Severe malocclusions with skeletal element impose a challenge to the current orthodontic specialty. Simple appliances such as brackets with archwires may not address complicated skeletal defects due to their inadequate impact on bone structures. Orthopedic approaches have proven to be effective solutions to the skeletal anomalies. The specially designed and customized manufactured orthopedic appliances, including segittally guided twin block (SGTB), cast RME, splint RPHG, bonded bite plane, and a variety of tailored devices, are used to modify the growth patterns of the oraofacial bone structures and therefore to correct jaw discrepancies efficiently and effectively. The satisfactory correction of severe skeletal deformities can also be achieved by approaches such as micro-implant anchorage, periodontally accelerated osteogenic orthodontics (PAOO), micro-surgically assisted orthodontics (MSAO), or, if necessary, orthognathic intervention. This lecture will present an overview on the latest advances in clinical orthodontics evidenced by a wealth of literature review and beautifully finished cases.
Evaluate customized designing and fabrication of orthopedic appliances.
Recognize that orao-maxillofacial growth pattern can be modified by orthopedic modalities.
Diagnose the correction of severe skeletal deformities with a treatment regime beyond just braces.