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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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