Facial asymmetry can be caused by various factors, and according to its etiology, severity may vary, and therefore treatment can be orthodontic only, or evolve to a surgical treatment. Investigators have tried to classify, characterize and measure asymmetry, but subjective aspects of its perception render the assessment more difficult. The relationship between facial attractiveness and slight facial asymmetries seems relevant for clinicians dealing with dental-facial problems. Nonetheless, the point where facial asymmetry becomes more clearly noticeable is not well defined, proving to be difficult to tell when an asymmetry really starts to become socially apparent. The purpose of this presentation is to describe how facial asymmetry can be currently treated, and to discuss the current knowledge on perception of facial asymmetry and how this should be approached in daily practice.
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Skeletal malocclusion is the most difficult case in Orthodontics. Traditionally, those cases are referred to oral surgeons to do Orthognathic surgery. In those cases, most difficult procedure would be the torque control, especially when we use invisalign to treat those cases. The miniscrew could be used combined with the invisalign to treat the skeletal malocclusion. The great result is achieved.
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Sleep disordered breathing is primarily an anatomic phenomenon of the relation of mandible to maxilla and anatomy of the pharynx. Dentists and orthodontists are more familiar with this area than most physicians. Dental devices for mild to moderate apnea are just as effective in the treatment of OSA with better compliance than CPAP in the adult population. All of these devices are variations of appliances used already by the orthodontist for orthopedic corrections of malocclusion. The practice management of sleep apnea patients is virtual the same as regular orthodontic patients with the exception of the medical component.
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The purpose of this presentation is to demonstrate a system for individual assessment of midpalatal suture maturation using panoramic radiographs. The new grading system may enhance clinician’s ability to predict if rapid maxillary expansion is possible for late adolescent and young adult patients.
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The controversies on early treatment seem to be coming to an end. The pendulum that regulates the initiation of orthodontic treatment and that has been swaying in different directions for many years seems to have been shifting towards an earlier start preferably in the late mixed dentition. Undoubtedly, there is much agreement as well as disagreement on what to treat or not to treat. What’s missing on timely Class I, Class II and Class Ill interceptive treatment? This program compiles new evidence on early-treatment that may be helpful in the decision-making process. We hope to be able to stir even more curiosity within each one and revisit ideas and concepts we execute as clinicians.
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Orthodontic treatment is about much more than just " straight teeth", and this is most evident in pre-prosthetic and pre-restorative cases. The goal in pre-prosthetic and pre-restorative cases is to create a foundation where the restorative dentist can then build a beautiful and functional smile without compromise. Aligner orthodontics, when understood and planned appropriately can be a more effective and more efficient mode of treatment for selected cases, and thus become the preferred means of treatment for the orthodontist and patient. Learn to move roots apart to prepare for implants, intrude over-erupted anterior and posterior teeth, level the occlusal plane and many more specialized movements with Aligner Orthodontics.
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The concept of Sendai Surgery First is the orthodontics driven style. This approach was made possible by the application of TADs (miniplates and miniscrews) which enables predictable control of the entire dentition. With TADs in combination with multi-bracketed system, the extent of surgical intervention is significantly reduced, and complex orthodontic problems in post-surgical orthodontics can be successfully solved.
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Non-surgical treatment in adults inevitably involves the beyond-the-bone tooth movement. Hence understanding on the tissue tolerance and ostegenic potential, precise visualization of treatment plan, effective biomechanics are all important for the success of treatment. Current biomechanics enable us to perform reliable total arch movement in three-dimension. Based on this theory, case-specific three-dimensional total arch movement will be proposed and demonstrated in adults with various skeletal problems.
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Obstructive sleep apnea is an important public health problem that is well characterized in adults. However, major gaps exist in our knowledge about the pediatric sleep apnea. Current literature demonstrates that pediatric sleep apnea is often not cured by adenotonsillectomy (T&A). Multifactorial interaction is responsible for its development, including oral-facial anatomical abnormalities, muscle tone, mouth breathing, and adenotonsilar hypertrophy. This presentation was based on a multidisciplinary collaboration, and it clearly showed that the contribution from different specialists could lead to effective therapy. Orthodontist may play an important role in early treatment of pediatric sleep apnea.
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Careful diagnosis of facial asymmetries identify positional and shape asymmetries among the different components of the face. The goal of the such precise diagnosis is to improve treatment outcomes with the proper correction of positional deviation of the mandible in roll and yaw, prior to assessments of left and right differences. 3D images provide insight into different approaches for orthopedic correction and surgical correction of asymmetries.
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