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The Aging Brain

The Aging Brain

May 6, 2018 8:50am ‐ May 6, 2018 9:35am

Aging is the primary risk factor for neurodegenerative diseases of aging, including Alzheimer’s disease (AD - the most common cause of dementia in the developed world). Certain genetic factors increase risk, while environmental factors (lifestyle) decrease risk. Strategies to delay or prevent dementia and AD will be discussed (i.e., how to avoid the dementia clinic). Recognition of cognitive decline with aging, and diagnostic criteria for the more common dementias will be reviewed. Current treatment options for AD will be reviewed, as well as innovative strategies now in the pipeline (phase 2 and 3 clinical trials). Novel biomarkers (amyloid PET, spinal fluid proteins, genetic testing) enable identification of high-risk cognitively normal individuals for prevention trials.

Learning Objectives:

  • Recognize the genetic and environmental risk factors for cognitive decline, dementia, and Alzheimer’s disease (AD).
  • Define the diagnostic criteria for prodromal AD, mild cognitive impairment (MCI), and AD, including novel biomarkers.
  • Review current treatment options for AD - and novel treatments in the research and development pipeline.

Speaker(s):


John Valentine Mershon Award Lecture - Challenges ARE Opportunities

John Valentine Mershon Award Lecture - Challenges ARE Opportunities

May 6, 2018 8:50am ‐ May 6, 2018 9:35am

Our specialty, like our society, is experiencing rapid and drastic change. The specialty of orthodontics is being challenged by many issues over which it has little or no control. But every challenge faced by our specialty is an opportunity – an opportunity for our specialty and us, its individual members, to prove our collective and individual worth to society. We have the resources at hand that can be used to optimize quality of care for our patients. Our future is bright! This talk will describe ways that we can take advantage of our opportunities.

Learning Objectives:

  • Recognize our many challenges and issues.
  • Evaluate the opportunities to use current and existing resources that will, hopefully, make our specialty stronger.
  • Propose ways to take advantage of our many opportunities that will optimize quality of care for our patients.

Speaker(s):


Rapid Maxillary Expansion and Early Class III Treatment: New Options using Palatal TADs

Rapid Maxillary Expansion and Early Class III Treatment: New Options using Palatal TADs

May 6, 2018 8:50am ‐ May 6, 2018 9:35am

To increase skeletal maxillary advancement and to avoid the possible dental side-effect of mesial movement of the dentition protraction therapy in growing children using skeletal anchorage has recently been advocated. However, most approaches have employed at least two or more surgical miniplates, which involve invasive placement and removal procedures. Maxillary protraction is often started with a rapid maxillary expansion procedure (RME) because a proportion of Class III cases present with a narrowed maxilla and mobilisation of the midfacial sutures by RME may be beneficial and induce a greater maxillary effect. In this lecture the Hybrid Hyrax appliance and its modifications are shown, which uses two mini-implants in the anterior palate to provide sagittal skeletal anchorage for maxillary protraction and transversal skeletal anchorage for maxillary expansion.

Learning Objectives:

  • Identify the optimal insertion site in the palate.
  • Experience how palatal TADs can be employed for RME and early class III treatment.
  • Recognize how palatal TAD mechanics can be integrated in to the digital workflow (TAD insertion and CAD/CAM manufacturing of the appliance).

Speaker(s):


Pharmaceutics for Orthodontic Speed, Anchorage and Retention: How Will Research Translate into Clinic?

Pharmaceutics for Orthodontic Speed, Anchorage and Retention: How Will Research Translate into Clinic?

May 6, 2018 9:35am ‐ May 6, 2018 10:05am

Because orthodontic tooth movement is dependent upon osteoclast-mediated resorption of alveolar bone adjacent to the pressure side of tooth roots, biologic control of osteoclasts can be utilized to control tooth movement. Drugs that influence bone cell activity are in development and/or currently being given to patients for treatment of bone disease. Many of these drugs are potentially applicable for control of tooth movement and retention after movement. This presentation will provide current results demonstrating the impact of locally injected drugs for increasing the speed of tooth movement, enhancing orthodontic anchorage during tooth movement, and inhibiting orthodontic relapse after movement. New classes of bone responsive drugs will also be discussed.

Learning Objectives:

  • Define the biologic process behind orthodontic tooth movement. 
  • Identify medical conditions and pharmaceutics that influence orthodontic treatment outcomes. 
  • Recognize the utility of biologic mediators (drugs) for increasing the rate of tooth movement, enhancing orthodontic anchorage, and improving orthodontic retention after treatment.  

Speaker(s):


Psychological Aspects of Aging

Psychological Aspects of Aging

May 6, 2018 9:40am ‐ May 6, 2018 10:25am

This talk will primarily focus on the psychological factors associated with the normal aging process. Specifically, how personality, cognition, emotion, social support and gender play out in normal aging will be reviewed. What we know about positive and successful aging, and, sexual well-being will also be addressed. Other factors such as depression, late life anxiety, substance abuse, suicide and bereavement will be touched upon.

Learning Objectives:

  • Discuss one gender based aging difference.
  • Recognize factors associated with positive aging.
  • Discuss protective factors from suicide in older adults.

Speaker(s):


Move Over, Millennials... Is Your Practice Ready for Generation Z?

Move Over, Millennials... Is Your Practice Ready for Generation Z?

May 6, 2018 9:40am ‐ May 6, 2018 10:25am

Generation Z, the next wave of Millennials, are now beginning to enter the workforce. These are the people we will be hiring and working with over the next 10-15 years. It’s imperative that we as doctors, managers, and trainers understand what drives them, how they learn, and how to best use their talents and traits to help our practices thrive. This presentation will reveal surprising results of studies that explain the motives behind their actions, their personality traits, common work ethics, and how to help them be productive employees.

Learning Objectives:

  • Distinguish the differences between the various generations. 
  • Identify the unique traits and characteristics of Generation Z. 
  • Discuss the management techniques that can help Gen Z employees perform.   

Speaker(s):


Lifetime Achievement Award Lecture - Envoi: A Walk on the Mild Side

Lifetime Achievement Award Lecture - Envoi: A Walk on the Mild Side

May 6, 2018 9:40am ‐ May 6, 2018 10:25am

A casual look at how far we have come and where we appear to be going. Will you be a member of a learned medical specialty or a popular, well-paid branch of cosmetology?

Learning Objectives:

  • Encouraged to consider the future of our specialty and your role in its evolution.
  • Challenged to consider your role in the health of orthodontic academics: Is there any answer to any question that would cause you to change the way you practice?
  • Encouraged to consider the role of "the companies" and "the schools" in your professional education.

Speaker(s):


Treatment of Skeletal Class III in Adult Orthodontic Patients: Camouflage vs Orthognathic Surgery. Is There Another Alternative?

Treatment of Skeletal Class III in Adult Orthodontic Patients: Camouflage vs Orthognathic Surgery. Is There Another Alternative?

May 6, 2018 9:40am ‐ May 6, 2018 10:25am

50% of my patients are adults with around 20% of whom are Skeletal Class III. In this conference, I will like to answer 3 questions: 1. Should they be treated with orthognathic surgery? 2. Which cases can be treated only with orthodontics? 3. Is there any other alternative?

Learning Objectives:

  • Identify which is the ideal Skeletal Class III Adult patient to compensate only with orthodontics.
  • Identify which is the ideal Skeletal Class III patient for orthognatic surgery.
  • Familiarize themselves with a new protocol to treat Skeletal Class III adult patients with local anesthesia and sedation.

Speaker(s):


Are Self-Ligating Brackets More Efficient than Conventional Brackets?

Are Self-Ligating Brackets More Efficient than Conventional Brackets?

May 6, 2018 10:10am ‐ May 6, 2018 10:40am

Self-ligating brackets have been introduced in orthodontics on an industrial scale in the 80’s. Since this time these products have been actively promoted under the following claims: reduced treatment duration and number of visits, reduced friction, greater comfort, improved hygiene, fuller and wider smiles, reduced chair time, improved results. The purpose of this presentation is to review with you the literature published up to June 2017 focusing on randomized controlled trials and split-mouth trials comparing self-ligating and conventional brackets. The aim of this lecture is to perform a meta-analysis on the selected papers to evaluate, based on the best evidence available, the above-mentioned claims.

Learning Objectives:

  • Define the advantages of self-ligating brackets.
  • Identify the drawbacks of certain self-ligating brackets.
  • Deduce the items for which self-ligating brackets do not differ from conventional brackets.

Speaker(s):


Digital Workflow in the Orthodontic Practice

Digital Workflow in the Orthodontic Practice

May 6, 2018 10:30am ‐ May 6, 2018 11:15am

The advent of technologies such as practice management software, 2D and 3D imaging, the internet and Cloud based computing, intraoral scanning, digital orthodontics (both aligner therapy and robotically bent archwires), 3D printing, and HIPPA regulations has transformed the conventional orthodontic practice from 25 years ago into a technology driven business. As a result, the foundation for creating an efficient digital workflow is critical in ensuring the success of the 21st century digital orthodontic practice. In his lecture Dr. Lin will discuss the digital workflow systems which have been established in his 3 practices for a truly paperless, impression free, and plasterless practice.

Learning Objectives:

  • Give a brief overview of digital technologies.
  • Discuss the impact these digital technologies make in management and tracking of patients as well as their impact on patient care.
  • Review digital workflow systems for efficient management of these digital technologies.

Speaker(s):