2015 Winter Conference

Feb 8, 2015

Early Orthodontic Treatment: Who, When, Why and How to Treat


Point/Counterpoint: The Case for Non-extraction in the Mixed Dentition

Feb 6, 2015 9:00am

This presentation will discuss the findings of a series of prospective and retrospective clinical studies of orthodontic and orthopedics intervention in the early mixed dentition. Guidelines will be presented as to which patients will benefit from treatment with a bonded rapid maxillary expander, preceded in some instances by a removable lower Schwarz expansion appliance. Other patients, especially those with large tooth size, will benefit from a serial extraction protocol. In managing tooth-size/arch-size discrepancies in the mixed dentition, common sense must prevail.

  • Relate the indications for the use of a bonded acrylic splint expander
  • Determine which patients will benefit from removable Schwarz treatment
  • Recognize which patients can be treated non-extraction and which patients require extraction of permanent teeth


Point/Counterpoint: Extraction in the Mixed Dentition -- A Reasonable Option for Selected Patients?

Feb 6, 2015 9:45am

This lecture will discuss a bit of the history of the extraction/nonextraction controversy, which will focus on extraction of deciduous and then permanent teeth in the mixed dentition. The case reports used to illustrate this lecture have significant tooth arch length discrepancies that required the removal of dental units in order for the patient to have an esthetic, healthy, functional and stable dentition.

  • Recognize the malocclusion that might require removal of dental units during the mixed dentition phase of dental development
  • Identify selected teeth that should be considered for removal at a particular age
  • Evaluate a patient who has tooth arch length discrepancies for possible extraction in the mixed and/or early permanent dentition


Extraction/Non-extraction: The Impact on Stability and the Face

Feb 6, 2015 10:30am

The decision to treat with or without extractions is a treatment decision that should be based on specific, evidence-based facial, skeletal and dental treatment objectives. This lecture will explore two critical components of specific treatment objectives, facial esthetics and stability, and how the decision to extract or not impacts both.

  • define the ideal range of facial esthetic treatment goals
  • determine the treatment approach that maximizes facial esthetics and stability


Point/Counterpoint: Orthopedic Treatment of Class III Malocclusion

Feb 6, 2015 2:15pm

Class III malocclusion is characterized by a malrelationship of the maxilla and mandible, with maxillary hypoplasia being the most common characteristic. Facemask/ palatal expansion therapy has become the most common and predictable approach to early correction, which occurs by a combination of skeletal and dental movements. The amount of skeletal vs dental movement is due to many factors such as the expansion protocol, protraction force levels, hours of wear per day, overall treatment time, appliance design, retention protocol, and individual variation. Because of the skeletal etiology of Class III malocclusion, treatment focused on improving skeletal relations would seem to be most prudent with camouflage therapies limited/held for those cases with limited to no growth remaining, needing dental movements to obtain a final acceptable result.

  • Describe the mechanism by which the facemask corrects a Class III malocclusion
  • Determine the effectiveness of facemask therapy at different ages
  • Discuss the benefits of palatal expansion in early Class III treatment


Point/Counterpoint: Orthodontic Camouflage of Class III

Feb 6, 2015 3:00pm

Class III problems with intermediate severity can be effectively managed with a camouflage treatment approach that improves the occlusion but does not change the underlying skeletal imbalance. This presentation will describe the case characteristics of Class III patients that will most likely benefit from a camouflage approach. In addition, this presentation will illustrate patient management strategies that are useful when treating growing patients with a “camouflage treatment plan” so that risks are minimized and parent and patient expectations are achieved.

  • Recognize the case characteristics of Class III patients who will benefit from camouflage management of their malocclusion
  • Define the limitations of camouflage therapy for the growing Class III patient
  • Differentiate Class III camouflage patients from Class III orthopedic patients and Class III surgical patients


Building and Keeping Your File of Gold

Feb 7, 2015 2:15pm

The observation recall system is often unrated as a future source of new practice. Charlene has helped many practices increase their practice productivity by evaluating the recall system in the practice.

  • Describe how to build a recall system through excellent scripting
  • Maintain and follow up to keep effectiveness at 85% +
  • Create an atmosphere where children look forward to their next visit


Marketing for Growth to Millennials and their Families

Feb 7, 2015 3:00pm

A practice’s core marketing plan is most often rooted in accomplishing three primary objectives: increasing new patient calls, improving case acceptance rates, and differentiating the practice to yield “top of mind awareness.” The strategic creation and deployment of multimedia can not only meet these three goals, but also accomplish such with minimal management overhead and oversight. And what’s more, multimedia can propagate its own return on investment, yielding better returns month after month.

  • Discuss the consumer psychology and market conditions that have yielded this opportunity
  • Formulate a schedule for capturing photo/video and delegating the responsibility
  • Present a formula for making multimedia an invaluable asset in marketing the practice


Early Class II Treatment iconEarly Class II Treatment

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Early Class II Treatment

Feb 8, 2015 9:00am

One of the most heated controversies in orthodontics concerns the role of early treatment for the correction of Class II malocclusion. These concerns have been based primarily on the interpretation of the outcomes of the randomized clinical trials (RCT) conducted at three leading universities. Although these studies must be considered milestones in orthodontic research, the results might not be relevant to the “real” world of orthodontic practice. This presentation will describe the clinical outcomes of orthodontic intervention of retrospectively collected random samples from the three private practices where the comprehensive early treatment modality is routinely delivered by the advocates of mixed dentition treatment. The discussion will focus on the effectiveness of early comprehensive treatment of patients with moderately severe Class II malocclusions when compared to the changes observed in untreated Class II and late single-phase Class II treatment samples. Other benefits and limitation will be discussed.

  • Describe a brief history of mixed dentition treatment
  • Describe the general rationale and protocol for comprehensive mixed dentition orthodontic treatment
  • Recognize the effectiveness and benefits of early treatment in developing moderately severe Class II malocclusion in mixed dentition stage


Can We Grow Mandibles? Who - How - When?

Feb 8, 2015 10:00am

Is functional jaw orthopedics (FJO) able to increase mandibular length in Class II patients? What is the best timing to start FJO? What are the factors that influence the outcomes of FJO, and who are the best candidates for this type of therapy? These and other key questions pertaining to FJO will be addressed. In particular, the issue of early vs late treatment of Class II malocclusion associated with mandibular retrusion will be illustrated by means of a systematic review and meta-analysis of the literature.

  • Evaluate evidence-based results on the treatment outcomes of Class II malocclusion
  • Recognize the role of treatment timing for optimal efficiency in Class II treatment
  • Identify the adequate patient for FJO


Early vs Late Class II Treatment: What Does Science Tell Us?

Feb 8, 2015 11:30am

This presentation will review the relevant prospective trials and retrospective studies that have provided information on the efficiency and effectiveness of treatment for class II malocclusion. Emphasis will be on the strength of the evidence available for early intervention versus intervention in the late-mixed/early permanent dentition.

  • assess the study designs used to provide information on the efficiency and effectiveness of class II treatment
  • recognize the value and limitations of prospective trials