As AS22 approaches, take a look back at these CE Doctors Sessions from '21 Annual Session with speakers; Dr. Peter Ngan, Dr. W. Eugene Roberts, and Dr. David Sarver. Complimentary for all members for a limited time.
Concepts in smile design continue to evolve rapidly in the orthodontic specialty. Drawing on our interdisciplinary collaborative experiences, much has been learned from our restorative colleagues. But there are many things that as orthodontists we can provide in smiles and their design and treatment that only orthodontists can provide. In this presentation, Dr. Sarver will present some recent concepts that challenge our conventional way of thinking.
Modern concepts of cariology are reviewed with emphasis on the early invisible lesions that often lead to white spot decalcifications during orthodontics treatment. Recent technologies for detecting early carious lesions are recommended as routine diagnostic procedure prior to active treatment with fixed or removable appliances. Routine treatment progress evaluations of decalcifications should include assessment of insipient invisible lesions. Control of biofilm pathogenecity is particularly important for treatment with aligners. Prevention and control of enamel decalcifications requires pretreatment, progress and follow-up evaluations to detect early lesions that can be managed with control of biofilm and remineralization procedures.
Patients with Class III malocclusion and an anterior crossbite were successfully treated with facemask therapy in the mixed dentition. What about patients in the early permanent dentition? Can the addition of skeletal anchorage or TADs help in reducing the side effects of maxillary protraction? If so, what is the clinical protocol for management of these patients.