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Saturday, June 11, 2011
A Clinical Guide to Orthodontics
Part 1: Who needs orthodontics?
Part 2: Patient assessment andexamination I
Part 3: Patient assessment and examination II
Part 4: Treatment planning
Part 5: Appliance choices
Part 6: Risks in orthodontic treatment
Part 7: Fact and fantasy in orthodontics
Part 8: Extractions in orthodontics
Part 9: Anchorage control and
Part 10: Impacted teeth
Part 11: Orthodontic tooth movement
Part 12: Combined orthodontic
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Orthodontic Pearls A Selection of Practical Tips and Clinical Expertise
![[1.jpg]](https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEh_Hj5ckEZoyAh45p7WYIq_iJG9d4GuJRmuBniOofe1HG6o2mo2j0WDrJRWbVnD1AhHtgq_rytcf4I8dWHBxVTSG3RQZT5l96Jakvx1LNayI51lGbFR2wJ1EVBpzVfVPUFa6tQIfBXdA1w/s1600/1.jpg)
Language: English
ISBN-10: 1841842524
ISBN-13: 978-1841842523
Establishment of the Provisional Fixed Appliances
Establishment of the Provisional Fixed Appliances
Temporary Prosthesis Attachment for Fixed Apliances
Temporary Prosthesis Attachment for Fixed Apliances
It is common in the orthodontic treatment patients with absence of one or more teeth
earlier. In these cases, it is necessary adaptation of the provisional order to give aesthetics during treatment.
In the initial stages of treatment, can set the apparatus in a provisional a removable tongue, not staples, for allow alignment and leveling without interference. When we arrived to the rectangular wire, can keep in the provisional position by means of brackets and the actual
wire, which gives comfort to the patient as refine the mechanics.
earlier. In these cases, it is necessary adaptation of the provisional order to give aesthetics during treatment.
In the initial stages of treatment, can set the apparatus in a provisional a removable tongue, not staples, for allow alignment and leveling without interference. When we arrived to the rectangular wire, can keep in the provisional position by means of brackets and the actual
wire, which gives comfort to the patient as refine the mechanics.
Here is a way to adapt those provisional:
Orthodontics: Picture Test Atlas
- Paperback: 184 pages
- Publisher: Butterworth-Heinemann; 3 edition (January 15, 1997)
- Language: English
- ISBN-10: 072361072X
- ISBN-13: 978-0723610724
Dentos Handbook for Orthodontic IMPLANTS
Dentos Handbook for Orthodontic IMPLANTS
Handbook for Absoanchor Orthodontic Microimplant
3rd Edition , 2004
Authors - Hee-Moon Kuyng
Hyo-Sang Park
Seong Min
Oh-Won Kwon
Jae-Hyun Sung
Learn all about the ABSOANCHOR Orthodontic TAD's(Temporary anchorage Devices) from the pioneers in Orthodontic Implants, Korean minds at the helm of orthodontic scenario. learn about different types of implants including the patented Bracket Head Implant from the world leaders in TAD- Dentos. Includingcase reports.
Enhancement Orthodontics -Theory and Practice
Marc Bernard Ackerman, DMD
Contents
Part I
Orthodontics Defined
Communication in Orthodontics
Part II
Clinical Examination of Dentofacial Traits
Imaging Dentofacial Traits
Classification and Diagnosis of Dentofacial Traits
Beyound Normal : Enhancement of Dentofacial Traits
Contemporary Orthodontics 4th Edition
Publisher: Mosby
Number Of Pages: 768
Publication Date: 2006-12-08
ISBN-10 / ASIN: 0323040462
ISBN-13 / EAN: 9780323040464
Number Of Pages: 768
Publication Date: 2006-12-08
ISBN-10 / ASIN: 0323040462
ISBN-13 / EAN: 9780323040464
THE 20 PRINCIPLES OF THE ALEXANDER DISCIPLINE
R. G. "Wick" Alexander, DDS? MSDClinical Professor of Orthodontics Baylor College of Dentistry Dallas, Texas
Private Practice Limited to Orthodontics Arlington, Texas
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Facial and dental planning for orthodontists and oral surgeons
William Arnett, DDS, FAC, Director, Center for Corrective Jaw Surgery, Santa Barbara, CA
Richard McLaughlin, BS, DDS, San Diego, CA
Richard McLaughlin, BS, DDS, San Diego, CA
ISBN-13: 978-0-323-05315-0
ISBN-10: 0-323-05315-7
ISBN-10: 0-323-05315-7
OR
Textbook of Orthodontics Second Edition: 2007
![[smile4Dr.jpg]](https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhl-4ed3trBwhryqnSD74Ts53CRvPVm89CcK1QodueTgmdeuM9VZd8hcSZf2dvA787aQKAkcCleZ3IP440rV5aDjYiFRgSo0kharhQiESGXlB8RBP0wV06cZDyNed6bohZw7B0PAUPdpDA/s1600/smile4Dr.jpg)
ISBN 81-8448-080-6
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![[smile4Dr.jpg]](https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgTkSs0hvGOQWELuEGFiGJ03u22l4XGNqz1Ky5Avqb2Ffz9bhQXphakvBWA_eCKszXE-_6ImGgRsCJN8DDQUvnBTR3ag7OMTwSQmF0feRykYEBCOiaBz6PPFmxYWmC_0KKEPxF-n_IMo7Y/s1600/smile4Dr.jpg)
![[smile4Dr.jpg]](https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiDGEqFrwnzo5ws343Vn7jS98ghhXDqvWREBrkleADV9N6QLDyTK6jvoEbQNK5snyXbCmz9YpGFRUXHvZC420x_dBOhmo_U0k03cVJya2yCw5ru_wSE5yMiO1eULiHCuwERBIJLpQUDrDo/s1600/smile4Dr.jpg)
Orthodontics for Dental Students
Fourth Edition 1998By J.H. Gardiner,
B.C. Leighton,
J.K. Luffingham,
Ashima Valiathan
ISBN-10 / ASIN: 0195645685
ISBN-13 / EAN: 9780195645682
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Tooth Movement with Removable Appliances
![[smile4Dr.jpg]](https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEj-PnxdS3ZcAJ9NJUHDsyh1gItentVMD7-Z2W3N0MZ-S5Ynh-6Axdix3h1D7jjZbZHSGXO4_s95zseLZHPDVU8fSw8TXXKV7LGVJKi6YgoRxU_KEzPSPOyh7D4QqEqov8KSZCU48MrsHSk/s1600/smile4Dr.jpg)
By J D Muir, R T Reed
ISBN-10 / ASIN: 0272794244
ISBN-13 / EAN: 9780272794241
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Three Dimensional imaging in orthodontics
ByEl-Hassanein Hussein El-Hassanein
(B.D.S., M.SC)
Assistant lecturer, Orthodontic Department
Faculty of Dental Medicine
Al-Azhar University
thanks fir Dr El-Hassanein
Clincal Problem Solving in Orthodontics and Paediatric Dentistry
Biomechanics and Esthetic Strategies in Clinical Orthodontic
ISBN-10: 0721601960
ISBN-13: 978-0721601960
ISBN-13: 978-0721601960
or
http://rs415l32.rapidshare.com/files/187759241/Biomechanics_amp_esthetic_stratigies_in_clinical_orthodontic-Nanda.pdf
or
CASE REPORT
Multidisciplinary Treatment of a Patient
with Craniofacial Disorders
Interdisciplinary care typically begins with the general dentist, as does the patient’s belief in the possibilities of treatment. Development
of trust and cohesion among dental team members is avital benefit of belonging to study clubs. The following multidisciplinary case illustrates not only an excellent working relationship among dental professionals, but a shared determination of common treatment goals, which, in turn, developed the faith and confidence needed from the patient to proceed with treatment
Diagnosis
A 36-year-old male presented to Dr. Thompson’s office after having seen multiple dentists, all of whom had provided little but palliative care. Craniofacial distortions, poor oral hygiene, and speech difficulties seemed to have convinced previous professionals that he was unwilling to participate in his care. Dr. Thompson assured the patient that with good cooperation, his mouth could be restored to a healthy state, after which he could be helped to obtain a natural smile that he could be proud of. From thatmoment on, if there were any deficiencies in his care, they did not result from any lack of participation with his dental team.
The patient’s medical history was unremarkable except for an isolated cleft of the soft palate, for which he had undergone two surgical closure procedures. He also showed indications of a failed posterior pharyngeal flap.
The clinical examination revealed a Class II malocclusion, severe crowding, multiple decayed teeth, impactions, a missing lower left second molar, and an extreme anterior open bite with dental protrusion (Fig. 1).
Fig. 1 36-year-old male with multiple craniofacial distortions, chronic marginal gingivitis, Class II highangle skeletal pattern with constricted dental arches, posterior dentoalveolar eruption, excessive anterior facial height, recessive mandible, and severe anterior open bite before treatment.
Chronic marginal gingivitis was evident, with greater than 50% bone loss on the labial aspects of both maxillary canines. Radiography confirmed the Class II malocclusion and showed a high-angle skeletal pattern with constricted dental arches, posterior dentoalveolar eruption, excessive anterior facial height, a recessive mandible, and an anterior open bite.
Treatment Plan
Dr. Thompson consulted with an orthodontist (Dr. Mehan) and an oral surgeon (Dr. Hochberg) to develop an appropriate multidisciplinary treatment plan, which was presented to the patient for approval. The agreedupon treatment sequence was as
follows:
1. Treatment of carious teeth, periodontal control, and monitoring of home care.
2. Surgical removal of both maxillarycanines, both mandibular second premolars, and the maxillary third molars; uncovering of the impacted maxillary right second premolar; and placement of skeletal anchors cervical to the mandibular first molars.
3. Orthodontic treatment involving the use of self-ligating appliances and light-wire forces to relieve crowding and align the dentition; intrusion of the mandibular posterior teeth with skeletal anchorage; placement of a lingual arch to prevent buccal rotation of the mandibular first molars; light elastic wear; and, finally, placement of vacuumformed retainers.
4. Evaluation of restorative needs, including vital bleaching and permanent restorations.
5. Plastic surgery.
6. Speech evaluation, in comparison with recordings made before orthodontic care, to determine the need for reestablishment of a posterior pharyngeal flap that would allow the production of normal nasal sounds.
Treatment Progress
After treatment of the dental caries and stabilization of the soft-tissue inflammation, the maxillary canines, mandibular second premolars, and maxillary third molars were extracted. The impacted maxillary right second premolar was surgically uncovered, and titanium miniplates** were placed with three 4mm monocortical miniscrews in the right and left mandibular buccal cortices, approximately 8mm cervical to the cemento-enamel junctionsof the first molars. Intrusive forces were applied with elastic thread from the protruding portions of the miniplates to the first molar brackets. A mandibular lingual arch was placed to prevent buccal rotation during intrusion.
Full orthodontic appliances were placed seven months after the start of treatment (Fig. 2)
Fig. 2 Eight weeks after placement of brackets and mandibular lingual arch.
and orthodontic treatment proceeded uneventfully for 17 months (Fig.3A).
(Fig.3A).
The bite was closed both dentally, through the retraction of anterior teeth, and skeletally, by intrusion of the mandibular buccal segments and autorotation of the mandible (Fig. 3C).
Fig. 3C
Further planned treatments include facial plastic surgeries; prosthetic replacement of the missing lower left second molar; porcelain/ceramic crowns for the upper left second molar, lower left first molar, and lower right canine and second molar; and soft-tissue grafts for the upper left central incisor, upper left first molar, and lower left canine. Although the surgical and restorative procedures have not yet been completed, the esthetic improvement already achieved is remarkable (Fig. 4).
Fig. 4 A. Patient after 27 months of multidisciplinary treatment. Vertical position of upper left second molar will be maintained with vacuum-formed retainers until future prosthetic replacement of lower left second molar. B. Miniplates left in place after end of treatment for anchorage in case of relapse (none seen to date).
Comparison of the preand post-treatment cephalometric radiographs shows a considerable reduction in facial height and an increase in the projection of the lower facial third. An advancement genioplasty would be helpful at some point, but the improvement in the patient’s smilehas already changed his life.
Conclusion
The significance of this case report is not in how the patient was treated—many practitioners could have been equally successful.
It was the trust established between the patient and the interdisciplinary team that made this enhanced treatment possible in the first place. We may be surprised how positively people will respond when we show a sincere interest in them.
WILLIAM A. MEHAN, DMD, MS
PAUL THOMPSON, DDS
MARK HOCHBERG, DMD
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