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Facial Skeletal Deficiencies and OSA: Insights on Prevention and Intervention

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Facial Skeletal Deficiencies and OSA: Insights on Prevention and Intervention

Apr 22, 2017 10:15am ‐ Apr 22, 2017 10:35am

Obstructive Sleep Apnea is a health and life threatening condition affecting adults and children. Current evidence suggests that certain types of craniofacial morphology such as maxillary and mandibular deficiencies predispose to OSA. Therefore, early orthopedic dento-skeletal maxillary and mandibular development may be critical treatment modality in resolving and preventing OSA. This lecture will discuss current evidence and future vision for orthodontic profession taking the lead in management of this serious medical condition.

Learning Objectives:

  • Recognize types of craniofacial morphology predisposing to OSA with the aid of CBCT imaging.
  • Recognize treatment and prevention modalities in addressing OSA in pediatric and adult patients.
  • Discuss and analyze current literature on OSA.

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Class II: Treatment and Diagnosis

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Class II: Treatment and Diagnosis

Apr 22, 2017 10:25am ‐ Apr 22, 2017 10:55am

The lecture will emphasize the importance of having a proper diagnosis to define the correct treatment planning. The proposed planning will be guided by the cause of the Class II malocclusion whether dental, skeletal, functional, or a combination of factors.

Learning Objectives:

  • Recognize different treatment options for Class II malocclusion defined by proper diagnosis.
  • Identify different etiological factors of Class II malocclusion.
  • Identify causes of asymmetric Class II malocclusion.

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If They Snore, Do More

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If They Snore, Do More

Apr 22, 2017 10:35am ‐ Apr 22, 2017 10:55am

Overnight polysomnolgaphy in a sleep laboratory remains the gold standard for diagnosis of sleep disordered breathing (SDB). However, the high cost and inconvenience of this test makes home monitoring an attractive alternative. This lecture will discuss the merits of home monitoring as well as the use of the Pediatric Sleep Questionaire to identify patients at risk for SDB in the orthodontic practice. And, importantly, what to do when you find them.

Learning Objectives:

  • Analyze the differences between at-home monitoring and Overnight PSG.
  • Define the score on the PSQ that puts a patient in the at-risk category.
  • Evaluate the health consequences of SDB for teenagers.

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Revisiting Malocclusions with Mini-implants

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Revisiting Malocclusions with Mini-implants

Apr 22, 2017 10:45am ‐ Apr 22, 2017 11:15am

Mini-implants are one of the latest successful technologies introduced and widely used in orthodontic treatment, as a reinforcement of anchorage. Same concepts adopted to treat different types of malocclusions in the past are still used, but with the raise of mini-implants era, the mechanical considerations of these traditional strategies need to be revisited. Nevertheless, ignorance of the entire mechanical effects that result from usage of mini-implants might cause undesirable outcomes which can complicate the orthodontic treatment. In this lecture, we will show how mini-implants can facilitate our orthodontic treatment, highlighting at the same time the failure of these techniques in some circumstances.

Learning Objectives:

  • Compare the treatment of malocclusions between the traditional orthodontic methods versus systems that include mechanics based on mini-implants.
  • Manage the side effects that can result from uncontrolled mechanics of usage of miniscrews.
  • Identify the different factors that may contribute to the failure of mini-implants.

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A 35-Year Perspective on Sleep Disorders

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A 35-Year Perspective on Sleep Disorders

Apr 22, 2017 10:55am ‐ Apr 22, 2017 11:15am

Sleep apnea has been part of the human experience centuries before Charles Dickens’ ‘Pickwick Papers’ actually made it part of our culture in the 19th century. At that time, however, most of the focus was on one of the character’s obesity rather than the sleeping disorder associated with it. It wasn’t till the early ‘60s that the complexity and variability of expression associated with sleep disorders was more fully appreciated as the use of polysomnography made it possible to fully document apneas during sleep. Soon we were able to begin to effectively address the disorder’s etiologies thanks to the proliferation of Sleep Centers around the globe. As a result, all sorts of therapeutic approaches evolved ranging from drug & inhalation therapies, to various surgical and appliance methodologies/gizmologies. But how far have we progressed in effectively managing or eliminating this condition as now more reports document its worldwide impact. Its prevalence persists at ever-higher rates across a wider variety of ethnic groups, and even increasing in the pediatric population as well. What have we accomplished to date in sleep medicine? Why are matters apparently getting worse in this field? What is it that we are missing? Where should we better focus our efforts? This presentation will attempt to address these concerns by: reviewing the history of sleep-disorders and our accomplishments in managing them. It will focus on how we as healthcare providers can help our patients better manage their conditions beyond the mere use of intraoral appliances.

Learning Objectives:

  • Discuss the historical & epidemiological ramifications associated with sleep-disordered breathing disorders.
  • Identify the multivariate etiology behind sleep apnea and other sleep-disordered breathing conditions.
  • Offer better options needed to help manage the care for sleep apnea and sleep-disordered breathing patients.

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Limited Transfer of Class II to Class I Phenotype

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Limited Transfer of Class II to Class I Phenotype

Apr 22, 2017 10:55am ‐ Apr 22, 2017 11:15am

Structural differences between various classes of malocclusion dictate variation in response to treatment. Research indicates the limitation of common treatment approaches to transform a Class II, division 1 phenotype to a facial pattern with normal skeletal relationships expected with a Class I phenotype. Available data from untreated Class II further support these observations, leading to the consideration of treatment outcome as the cumulative effect of small to moderate changes in skeletal and dentoalveolar components of the malocclusion, rather than a major change in one of these components.

Learning Objectives:

  • Recognize the components mostly involved in defining the severity of the malocclusion.
  • Recognize the limitation of treatment in specific Class II malocclusions.
  • Determine how change in various components, rather than in one, affected this outcome.

Speaker(s):

Bread and Butter Orthodontics: Facial Change in Non-Growing Patients

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Bread and Butter Orthodontics: Facial Change in Non-Growing Patients

Apr 22, 2017 11:00am ‐ Apr 22, 2017 11:15am

Improve Facial Esthetics is often a goal of orthodontic treatment. Proper diagnosis and mechanics of treatment can lead to excellent facial changes in non-growing individuals without surgery. This lecture will review orthodontic treatment that is not overly complex to effect facial changes in typical patients we all see in our practices.

Learning Objectives:

  • Recognize when facial changes are possible in non-growing individuals.
  • Perform non-surgical treatments and effect a facial change.
  • Manage extraction spaces to move teeth to maximally change profiles.

Speaker(s):

Everything but the Kitchen Sink... and on Second Blush

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Everything but the Kitchen Sink... and on Second Blush

Apr 22, 2017 1:15pm ‐ Apr 22, 2017 2:00pm

Wires and pliers, plastic and punches, scars and solutions, IIs and IIIs, fore and aft, faster and friction, chewies and positioners, quick fixes, horseshoes, monkey hooks, cold steel and sunshine, enhanced anchorage and anchors. Everything from soup-to-nuts: an orthodontic travelogue through daily problem solving as the mother of invention.

Learning Objectives:

  • Troubleshoot options for a variety of common clinical issues.
  • Evaluate alternatives in treatment planning for several types of malocclusions.
  • Evaluate innovative approaches to biomechanics.

Speaker(s):

Management of Skeletal Discrepancies in Preadolescent Patients

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Management of Skeletal Discrepancies in Preadolescent Patients

Apr 22, 2017 1:15pm ‐ Apr 22, 2017 1:45pm

The biggest impact on orthodontic therapy is a precise diagnosis. This is the key to success in orthodontic treatment. This lecture will describe treatment concepts that fit the patients’ needs and not the other way around. Also, techniques that achieve the most with the least intervention will be discussed.

Learning Objectives:

  • Recognize skeletal discrepancies.
  • Demonstrate mechanics applied in preadolescent patients.
  • Illustrate treatment with minimal intervention.

Speaker(s):

Clinical Management of Multiple Agenesis: Demanding Procedure to Goal

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Clinical Management of Multiple Agenesis: Demanding Procedure to Goal

Apr 22, 2017 1:15pm ‐ Apr 22, 2017 1:45pm

The purpose of this lecture is to discuss medical procedure of reconstraction of multiple agenesis. The solution could be rather difficult – including setting up an ideal treatment plan and coordinating the whole treatment process – since several dental disciplines take part in the process of the treatment. Therefore, orthodontic therapy often consists of only adjusting the position of pillars and gaps in the place of agenesis, then the prosthetic reconstruction takes place. The age of the patient and other factors are important when planning the final prosthetic reconstruction. The author analyze the process of treatment plan formation on several cases, then possible complications, which can occur during the treatment, together with consequential modifications. Resolving multiple agenesis is thus based on interdisciplinary co-operation of an orthodontist, prosthodontist and implantologist; in some cases an maxillofacial surgeon can be involved. The authors stress the importance of the therapy coordinator who manages individual phases of the treatment, who bears the responsibility for forming the team, as well as for the treatment results.

Learning Objectives:

  • Analyze the process of treatment plan formation.
  • Identify the importance of the therapy coordinator.
  • Assess the risks and complication associated with inexact treatment plan, bad coordination and changes of patient wishes.

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