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Esthetic Rehabilitation of the Periodontally Compromised Dentition Premium Member Content

Esthetic Rehabilitation of the Periodontally Compromised Dentition
Rehabilitation of esthetics in advanced periodontal cases presents a major challenge in dentistry today. Patients with advanced disease affecting teeth in the esthetic zone, where significant asymmetrical bone loss and tissue recession are present, constitute a challenging treatment-planning dilemma when choosing the optimum therapeutic option for long-term maintenance. This article reviews a novel interdisciplinary approach for vertical augmentation of bone and soft tissues by means of orthodontic extrusion of severely periodontally compromised teeth, facilitating the restoration of esthetics with improved bone and soft tissue volume around immediate implants.

Presented By: Tidu Mankoo, BDS
Presentation Style: Video
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Sequencing of Periodontal Procedures and Orthodontic Treatment Premium Member Content

Sequencing of Periodontal Procedures and Orthodontic Treatment
Severe cases of periodontal disease often require periodontal surgery and realignment of teeth. Surgical techniques have been developed that attempt to minimize postsurgical gingival recession and compromise the interdental papillae. A case report is presented in which reversal and correction of a deteriorating maxillary frontal dentition were effectively achieved through combined use of periodontal and orthodontic principles. The treatment plan included the control of periodontal inflammation, restoration of lost attachment apparatus, realignment of anterior dentition, stabilization of occlusion, and minor periodontal plastic surgery. The anticipated loss of a maxillary lateral incisor was avoided. Restoration of a pleasant smile with nicely aligned teeth and esthetic gingival contours was achieved. The correct sequencing of the procedures involved was considered a key factor for the long-term esthetic outcome.

Presented By: Cobi J Landsberg, DMD;Ofer Sarne, DMD
Presentation Style: Video
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Modern Orthodontic Therapy utilizing TADS and Invisalign Premium Member Content

Modern Orthodontic Therapy utilizing TADS and Invisalign
In this presentation and video case report, “conservative” management of a Class II Div I Deep Bite Malocclusion is undertaken utilizing TADS (Transitional Anchorage Devices) in combination with the Invisalign Aligner System. Evaluation and Management of the Orthodontic phases utilizing Lateral Cephalometrics and Clinical photography is highlighted. Video of the placement of Orthodontic Implants, TADS as well as aligner modification and elastic placement is featured in this presentation.

Presented By: Maurice Salama, DMD
Presentation Style: Video
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Adjunctive Orthodontics in Preparing the Implant Patient Premium Member Content

Adjunctive Orthodontics in Preparing the Implant Patient
This presentation is a review of the orthodontically related concepts that should be routinely incorporated in examining a potential implant patient and developing a treatment plan. Specifically, an emphasis is placed on the adjunctive orthodontics that a general dentist can perform to better manage their patients. Topics to be covered will include, space closure, unraveling anterior crowded teeth, extrusion, rotation and tipping movements.

Presented By: Paul L Ouellette, DDS, MS
Presentation Style: Video
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Orthodontics Articles
Esthetic Rehabilitation of the Periodontally Compromised Dentition - A Novel Interdisciplinary Approach Using Orthodontic Extrusion and Dental Implants

Esthetic Rehabilitation of the Periodontally Compromised Dentition - A Novel Interdisciplinary Approach Using Orthodontic Extrusion and Dental Implants
Rehabilitation of esthetics in advanced periodontal cases presents a major challenge in dentistry today. Patients with advanced disease affecting teeth in the esthetic zone, where significant asymmetrical bone loss and tissue recession are present, constitute a challenging treatment-planning dilemma when choosing the optimum therapeutic option for long-term maintenance. This article reviews a novel interdisciplinary approach for vertical augmentation of bone and soft tissues by means of orthodontic extrusion of severely periodontally compromised teeth, facilitating the restoration of esthetics with improved bone and soft tissue volume around immediate implants.

Author(s): Tidu Mankoo, BDS
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Evaluation of Enamel Micro-Cracks Characteristics After Removal of Metal Brackets in Adult Patients

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.

Author(s): Tomas Linkevicius, DDS, Dip Pros, PhD;Irma Dumbryte; Laura Linkeviciene; Mangirdas Malinauskas; Vytaute Peciuliene; Kristupas Tikuisis
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Are Contemporary Occlusion Concepts Valid In An Asymmetric World?

Are Contemporary Occlusion Concepts Valid In An Asymmetric World?
This study is focused on the statistical analysis of orthodontic symmetry based on pre-treatment evaluation of 121 randomly selected orthodontic patients using Anatomage 3D cephalometric Analysis of full volume (FFOV) CBCT images. Cephalometric measurements, linear and angular, were obtained from anthropologically recognized anatomical bilateral paired landmarks. Hub 3D diagnostic services performed 3D cephalometric analysis using for the study.

Author(s): Paul L Ouellette, DDS, MS;Jason P. Ouellette, DDS; Jonathan P. Ouellette, DMD
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Orthodontic Caries Control and Bleaching

Orthodontic Caries Control and Bleaching
Oral hygiene during orthodontic treatment can be facilitated by applying bleaching materials to elevate the pH of the mouth during the course of treatment. Fabrication of thermoplastic bleaching trays directly in the mouth over the braces without impressions affords a reasonable technique for the multiple trays required during the orthodontic changes.

Author(s): Van B. Haywood, DMD
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Orthodontics Courses
Invisalign Records for the Dental Team Premium Member Content

Invisalign Records for the Dental Team
It is evident there are a variety of malocclusion and health concerns that can be treated by orthodontic therapy. Factors from treating systemic issues to minor tooth movement can be addressed specifically to the patients’ needs and desires. Not only is it important for the dental team to be aware that orthodontics can improve one’s quality and longevity of life, but that the knowledge of current orthodontic therapy treatment modalities available will enhance the overall comprehensive care the patient receives.

Presented By: Shannon Pace Brinker, CDA, CDD
Presentation Style: Online Course
CE Hours: 1 CEU (Continuing Education Unit)
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Adjunctive Orthodontics in Preparing the Implant Patient Premium Member Content

Adjunctive Orthodontics in Preparing the Implant Patient
This presentation is a review of the orthodontically related concepts that should be routinely incorporated in examining a potential implant patient and developing a treatment plan. Specifically, an emphasis is placed on the adjunctive orthodontics that a general dentist can perform to better manage their patients. Topics to be covered will include, space closure, unraveling anterior crowded teeth, extrusion, rotation and tipping movements.

Presented By: Paul L Ouellette, DDS, MS
Presentation Style: Online Course
CE Hours: 1 CEU (Continuing Education Unit)
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The Role of CBCT in the Evaluation of Alveolar Bone Premium Member Content

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.

Presented By: Robert L Waugh, DMD, MS
Presentation Style: Online Course
CE Hours: 1 CEU (Continuing Education Unit)
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Assessment and Treatment in Dentofacial Esthetics: A Comprehensive Global Perspective Premium Member Content

Assessment and Treatment in Dentofacial Esthetics: A Comprehensive Global Perspective
Dr. Sarver will present a different system of esthetic classification which is made up of three major components: Macroesthetics (the facial appearance), Miniesthetics (the smile) and Miniesthetics (the teeth and gingival scaffold). We will cover a systematic analysis of the face, smile, and teeth and how they interact, adding a new and rewarding dimension to your approach to treatment planning and treatment outcomes.

Presented By: David M Sarver, DMD, MS
Presentation Style: Online Course
CE Hours: 1 CEU (Continuing Education Unit)
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