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Orthodontic Failures: Oversight, Under-treatment, or Communication Breakdown?

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Orthodontic Failures: Oversight, Under-treatment, or Communication Breakdown?

Apr 25, 2017 3:30pm ‐ Apr 25, 2017 4:00pm

Orthodontists have become an integral part of the interdisciplinary team. In fact, today many of the patients that are referred to the orthodontist are adults, who require comprehensive restorative dentistry. We provide the foundation necessary for our restorative colleagues to build their restorative houses.

In most of these cases, patients return to their restorative dentists after orthodontic treatment with ideal tooth position and a well-interdigitated occlusion that makes any future restorative work much more predictable. However, occasionally a patient returns from the orthodontist with less than ideal tooth position and a marginal occlusal result, which can significantly complicate the plans and outcomes of the restorative dentist. Why? Is this simply an oversight by a typically “good” orthodontist?, incomplete treatment by perhaps a “disinterested” orthodontist?, or is it the result of poor communication within the team?

Dr. Kokich will answer these questions, while emphasizing the importance of planning, communication, and proper sequencing when treating the complex orthodontic patient.

Learning Objectives:

  • Identify different examples of orthodontic failures.
  • Overcome specific types of orthodontic failures.
  • Avoid common interdisciplinary failures.

Speaker(s):

Palatal TAD-supported Appliance Treatment in Class II Malocclusions

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Palatal TAD-supported Appliance Treatment in Class II Malocclusions

Apr 25, 2017 3:30pm ‐ Apr 25, 2017 3:50pm

Class II malocclusions are found in approximately 20% of the U.S. population and are one of the most common manifestations observed on patients seeking orthodontic treatment. Treatment modalities involve fixed appliances with a Class II corrector, Class II elastics, extraoral appliances, fixed or removable intraoral appliances, extraction therapy, or a surgical-orthodontic approach. Class II elastics, extraoral appliances, and intraoral removable appliances are dependent on patient compliance.

This lecture will demonstrate the use of a compliance-free Palatal-TAD supported appliance to correct a Class II malocclusion without any side effects on the mandibular dentition.

Learning Objectives:

  • Discuss treatment options for Class II malocclusions.
  • Demonstrate a compliance-free treatment alternative.
  • Evaluate the use of a palatal-TAD supported appliance for molar distalization.

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Alveolar Bone Preservation & Regeneration in Growing Patients with Missing Teeth

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Alveolar Bone Preservation & Regeneration in Growing Patients with Missing Teeth

Apr 25, 2017 3:30pm ‐ Apr 25, 2017 4:00pm

Congenital absence or traumatic loss of teeth in children and adolescents requires careful treatment planning with respect to the preservation of available alveolar bone during growth. It may be even more challenging in growing patients with concomitant tooth and bone loss at the start of the treatment. A deficient alveolar process may jeopardize future placement of dental implants in adulthood. Treatment strategies including preservation of primary teeth, orthodontic space closure and tooth transplantation with respect to alveolar bone preservation will be presented.

Learning Objectives:

  • Examine available treatment options in children and adolescents with missing teeth.
  • Evaluate the principles of treatment planning in those patients with respect to alveolar bone preservation.
  • Examine treatment modalities which provide regeneration of the deficient alveolar process.

Speaker(s):

Cleft Lip and Palate: 3D Maxillary Morphology Changes

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Cleft Lip and Palate: 3D Maxillary Morphology Changes

Apr 25, 2017 3:50pm ‐ Apr 25, 2017 4:10pm

Cleft lip and palate (CLP) is the most common craniofacial malformation that an orthodontist will encounter. However, the management of this condition still presents a challenge to the practitioner. A patient with CLP exhibits a multitude of problems, including functional impairments and aesthetic compromise, but maxillary hypoplasia is the major complication. Management of CLP patients in mixed dentition phase showing 3D differences in maxillary morphology will be presented and discussed.

Learning Objectives:

  • Measure intermolar and intercanine transverse distances at the cusp and gingival levels, surface area and volume of the palatal vault.
  • Determine optimal timing for orthodontic treatment.
  • Examine the benefits of mixed dentition treatment in CLP patients.

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Vertical Control in Class II Treatment with MIA

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Vertical Control in Class II Treatment with MIA

Apr 25, 2017 4:00pm ‐ Apr 25, 2017 4:30pm

Vertical control is the key to successful orthodontic treatment of Class II malocclusion. The control of the horizontal movement of the dentition depends on how the vertical dimension of the maxillomandibular complex is controlled. Vertical control can make horizontal correction possible. This might be the single most important mechanical consideration that has to be accomplished during the treatment of the patient with a high angle Class II malocclusion. Successful correction of various orthodontic problems depends on the control of the horizontal planes, particularly the occlusal plane. The occlusal plane is the key to counterclockwise rotation of the horizontal planes. The clinician should control extrusion of the maxillary and mandibular posterior teeth, and control anterior vertical dimension, particularly the maxillary anterior segment during mechanotherapy to maintain or close the occlusal plane. A large increase in horizontal mandibular response for Class II correction, chin enhancement, and Z-angle improvement can be achieved by vertical control. Micro-implant anchorage (MIA) is very effective in maintaining or closing the occlusal plane and mandibular plane with counterclockwise movement of the chin by vertical control of maxillomandibular complex.

Learning Objectives:

  • Define and identify the characteristics of Class II malocclusion.
  • Describe and explain the importance of the vertical control using Tweed-Merrifield directional force technology in Class II treatment.
  • Demonstrate and distinguish the efficiency of the Micro-implant anchorage (MIA) for vertical control in Class II treatment.

Speaker(s):

Is Board Certification Necessary for an Orthodntist?

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Is Board Certification Necessary for an Orthodntist?

Apr 25, 2017 4:00pm ‐ Apr 25, 2017 4:30pm

This lecture will outline the importance of achieving the American Board of Orthodontics (ABO) certification upon graduation from a CODA approved orthodontic residency program.

Learning Objectives:

  • Identify the esoteric reasons for a graduating resident’s need for Board certification.
  • Analyze the skill sets of professional self-assessment.
  • Manage the quality of patient care by his/her regular re-certification.

Speaker(s):

Can We Really Accelerate Orthodontic Tooth Movement

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Can We Really Accelerate Orthodontic Tooth Movement

Apr 25, 2017 4:00pm ‐ Apr 25, 2017 4:30pm

Orthodontists are trying to accelerate the orthodontic tooth movement for the past 60 years. Reducing the treatment time decreases risk of caries, periodontal disease, root resorption, and increases patient satisfaction. This lecture will be focus on different minimal and moderate invasive procedures used to accelerate the orthodontic tooth movement. Furthermore, this lecture will also evaluate the limitations in achieving the accelerated tooth movement.

Learning Objectives:

  • Discuss the biology behind the accelerated tooth movement.
  • Discuss the different procedures used to accelerate the orthodontic tooth movement.
  • Discuss the potential limitations behind the accelerated tooth movement.

Speaker(s):

Smile Esthetics: Raising the Level of Orthodontic Care

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Smile Esthetics: Raising the Level of Orthodontic Care

Apr 25, 2017 4:10pm ‐ Apr 25, 2017 4:30pm

The search for esthetic treatment outcomes has intensified in the routine care of dental professionals. With this trend, patients have sought treatment with the primary goal of improving smile esthetics. The aim of this lecture is to present a protocol that helps to assess a patient's smile, entitled: 10 Commandments of Smile Esthetics.

Learning Objectives:

  • Discuss the importance of including smile esthetics guidelines to the orthodontist’s clinical routine.
  • Describe a protocol to assess patient's smile entitled: 10 Commandments of smile esthetics.
  • Demonstrate with three case reports how the clinician can raise the level of orthodontic care by means of incorporating concepts of smile esthetics on a routine basis.

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