2013 Annual Session - Biomedicine- and Technology-driven Paradigm Shifts in Orthodontics - Jacob A. Salzmann Lecture

Biomedicine- and Technology-driven Paradigm Shifts in Orthodontics - Jacob A. Salzmann Lecture

Groundbreaking advances in 3D imaging, computer technologies and biomedicine that have transformed medicine are being rapidly adapted and applied to orthodontics. Dr. Kapila will discuss the integration of these advances into orthodontics with an emphasis on 3D imaging, smart appliances, tissue engineering and biologic regulation of tooth movement and facial growth. He will also highlight the implications of these innovations to the future practice of orthodontics.

Learning Objectives:

• Demonstrate how to use 3D CBCT imaging to enhance orthodontic diagnosis, treatment planning and treatment efficiency
• Evaluate potential pharmacologic approaches for modulating tooth movement, facial growth and tissue engineering
• Define the integration of 3D imaging, biomedicine and stem cells to produce autologous replacements for missing teeth and craniofacial bones.

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.

2021 Jacob A. Salzmann Award Lecture; Efficient and Effective Growth Modification: A 30-year Perspective

Jun 25, 2021 2:50pm ‐ Jun 25, 2021 3:35pm

This lecture will analyze patient-related factors that can help the clinician to improve the efficacy and efficiency of Class II and Class III treatment independently from the type of appliance. Two such factors are the timing of treatment and individual patient responsiveness. Functional appliances used for the treatment of Class II malocclusion are effective in altering short-and long-term mandibular growth and mandibular sagittal position if active treatment includes the pubertal growth spurt. Optimal timing for Class III malocclusion occurs during the prepubertal phases of development when the circummaxillary sutures offer less resistance to maxillary protraction compared to the pubertal phase. To predict individual patient responsiveness for both Class II and Class III treatment, mandibular morphology should be evaluated.

Learning Objectives:

• Understand the role of those factors that can help the clinician to improve the efficacy and efficiency of Class II and Class III treatment in the growing patient.
• Evaluate the role of treatment timing on the short- and long-term outcomes of Class II and Class III treatment.
• Recognize the pre-treatment craniofacial features for the prediction of successful or unsuccessful outcomes of Class II and Class III treatment.

2020 Jacob A. Salzmann Award Lecture; Orthodontic Uncertainty: Research, Core Outcomes and Snake Oil Salesmen

Jun 27, 2021 11:45am ‐ Jun 27, 2021 12:30pm

In this presentation, Dr. O'Brien will discuss the dilemma of attempting to practice evidence-based orthodontics. He will use examples from his own work based on clinical trials on how research reduces, or increases, clinical uncertainty. Finally, he will discuss the effects of social media, anecdote, key opinion leaders and snake oil salesmen on counteracting the effects of orthodontic research and increasing uncertainty about our treatment.

Learning Objectives:

• Evaluate the quality of orthodontic research and the importance of relevant outcomes.
• Recognize the effect of uncertainty on our clinical practice.
• Evaluate social media and other forces on our clinical practice.

2022 Jacob A. Salzmann Award Lecture; Weird Tales About Teeth or Orthodontics in Daily Practice

May 22, 2022 9:40am ‐ May 22, 2022 10:25am

In 1974, Jacob A. Salzmann published a book entitled, Orthodontics in Daily Practice. That same year, my dad returned from hospital rounds and out-of-the-blue suggested that I should be an orthodontist. A decade later began my reality of “weird tales about teeth” in daily practice. From addressing a collection of controversies to developing concepts and devices to improve the predictability of clinical practice, seems that I have thrown everything at them, except the kitchen sink (but on second blush . . .). Along the way, it has been a journey of accidents and epiphanies. Providing more than just lip service for esthetics, pulsus a mortuus equus on extractions, and suggesting conservative early treatment, these topics have occasionally been presented in what Edward Angle described as “an attitude of friendly hostility.” From uno, dos, tres miniscrew innovations to improvements in drastic plastic, combined with research on “scar tactics,” offering canine obedience training, and a simple quick fix, this road has proven that an avid approach to a vocation might also transform into a passionate avocation, much as it was during Jacob Salzmann’s career.

Learning Objectives:

• Discuss the prevailing evidence-based arguments regarding the extraction decision.
• Understand simple approaches for all Angle classifications, enhanced with miniscrews.
• Improve the predictability of clear aligner treatment with a variety of adjuncts and instruments.