Doctors Program - 2019 Annual Session Conference



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Jacob A. Salzmann Award Lecture - Miniplate Skeletal Anchorage: An Update and New Perspectives

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Jacob A. Salzmann Award Lecture - Miniplate Skeletal Anchorage: An Update and New Perspectives

May 4, 2019 8:00am ‐ May 4, 2019 9:00am

Over the last 2 decades skeletal anchorage has widened the scope of moving teeth. Because of the limited surgery, miniscrews became very popular. However, inserted at the labial site, they limit the movement of adjacent teeth, and in the palate they are commonly used as indirect anchorage. More recently they are also used for bone supported rapid maxillary expansion.

Miniplates resist higher forces and are labially inserted at a distance from the teeth. That makes them more suitable for class II orthodontics, class III orthopedics, and complicated orthodontics in combination with orthognathic surgery.

An update will be given on our latest insights in biomechanics, treatment outcome, and some new perspectives for the future.

Learning Objectives:

  • Define indications for miniplate anchored orthodontics and orthopedics.
  • Evaluate the outcome of bone anchored class II orthodontics and class III orthopedics.
  • Improve the outcome of miniplate anchored orthodontics.

Speaker(s):

Reimagine Complex: Key Clinical Factors in Difficult Cases

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Reimagine Complex: Key Clinical Factors in Difficult Cases

May 4, 2019 8:00am ‐ May 4, 2019 8:30am

Difficult cases usually defy the busy orthodontic office. It is the orthodontist who decides how to manage and treat those cases with the emotional and biomechanical challenges they present. This lecture will show some key clinical ideas on how to treat complex orthodontic scenarios so they can be easily and predictably managed to fit any type of orthodontic practice.

Learning Objectives:

  • Identify what characteristics make a case difficult to treat.
  • Set treatment goals accordingly to tackle the complex cases in a simple and predictable way.
  • Recognize important treatment tools and the best methods to incorporate them in the office.

Speaker(s):

Sleep Apnea in a Busy Orthodontic Office

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Sleep Apnea in a Busy Orthodontic Office

May 4, 2019 8:00am ‐ May 4, 2019 8:30am

Incorporating the management of sleep apnea in our orthodontic office is more than just a business opportunity, it is a responsibility we have as healthcare providers. Fortunately, to incorporate risk assessment for sleep disturbances in both children and adults, as well as evaluate the airway through imaging, is not something that would interfere with day-to-day activities, as busy and filled as they may be already. This presentation will show how an orthodontist can get started and offer such life changing services to their existing and new patients.

Learning Objectives:

  • Perform sleep apnea risk assessment in your office.
  • Perform reliable 3D airway analysis.
  • Comprehend how different treatment modalities affect the airway.

Speaker(s):

Class II Correction in Growing Patients using Invisalign Treatment with Mandibular Advancement

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Class II Correction in Growing Patients using Invisalign Treatment with Mandibular Advancement

May 4, 2019 8:35am ‐ May 4, 2019 9:05am

Invisalign Treatment with Mandibular Advancement was studied in a prospective clinical trial in North America. Dr. Glaser will share some of the data obtained from the study and review several patients treated in the clinical trial.

Learning Objectives:

  • Evaluate the mechanism of action of Invisalign Treatment with Mandibular Advancement.
  • Identify the target patient for this appliance.
  • Effectively treatment plan mandibular advancement cases.

Speaker(s):

Orthodontics and Sleep Apnea: Guidelines for Practice

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Orthodontics and Sleep Apnea: Guidelines for Practice

May 4, 2019 8:35am ‐ May 4, 2019 9:05am

Sleep Apnea has become an important consideration in dentistry. Based on widespread discussion, the relationship between dental treatment and sleep apnea is being defined based on a blend of speculation, experience, and available research. The AAO formed a task force on sleep apnea and orthodontics to develop a whitepaper that can be used as guidance in the practice of orthodontics. While this effort is not yet concluded the highlights of the emerging whitepaper will be shared.

Learning Objectives:

  • Recognize the importance of incorporating information on sleep apnea into practice.
  • Evaluate how the practitioner can work with other health care providers to address sleep apnea.
  • Define the role that orthodontics should play in diagnosing and treating sleep apnea.

Speaker(s):

Treatment Effects Produced by the Carriere Motion Appliance in Class II Patients

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Treatment Effects Produced by the Carriere Motion Appliance in Class II Patients

May 4, 2019 9:10am ‐ May 4, 2019 9:40am

The Carriere Motion Appliance can be used effectively and efficiently in the management of Class II patients at various stages of maturation. This treatment requires maximum compliance, with the patient wearing heavy intermaxillary elastics for 5-8 months followed by either fixed appliances or clear aligner therapy. The results of a retrospective study of the treatment effects produced by the Carriere appliance followed by fixed appliances in adolescent Class II patients will be discussed. The primary effects of treatment are a distilization of the maxillary posterior dentition and a clockwise rotation of the occlusal plane during the first phase of treatment that rebounds partially during the second phase. The effects on mandibular length generally are slight and vary widely among patients.

Learning Objectives:

  • Identify the basic components of the Carriere Motion appliance and how it is used clinically.
  • Evaluate the skeletal and dentoalveolar effects produced by the Carriere Motion appliance.
  • Discuss the force levels produced by various orthodontic elastics used routinely in clinical practice.

Speaker(s):

Class II with Vertical Discrepancy: Make it Easy, Use TADs!

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Class II with Vertical Discrepancy: Make it Easy, Use TADs!

May 4, 2019 9:10am ‐ May 4, 2019 9:40am

TADs-Miniscrews are auxiliary devices available to the orthodontist, used to correct both sagittal (class II) and vertical (deep overbite and open bite) discrepancies easily, quickly and effectively. Placement area depends on the individual patient’s anatomical characteristics, as well as on the desired movement, the maxillary tuberosity and the interincisal area being safe and advisable zones.

Learning Objectives:

  • Illustrate the clinical application of miniscrews: auxiliary devices used to correct both sagittal and vertical discrepancies easily, quickly and effectively.
  • Identify the most suitable areas for miniscrew placement such as the maxillary tuberosity and the upper and lower interincisal areas.
  • Determine appropriate miniscrew length and diameter in relation to each anatomical area and malocclusion.

Speaker(s):

Orthodontics and Sleep Disordered Breathing: What We Know, and What We Don’t

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Orthodontics and Sleep Disordered Breathing: What We Know, and What We Don’t

May 4, 2019 9:10am ‐ May 4, 2019 9:40am

Recently, interest in obstructive sleep disorders has led to much speculation within the dental profession making it difficult to separate fact from fiction. This presentation will be a succinct review of published literature and recent clinical trial data, providing a clear picture of the evidence base on the topic. The relationship between sleep disordered breathing and craniofacial growth and development, as well as the current evidence of managing pediatric sleep disorders with dentofacial orthopedics will be directly addressed.

Learning Objectives:

  • Define the role of the orthodontist in patients with sleep disordered breathing.
  • Evaluate the evidence of maxillary expansion in children with OSA.
  • Describe the relationship between dentofacial morphology and OSA.

Speaker(s):

Key Factors in Class II Correction

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Key Factors in Class II Correction

May 4, 2019 9:45am ‐ May 4, 2019 10:15am

Distalization of the maxillary dentition is necessary for nonextraction Class II treatment, but it is challenging to achieve bodily movement without extrusion of the molars. In such cases, the palatal approach might be the best answer for obtaining these results. Palatal bone thickness and density, and soft tissue thickness are usually able to support temporary anchorage devices (TADs) in adults and adolescents. In this lecture, various challenging cases will be presented where TADs and novel appliances were used, and treatment outcomes will be discussed.

Learning Objectives:

  • Discuss clinical applications and biomechanical considerations of TADs and novel appliances.
  • Describe extraction versus distalization.
  • Describe factors affecting vertical and sagittal control of Class II correction.

Speaker(s):

Novel Class II Correction

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Novel Class II Correction

May 4, 2019 9:45am ‐ May 4, 2019 10:15am

In treatment of class II cases the multi-purpose C-palatal appliance is a highly effective device, which can be easily placed and managed by orthodontists. Scientific evidence demonstrated that the application of multi-purpose C-palatal appliance resulted in successful treatment outcomes by efficient molar distalization with a near-bodily movement. A creative and innovative approach for Class II correction using multi-purpose C-palatal appliance will be discussed including biomechanics and practical guidelines. Clinical pearls and a simple management of multi-purpose C-palatal appliance including step-by-step placement procedures with use of a jig will be presented.

Learning Objectives:

  • Recognize the indications of the multi-purpose C-palatal appliance in class II corrections.
  • Demonstrate the indications of the multi-purpose C-palatal appliance in class II corrections.
  • Define the pros and cons of the multi-purpose C-palatal appliance.

Speaker(s):
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