Ortho/Perio Treatment on Impacted Upper Central Incisors
Upper central incisor impaction has functional, esthetic and psychologic implications. Causes of the impaction can be divided in obstructive and traumatic. Among the first ones are: supernumerary teeth, odontomas and mesiodens. Among the second group are facial trauma received in the primary or early mixed dentition. In close relation as well with root dilaceration. Other less common reasons for impaction include: crowding, endocrine alterations, bone diseases, genetic conditions, extraction or ankylosis of primary incisors. The impacted upper central incisor can be classified depending on: mesio-distal position, occluso-gingival position, midline angulation, degree of root formation. If early intervention is not enough. There is the need for surgical exposure and orthodontic traction. Among possible treatment complications are: esthetic gingival sequelae, ankylosis and root resorption

Orthodontic Management of Impacted Teeth
Over the last 25 years we have managed different clinical situations that include every tooth in the mouth that can be impacted on an orthodontic patient. We will focus the webinar both on mucogingival considerations as well as orthodontic biomechanics. Impacted teeth can be a challenge and can make a treatment last longer. We will show a logic approach to these situations. That produces good stability, periodontal health and relative short treatment time.

Expanding on Transverse Diagnosis and Maxillary Expansion
Transverse dimension diagnosis and treatment is the base for sagital and vertical corrections. Most precise diagnosis on maxillary transverse deficiency is obtained through the CBCT. Miniscrew assisted rapid maxillary expansion (Marpe) or Surgical assisted maxillary expansion are the procedures of choice in skeletal mature patients presenting maxillary transverse deficiencies. Protocols with most common type of expander will be illustrated through clinical cases. Long term periodontal health and airways are addressed as part of this lecture.

Integrating Orthodontics with Orthognatic Surgery; From Virtual Planning to Clinical Excellence
Dentofacial deformities in adults require the combination and skills of the orthodontist and maxillofacial surgeon. In order to achieve all the functional and esthetic goals. In digital dentistry’s days virtual planning of orthodontics and orthognatic surgical corrections has become a valuable tool. Results can be compared to planning both for reevaluation and sharing information with colleagues and our patients. Virtual planning account for more reliable and precise results in our orthognatic surgery. Orthodontic preparation is the gold standard for maximizing the surgical correction. Cases will illustrate our treatment protocol from A to Z for these complex and challenging situations.

Decision Making for Soft and Hard Tissue Augmentation in Surgically Facilitated Orthodontics
The purpose of this article is to present a decision-making algorithm for soft and hard tissue augmentation in surgically facilitated orthodontics (SFOT). In cases where there is adequate hard and soft tissue envelope, selective corticotomies may be adequate. In cases, where the existing hard and soft tissue anatomy is inadequate, hard and soft tissue augmentation is recommended. Also, hard and soft tissue augmentation is recommended to avoid teeth extractions during orthodontics.

Manejo Integral de Maloclusion Clase III en Adulto, con Requerimientos Periodontales y Protesicos; Reporte de un caso clinico
En nuestra clinica observamos un aumento de pacientes adultos con problemas esqueletales, compromiso periodontal y necesidades protesicas. Debemos recurrir a la interconsulta con el periodoncista, protesista y cirujano maxilofacial, para la correccion del caso, prestando especial atencion al componente dentario, esqueletal y los tejidos blandos faciales del paciente. La cirugia ortognatica, que generalmente la realizamos luego de una preparacion ortodoncica, permite corregir discrepancias en el adulto y restaurar la funcion y estetica en los tres planos del espacio. Realizada la correccion oclusal, procedemos a sustituir dientes ausentes, mediante implantes y protesis fijas. El Periodoncista, mantiene un control constante de la salud de los tejidos de soporte, durante todas las fases de la terapia multidisciplinaria.

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.

Non-surgical Orthodontic Treatment of Anterior Open Bite in an Adult Patient
Caucasian female, 20 years old accepted treatment in the Orthodontics department, White Clinic in February of 2008 with a chief complaint of problems in chewing food and also esthetics, and wanted orthodontic treatment. She had no relevant medical history and no previous history of orthodontic treatment. She had a tongue thrust swallowing pattern and from history taking, she used the pacifier until the age of 6.

Ortho/Perio Treatment on Impacted Upper Central Incisors
Upper central incisor impaction has functional, esthetic and psychologic implications. Causes of the impaction can be divided in obstructive and traumatic. Among the first ones are: supernumerary teeth, odontomas and mesiodens. Among the second group are facial trauma received in the primary or early mixed dentition. In close relation as well with root dilaceration. Other less common reasons for impaction include: crowding, endocrine alterations, bone diseases, genetic conditions, extraction or ankylosis of primary incisors. The impacted upper central incisor can be classified depending on: mesio-distal position, occluso-gingival position, midline angulation, degree of root formation. If early intervention is not enough. There is the need for surgical exposure and orthodontic traction. Among possible treatment complications are: esthetic gingival sequelae, ankylosis and root resorption

Integrating Orthodontics with Orthognatic Surgery; From Virtual Planning to Clinical Excellence
Dentofacial deformities in adults require the combination and skills of the orthodontist and maxillofacial surgeon. In order to achieve all the functional and esthetic goals. In digital dentistry’s days virtual planning of orthodontics and orthognatic surgical corrections has become a valuable tool. Results can be compared to planning both for reevaluation and sharing information with colleagues and our patients. Virtual planning account for more reliable and precise results in our orthognatic surgery. Orthodontic preparation is the gold standard for maximizing the surgical correction. Cases will illustrate our treatment protocol from A to Z for these complex and challenging situations.

GPs: Best Suited to Deliver Orthodontics?
Many dentists are frustrated they were taught to refer the most profitable procedures, such as orthodontics, to specialists. GPs can deliver excellent orthodontics, delighting their patients. Research confirms that a patient’s satisfaction with orthodontic care is universally good whether treated by a specialist or GP. This course highlights advantages GP offices have for providing orthodontics in our digital era using an orthodontic specialist driven collaborative platform. This webinar outlines a formalized method of support, communication and on-demand education. We provide easy to understand guidelines for the dentist to choose patients with the most predictable problems to treat.

Orthodontic Management of Impacted Teeth
Over the last 25 years we have managed different clinical situations that include every tooth in the mouth that can be impacted on an orthodontic patient. We will focus the webinar both on mucogingival considerations as well as orthodontic biomechanics. Impacted teeth can be a challenge and can make a treatment last longer. We will show a logic approach to these situations. That produces good stability, periodontal health and relative short treatment time.