Non-surgical Orthodontic Treatment of Anterior Open Bite in an Adult Patient
Miguel Stanley, DDS
Open Gingival Embrasures After Orthodontic Treatment in Adults
The purposes of this study were to determine the prevalence of posttreatment open gingival embrasures in adult orthodontic patients and to examine the association of pretreatment maxillary incisor malalignment, posttreatment alveolar bone height, interproximal contact position, root angulation, crown shape, and embrasure area with open gingival embrasures. Posttreatment intraoral photographs of 337 adult orthodontic patients were evaluated to determine the prevalence of open gingival embrasures.…
Evaluation of Enamel Micro-Cracks Characteristics After Removal of Metal Brackets in Adult Patients
The purpose of this study was to evaluate and compare enamel micro-crack characteristics of adult patients before and after removal of metal brackets. After the examination with scanning electron microscopy (SEM), 45 extracted human teeth were divided into three groups of equal size. The length and width of the longest enamel micro-crack were measured for all the teeth before and after removal of metal brackets. The changes in the location of the micro-cracks were also evaluated. New enamel micro-cracks were found in 6 of 15 (40 per cent) examined teeth. Greatest changes in the width of enamel micro-cracks after debonding procedure appear in the cervical third of the tooth. On the basis of this result, the dentist must pay extra care and attention to this specific area of enamel during removal of metal brackets in adult patients.
Interdisciplinary Management of Single-Tooth Implants
Orthodontists treat many patients who are missing maxillary lateral incisors and/or mandibular second premolars. In the past, if the canines could not be substituted for lateral incisors, conventional full-coverage bridges were the common restoration. Recently, resin-bonded Maryland bridges became a popular substitute for conventional bridges to avoid crowns on the nonrestored abutments. However, resin-bonded bridges have a poor long-term prognosis for retention, lasting on average about 10 years.…
Orthodontics Has Changed…What Does That Really Mean to the Dental Team?
Our orthodontic experiences in dental school were most often characterized by mystery and “No Admittance”. Wrapped in the inscrutability of cephalometric analyses and its complexities, orthodontics was intimidating and forbidding. But times have changed! What is different? Orthodontic diagnosis has evolved to look at the patient for the same characteristics that you do, only more! The objective of this presentation is to demonstrate the similarities and such things as smile design, but to take you to another level of facial, smile, and dental esthetic planning that elevates what you are able to offer your patients to a most rewarding plateau.
The Role of CBCT in the Evaluation of Alveolar Bone
While traditional 2D radiography has been said to show less than 50% of the anatomy of alveolar bone, the arrival of CBCT technology for practicing orthodontists has given practitioners the ability to completely view and study this area with respect to tooth movement. An update on the related research will introduce this topic with a specific emphasis on the accuracy, application and importance of this radiological advancement followed by the presenter's own protocols for patient diagnosis and treatment methods. Case presentations will be used throughout the lecture to highlight the clinical significance of using CBCT in Orthodontics to anticipate and assess the periodontal consequences of tooth movement.
The Complete Esthetic Analysis: Macro-Mini-and Microesthetics
In restorative dentistry, esthetics is evaluated in terms of anterior tooth display and smile design. For orthodontists and oral surgeons, the focus is on the facial profile. Interdisciplinary treatment in dentistry has progressed enormously in the past two decades, with collaboration among dentists, orthodontists, periodontists, and oral surgeons resulting in vastly superior results compared to those achieved working without collaboration. But our vision can, and should, still expand to broader appearance issues. With the assessment and treatment of other dimensions of the smile and facial esthetics, the target is the ultimate dentofacial esthetic outcome. This lecture will demonstrate the coordination of care between the disciplines of dentistry and facial plastic surgery, resulting in gratifying enhancement of our esthetic and functional results.
Merging Orthodontics & Esthetic Dentistry for the Anterior Zone. A Complete Clinical & Laboratory Perspective - Part 2 of 2
Individualizing solutions for each patient is the key to veneers & crowns looking as close as possible to natural teeth. The orthodontist, ceramist and restorative dentist merge art & science for the best possible results. The protocol for long term care of these anterior esthetic restorations will be presented. As an integral part of long term results that meet both function & esthetics. The importance of good clinical photography & smile design principles in anterior esthetic dentistry will be illustrated through our clinical cases.
The Role of Orthodontics in the Multidisciplinary Treatment of Complex Cases - Part 2 of 2
Orthodontics sets up the foundation for future prosthetics in cases with periodontal, surgical and restorative dentistry requirements. Adult orthodontics simplifies complex clinical situations. Making it easier for restorative dentist to achieve better esthetic & functional results. Orthognatic surgery combined with orthodontics corrects skeletal discrepancies in order to have the patient ready for prosthodontic replacement of multiple missing teeth. Cases combined with implants to restore form & function will further illustrate the importance of multidisciplinary dentistry. Today´s practice requires a team approach that will be presented. In order to meet the patient´s demands for better esthetics and to obtain long term occlusal stability of our results.
The Cad/Cam Technique: Does it Really Make a Difference in Adult Esthetic Orthodontics?
Over the last couple of decades, Lingual Orthodontic treatments have dramatically risen in popularity due to the abundance of worldwide courses and conferences, the large variety of lingual brackets, the improvement in laboratory procedures, updated CAD-CAM technologies and the implementation of 30 years of experience.
Yet, most clinicians still assert that the results are not predictable and not as good as seen with the buccal appliance. The reasons are multifactorial, but are mainly attributed to ignorance and the lack of knowledge of the biomechanics limitations of the orthodontic appliances and the importance of treatment planning. Various CAD-CAM techniques will be surveyed with numerous clinical cases.
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