Voci Voices echo around the world. Expressions of passions. Reflections of the light illuminating faces that smile once more. We want to share the fruits of our knowledge and restore that lost joy. We want to liberate the light emanating from the depths, to illuminate every face and fortify the characters of our patients. Step by step we restore the dignity of each and every smile. These newfound smiles are like water. They spill out – pure, plain and clear – before reaching infinity beyond the Clouds. Alessandro Carrafiello Reggio Emilia, Italy Alessandro Carrafiello Reggio Emilia, Italy “OP System has brought a huge innovation to my daily orthodontic practice. The innovative type of force that is applied with the Nuvola OP System generates orthodontic effects that are extremely favourable for the resolution of cases that were hitherto considered impossible. The high-quality Nuvola Pro aligners have a unique design, and the design follows cranial physiology, which is very important for my focus on posture and function. Expanding the number of cases that can be addressed and achieving clinical success more easily results in an absolute increase in the number of patients, better compliance on the part of the patients, and great peace of mind for the practitioner.” Lucia Migliore Ragusa, Italy Lucia Migliore Ragusa, Italy “I have been using the Nuvola system for about three years, even before the OP method was developed. However, some cases were “not recommended” to me because it was not possible to correct major transverse discrepancies in adult patients or at least not in a predictable way. My routine with aligners changed since the advent of the OP System method: not only were all the cases I proposed possible, but more importantly this changed my own view of therapy using clear aligners. Being a traditional orthodontist (brackets and bands are my daily bread and butter), I used to limit the use of aligner therapy to the simplest cases, whereas now I have reevaluated them and propose them whenever the patient needs treatment for proper function and a return to a better view of self.” Eleonora Schellino Turin, Italy Eleonora Schellino Turin, Italy “My experience with aligners originated many years ago, until I met the Nuvola and the system using Nuvola Freedom with which I am currently obtaining excellent results, beyond expectations, allowing me to achieve expansions and corrections that I did not previously venture with aligners, thus being able to serenely propose it even to patients with more complex situations. I believe that the use of the Freedom device also promotes a better fit of the aligner, thus facilitating the effectiveness and efficiency of information in addition to the functional effect related to the action on the craniofacial sutures. One of the first satisfactions with Nuvola Freedom I would say decidedly satisfactory was the correction of a Class III case to whom I had proposed an orthosurgical correction, who after the first ten aligners brought me the brother who I had never thought of correcting the malocclusion. Then again the great satisfaction of a patient, also a complex case also because of the presence of periodontal problems, who externalizes her happiness for the results obtained and for the changes highlighted by the people who know her. Another important advantage of this systematic is the “relative” shortness of the treatment time, which proves to be reduced when compared to the same result obtained with conventional technique. Objective? To try my hand at even more complex cases, perhaps combining “complementary” that orthodontic experience has taught me.” Simona Bussu Cagliari, Italy Simona Bussu Cagliari, Italy “With the Nuvola Freedom we have solved cases of patients, dysfunctional for decades, for whom the greatest happiness was to solve the malocclusion but at the same time to feel better immediately without ever having the typical limitations of fixed appliances. In short,these are patients who will always be grateful because in the past they were advised against orthodontic therapy, which instead resolved their cases quickly and without great sacrifice.” Matteo Colosimo Rome, Italy Matteo Colosimo Rome, Italy “Nuvola Op System represents for me the greatest innovation in the orthodontic landscape of clear aligners. I have always used clear aligners in my clinical practice and finally now I can use a protocol that combines the orthodontic functionality of aligners with my functional therapy. The combination of modified Nuvola Pro aligners combined with a Freedom functional device has become the elective therapy in all my patients with dysfunctional issues. Nuvola Op has greatly expanded the possibility of treatment with aligners; a real extra tool in the most complex cases.” Giancarlo Bonacara Bari, Italy Giancarlo Bonacara Bari, Italy “The Nuvola OP System protocol is a valuable aid in resolving functional and orthopedic issues that are often, if not always, necessary in successful orthodontic treatment. Thanks to Nuvola Freedom, I have been able to assess that orthopedic and functional work is carried out concurrently with dental alignment, guaranteeing the patient better treatment stability, resolution of the causes of malocclusion, and an advantage for the clinician in terms of treatment duration. A system that reconciles functional therapy and dental biomechanics can only be a winner. Only with OP System and Freedom have I been able to solve cases such as open bites from lingual interposition, maxillary dento-alveolar contraction by acting on the facial musculature so as to decrease the muscle pressure on the jaws themselves, and from my clinical experience some muscle tension headaches related to a hypertone of the masticatory muscles.” Alessandro Carducci Artenisio Rome, Italy Alessandro Carducci Artenisio Rome, Italy “The idea behind the OP System protocol is as simple as it is enlightening: to find a meeting point between decades of studies on the functional approach and the most technologically advanced means of applying biomechanics available to us. It is fascinating to realise how the history of our speciality can provide a basis for the evolution and expansion of the potential of an extremely modern therapeutic medium such as the aligner. Extending the use of orthodontic therapies with aligners to patients with lingual dysfunction and all the characteristic traits that go with it – transverse contraction, proclination, bite opening – is a starting point for diving into the orthodontics of the future.” Cristina Conforte Catania, Italy Cristina Conforte Catania, Italy “As a pure orthodontist, I have always believed in the effectiveness and efficiency of aligner therapies, but I believe that with Nuvola OP System and Freedom the clinician’s work is greatly simplified and improved in terms of treatment speed and quality of results. I love to create wide smiles by expanding the dental arches, in my cases I am a perfectionist in terms of correcting the ideal orthodontic parameters, and Nuvola OP System allows me to achieve excellent results every time.” Francesca Ponzanelli Carrara, Italy Francesca Ponzanelli Carrara, Italy “Nuvola Freedom has radically changed the way I work, I have abandoned brackets because I now treat 99% of cases with Freedom, in my experience only cases of canine bone inclusion remain uncovered, as it is not yet possible to provide the patient with a comfortable traction systematics to manage at home. My professional life has greatly improved, I am able to treat more patients than before due to reduced treatment time, reduced chair time and related follow-ups. By properly motivating patients to manage the case from the comfort of home, I have benefited enormously especially in this pandemic period, and being able to easily treat patients living abroad or outside Carrara. Each case is a confirmation of the predictability and reliability of case resolution through Nuvola OP and Freedom. I have numerous cases to which other practices had projected strategic extractions or surgery, which I instead manage to resolve thanks to OP System to the immense satisfaction of the patient, also considering the reduced treatment time that the systematics offers. Indispensable in cases of metal allergies or amelogenesis imperfecta in which the use of brackets would increase allergies, the incidence of cavities, and detachments, with considerable discomfort for the patient and increased chair time and related costs. Each treatment is planned in advance, thanks to the expertise of the laboratory that supports the clinician in each step, and in just 3 appointments the patient is ready to start treatment.” Antonietta Veltri Naples, Italy Antonietta Veltri Naples, Italy “I have been involved in Orthodontics for more than 15 years and aligners have always been for me a tool with limitations in solving many orthodontic cases. Today thanks to Nuvola aligners and in particular Freedom and the combined use with Freedom many of these limitations have been overcome and in my daily practice Nuvola has become a valuable aid that satisfies the aesthetics of the patient and does not give up going deep in the correction of malocclusions.” Maria Korica Bergamo, Italy Maria Korica Bergamo, Italy “I was solving cases with fixed orthodontics and Invisalign when I was introduced to Nuvola. I noticed customer assistance and care that I had never received before. The initial cases were progressing well, so I wanted to get to know Dr. Carrafiello better and learn more about OP SYSTEM. I found myself in a new world with many more possibilities. Long story short: I now use NUVOLA OP System and Freedom in most cases; patients are more satisfied and so am I.” Andrea Butti Rome, Italy Andrea Butti Rome, Italy “The Nuvola Op System has revolutionized the way I plan treatment. I finally had at my disposal a method that allows me to effectively and significantly faster modify young and adult occlusal problems and address each case with a multidisciplinary approach without fearing a decrease in patient “compliance.” More results in less time for everyone’s happiness.” Francesco Borrelli Goia del Colle, Italy Francesco Borrelli Gioia del Colle, Italy “The therapeutic simplicity without having to use fixed and overly invasive braces have improved my professional life. Many of my adult patients had given up palatal expansion treatment with bulky braces, but thanks to Nuvola Freedom I was able to finish cases. Expansion with brackets in the posterior areas and resolution of the covered bite becomes difficult without the help of the Nuvola OP System protocol.” Ettore Albano Naples, Italy Ettore Albano Naples, Italy “Dealing mainly with temporomandibular joint disorders, I have always avoided treatments with clear aligners. Today , finally , thanks to Nuvola and especially to the innovation brought by the OP system, I am able to obtain exceptional results both from an esthetic and gnathological and postural point of view.” Francesca Pellegrino Parma, Italy Francesca Pellegrino Parma, Italy “Nuvola and the OP System method have allowed me to expand the pool of patients to whom I can give treatment and, above all, to obtain very satisfactory results.” Federico Trozzi Rome, Italy Federico Trozzi Rome, Italy “The OP System protocol has definitely broadened the scope of aligner application for complex cases (which I had always treated with traditional orthodontics or by resorting to orthodontic surgery), such as a patient with surgical class III solved with aligners and elastics. It has facilitated an increase in the number of cases in my practice, becoming an essential case management tool due in part to Freedom’s action, which physiologically speeds up therapy.” Diletta Cacciola Reggio Calabria, Italy Diletta Cacciola Reggio Calabria, Italy “For my orthodontic treatments I choose Nuvola op system: a protocol that is well-accepted by all types of patients. It has allowed me to solve the most complex and dysfunctional cases, without resorting to invasive techniques such as surgery, giving my patients more confidence to show their smile, in a short time! Nuvola Op System: a breakthrough in the orthodontic field!” Kristina Zoltan Hungary Kristina Zoltan Hungary “The use of the Nuvola Freedom system is a new dimension in orthodontics! Functional therapy combined with clear aligners results in aesthetic and effective therapy for adults. Using muscle forces helps a lot and needs less interproximal reduction. It allows the most complex cases to be solved with aligners!” Sandra Pereyra Biazzi Barcelona, Spain Sandra Pereyra Biazzi Barcelona, Spain “I listened to Dr. Carrafiello during the lockdown days we experienced last year, I loved his vision of Orthodontics with aligners giving birth to Nuvola Freedom, a methodology that takes into consideration cranial biomechanics, as the main cause of the pathology we find in the mouth, where we work on malocclusions and at the same time on postural pathologies. The teeth and the mouth in general must be considered as part of a larger and more complex system that is the human body, which is the vision we have in our practice and want to convey to our patients, rehabilitating functions such as chewing, swallowing, and breathing correctly to harmonize the orofacial system that will be reflected globally. Thus, for general dentists, we have one more tool within our reach with comprehensive therapy of the three areas: – Cranial biomechanics – Recovery of neurovegetative functions: chewing, swallowing and breathing. – Correct dental positioning. All therapeutic actions are aimed at restoring the balance of the mouth, recovering the structural, functional and aesthetic basis.” Virág Pörzse Hungary Virág Pörzse Hungary “We could not imagine our daily lives without digital technology, and this is also true for modern orthodontics. The Nuvola OP System protocol offers a wider range of applications, which means we can solve more cases than before, and we can make more extensive use of aligners.” Samar Labib Wassili Morgan London, Uk Samar Labib Wassili Morgan London, Uk “I have been using different clear aligner systems for ten years and find the Nuvola OP System to be revolutionary. The predictability of movements has given me the ability to treat more complex cases, taking my confidence to the next level and giving me a higher success rate. For example, I recently treated the case of a girl with severe upper and lower crowding and a severely rotated and displaced upper canine. The case was completed in 6 months and a perfect alignment was achieved with only 12 aligners for the upper arch and 12 for the lower arch. A few years ago, I would have used fixed orthodontics to treat such a case. The precision of the aligners, attachments and the revolutionary concept behind the use of Freedom has greatly reduced treatment time and increased predictability, making both clinician and patient very happy and satisfied.” Mate Hargitai Budapest, Hungary Mate Hargitai Budapest, Hungary “Our clinic specializes in Restorative and Aesthetic Dentistry and Microscopy. Two years ago, I started working with Nuvola aligners and later also with OP System protocol. I am very satisfied with the quality of service. They do the planning quickly and correctly, and if not, it is easy to ask for modification, with the dedicated chatbox available on the NuvolaWeb site. Nuvola Freedom has greatly expanded the possibilities of aligners. I have successfully treated such complex cases with OP System and Freedom that I could not imagine treating them without fixed braces before. Now I have to turn down fewer and fewer cases, with a great economic benefit to our practice.” Rebecca Smith Hook Norton, Uk Rebecca Smith Hook Norton, Uk “Nuvola is really an integral part of my practice as a general dentist. I like the idea of creating a healthy, natural smile for patients in the most biologically sustainable way while preserving as much enamel as possible. Before using Nuvola, I could achieve this in a limited number of cases using composite and ceramic, but it was disappointing to have to turn away patients who were not interested in more invasive methods. I then started using the Nuvola aligner system, which allowed me to treat many more cases. By predictably moving teeth into optimal positions for composite or ceramic additions (or no longer needing this and using only anterior orthodontics), I was able to offer this minimally invasive dentistry to more patients. However, there were still a number of cases that I could not treat, so I sought help from Nuvola’s Freedom system. Now using Nuvola Freedom I can deal with cases with more difficult features such as crossbites and crowding in narrow arches. This has become such a useful and important tool in an age when more and more patients want to make changes to their smiles. The system goes hand in hand with the general principle of modern dentistry of minimal intervention, and because it makes it accessible to more patients, it should be considered a cornerstone for providing contemporary and long-lasting dentistry in general practice.” Are you interested in Nuvola products? Please, feel free to contact us.