System to my treatment modalities is one of the most dramatic changes I have ever made in my practice. It has made a major positive difference, and these are the reasons why.


The same general orthodontic principles in a new combination

In my opinion, the SAGITTAL FIRST™ Philosophy, on which the system is based, still works to the same general orthodontic principles that we all know and understand. It’s the combination of those principles that makes it very efficient and time-saving.

The SAGITTAL FIRST Philosophy uses fast, natural and gentle forces to correct Class II and Class III malocclusions at the start of treatment with Motion 3D appliances, and I now use these extensively in my orthodontic practice.

The Motion 3D appliance rotates and uprights the maxillary first molars while distalising the posterior segment, which corrects the posterior occlusion. Mimicking a human hip ball-socket joint, the Motion 3D Appliance allows the first molar to rotate and upright to its natural finishing position, producing a continuous, natural, and uniform force for distal molar movement with controlled rotation and tipping correction. This approach ensures that you address the patient’s entire facial harmony.

It is a discreet appliance that is fitted from canine or premolar to molars and moves each posterior segment as a unit. Once the appliance is bonded, Carriere Oral Elastics are attached from the mandibular molar to the hook of the maxillary cuspid of the Motion 3D Class II Appliance to activate the corrective forces.


Great for my practice

A great advantage of the Motion 3D Appliance is that it creates facial harmony by accomplishing a lot of different corrections at the same time, including tipping the teeth, changing the occlusal plane, changing the muscle function and sorting out vertical misalignments.

Since there are no competing forces in the mouth from brackets or other appliances in this first stage, average Class II correction can be completed in about four months, which is quicker than other methods I have used. The time-saving element is a big advantage for my practice and means I can either fit in more treatments or use the time for other work.

It is also extremely easy to use, so much so that once I have planned the treatment, I can delegate the setting of the Motion 3D appliance to a colleague. A lot of thought has gone into the design which makes it straightforward to fit.


Patients love it

Of course, my patients love the time-saving aspect, too, as it’s natural to want to wear any orthodontic appliance for as short a time as possible. The feedback I receive, especially from those who already have experience with this type of modality before, is that the Carriere Motion 3D appliance is very comfortable to wear. This is due to the low, gentle force it applies and the smooth, low-profile design.

My patients also like how discreet the appliances are and that once they are in a Class I framework, often clear aligners can be used for the second part of the treatment.

Last but not least, it means we can reduce the likelihood of tooth extractions or other more invasive measures, which other treatment modalities sometimes require.


Seek out training opportunities

For all of these reasons, I now regularly use the Carriere Motion 3D System, which is exclusively available through Henry Schein Dental in the UK, in my orthodontic practice. I have spoken many times to its inventor, Dr Luis Carrière, and attended some of his training courses. I can honestly say that Dr Carrière and his innovative system have changed the way I practice.

I would recommend any orthodontic practitioner who is unfamiliar with this philosophy to find out more about it and perhaps attend one of the courses that are being held this year.

It can make such a difference to your orthodontic practice in my opinion, you owe it to your patients, your colleagues and yourself, to give it a try.


Henry Schein Dental is hosting two more courses in 2019, entitled Carriere in the Practice: The Way Forward, with specialist orthodontist Dr Francis Scriven (BDS, MSc, MOrth, MFDS):
2.5 hours of CPD
£30 per person + a free hygienist or therapist place with every dentist ticket
6.30pm – 9pm

  • Wednesday 1st May 2019
    Belmont House, 1 St. Andrews Way, Bow, London, E3 3PA
  • Wednesday 3rd July 2019
    Henry Schein Glasgow, Westpoint Business Park, Marchfield Drive, Paisley PA3 2RB

 Dr Luis Carrière will also be speaking at the Henry Schein Orthodontics European Carriere Symposium to be held in Barcelona, Spain on 19th – 21st September 2019. To find out more and register, visit

Henry Schein Dental runs a variety of regional training courses, hands-on discovery days and post-purchase training courses. For further information, visit or speak to your Sales Consultant to find out more about courses in your area.

To find out more about the Carriere Motion 3D Appliance, visit

Twitter: @HenryScheinUK

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Dr Pieter van Heerden

BChD(Pret), MDent(Orth), MChD(Orth), Specialist in Orthodontics GDC 66417, fellow of the World Federation of Orthodontists

Dr Pieter van Heerden qualified as a dentist in 1984 and an orthodontist in 1992 at the University of Pretoria, South Africa. He completed his MChD in 1992 and moved to the UK. He worked as an associate in St Albans from 1993 and became principal of the same practice in 1998. He founded Harpenden Orthodontic Practice in 1999.

Dr van Heerden is a Fellow of the World Federation of Orthodontics and member of the BOS and AAO. He trained with Dr Dwight Damon, the inventor of the Damon system. He is a well-known international speaker and has lectured extensively worldwide.

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