Treatment of asymmetries in adults and children
Beschreibung
You will learn how to treat asymmetry using:
– TADs and straight-wire technique
– Aligners
– MEAW technique
– Surgical-orthodontic approach
– Orthodontic appliances: Quad Helix, McNamar, Marco Rosa appliance, ALT-Ramec, TwinBlock, Frankel function regulator
The protocols studied during the course cover the issues of treating asymmetries in adults and children.
Lektion 1.Treatment of asymmetries with TADs
– CBCT-visualization and TADs: indications for use
– Critical analysis and evaluation of results in cases of treatment of asymmetry
– Biomechanical aspects of orthognathic surgery
– SAPRE concept: indications
– Protocols for the treatment of condylar hyperplasia
– Indications for orthognathic surgery
– Relapses and side effects after surgery: factors
– Protocols for the treatment of asymmetry with TADs
– Types of occlusal canting and methods of correction
– The effect of the intrusion of molars on the maxillary sinus and the inferior alveolar nerve.
Recommended for: Orthodontists, General dentists.
Lektion 2.Biomechanics of orthodontic correction of dental asymmetry
– Types of asymmetries, diagnosis and treatment planning
– Protocols for asymmetry treatment: translation and rotation of individual teeth
– Midline correction: biomechanics of applied forces
– Cantilevers application protocol
– Advantages of using an occlusogram
– Occlusal plane cant: causes, diagnosis, principles of treatment
– Rhythmic wire system application: protocol
– Dental intrusion using TADs: limitations and difficulties
– Asymmetries in the transversal plane: diagnosis and treatment protocols
– Methods of unilateral expansion of the jaw
– Asymmetries in the sagittal plane: tactics when choosing a treatment method
– Multi-loop edgewise arch wire technique vs straight arch technique: advantages
– MEAW mechanics in the treatment of asymmetry in the transversal plane.
Recommended for: Orthodontists, General dentists.
Lektion 3.Facial asymmetry: surgical-orthodontic treatment
– Diagnostics of asymmetries in three planes of space
– Orthodontic preparation for surgical correction of asymmetries: protocol
– Planning of surgical treatment
– Orthodontic treatment after surgery
– Use of TADs in presurgical and postsurgical orthodontics
– Protocol of non-surgical treatment of gingival smile
– Team approach in the treatment of asymmetries: principles of interaction between a surgeon and an orthodontist
– Protocols for the occlusal plane cants treatment
– Indications for tooth extraction
– Surgery First: Indications
– Prevention of failures and complications.
Recommended for: Orthodontists, General dentists.
Lektion 4.Treatment of the functional asymmetries using orthodontic appliances and TADs
– The etiopathogenic factors of morphological and functional mandibular asymmetries
– Diagnosis and treatment of asymmetries according to age
– Protocol for the treatment of asymmetry with Gummetal
– Treatment of functional mandibular deviations secondary to dental or skeletal maxillary compression in Class 1, 2 and 3;
– The use of rapid maxillary disjunction devices (McNamara, Marco Rosa, Lantierri)
– The treatment of mandibular asymmetries, and even facial ones, combining functional appliances with fixed ones and TADs
– Treatment of facial asymmetry with orthognathic surgery
– Low friction straight arch technique in the treatment of asymmetry
– Articular fossa and mandibular branch: role in the formation of facial asymmetry
– How mandibular functional asymmetries can be corrected using simple resin planes
– Classification of facial asymmetries
– Orthognathic surgery vs functional appliances in the facial asymmetries treatment
– Difficulty of teething: tactics.
Recommended for: Orthodontists, General dentists.
Lektion 5.Treatment of primary and secondary asymmetries with functional appliances, elastics and aligners
– History of orthodontics, orthodontic medical concept and orthodontics of the future
– Digital teething control
– Multi-technics of orthodontic treatment (DSQ)
– Condylar asymmetries with dentoalveolar compensation at the level of occlusion
– Asymmetric growths treated with functional dentofacial orthopedics
– The use of the Fränkel Function Regulator and other asymmetrical functional appliances in the treatment of different malocclusions
– The rational use of intermaxillary elastics to center the midline and correct dentoalveolar mandibular asymmetries
– The use of aligners in children for the treatment of functional problems of mandibular asymmetry
– 10 commandments in the treatment of asymmetry
– Teething control.
Recommended for: Orthodontists, General dentists.
Lektion 6.Asymmetry treatment: conventional mechanics or orthognatic surgery
– Perfect symmetry vs acceptable asymmetry
– Evaluation and value of smile aesthetic parameters:
- incisors design
- proportion and symmetry of the central incisors
- proportion among maxillary incisors
- trema and diastema
- gingival design
- gingival exposure
- buccal corridors
- dental midline
- the occlusal plane cant
- lip fullness.
– Diagnosis of facial asymmetry
– Side effects and complications in the elimination of asymmetry
– Share clinical cases to treat facial asymmetries with:
- simple orthodontic mechanics
- advanced orthodontic mechanics – skeletal anchorage
- orthognatic surgery.
Recommended for: Orthodontists, General dentists.
Lektion 7.Shift jump treatment using aligners
– Artificial intelligence and algorithms for the use of modern aligner systems in the treatment of asymmetry
– Prediction of the ideal teeth setting: important criteria
– Control of predictable and unpredictable movements of teeth
– Staging protocol for asymmetrical distalisation
– Semi-sequential distalization 50% combined with Frog Staging retraction: protocol
– Full sequential dstalization protocol
– Sagittal jump vs asymmetrical jump
– Features of communication with a technician for the prevention of failures and complications
– Tools for extending the mandible
– Controlling the simulation of a mandibular lateral displacement.
Recommended for: Orthodontists, General dentists.
Lektion 8.Smile asymmetries: step-by-step to diagnosis and treatment
– The 10 commandments of smile aesthetics
– The occlusal plane cants: surgical and orthodontic treatment
– Step-by-step protocol of using ideal smile templates to diagnosis and treat:
- dental asymmetries
- gingival asymmetries
- buccal corridors asymmetries
- maxillary occlusal cant.
– Principles of positioning braces on teeth
– Closure of the trema and diastema.
Recommended for: Orthodontists, General dentists.
Der Kurs beinhaltet die nächsten Lektionen:
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Treatment depending on the timing
Dozenten 6
Graduate in Medicine. Faculty of Medicine. University of Santiago de Compostela, 1983. Graduate in Dental Medicine (Stomatology), University of Oviedo (Spain), 1985.
PhD in Medicine, University of Santiago de Compostela, 1985, Degree of Master in Orthodontics from University of Valencia, Spain. Chairman of Orthodontics, Department of Stomatology since 1994 and Director of the Masters Programme of Orthodontics since 1996 at the University of Santiago de Compostela.
Grants: 12 awards and professional honours.
Awards: ‘Rodriguez Abaitua’ of the Royal Medicine Academy of Spain. Research award of the Spanish Dental Council (Consejo General de Odontólogos y Estomatólogos de España). Scientific and/or clinical adviser of the: Spain and Galicia Government, Spanish Dental Council, Spanish Dental Foundation, etc.
Member of the EOS, SEDO, WFO, International College of Dentists, the Pierre Fauchard Academy, and founding Member of different Spanish orthodontic societies (ONO, AESOR, etc) and on the editorial board of five dental/orthodontic journals.
Author or co-author of 14 dental and orthodontic textbooks, 110 orthodontic articles and 145 Congress papers and posters.
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