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Maxillary Anterior Segmental Distraction Osteogenesis in Orthodontic Treatment of Cleft Lip and Palate
May 8, 2018 8:00am ‐ May 8, 2018 8:30am
Patients with a cleft lip and palate typically show a high incidence of Class III malocclusion and mid-facial retrusion. Maxillary anterior segmental distraction osteogenesis (MASDO) facilitates the forward advancement of the anterior maxillary segments without affecting the patient’s velopharyngeal function. The segmental osteotomy also corrects the anteriorly-flattened dental arches and enhance the crown exposure of the upper incisors. Furthermore, MASDO can be applied in combination with transverse distraction osteogenesis or LeFort1 osteotomy. I will demonstrate that MASDO is effective for correcting severe skeletal Class III problems in patients with cleft lip and palate.
Learning Objectives:
- Address the problems associated with the surgical orthodontic treatment of patients with cleft lip and palate.
- Identify the indications of the segmental distraction osteogenesis in the treatment of patients with cleft lip and palate.
- Demonstrate advantages and disadvantages of the segmental distraction osteogenesis in the treatment of patients with cleft lip and palate.
Speaker(s):
- Dr. Takashi Yamashiro, DDS, PhD
Treatment Considerations of the Cleft Lip and Palate Patient for the Orthodontic Specialist
May 8, 2018 8:30am ‐ May 8, 2018 9:00am
Treatment milestones and modalities for the cleft lip and palate patient and timeline for therapy from infancy to adulthood will be presented through review of current literature and clinical cases. Topics to be discussed will include; multidisciplinary team-based care, pre-surgical infant orthopedics, timing of bone grafts, craniofacial growth in cleft lip and palate patient population, and surgical orthodontic treatment.
Learning Objectives:
- Comprehend multidisciplinary team-based care of cleft lip and palate patients.
- Identify milestones and timeline of treatment for the cleft lip and palate patient.
- Assess the differences in craniofacial growth of unaffected patients and untreated and treated cleft lip and palate patients.
Speaker(s):
- Dr. Hera Kim-Berman, DDS, MMSc
The Hybrid Treatment Plan: Getting the Best Combination of Today’s Therapeutic Options
May 8, 2018 8:50am ‐ May 8, 2018 9:35am
Traditionally, orthodontists select a single orthodontic appliance type (lingual or labial brackets, or aligners) for both dental arches throughout the duration of treatment. This lecture will demonstrate the advantages of selecting differing appliance types for the two dental arches based on the esthetic, mechanical, efficiency, and financial goals. Also, this lecture will include examples of transitioning from fixed appliances to clear aligner therapy as a means to improve treatment efficiency, quality outcome, comfort and overall patient satisfaction without increasing overhead. Excite today’s patients and your practice by exploring new therapeutic combinations.
Learning Objectives:
- Comprehend the value of simulation treatment planning as a basis for appliance selection and fabrication.
- Evaluate the advantages of controlling the design and manufacturing of aligners as a means to control application, outcome and cost of therapy.
- Identify opportunities though hybrid treatment planning will find ways to increase therapeutic efficiency and patient satisfaction.
Speaker(s):
- Dr. Brent Bankhead, DDS, MS
3D CBCT Imaging and Airway in the Orthodontic Office
May 8, 2018 8:50am ‐ May 8, 2018 9:35am
Traditionally we are trained to see and analyze the airway from only the lateral view on a cephalometric film, but the airway is a three-dimensional (3D) structure, and that third dimension may be hiding something relevant to our diagnosis. With more than 80 respiratory disorders, the orthodontist can play a significant role helping children and adults, specially regarding Obstructive Sleep Apnea (OSA). This presentation will show how the orthodontist can help identify and manage OSA in pediatric and adult patients, from using oral appliances, to surgical movement of the jaws, and newest hypoglossal stimulation methods. When moving from 2D to 3D, distances and angles turn into areas and volumes, and understanding the airway may take orthodontics to the next level, increasing the scope of what can be done clinically.
Learning Objectives:
- Perform sleep disorder risk assessment separately for adults and teenage patients.
- Analyze a segmented airway.
- Identify how a CPAP works differently than a hypoglossal nerve stimulation.
Speaker(s):
- Juan M. Palomo, DDS, MSD
Influence of the Curve of Spee on Physiologic Anchorage Control
May 8, 2018 8:50am ‐ May 8, 2018 9:35am
Although leveling the curve of Spee is one of the goals in straight-wire technique, natural dentition is not straight. The increasing backward tipping of more posterior molars in the upper arch and the forward tipping of more posterior molars in the lower arch compose the posterior curve of occlusion. Different malocclusions show different curve of Spee and therefore different inclination of posterior occlusal plane. This lecture will discuss what will these features affect our treatment mechanics.
Learning Objectives:
- Recognize the mechanism of Physiologic Anchorage Loss.
- Realize the influence of leveling the curve of Spee on anchorage control.
- Recognize the significance of keeping posterior curve of Spee on anchorage preservation.
Speaker(s):
- Tian-Min Xu, DDS, PhD
Orthodontic and Surgical Management of Craniofacial Dysmorphism
May 8, 2018 9:35am ‐ May 8, 2018 10:05am
Patients born with craniofacial dysmorphism present with dysfunctional occlusion and a variety of skeletal deformities that worsen with facial growth. Orthodontists play a central role in managing these complex cases through engagement in many aspects of clinical care. These include initial case analysis, overall treatment planning, coordination of the treatment with other specialists, pre-surgical orthodontic preparation, surgical planning, and postsurgical orthodontics. Successful surgical outcomes of the cases critically depend on well-planned pre-surgical orthodontic set-up, which is based on an understanding of the nature of the skeletal problems, and knowledge on orthognathic procedures and their potential and limitations. This lecture will present orthodontic management of surgical cases with complex skeletal deformities.
Learning Objectives:
- Outline the multiple steps required for the management of orthognathic cases with craniofacial dysmorphism.
- Propose orthognathic procedures appropriate for different craniofacial cases, and also recognize surgical limitations of these procedures.
- Plan pre-surgical orthodontic set-up for cases with complex skeletal deformities, using 2D- and 3D-virtual surgical planning tools.
Speaker(s):
- Hyun-Duck Nah, DMD, MSD, PhD
Early Treatment of Class II Malocclusion
May 8, 2018 9:40am ‐ May 8, 2018 10:25am
Severe skeletal class II is minimized before the eruption of permanent teeth. I like to start most of my Class II patients in the late mixed dentition. Most children are not affected psychologically by dental and skeletal malrelationships, but this is not true for all children. Early treatment is indicated in patients with a special concern about esthetics and self-esteem issues, or who are susceptible to injures.
Learning Objectives:
- Recognize the objectives of early treatment.
- Evaluate the ideal time to start Class II patients.
- Propose the indications of a two-phase protocol.
Speaker(s):
- Roberto Lima-Filho, DDS, MS
Improving Practice Efficiency: There’s an App for That!
May 8, 2018 9:40am ‐ May 8, 2018 10:25am
Mobile devices are part of everyday life, but staying current with constantly developing apps can be challenging. Current mobile applications offer valuable efficiencies for banking, patient communication, office management, password protection, and many other areas. However, some programs open up additional security concerns or may not provide any additional time savings. In this lecture, a broad range of applications will be discussed to help find a balanced use for mobile apps to improve productivity in the orthodontic practice.
Learning Objectives:
- Identify categories of apps that are useful in managing your practice.
- Recognize common security risks and how to minimize them.
- Evaluate areas where mobile apps can optimize your practice… and areas where they are not as efficient.
Speaker(s):
- Dr. Matthew E. Larson, DDS, MS
Finishing Procedures in 4-Dimensions
May 8, 2018 9:40am ‐ May 8, 2018 10:25am
Traditionally, the finishing objectives, when achieved, basically comprehend 3 dimensions, namely, microesthetics (teeth), miniesthetics (smile), and macroesthetics (face), as described by Sarver. Considering that important concepts are being overlooked by orthodontics, we are introducing the fourth dimension, named hyperesthetics, which focuses on occlusion and quality of life. Cases representing the importance of the former show occlusion as essential for achieving excellence in orthodontics, even esthetically. Bearing in mind that beauty closely relates to quality of life, treatment decisions need to be made concerning the influence it will have on the patient's health, particularly breathing and TMJ stability.
Learning Objectives:
- Recognize dimensions in finishing orthodontics as major objectives.
- Include occlusion as an important parameter to achieve excellence in orthodontics.
- Make treatment decisions based on patients health as the most important parameter to achieve modern esthetics.
Speaker(s):
- Dr. Roberto B. Brandão, MSc, PhD
Diagnosis, Prognosis and Control of Adult Orthodontic Treatments Focused on Taking into Account the Shape of the Teeth
May 8, 2018 10:10am ‐ May 8, 2018 10:40am
The Virtual Dental Casts and software have increased our diagnostic possibilities including the effect of tooth shape and size on the overall dentition. The Indexes of crown harmony such as LeHuche are integrated and give information that is essential for a “best therapeutic decision”.
-Intra and Inter arch harmony can be visualised when tooth anatomy is modified.
-Inter proximal space changes and modification of the papilla are directly seen.
-The CB-CT images will even show the periodontal modifications when crown shape and size are changed.
The integration of those diagnostic tools is mandatory for a valid comparison of different therapeutic options.
The effect of tooth crown modification (size and dento dental harmony) on the overall balance of dental occlusion and periodontal health can now be monitored and different treatment options considered. We have entered in a new world where any decision can be validated by the projected end-result and explained to the patient for informed consent. Dental monitoring technics provide new data previously inaccessible.
Learning Objectives:
- Prescribe, quantify and plan the proximal enamel reduction (stripping).
- Recognize the different dental forms, their involvement in the appearance of inter-proximal black triangles.
- Identify how to reshape the teeth respecting their natural proportions, their intricate aesthetics and their overall harmony.
Speaker(s):
- Dr. Olivier Sorel, DCD, CECSMO, PHD, HDR