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Dr Bjorn Zachrisson / Dr. Sverker Toreskog
Interdisciplinary replacement of missing maxillary lateral and central incisors
Implants, transplants, orthodontic space closure, resin-bonded cantilever bridges - with emphasis on the long-term outcome.
This presentation will deal with the advantages and disadvantages of different treatment options for replacement of missing maxillary central and/or lateral incisors in young and adult/elderly patients. The short- and long term appearance associated with the following treatment options will be covered:-
Orthodontic space closure - combination of carefully detailed orthodontic treatment and techniques from esthetic dentistry (restoration with porcelain laminate veneers and hybrid composites)
- Auto transplantation of developing premolars (restoration of the “abnormal” crowns with porcelain veneer crowns)
- Single tooth implants (restoration with porcelain crowns)
- Resin-bonded cantilever bridges (restoration with fiber reinforced composite bridges)
Particular emphasis will be given to the (1) esthetic outcome, (2) practicality and safety, (3) evidence base, and (4) long term results for each of the alternative solutions Learning objectives: appreciate the advantages and disadvantages for the different treatment options to replace missing maxillary central incisors; appreciate the advantages and disadvantages for the different treatment options to replace missing maxillary lateral incisors; learn about the advantages of ultrathin porcelain laminate veneers compared with conventional porcelain fused to gold or all-ceramic crowns; learn about the long-term outcomes when teeth are replaced in young adult patients.
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Lars Christensen
"Treatment mechanics with Self-ligating Appliances"
The introduction of SmartClip and Clarity SL has increased the clinicians options in appliance selection for the fixed appliance case. The increased use of self-ligating appliances have driven a trend towards non-extraction therapy with a focus on space creation by lateral expansion. The pros and cons of alteration of the transverse, A-P and verticaldimension will be discussed and thoughts of the consequences on retentionwill be discussed.
Dr Christensen will through clinical case demonstrations analyse the differences between conventional pre-adjusted systems and the self-ligation systems. Recommendations on case set-up, archwire sequence and treatment mechanics will be detailed in the presentation.
The addition of the Clarity SL bracket has increased the acceptance of adults wearing selfligation appliances. Case material will be used to illustrate particular advantages in the treatment mechanics of adults. Both the ceramic and metallic system will be reviewed along with an overall assessment of the performance in terms of bonding and bracket reliability.
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Anoop Sondhi:
“Contemporary Self-Ligation and Clinical Efficiency”-Current Concepts & Techniques
This presentation will look at the analysis of clinical efficiency as it relates to the SmartClip Self-Ligating Appliance System and the impact on clinical efficiency and productivity. Dr. Sondhi will look at the impact of bracket selection, variation in prescription and precision bracket placement for the achievement of effective treatment results and the impact of bracket placement on clinical scheduling.
He will also look at the impact on treatment results utilizing the SmartClip System, as well as efficiency in archwire sequencing. Differences in treatment mechanics when treating with ligated and non-ligated brackets will be reviewed and analyzed.
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Jason Cope
An Introduction to the MiniScrew Anchorage using the 3M Unitek Temporary Anchorage Device
Dr. Cope uses his unique PhD background in bone biology in combination with basic biomechanical principles to explain the basic fundamentals of miniscrew implant placement, loading, and use in a way that no other current speaker can…and with success rates well over 90%. He will walk you through the confusing nomenclature surrounding the “prescription” of miniscrews, treatment planning, surgical placement, biomechanical considerations, clinical applications, and removal procedures. At the conclusion of the presentation, you will clearly understand the benefits of miniscrew anchorage in your practice.
Learning Objectives- Understand the basic biologic tenets necessary for successful use of the ORTHO Implant
- Understand the biomechanical implications of ORTHO Implant orientation and placement
- Appreciate the cases that benefit from ORTHO Implant use
- Understand treatment planning, surgical placement, utilization, and removal techniques for ORTHO Implants
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Dr Dirk Wiechman
Changing Orthodontics with Individual Lingual Appliances
Lingual orthodontics has been in use since the 1980s, but was thwart with problems. Since the development of Incognito in 2004 lingual orthodontics has been firmly established and is now changing the face of orthodontics.
Method: Incognito is a custom made lingual appliance whereby the brackets and wires are made specifically for each patient. It can be used in children, adolescents and adults. The fact that it is individualized means the brackets are flush to the tooth surface thereby increasing patient comfort and ensuring perfect results. It can be adapted to partially erupted teeth, short clinical crown heights, have additional hooks, self ligating slots and be used in combination with other appliances, e.g. Herbst appliance
Results: Every type of malocclusion can be treated successfully with Incognito. The appliance is constantly being updated to aid in ease of use and hence improve chair side time and perfect the results. Occlusal pads were developed to help with deep bites and partially erupted teeth and now even have buttons attached ready for elastic wear. Self ligating slots have made placement of the initial arch wire easier and allowed for rapid alignment of the anterior teeth. Incognito is used in combination with Herbst providing dramatic results in class II correction in all age groups.
Conclusion: An individual lingual appliance improves patient comfort, and ensures rapid adaptation to speech. With the production custom made brackets with precise bracket slots and fabrication of individualized arch wires excellent results can be achieved with minimal finishing mechanics required. Lingual orthodontics can only continue to advance and change orthodontics for the future. |
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