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2007 Annual Session - Non-Surgical and Non-Extraction Open Bite Correction in Adults with Ortho Miniplates

2007 Annual Session - Non-Surgical and Non-Extraction Open Bite Correction in Adults with Ortho Miniplates

Credits: None available.

Ever since the development of the skeletal anchorage system (SAS) utilizing titanium miniplates as absolute orthodontic anchorages, we have been offering a non-surgical treatment option for skeletal open-bite adult patients. However, a non-surgical approach is not necessarily easy because most skeletal open-bite cases usually have not only vertical problems but also some anteroposterior and transverse orthodontic problems, including maxillary protrusion, an anterior crossbite, an asymmetric dentition and crowding. The most distinguished feature of SAS is to enable orthodontists to predictably move molars with ease in any of the three dimensions because the miniplates are always placed outside the dental arches with monocortical titanium screws and do not disturb any kind of tooth movement. Therefore, it has become possible to solve complex orthodontic problems of skeletal open-bite cases without the need for jaw surgery or bicuspid extraction. The most important step in open-bite correction with SAS must be to properly establish individualized treatment goals prior to treatment, taking into consideration 1) the level and cant of the occlusal plane, 2) the extent of the interlabial gap, 3) the amount of autorotation of the mandible following intrusion of the molars, and 4) the amount of true arch-length deficiency. In this session, the concept and methods for establishing individualized treatment goals, SAS biomechanics for non-surgical and non-extraction treatment, and the long-term outcomes will be discussed.

Learning Objectives:

  • Update knowledge of TADs
  • Learn how to operate orthodontic miniplates
  • Understand the indications and limitation of SAS biomechanics
  • Add the innovative SAS biomechanics to their clinical strategies

Speaker(s):
Staff Club: $ 0.00
Standard: $ 75.00
Members: $ 30.00
Residents: $ 0.00
CE Passport: $ 0.00
Distance Learning: $ 0.00

2007 Annual Session - Lessons Learned From Patient Retreatment: An Analysis Of 200 Patients Who Had Orthodontics As Children And Who Sought Retreatment As Adults

2007 Annual Session - Lessons Learned From Patient Retreatment: An Analysis Of 200 Patients Who Had Orthodontics As Children And Who Sought Retreatment As Adults

Credits: None available.

Analysis of patients who seek re-treatment has the potential to teach orthodontic specialists important lessons from which they may find methods to reduce various forms of relapse that lead to orthodontic therapy later in life. Through the process of failure analysis, attendees will learn lessons that can be incorporated immediately into their practice. Patients with case types that are at risk for instability and subsequent re-treatment will be identified based on the analysis of 200 adults who sought re-treatment. Similar case types seen in your practice may be guided by treatment plans and retention protocols that provide greater long-term stability. By understanding and properly managing the most common problems for which patients seek re-treatment, orthodontists will be in a position to significantly reduce the time-consuming, costly process of re-treating a large number of orthodontic conditions. This presentation will also describe steps that have been recently integrated into our practice to overcome instability problems associated with the three orthodontic case types that account for 87 percent of re-treatment cases. By incorporating insights gained from this study of orthodontic failure analysis, you will be able to:

  • Communicate better with patients who are at high risk for relapse
  • Treatment plan this group more effectively and efficiently
  • Have fewer medico-legal concerns related to unmet patient expectations

Learning Objectives:

  • Be able to identify adolescent patients who are at risk for instability of their orthodontic correction
  • Communicate better with patients/parents regarding the potential for instability
  • Treatment plan patients at high risk for instability (HRI) more effectively and efficiently
  • Reduce medico-legal concerns related to unmet patient expectations for the HRI group of patients

Speaker(s):
Staff Club: $ 0.00
Standard: $ 75.00
Members: $ 30.00
Residents: $ 0.00
CE Passport: $ 0.00
Distance Learning: $ 0.00

2007 Annual Session - Interdisciplinary Management Of The Missing Papilla

2007 Annual Session - Interdisciplinary Management Of The Missing Papilla

Credits: None available.

The black triangles associated with missing papillae have long been one of the most difficult esthetic dilemmas to manage. The inherent complexities of this problem often lead to misdiagnosis, improper treatment and disappointing results. This session will present interdisciplinary methods to properly diagnose causative factors and more predictably reform missing papillae utilizing periodontal, restorative and orthodontic techniques. These same methods can be used by orthodontists when finishing cases to prevent black triangles. Dr. Roblee will also present advanced examples that illustrate the implementation of the above principles in cases involving severe periodontal defects, implant placement problems, accelerated orthodontic techniques, temporary anchorage devices and dentoalveolar distraction osteogenesis.

Learning Objectives:

  • Diagnosis of the fundamental components of a missing papilla
  • Development of appropriate interdisciplinary treatment plans to reform a lost papilla
  • Prevention of black triangles during orthodontic therapy

Speaker(s):
Staff Club: $ 0.00
Standard: $ 75.00
Members: $ 30.00
Residents: $ 0.00
CE Passport: $ 0.00
Distance Learning: $ 0.00

2007 Annual Session - Growth: Is It A Friend Or Foe To Orthodontic Treatment? (Salzmann Lecture)

2007 Annual Session - Growth: Is It A Friend Or Foe To Orthodontic Treatment? (Salzmann Lecture)

Credits: None available.

The speaker will summarize the current knowledge in growth and development and the techniques in harnessing growth in Class II and Class III patients. Growth prediction can be realized in most patients with the appropriate diagnostic information, and growth modification can be a realistic objective in our treatment-planning process. Successful and unsuccessful cases treated with the Herbst and facemask appliances will be reviewed in an effort to find solutions for growth-modification challenges. For patients with abnormal growth patterns, the speaker will suggest practical ways to forecast excessive or deficient skeletal growth.

Learning Objectives:

  • Be updated on the current knowledge on growth and development
  • Will learn about the techniques in harnessing growth in Class II and Class III patients
  • Be updated on the use of the Herbst appliance and protraction facemask therapy
  • Will learn about growth prediction for Class III patients who exhibit excessive mandibular growth.

Speaker(s):
Staff Club: $ 0.00
Members: $ 30.00
Residents: $ 0.00
CE Passport: $ 0.00
Distance Learning: $ 0.00
Standard: $ 75.00

2007 Annual Session - Correction Of Anterior Open Bite With Spurs - Long-Term Stability

2007 Annual Session - Correction Of Anterior Open Bite With Spurs - Long-Term Stability

Credits: None available.

To illustrate the effectiveness of the spur appliance, Dr. Justus will present clinical cases and cephalograms of patients with dental and skeletal AOBs treated with spurs. The records of these patients formed part of an AOB sample for a University of Washington thesis that confirmed there is statistically significant increased long-tem stability in corrected AOBs with spur use. This study concluded that stability of AOB correction is apparently related to a modification in tongue posture due to the spurs, both in growing and in non-growing patients.

Learning Objectives:

  • High relapse incidence of treated anterior open bite malocclusions occurs, whether conventional or a combination or orthodontic/Orthognathic procedures are employed
  • Anterior tongue rest posture is an important etiologic factor in such relapse
  • Maxillary fixed intraoral appliance with spurs is used to modify anterior tongue rest posture
  • Research with this appliance, in large sample of patients with anterior open bite, demonstrates long term stability postretention

Speaker(s):
Staff Club: $ 0.00
Standard: $ 75.00
Members: $ 30.00
Residents: $ 0.00
CE Passport: $ 0.00
Distance Learning: $ 0.00

2007 Annual Session - Airway Implications Of Resting Tongue Posture In Adult Patients

2007 Annual Session - Airway Implications Of Resting Tongue Posture In Adult Patients

Credits: None available.

Dr. Lowe is professor and chair of the Division of Orthodontics in the Faculty of Dentistry at The University of British Columbia and maintains an orthodontic practice in Vancouver, Canada.

Recently, the importance of resting tongue posture in the adult population has received a great deal of attention as it directly affects snoring, upper airway resistance syndrome and obstructive sleep apnea. Orthodontists, with their knowledge and training of functional appliances and established skills to evaluate jaw position, are ideally suited to provide oral appliance therapy in this field. Sleep disordered breathing patients are excellent adherents to therapy after only a few nights of uninterrupted sleep and the subsequent restoration of adequate REM sleep. Oral appliances have a direct effect on tongue posture during sleep and help to stabilize the mandible in a closed vertical position. They also have a direct effect on genioglossus muscle activity. However, a reduction in overbite and/or the development of open bites with long-term wear of oral appliances in adult patients have recently been identified. These long-term occlusal changes are predominantly dental in nature and typically occur after more than two or three years of nightly wear. A better response to appliance therapy is seen in those post titration subjects who exhibit a more anterior velopharyngeal wall, a larger radius of curvature of the airway and an increase in velopharyngeal size. Because sleep apnea is a progressive life-threatening disease and patients tend to be very compliant over time, the long-term occlusal changes may continue each decade.

Learning Objectives:

  • Learn about the short and long term side effects of oral appliance wear in subjects with sleep disordered breathing
  • Evaluate Occlusal and cephalometric changes as a consequence of oral appliance wear
  • Appreciate the importance of skeletal subtype before treatment when predicting potential long term side effects

Speaker(s):

Tags:

Airway Doctors
Staff Club: $ 0.00
Standard: $ 75.00
Members: $ 30.00
Residents: $ 0.00
CE Passport: $ 0.00
Distance Learning: $ 0.00

2007 - AAO Interdisciplinary Conference - Pre-restorative Orthodontics in the Anterior Esthetic Case: When to Restore and When to Align

2007 - AAO Interdisciplinary Conference - Pre-restorative Orthodontics in the Anterior Esthetic Case: When to Restore and When to Align

Credits: None available.

Pre-restorative Orthodontics in the Anterior Esthetic Case: When to Restore and When to Align

Interdisciplinary dentistry is proving to be the most effective means by which we can deliver the highest level of service to our patients. Whether addressing specific cosmetic concerns or providing advanced rehabilitation and restoration through coordinated efforts at the specialist level, we can engage in more comprehensive treatment and superior outcomes. Through carefully documented clinical cases, the presenters will emphasize communication, decision making, sequencing and execution. Areas in which the various specialists can work in concert to better serve our patients will be illustrated. The forum will provide for a platform upon which we can all begin to communicate and explore some of the latest developments, many of which are very exciting. Participants should come prepared to expand their thinking and horizons.


Learning Objectives:

  • To gain an appreciation for some of the decisions involved in interdisciplinary treatment from the perspective of each specialist
  • Understand the sequencing of interdisciplinary case flow
  • Understand the periodontal benefits of tooth position
  • Understand the periodontal management of orthodontic patients
  • Understand the implementation of adjunctive orthodontic modalities for prosthetic benefit
  • To gain an understanding of how orthodontics can interact with implants

Speaker(s):
Standard: $ 75.00
Members: $ 30.00
Residents: $ 0.00
Staff Club: $ 0.00
CE Passport: $ 0.00
Distance Learning: $ 0.00

2007 - AAO Interdisciplinary Conference - Maxillary Posterior Osteotomies to Maximize Esthetic or Restorative Results

2007 - AAO Interdisciplinary Conference - Maxillary Posterior Osteotomies to Maximize Esthetic or Restorative Results

Credits: None available.

Although the potential adverse soft-tissue affects of the LeFort I osteotomy have been described and surgical procedures have been developed to minimize the impact of these changes, patients can still end up with unesthetic results following surgery. To minimize the likelihood of these adverse soft-tissue changes, treatment planning decisions should be made jointly between the orthodontist and surgeon. Of primary importance is the position and angulation of the maxillary incisors, as this will contribute greatly to midface esthetics and often lower face esthetics as well. Management of individuals with anterior open bit, occlusal plane deviations or upright maxillary incisors without crowding will be reviewed with special emphasis on patients with previous maxillary premolar extractions and subsequent unesthetic flattening of the upper lip. The orthodontist and surgeon should be aware of the soft-tissue impact of various LeFort I procedures and how to either avoid or utilize these changes to maximize the patients esthetic outcome.

Learning Objectives:

  • The orthodontist and surgeon will understand their individual role in providing patients undergoing LeFort I surgery with good midface esthetics
  • Appreciate the importance of both incisor position and angulation in preparation for surgery
  • Understand the soft-tissue impact of various LeFort I procedures and how to avoid or utilize these changes to maximize the patients esthetic outcome

Speaker(s):
Staff Club: $ 0.00
Standard: $ 75.00
Members: $ 30.00
Residents: $ 0.00
CE Passport: $ 0.00
Distance Learning: $ 0.00

2007 - AAO Interdisciplinary Conference - Lessons from the Outback: Integrating Implants, Orthodontics, and Comprehensive Restorative Dentistry in Small Town Rural America

2007 - AAO Interdisciplinary Conference - Lessons from the Outback: Integrating Implants, Orthodontics, and Comprehensive Restorative Dentistry in Small Town Rural America

Credits: None available.

Over the last few decades, doctors have become aware of the special issues associated with interdisciplinary dentistry. All of the speakers at this Interdisciplinary Conference have contributed significantly to this awareness and have provided a vision of what a team can accomplish. The main objective of this presentation will be to provide the strategies that Team Montrose uses to execute the interdisciplinary treatment plans. The strategies include a common language for communication, the mechanics of a team meeting and addressing the most common pitfalls associated with multidisciplinary teams. Treated cases will be shown to demonstrate the results.


Learning Objectives:

  • To provide specific strategies for communication through a common language that allows all team members to communicate effectively during treatment planning and treatment
  • To provide mechanics needed to effectively sustain an interdisciplinary team and produce quality treatment results
  • To address specific pitfalls associated with interdisciplinary teams and to encourage and promote the interdisciplinary team concept

Speaker(s):
Staff Club: $ 0.00
Standard: $ 75.00
Members: $ 30.00
Residents: $ 0.00
CE Passport: $ 0.00
Distance Learning: $ 0.00

2007 - AAO Interdisciplinary Conference - Interdisciplinary Management of Missing Maxillary Incisors: Space Closure, Autotransplantation, or Implant

2007 - AAO Interdisciplinary Conference - Interdisciplinary Management of Missing Maxillary Incisors: Space Closure, Autotransplantation, or Implant

Credits: None available.

This lecture will deal with the advantages and disadvantages of different treatment options for replacement of missing maxillary central and/or lateral incisors in young and adult/elderly patients. The short- and long-term appearance associated with the following treatment options will be covered:

  • orthodontic space closure - combination of carefully detailed orthodontic treatment and techniques from esthetic dentistry (restoration with porcelain laminate veneers and hybrid composites)
  • autotransplantation of developing premolars (restoration of the abnormal crowns with porcelain veneer crowns)
  • single tooth implants (restoration with porcelain crowns)
Particular emphasis will be given to the following: (1) esthetic outcome, (2) practicality and safety, (3) evidence base, and (4) long-term results for each of the alternative solutions. Learning objectives: Appreciate the advantages and disadvantages for the different treatment options to replace missing maxillary central incisors; appreciate the advantages and disadvantages for the different treatment options to replace missing maxillary lateral incisors; learn about the advantages of ultrathin porcelain laminate veneers compared with conventional porcelain fused to gold or all-ceramic crowns; learn about the long-term outcomes when teeth are replaced in young adult patients.

Learning Objectives:

  • Appreciate the advantages and disadvantages for the different treatment options to replace missing maxillary central incisors
  • Appreciate the advantages and disadvantages for the different treatment options to replace missing maxillary lateral incisors
  • Learn about the advantages of ultrathin porcelain laminate veneers compared with conventional porcelain fused to gold or all ceramic crowns
  • Learn about the long-term outcomes when teeth are replaced in young adult patients

Speaker(s):
Staff Club: $ 0.00
Standard: $ 75.00
Members: $ 30.00
Residents: $ 0.00
CE Passport: $ 0.00
Distance Learning: $ 0.00