Orthodontic Treatment of Adults with Periodontal Disease; Long-term Follow-up, 19 to 36 years

May 7, 2018 2:55pm ‐ May 7, 2018 3:40pm

A description of the necessary steps the orthodontist must take prior to considering orthodontic treatment of the patient with periodontal disease including history and mandatory records will be outlined. The role of the periodontist in diagnosis, treatment of the disease, and maintenance during orthodontic treatment will be described. The malocclusions caused by the disease, the treatment procedures, goals of treatment, and retention will be described. Four cases followed over many years will illustrate the long-term success or failure of combined orthodontic/periodontal treatment. Finally, periodontal maintenance of compromised teeth verses implant replacement will be evaluated.

Learning Objectives:

• Prepare the orthodontist with the necessary knowledge to undertake successful orthodontic treatment of the patient with periodontal disease.
• Evaluate the necessary records, the role of informed consent the role of the periodontist, and the unique treatment approach required for these patients.
• Identify the limitations and advantages of long-term periodontal maintenance verses implant replacement.

A Simple Non-Extraction Approach to Correct CII Malocclusion

May 7, 2018 3:25pm ‐ May 7, 2018 3:55pm

In treatment of class II malocclusion the temporary anchorage device (TAD) is a highly effective appliance, which can be easily placed and managed by orthodontists. A simple method for class II correction with TAD will be introduced for efficient molar distalization with a near-bodily movement. Scientific evidence will be discussed in the area of broad indications for non-extraction method assisted by TAD. Also, a creative and innovative approach for Class II correction using plate will be illustrated including biomechanics and guidelines for practical use. In addition, use of a new improved jig system for more accurate plate placement will be presented.

Learning Objectives:

• Introduce a simple method for class II correction with TAD.
• Broaden indication for non-extraction method.
• Influence maxillary distalization mechanics on the 3rd molar development.

Avoiding and Treating Post-Surgical Problems

May 7, 2018 3:45pm ‐ May 7, 2018 4:30pm

Orthognathic surgery can be a very challenging dimension of orthodontic practice. Using a case-based approach, Drs. Southard, Marshall, and Shin will provide a foundation in avoiding and dealing with post-surgical problems.

Learning Objectives:

• Apply principles of treatment planning to minimize post-surgical problems.
• Apply principles (and techniques), pre-surgically, to reduce post-surgical problems.
• Apply principles in the orthodontic treatment of post-surgical problems.

Panel Discussion

May 7, 2018 3:45pm ‐ May 7, 2018 4:30pm

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

Family, Foundation, Focus, and Future… Resetting for Long Term Stability

May 7, 2018 3:45pm ‐ May 7, 2018 4:30pm

Any stable house is built on a solid foundation! The same can be said for a family, a practice or an orthodontic case. A family of orthodontists will share their experience of treating over 25,000 patients and the foundational truths learned from it. Realizing “what you focus on happens”; they have focused on long term stability and now seeing the results of those efforts. The foundational Principles that lead to long term stability will be defined and packaged for immediate application.

Learning Objectives:

• Recognize a Philosophy of orthodontic care that produces prosperity clinically, professionally, and economically.
• Deduce the Diagnostic Principles that lead to favorable success, daily and long-term.
• Demonstrate routine clinical Treatment Decisions that produce predictable, consistent, and excellent outcomes.

Orthodontics and Periodontics: The Perfect Match

May 7, 2018 3:45pm ‐ May 7, 2018 4:30pm

The aim of this presentation is to update the new strategies in adult orthodontic treatment with reduced periodontal attachment. 1250 patients (28-83 years old) were analyzed and pre-treatment, 4.8 and up 22 years post treatment results were evaluated. New protocols will be discussed while considering the individual treatment objectives. The results confirmed that a significant osseous repair was achieved in almost 90% of the patients.

Learning Objectives:

• Recognize and treat patients with reduced periodontal attachment.
• Identify special considerations with patients that have been taking different medications that could have a significant effect on the bone turnover, specially in women during menopause.
• Effectively deal with this difficult type of patient.

The Impact of Functional Jaw Orthopedics, Dentofacial Orthopedics and Orthognathic Surgery on the Airway Size and Volume

May 7, 2018 3:55pm ‐ May 7, 2018 4:25pm

This lecture will describe the effect of maxillary expansion, functional appliance, protraction face mask and orthognathic surgery on the airway size and volume. The effectiveness of these procedures will be highlighted.

Learning Objectives:

• Identify the impact of each of the treatment modality presented on the airway.
• Evaluate the efficacy of these treatments on changing the size and volume of the airway.
• Recognize the possibilities of functional jaw orthopedics, dento facial orthopedics and orthognathic surgery on the improvement of airway patency.

Key Factors in Anterior Open Bite Correction: Where to Start and How to Finish

May 8, 2018 8:00am ‐ May 8, 2018 8:45am

Anterior open bite is difficult to treat because it results from the interaction of multiple etiologic factors such as heredity, unfavorable mandibular growth patterns, imbalance between the posture of the jaws, nasopharyngeal airway obstruction, digit-sucking habits, and tongue posture and activity. Proper diagnosis and treatment planning, successful treatment, and retention are important for the long-term stability of open bite treatment. In this lecture, the etiology of anterior open bite and various treatment modalities will be discussed along with biomechanics. After this lecture, clinicians will be able to treat and finish anterior open bite cases more efficiently and successfully.

Learning Objectives:

• Discuss the etiology of anterior open bite and treatment modalities.
• Evaluate upper airway dimension after anterior open bite correction.
• Discuss which factors affect the success of anterior open bite correction.

How to Avoid Getting Ripped Off with your IT Expenses

May 8, 2018 8:00am ‐ May 8, 2018 8:45am

Computers are part of most every modern Practice, and unfortunately so are the inevitable IT expenses. As an industry insider I am asked all the time to evaluate “Am I paying too much?” and “What should my expenses be?”. Many Practices forge their own way doing their own IT in an attempt to ‘minimize’ costs (and maximize suffering). Others throw themselves to the wolves and just tell their IT company to “take care of it”. During this session I want to discuss some of the common approaches, and how an IT person could take advantage of you. By throwing some light on how it works from the inside, I hope you will be better prepared to make the best IT solution choices for your Practice. I promise to limit the ‘Geek Speak’ and discuss the issues in a way we can all understand. I’d love you to bring your own horror stories to share.

Learning Objectives:

• Identify the differences between Managed IT services and Pay as You Go.
• Better evaluate how an IT person can take advantage of your trust.
• Select the IT services you need for your Practice considering the best overall value.

Serial Extraction: Beyond the Basics

May 8, 2018 8:00am ‐ May 8, 2018 8:45am

This presentation will review the history and literature of serial extraction and demonstrate its advantages as well as some disadvantages. Using case reports, it will show how serial extraction can be used and, at times, modified for selected patients who have Class II malocclusions.

Learning Objectives:

• Describe serial extraction.
• Identify the advantages and disadvantages of serial extraction.
• Comprehend how serial extraction can be modified for patients with missing teeth and Class 2 malocclusions.