Doctors Program - 2018 Annual Session Conference

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Thomas M. Graber Award of Special Merit Lecture: Orthodontic Tooth Movement in MicroRNA-29 Sponge Transgenic Mice

May 7, 2018 10:05am ‐ May 7, 2018 10:25am

Tooth movement is a process of cellular responses of effector cells: periodontal ligament and alveolar bone cells to orthodontic forces. This process is strictly regulated at the transcriptional, post-transcriptional and post-translational levels. MicroRNAs (miRNAs) are short non-coding RNAs that are important regulators of post-transcriptional gene expression in osteoblast/clast functions. In this study, we evaluated the effects of miRNA-29 underexpression during tooth movement in mice and gained insights into the mechanisms of how the miRNA-29 family plays a role in tooth movement via osteoclast function.

Learning Objectives:

• Recognize the roles of miRNA-29 on osteoclasts during tooth movement in a mouse model. 
• Understand the concept of a sponge transgenic mouse model and a tooth movement model in a mouse model.

• Dr. Angela W. Lu, DMD, MS

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Orthodontic Finishing: Ten Steps to Success

May 7, 2018 10:30am ‐ May 7, 2018 11:15am

To achieve excellent orthodontic results is a must and involves a series of procedures from the treatment beginning as well as during treatment. But the most critical phase corresponds to finish properly or closely to the appliance removal. For this phase it is important to have clear goals, a checklist and perform the items considered inadequate such as brackets reposition and adjustments in the archwires. We intend with this lecture to reveal, discuss and propose procedures considered essential for the excellence of the orthodontic finish procedure and to achieve results with excellent oral health, facial, dental and smile harmony, functional occlusion and especially long-term stability.

Learning Objectives:

• Define the logical sequence of steps to achieve excellent orthodontic finishing.
• Recognize the problems that interfere with an excellent finish. 
•  Propose and perform clinical procedures to improve orthodontic finishing.

• Dr. Nelson N. Mucha, DDS, MSD, PhD

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Panel Discussion

May 7, 2018 10:30am ‐ May 7, 2018 11:15am

Recap morning sessions with attendee Q&A on topics addressed.

• Dr. Mark L. Dake, DDS, MS
• Mr. Landy Chase, MBA, CSP, Self Published Textbooks
• Terry A. Sellke, DDS. MS

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Treatment Timing and Retention Considerations for Openbite Patients

May 7, 2018 10:30am ‐ May 7, 2018 11:15am

Skeletal openbite represents a serious challenge in dentofacial orthopedics. This lecture will discuss when is the best timing to start treatment of an openbite growing patient with or without sucking habits. The effects produced by rapid maxillary expansion in prepubertal openbite patients will be also illustrated. The long-term stability of openbite treatment will be analyzed by reporting the results of 2 recent studies on the effects of quad-helix/crib therapy and rapid maxillary expansion in association with posterior bite blocks in openbite growing patients.

Learning Objective:

• Define the best timing to start treatment of openbite growing patients.
• Demonstrate that an increased mandibular plane angle is not a contraindication for rapid maxillary expansion.
• Recognize factors that can affect can affect long-term stability of treatment outcomes in openbite patients.

• Dr. Lorenzo Franchi, DDS, PhD

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Evidence Behind Tooth Movement Acceleration: Are the Methods Cost Effective?

May 7, 2018 10:30am ‐ May 7, 2018 11:15am

Surgical and non-surgical methods have been proposed as avenues to accelerate orthodontic tooth movement and ultimately reduce treatment time. Within these two broad categories, many techniques are available with different degree of invasiveness and ease of use. Piezocision as a surgical technique involves a minimally invasive approach enabling a local inflammatory response and potentially increasing the rate of tooth movement. Vibration as a non-surgical method of mechanical stimulus can be easily incorporated to clinical practice as patients can use a small portable appliance from home with short daily periods of wear. Since both of these methods are currently used in clinical practice, the evidence supporting their effectiveness should be explored.

Learning Objectives:

• Highlight the most recent results from clinical trials on piezocision and its effectiveness in accelerating tooth movement.
• Discuss the evidence regarding the effectiveness of vibration in reducing treatment duration.
• Present the results of a randomized clinical trial evaluating the effects of vibration on mandibular incisor alignment and on important biomarkers involved in orthodontic tooth movement.

• Dr. Flavio A. Uribe, DDS, MDentSc

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Managing Patients with Juvenile Idiopathic Arthritis and Similar TMJ Pathology

May 7, 2018 10:30am ‐ May 7, 2018 11:15am

Juvenile idiopathic arthritis (JIA) and similar TMJ pathology such as idiopathic condylar resorptions (ICR) are conditions known to alter condylar growth and dentofacial development resulting in severe malocclusions. This lecture will discuss differences and similarities of the two conditions as well as the diagnostic criteria. Furthermore, treatment objectives are reviewed.

Learning Objectives:

• Recognize JIA.
• Possess knowledge of the influence of the pathologic process to the dentofacial growth and development. 
•  Demonstrate knowledge of treatment options related to JIA.

• Dr. Thomas K. Pedersen, DDS, PhD

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Leaving the Stone Age: Applying 2D and 3D Tools in Surgical Orthodontic Cases

May 7, 2018 1:15pm ‐ May 7, 2018 2:00pm

Successful outcomes in the treatment of surgical orthodontic cases rely upon proper diagnosis and suitable treatment planning. While traditional approaches have applied 2D tools for diagnosis and treatment planning, emerging 3D technologies provide powerful new tools to advance patient care, especially in cases involving asymmetry. This talk will provide a brief overview of surgical orthodontic cases while highlighting examples of cases in which 3D technologies present unique advantages.

Learning Objectives:

• Diagnose surgical orthodontic cases and recognize the limitations of 2D diagnostic approaches.
• Recognize the advantages of 3D diagnostic tools in surgical cases involving asymmetry.
• Discuss examples of the roles 3D technologies can play in surgical orthodontic cases.

• Dr. Jeryl D. English, DDS, MS
• F. K. Kasper, PhD

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Employment Law: How the Best Practices Motivate Their Employees

May 7, 2018 1:15pm ‐ May 7, 2018 2:00pm

This seminar will revolutionize how practice owners motivate and challenge their employees. You will learn how to reach peak performance by employing basic strategies to ensure that your employees are motivated excited and perform at an optimal level while reducing your chance of litigation and employment law violations.

Learning Objective:

• Optimize every situation and bring out the best in your employees.
• Create self-reliance in employees so they can achieve emotional mastery.
• Form a team atmosphere with motivation and unstoppable persistence.

• Ali Oromchian, JD, LLM

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Rapid, Semi-rapid and Slow Palatal Expansion

May 7, 2018 1:15pm ‐ May 7, 2018 2:00pm

All orthopedic and orthodontic cases (except the Brodie Syndrome case) can benefit greatly from developing the maxillary apical base to full genetic potential or beyond genetic potential in deficiency cases.

Learning Objectives:

• Determine when to favor rapid, semi-rapid, surgically assisted, or slow palatal expansion.
• Emphasize the need that orthopedic treatment should be more aggressive than commonly practiced.
• Evaluate a new concept of orthodontic treatment Dr. Haas chosen to call transeptal fiber orthodontics.

• Dr. Andrew J. Haas, DDS, MS

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Mutilated Dentition in an Aging Population: The First Steps for Successful Treatment Planning

May 7, 2018 1:15pm ‐ May 7, 2018 2:00pm

Patients presenting with mutilated dentition are more frequently seeking orthodontic treatment. What can you offer these patients? This lecture is clinically oriented and presents multiple cases where missing teeth caused an aesthetic and/or functional problem while complicating the treatment due to a significant lack of orthodontic anchorage. Solutions outlining how to resolve these difficult anchorage situations will be presented as well as some tips and tricks in order to help optimize treatment planning and outcomes. Enter this new world of Mutilated Dentition Orthodontic Treatment with confidence but be ready to think outside the box.

Learning Objectives:

• Analyze, visualize and optimize your “Mutilated Dentition” patient’s treatment plans in order to achieve better treatment outcome.
• Correct severe vertical dimension collapse in mutilated dentition cases.
• Improve the periodontal environment during orthodontic treatment.

• Dr. François Bérubé, DMD, Cert. Ortho