Included with CE Passport (or available for individual purchase).
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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.
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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.
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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.
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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.
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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.
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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.
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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:
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Credits: None available.
Orthodontic practitioners can usually achieve excellent treatment results. However, in clinical practice there are occasions when unexpected problems arise and when they do, these problems cause anguish for all concerned. Problems may result from questionable judgment in diagnosis, treatment planning or treatment. This presentation will illustrate many commonly occurring clinical problems and provide information on how to prevent and manage them.
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Credits: None available.
This presentation will examine our past, compare our past to today, and offer one mans opinion about what the future can hold. Our world and our specialty are changing rapidly. To take advantage of our time in history is to insure that orthodontics is a thriving specialty in 2104. Change offers challenge and opportunity. We must welcome the opportunities as well as the responsibilities that to with the opportunities and enthusiastically meet the challenges we face.
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Credits: None available.
Orthodontic appliance mechanics are rational and understandable, but considerable obfuscation is commonly used to explain their actions. This presentation will show animations of growth in action and animations of how appliances work. Finally, it will show both processes interacting the way treatments usually happen.
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