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Periodontal Regeneration with Orthodontics

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Periodontal Regeneration with Orthodontics

Apr 22, 2017 3:00pm ‐ Apr 22, 2017 3:30pm

Orthodontic tooth movement can improve certain types of gingival and osseous defects both from periodontal disease and at implant site. In periodontally compromised cases, teeth can be intruded or moved into infrabony defects, leading to probing depth reduction, radiological bone fill, and new clinical attachment formation even in cases with minimal supporting tissue remaining. In patients with soft tissue and osseous deficiencies in implant planning areas, orthodontic extrusion and tooth movement into edentulous area are effective adjunctive orthodontic procedures to develop the implant sites, thus reducing the need for bone graft and gingival graft before implant placement.

Learning Objectives:

  • Explain effects of different tooth movement types on periodontal defects.
  • Discuss important factors in periodontal healing and stability of new attachments.
  • Demonstrate different cases of implant site development.

Speaker(s):

Herbst Appliance Treatment: Tips to Make Life Easier

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Herbst Appliance Treatment: Tips to Make Life Easier

Apr 22, 2017 3:00pm ‐ Apr 22, 2017 3:30pm

Despite of the fact that nowadays the Herbst appliance is the most frequently used mandibular advancement device in the USA, several clinicians are reluctant to use it. Problems with its management, and doubts on its skeletal effects are the key concerns of many clinicians. Even orthodontists who have been using Herbst appliance have doubts on how to make life easier when dealing with severe Class II/1 malocclusion. In this lecture it will be shared with the audience our experience in the treatment of severe Class II/1 patients with the Herbst appliance, providing tips on how to avoid appliance breakage, soft tissue injuries, less chair time, and a more effective and efficient outcome.

Learning Objectives:

  • Distinguish the good responders to an effective and efficient Herbst appliance treatment among Class II malocclusion subjects.
  • Identify the most frequent mistakes with the use of Herbst appliance.
  • Recognize the possibilities and limitations of the dentoskeletal effects of the Herbst appliance treatment.

Speaker(s):

A Concept of Early Intervention

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A Concept of Early Intervention

Apr 22, 2017 3:30pm ‐ Apr 22, 2017 4:00pm

As orthodontics has evolved, many opinions have surfaced regarding treatment in the mixed dentition. Demand for orthodontic care has increaded steadily in the new millennium. Contrary to what has been reported in the literature, mixed dentition therapy is common place in practice. This lecture will cover the pros and cons of early intervention as well as case selection, treatment goals, useful mechanics and treated examples.

Learning Objectives:

  • Recognize the advantages and disadvantages of treatment.
  • Establish realistic treatment goals for the mixed dentition patient.
  • Select treatment mechanics that are practical.

Speaker(s):

Tissue Reconstruction in Periodontally Compromised Dentition

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Tissue Reconstruction in Periodontally Compromised Dentition

Apr 22, 2017 3:30pm ‐ Apr 22, 2017 3:50pm

High quality finishing for optimum function and esthetics is challenging to an Orthodontist while dealing with a periodontally compromised dentition. It is important to seek succinct understanding of the factors that influence the development and aggravation of periodontal disease superimposed on a malocclusion. Current research has highlighted the cellular and molecular mechanisms that play an important role in tissue destruction and regeneration techniques This coupled with modern diagnostic techniques such as CBCT creates tremendous opportunity for clinicians to engineer and enhance tissue reconstruction and in turn their quality of Orthodontic outcomes. The purpose of this lecture is to discuss trends in tissue rebuilding of teeth supporting tissues while dealing with malocclusions that are complicated by moderate to advanced periodontal destruction and its influence on decision making, treatment planning and treatment outcomes.

Learning Objectives:

  • Identify periodontal procedures that can influence orthodontic treatment.
  • Identify orthodontic techniques for hard & soft tissue reconstruction and regeneration.
  • Implement strategies for Orthodontic/ Periodontic treatment planning with CBCT.

Speaker(s):

Forsus: Effective, Efficient and Versatile Class II Correction

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Forsus: Effective, Efficient and Versatile Class II Correction

Apr 22, 2017 3:30pm ‐ Apr 22, 2017 4:00pm

Forsus is a reliable appliance in the treatment of various types of Class II malocclusions. It is independent of patient cooperation, quick to install and easily accepted by patients. However, its biggest advantage is the variable force system that can be created to achieve excellent clinical results. Dr. Alvetro will present various types of Class II malocclusions and how Forsus can be used to obtain successful treatment outcomes.

Learning Objectives:

  • Decide when Forsus would be an appropriate choice for Class II correction.
  • Identify an ideal force system to optimize treatment outcomes.
  • Predict the impact of Forsus on facial esthetics.

Speaker(s):

Effective Application of TADs to Complicated Cases

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Effective Application of TADs to Complicated Cases

Apr 22, 2017 3:35pm ‐ Apr 22, 2017 3:50pm

Temporary anchorage devices (TADS) have proposed new and predictable treatment strategies for various types of complicated cases. Of those, remarkable open bite with steep mandible or condylar deformity has been still challenging. A case requiring mandibular molar protraction due to missing molar is also difficult to efficiently attain treatment objectives without remarkable side effects such as mesial rotation and/or inclination. As for the former issue, high mandible open bite cases with or without condylar deformity actually treated along with TADs will be shown. Regarding the latter, effective molar protraction will be discussed based upon an analytic study using 3-dimentional finite element model.

Learning Objectives:

  • Identify the efficacy of TADs on severe open bite with steep mandible or condylar deformity.
  • Predict treatment outcomes for high mandible open bite using TADs.
  • Discuss theoretical and practical mechanics using TADs and side-effects for mandibular molar protraction.

Speaker(s):

Predictable Treatment of Occlusal Cants

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Predictable Treatment of Occlusal Cants

Apr 22, 2017 3:50pm ‐ Apr 22, 2017 4:10pm

The focus will be on how to treat patients that present with occlusal cants and also how to correct cants that appear during treatment. Most cants are created inadvertently during fixed appliance therapy and appear unexpectedly. Therefore, the best way to treat an occlusal cant is to prevent its development in the first place. Certain common and recognizable biomechanical geometries require particular caution during the treatment process. Once a cant develops and is detected, simple appliances can be designed and activated to produce the correction desired in a predictable manner.

Learning Objectives:

  • Recognize common tooth position geometries that will result in development of an occlusal cant if straightwire mechanics are used.
  • Manage unfavorable tooth position geometries to align teeth and avoid development of an occlusal cant.
  • Design simple appliances to correct occlusal cants that are identified or that develop during orthodontic treatment.

Speaker(s):

Soft Tissue Management and Orthodontic Treatment

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Soft Tissue Management and Orthodontic Treatment

Apr 22, 2017 3:50pm ‐ Apr 22, 2017 4:10pm

Orthodontic treatment of adults maintains several specific requirements and one of them is multidisciplinary management. Ageing and very often coexisting diseases can lead to periodontal tissue defects. Orthodontic treatment changes both soft and hard periodontal tissue morphology. Depending on both the planned and performed movement this change can have a positive or harmful influence on the periodontium. Moreover, the fine line between this is sometimes very subtle. The orthodontic movement of teeth beyond the limits of the labial or lingual alveolar bone, inadequate treatment planning or insufficient tooth control can lead to many failures. On the other hand multidisciplinary planning and management and correct orthodontic biomechanics can improve the hard and soft tissue status providing the patient with not only better function but also esthetics.

Learning Objectives:

  • Recognize the capabilities but also the limits of soft tissue remodelling induced by orthodontic treatment.
  • Identify the risk factors for recession development.
  • Identify the best timing for recession coverage – before, during or after orthodontic treatment.

Speaker(s):

More on Class III Early Treatment

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More on Class III Early Treatment

Apr 22, 2017 4:00pm ‐ Apr 22, 2017 4:30pm

The dilemma of Class III malocclusions early interventions has not been totally elucidated. Can the principles of Efficacy and Efficiency be respected when dealing with severe Class III malocclusions? Is it possible to control growth for a long period of time? How do Class III individual grow? Many clinicians and researchers are still skeptical about the benefits of an early phase of treatment in Class III individuals. This lecture will introduce evidence, both statistical and clinical, to improve diagnosis and treatment outcomes. There are still many questions to be answered!

Learning Objectives:

  • Analyze the outcome of an early Class III treatments.
  • Evaluate pros and cons to attempt early Class III treatment.
  • Integrate new protocols in clinical practice.

Speaker(s):

The Geometry of the Class II Correction

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The Geometry of the Class II Correction

Apr 22, 2017 4:00pm ‐ Apr 22, 2017 4:30pm

There still remains confusion over the biomechanics and anatomical limitations in correcting the Class II malocclusion. In private practice when treatment starts taking too long or unexpected side effects start showing up there is often little distinction made between patients with poor compliance versus poor diagnosis and unrealistic treatment planning. By exploring the geometry of the Class II correction, it may become more evident how improved treatment planning can minimize patients over treatment time in our practices.

Learning Objectives:

  • Identify when the geometry of the Class II correction is reasonable vs. unrealistic.
  • Recognize what treatment plans should be considered to achieve a favorable geometry.
  • Discuss some techniques that may minimize unwanted side effects in more difficult corrections.

Speaker(s):
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