Lebanese Orthodontic Society-LOS
#LEBANESE_Orthodontic_Society #LOS
Société Française d'Orthopédie Dento-Faciale - SFODF
#Société_Française _d_Orthopédie_Dento_Faciale (SFODF)
American orthodontic society
#American_orthodontic_society
American_Association-of_Orthodontists _AAO
American Association of Orthodontists _AAO
Similar to 195-Interdisciplinary Treatment Integrating Orthodontics with Restorative Dentistry and Periodontics, - orthodontie pluridisciplinaire -Endodontics oussama sandid- olivier sandid..pptx
Similar to 195-Interdisciplinary Treatment Integrating Orthodontics with Restorative Dentistry and Periodontics, - orthodontie pluridisciplinaire -Endodontics oussama sandid- olivier sandid..pptx (20)
2. Plan
• Orthodontics and Restorative Dentistry
• 1 - Consequences of tooth loss
• 2- Space management of Microdontia, Management of 'peg laterals'or other diminutive teeth
• 3- Implant site preparation
• Orthodontics with Oral Surgery
• Orthodontics with Periodontics
• Exposure of Impacted Teeth for Orthodontics
• Gummy smile
• Wisdom teeth
• Freinectomy
• Extrusion
• Orthodontics with Pediatric dentistry
• Orthodontics with Endodontics
http://www.semortho.com/article/S1073-8746(97)80034-5/abstract
https://www.orthodontisteenligne.com/cas-traites-2/multidisciplinaire/
http://pocketdentistry.com/11-interdisciplinary-orthodontics/
http://www.slideshare.net/almuzian/orthodontics-and-
restorative-dentistry-by-almuzian-36418366
3. 1-Consequences of tooth loss
• Mesial tipping and rotations of distal molars
http://pocketdentistry.com/18-special-considerations-in-treatment-for-adults/
Loss of a lower molar can lead to tipping and drifting of adjacent teeth,
poor interproximal contacts, poor gingival contour, reduced interradicular bone, and
supra-eruption of opposed teeth. Note the loss of alveolar bone in the area where a
mandibular first molar was extracted
M. ABOULNASER- O SANDID
Orthodontics and restorative dentistry
4. 1a-Consequences of tooth loss
• Distal tipping and rotations of mesial teeth
http://www.columbia.edu/itc/hs/dental/D5300/Lecture%2012.DDS.Cl
ass2008.20050622.Principles%20of%20Molar%20Uprigh_BW.pdf
M. ABOULNASER- O SANDID
Orthodontics and restorative dentistry
5. 1b-Consequences of tooth loss
• Eruption of opposing tooth in edentulous
space
LE MAY J-https://www.orthodontisteenligne.com/en/ortho-101-en/adult-orthodontics-4/
Loss of posterior teeth in an adult. On one side (A), the loss of a lower
molar allowed the other molars to tip forward. On each side (A and B),
the upper molars migrate toward the space below (extrusion).
M. ABOULNASER- O SANDID
Orthodontics and restorative dentistry
6. 1c-Consequences of tooth loss
Gingival tissues become folded, and pockets form in the
area
M. ABOULNASER- O SANDID
Orthodontics and restorative dentistry
7. 1d-Consequences of tooth loss
This photo shows a lower ridge that has lost 60% of its width following an
extraction and normal healing. The black arrows indicate where bone is
located (compare the width to the adjacent molar). The red arrows
indicate the normal width that should be there.
M. ABOULNASER- O SANDID
http://www.pittsburghdentalimplants.com/dental-implants/effects-of-tooth-loss/
Orthodontics and restorative dentistry
8. 1e-Consequences of tooth loss
Occlusal Interferences and Temporomandibular Joint Disorders
M. ABOULNASER- O SANDID
http://www.dr-adrianbecker.com/page.php?pageId=281&nlid=50
Orthodontics and restorative dentistry
9. 1f-Consequences of tooth loss
Accumulation of plaque in pockets leads to periodontal damage, with loss of
gingival attachment and alveolar bone loss
M. ABOULNASER- O SANDID
Orthodontics and restorative dentistry
10. 1g-Loss of the mandibular first molar
Occlusal interferences- Overerupted 16- Gum pocket 47- Distalization 45-
Exaggerated curve of Spee - Exposed root
M. ABOULNASER- O SANDID
Orthodontics and restorative dentistry
11. 1h-Tooth loss and Impaction-space maintainer
Orthodontics and restorative dentistry M. ABOULNASER- O SANDID
12. 1i-Uprighting the dental axes
http://pocketdentistry.com/18-special-considerations-in-treatment-for-adults/
Orthodontics and restorative dentistry M. ABOULNASER- O SANDID
14. 1k-Uprighting the dental axes – Miniscrews
https://www.researchgate.net/figure/26791749_fig7_Fig-7-Patient-2-schematic-illustration-of-biomechanics-for-molar-
uprighting-and /
Orthodontics and restorative dentistry M. ABOULNASER- O SANDID
15. 1l-Intrusion of Overerupted Molars using Miniscrews
http://www.jcdr.net/article_fulltext.asp?id=6165
Orthodontics and restorative dentistry M. ABOULNASER- O SANDID
16. 1m-Intrusion of Overerupted Molars using Miniscrews
http://www.jcdr.net/article_fulltext.asp?id=6165
Orthodontics and restorative dentistry M. ABOULNASER- O SANDID
17. 1n-IMPLANT SITE PREPARATION
Dr LEMAY-@ortholemay.com
Molar Uprighting, with space creation
Orthodontics and restorative dentistry M. ABOULNASER- O SANDID
18. 1p-Missing upper lateral incisors
Kazemi, https://www.facialart.com
Orthodontics and restorative dentistry
IMPLANT SITE PREPARATION
M. ABOULNASER- O SANDID
19. 1q-Missing upper lateral incisors
Orthodontics and restorative dentistry
Closure space
http://www.scielo.br/pdf/jaos/v22n5/1678-7757-jaos-22-05-0465.pdf
M. ABOULNASER- O SANDID
20. 1s- Managing the orthodontic-restorative patient
Early Tooth Loss and Space Maintenance Space regaining: Molar Uprighting and Distalization
Early tooth loss can be a result of traumatic avulsion or extraction of carious or infected teeth,
Premature loss of primary teeth can result in a loss of arch length and have a negative effect on
occlusion and alignment, often increasing the need for orthodontic treatment.
Orthodontics and restorative dentistry M. ABOULNASER- O SANDID
21. 2-Multi-disciplinary approach for
space management of Microdontia
- A minimal reduction was needed for lateral incisors.
- Veneers cemented on lateral incisors.
- Definitive composite restorations after finishing and
polishing procedures.
M. ABOULNASER- O SANDID
24. 2c-Anterior Space Management
Additional orthodontic treatment is initiated to improve the dental midline and
evenly distribute the space around the microdontic lateral incisors
Orthodontics and restorative dentistry
Management of 'peg laterals'or other diminutive teeth
M. ABOULNASER- O SANDID
25. 3-INTERDISCIPLINARY TREATMENT
IMPLANT SITE PREPARATION
Move the roots from implant site, To create space priorimplant placement, the
roots of the adjacent teeth should be upright and parallel
Dr Jebin
M. ABOULNASER- O SANDID
27. 3c-INTERDISCIPLINARY TREATMENT-
IMPLANT SITE PREPARATION
Yvon Roberge, Sylvain Gagnon, Orthod Fr 2008;79:55–57
Implant site preparation : Open Space, Root proximity, Bone quality, implant types…
M. ABOULNASER- O SANDID
29. Benefits of orthodontics for a periodontal patient
- Create quality bone for implant placement
www.orthofree.com
Create quality bone for implant placement, Forced Eruption
improving the amount of bone available for implant placement.
Dr Jebin
33. Extraction Space Closure
http://www.scielo.br/pdf/dpjo/v21n2/2176-9451-dpjo-21-02-00115.pdf
Clinical case with maxillary and mandibular first premolar
extractions. A) Initial phase; B) Beginning of space closure; C)
Headgear to provide greater anchorage on maxillary molars; D)
Frictionless mechanics on maxilla and friction mechanics associated
with miniscrew anchorage on the mandible; E) End of treatment.
34. Extraction Space Closure
http://www.scielo.br/pdf/dpjo/v21n2/2176-9451-dpjo-21-02-00115.pdf
Most common space closure loop designs used by
orthodontists: A) reverse vertical loop, B) open vertical loop,
C) closed vertical loop, D) bull loop, E) reverse vertical loop
with helix, F) open vertical loop with helix, G) closed vertical
loop with helix, H) tear drop loop, I) helical loop, J) T-loop
37. -The screw used has the following features: 2.0mm screws, 8-12mm thread lengths, cruciform head
design, made of extra-hard stainless steel
-The time of treatment to achieve uprighting: about 9 months
Stefano Sivolella, Michela Roberto, Paolo Bressan, Eriberto Bressan,http://cdn.intechopen.com/pdfs-wm/31381.pdf
2.0 mm
8-12mm
Uprighting of the Impacted Second Mandibular Molar with Skeletal Anchorage
INTERDISCIPLINARY TREATMENT- DENTISTRY
O. SANDID
38. Oral Surgery and Orthodontics
M. ABOULNASER- Orthodontist, BAU, Connecticut, USA.
O. SANDID- Orthodontist, D.C.D., D.U.O, C.E.S.B.B, C.E.S.O.D.F ,
S.Q.O.D.F, Paris. France
Contact: dr.aboualnaser@hotmail.com
39. Oral Surgery and Orthodontics
1-Orthodontics Exposure of Impacted Teeth for Orthodontics
2b-Gummy Smile
3c-Operculectomy /Excision of pericoronal gingiva
4a-Frenectomy Maxillary
5-Soft Tissue Grafting
6-Esthetic Crown Lengthening
7-Odontoma-associated tooth impaction
8-Repositioning - impaction lower second molar
9-Tooth impaction- Extraction
10-Gingivectomy
40. Oral Surgery and Orthodontics
Exposure of Impacted Canine Gummy smile - recontouring Operculectomy
Repositioning Teeth Removal teeth impaction Odontoma
Frenectomy Soft tissue grafting Esthetic Crown Lengthening
41. 1a-Exposure of Impacted Canine
Oral Surgery and Orthodontics M ABOULNASER- O SANDID
http://forum.dentalxp.com
http://www.drhungvu.com/impacted_canines
The orthodontic-surgical management of impacted canines requires accurate diagnosis and
precise location of the impacted canine and the surrounding structures.
42. 1b-Exposure of Impacted mandibular 2nd Molar
http://www.fwperio.com/procedures.asp
Sometimes teeth do not erupt through the gum tissue on their own and they need to be exposed as part of
orthodontic treatment
Oral Surgery and Orthodontics M ABOULNASER- O SANDID
Impacted tooth was exposed Orthodontic bracket placed 1 year later
Impacted mandibular 2nd molar
45. 3a-Operculectomy/Excision of pericoronal gingiva
Pericoronal gingiva that was removed with a combination of surgical
excision and laser.
http://www.fwperio.com/procedures.asp
Pericoronitis , Pain, Infection, discomfort.
Oral Surgery and Orthodontics M ABOULNASER- O SANDID
Before After
46. 3b-Laser recontouring
Laser Recontouring -Partially Impacted Canine
http://www.traceyortho.com/Treatment/LaserTreatment/tabid/190/Default.aspx
Before Laser Recontouring Braces in Place
Oral Surgery and Orthodontics
M ABOULNASER- O SANDID
47. 4a-Frenectomy Maxillary -midline Diastemas
Lasers and Orthodontics
http://www.sarkissiandds.com/services/laser-frenectomy.html
Oral Surgery and Orthodontics M ABOULNASER- O SANDID
57. 1a-of Impacted Teeth for Orthodontics
Lasers and Orthodontics
http://www.fwperio.com/procedures.asp
Oral and Maxillofacial Orthodontics M ABOULNASER- O SANDID
58. Considerations For Removal Of Wisdom
Teeth
M. ABOULNASER- Orthodontist, BAU, Connecticut, USA.
O. SANDID- Orthodontist, D.C.D., D.U.O, C.E.S.B.B, C.E.S.O.D.F ,
S.Q.O.D.F, Paris. France
Contact: dr.aboualnaser@hotmail.com
59. ikl
Considerations For Removal Of Wisdom Teeth
Impaction- Malpositions Risk of dental caries Prevent Orthodontic relapse Periodontal infection
Super- eruption Jaw facture Supernumerary Non-treatable pulpal
O. SANDID – M. ABOUALNASER
Prevent Resorption Cyst Pericoronal space + Bone Loss +
60. Considerations For Removal Of Wisdom Teeth
• 1-Impaction And malpositions- Anomalies of
tooth Formation and Eruption
• 2-Unrestorable caries- Increased risk of dental caries
• 3-Stabilization after orthodontic treatment- Prevent Orthodontic
relapse
• 4-Pain- Periodontal infection And malposition
• 5-Prevent Resorption of adjacent teeth
• 6-Wisdom teeth with pathology- Cyst…
• 7- Super- eruption
• 8-Extension of pericoronal space as revealed by radiology
• 9- Bone Loss Distal to the 2nd Molar
• 10-Prevention of jaw facture in the area of angle of mandible
• 11-Supernumerary 4th Molar
• 12- Non-treatable pulpal and/or periapical pathology
O SANDID - M ABOUALNASER
61. 1-Considerations For Removal Of Wisdom Teeth
Indications pour l’extraction des dents de sagesse
Impaction And malpositions- Anomalies of tooth Formation and Eruption
Inclusion et malpositions –Anomalies de formation et d’eruption
O SANDID - M ABOUALNASER
J lemay - www.orthodontisteenligne.
63. Stabilization after orthodontic treatment- Prevent Orthodontic relapse
Stabilisation du traitement orthodontique - Prevention des récidives
3-Indications for Wisdom Teeth Extraction
Indications pour l’extraction des dents de sagesse
O SANDID - M ABOUALNASER
64. 4-Considerations For Removal Of Wisdom Teeth
Indications pour l’extraction des dents de sagesse
Pain- Periodontal infection And malposition
Douleur, Infection du parodonte, Malpositions
O SANDID - M ABOUALNASER
J lemay - www.orthodontisteenligne.
65. Prevent Resorption of adjacent teeth
Prevention des resorptions radiculaires des dents adjacentes
5-The Prophylactic Extraction of Third Molars
Indications pour l’extraction des dents de sagesse
O SANDID - M ABOUALNASER
66. Wisdom teeth with pathology- Cyst…
Pathologie des dents de sagesse, Kyste…
6-Indications for Wisdom Teeth Extraction
Indications pour l’extraction des dents de sagesse
68. Extension of pericoronal space as revealed by radiology
Extension de l’espace pericoronaire
8-Considerations For Removal Of Wisdom Teeth
Consideration pour l’extraction des dents de sagesse
O SANDID - M ABOUALNASER
69. Bone Loss Distal to the 2nd Molar
Perte de l’os alveolaire distale a la seconde Molaire
9-Considerations For Removal Of Wisdom Teeth
Consideration pour l’extraction des dents de sagesse
O SANDID - M ABOUALNASER
70. Prevention of jaw facture in the area of angle of mandible
Prevention de la fracture de l’angle mandibulaire
10-Indications for Wisdom Teeth Extraction
Indications pour l’extraction des dents de sagesse
O SANDID - M ABOUALNASER
72. Non-treatable pulpal and/or periapical pathology
Pulpe non traitable, Pathologie peri -apicale
12-Indications for Wisdom Teeth Extraction
Indications pour l’extraction des dents de sagesse
O SANDID - M ABOUALNASER
74. 14-Indications for Wisdom Teeth Extraction
Indications pour l’extraction des dents de sagesse
O SANDID - M ABOUALNASER
75. References
• Southard TE. Third molars and incisor crowding: when removal is unwarranted. J Am Dent Assoc.
1992;123: 75–79.
• DavisOrthodontics (Do wisdom teeth cause crowding of your front teeth?).
• Orthodontistes Lemay (Wisdom teeth – Myths and realities).
• Crédit pour l'image et l'animation (Dolphin imaging).
https://www.orthodontisteenligne.com/en/page/2/
• http://www.huffingtonpost.com/ruben-cohen-dds/wisdom-teeth-removal_b_972697.html
• http://www.slideshare.net/NaveedIqbal12/impacted-wisdom-teeth
• http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1963310/
• https://www.orthodontisteenligne.com/en/dentition-en/wisdom-teeth-myths-and-realities/
• https://www.quora.com/Why-are-wisdom-teeth-removed-What-is-the-procedure-like
• https://www.orthodontisteenligne.com/dentition-2/les-dents-de-sagesse/
• http://www.dentisteblackburn.com/services/dentisterie-generale/dents-de-sagesse
• http://www.slideshare.net/NaveedIqbal12/impacted-wisdom-teeth-management
O SANDID - M ABOUALNASER
78. Plan
A-Benefits of orthodontics for a periodontal patient-
-Gingival recession
-Implant site preparation
B-Periodontal Surgery for the Orthodontic Patient
• 1. Pericision-Circumferential Supracrestal Fiberotomy
• 2. Frenectomy
• 3. Mucogingival considerations
• 4. Gingival Grafting
• 5-Surgical Exposure of Impacted Tooth For Orthodontics
• 6-Extraction supernumerary teeth mesiodens
• 7- Mini-implant pose
• 8- Gummy smile
• 9- Wisdom tooth
C-Periodontal Problems during Orthodontic Treatment
79. Introduction
• Orthodontic treatment aims at providing an acceptable functional and aesthetic occlusion with appropriate
tooth movements. These movements are strongly related to interactions of teeth with their supportive
periodontal tissues.
• Aesthetic considerations, like uneven gingival margins or functional problems resulting from inflammatory
periodontal diseases should be considered in orthodontic treatment planning.
• The interrelationship between periodontics and orthodontics .
• Specific areas reviewed are how periodontal tissue reacts to orthodontic forces, influence of tooth movement on
the periodontium,
• effect of circumferential supracrestal fiberotomy in preventing orthodontic relapse,
• effect of orthodontic bands on the periodontium,
• specific microbiology associated with orthodontic bands,
• mucogingival considerations and time relationship between orthodontic and periodontal therapy In addition,
• the relationship between orthodontics and implant restorations (e.g., using dental implants as orthodontic
anchorage).
• the contribution of the orthodontist, the periodontist and the general dentist is essential for optimized treatment
outcomes.
Marianne M.A. Ong,Hom-Lay Wang, Periodontic and orthodontic treatment in adults, American Journal of Orthodontics and
Dentofacial Orthopedics, Volume 122, Issue 4, Pages 420–428, October 2002
80. Benefits of orthodontics for a periodontal patient
- periodontics
www.orthofree
Máyra Reis Seixas1, Roberto Amarante Costa-Pinto, Telma Martins de Araújo, Dental Press J Orthod. 2012 Sept-Oct;17(5):190-201
Gingival recession and buccal positioning of tooth #32’s root (A, B);
Reduced recession after orthodontically moving root to correct position in alveolar bone (C, D).
www.orthofreee
81. Benefits of orthodontics for a periodontal
patient- periodontics
www.orthofree.com
idh.cdeworld.com
Teeth alignment improve bone loss and loss of gum tissue
82. Benefits of orthodontics for a periodontal patient
-Implant site preparation
www.orthofree.com
Yvon Roberge, Sylvain Gagnon, Orthod Fr 2008;79:55–57
Implant site preparation : Open Space, Root proximity, Bone quality, implant types…
83. Benefits of orthodontics for a periodontal patient
- Create quality bone for implant placement
www.orthofree.com
Create quality bone for implant placement, Forced Eruption
improving the amount of bone available for implant placement.
Dr Jebin
84. Benefits of orthodontics for a periodontal patient
-implant site preparation
www.orthofree.com
Move the roots from implant site, To create space priorimplant placement, the
roots of the adjacent teeth should be upright and parallel
www.orthofree.com
85. Benefits of orthodontics for a periodontal patient
-implant site preparation
www.orthofree.com
Create bone for implant placement,
Repositioning teeth
86. Benefits of orthodontics for a periodontal patient
-implant site preparation
www.orthofree.com
http://www.orthodontisteenligne.com/wp-content/uploads/2009/05/Redressement-molaires-orthodontie-implants-2-083009-Lemay.jpg
88. Orthodontic Treatment in Periodontally Compromised
Patients
www.orthofree.com
Patient with advanced periodontitis and migration of the maxillary left central incisor,
Clinical view after the end of the orthodontic treatment the teeth are retained by means of a resin-bonded splints
Biomechanics used to intrude and move the central incisor into the defect
Stefanis Re, Giuseppe Corrente IJP and DR
89. Orthodontic Treatment in Periodontally Compromised
Patients
www.orthofree.com
Radiographic view of the osseoous defect ,
Radiographic wiew at the end of the treatment with reduction of the defect
Stefanis Re, Giuseppe CorrenteIJP and DR
90. Orthodontic Treatment in Periodontally Compromised
Patients
www.orthofree.com
Stefanis Re, Giuseppe CorrenteIJP and DR
92. Periodontal Surgery for the
Orthodontic Patient
• 1. Pericision-Circumferential Supracrestal Fiberotomy
• 2. Frenectomy
• 3. Mucogingival considerations
• 4. Gingival Grafting
• 5-Surgical Exposure of Impacted Tooth For Orthodontics
• 6-Extraction supernumerary teeth mesiodens
• 7- Mini-implant pose
• 8- Gummy smile
• 9- Wisdom tooth
93. 1-Periodontics- Pericision-Circumferential Supracrestal Fiberotomy
www.orthofree.com
Relapse of severely rotated teeth due to rebound of elastic fibres in the
supracrestal tissues can be reduced by pericision.
Fiberotomy (CSF) Preventing Orthodontic Relapse
http://www.aso.org.au/members/NSW%20Brighter%20Futures/Brighter_Futures_002.pdf
www.orthofree.com
98. 5-Periodontics- Surgical Exposure of Impacted Tooth For
Orthodontics
www.orthofree.com
O.SANDID- O.Migault
Surgical Exposure of Impacted Tooth For Orthodontics
103. 6-Periodontics- Gummy smile
www.orthofree.com
http://www.gummysmile.com/
The problem: The combination of the overgrown gum tissue and the high lip line are working together to reduce the beauty of this
smile.
The solution: Following minimally-invasive surgery, where the patient had no post-surgical pain, we can now see the fullness of her
smile. Her high lip line is not a severe problem and is less of a concern.
104. Periodontics-Gingival esthetics
www.orthofree.com
A, B) Smile esthetics affected by disharmonious gingival contours although anterior teeth look well
aligned and leveled. C, D) Improved gingival contour after periodontal surgery and orthodontic
movement. Gingivectomies were performed on teeth #12 and 21, as well as intrusion of #11 with
subsequent restoration of its incisal edge. During orthodontic intrusion, tooth #11 moved apically,
carrying with it the entire periodontium, while maintaining biological distances.
Máyra Reis Seixas1, Roberto Amarante Costa-Pinto2, Telma Martins de Araújo3, Dental Press J Orthod. 2012 Sept-Oct;17(5):190-201
107. Periodontics-The Importance of Oral Hygiene in
Orthodontic Treatment
www.orthofree.com
idh.cdeworld.com
Tooth decay and enamal decalcification
After flossing, brush your teeth and braces thoroughly until they're clean and
shiny. ... Also, make sure to continue to see your dentist regularly every six
month
109. Median dark space caused
Figure 6 - A) Median dark space caused by alveolar bone crest loss B) Interproximal stripping
performed with diamond steel disk at low rotation; C) polishing of the stripped surfaces with
flexible strips of sandpaper and whiting D) space created between incisors; E, F) bringing
teeth closer together with elastomeric chains, showing improvement in papillary esthetics.
Máyra Reis Seixas1, Roberto Amarante Costa-Pinto2, Telma Martins de Araújo3, Dental Press J Orthod. 2012 Sept-Oct;17(5):190-201
111. • the effects of a malocclusion on periodontal health
suggests that subjects with a malocclusion have worse
periodontal health than subjects without a malocclusion.
• we have no reliable evidence to recommend orthodontic
treatment to prevent periodontal disease.
• les effets d'une malocclusion sur la santé parodontale
suggère que les sujets ayant une malocclusion ont une
moins bonne santé parodontale que les sujets sans une
malocclusion .
• nous n'avons aucune preuve fiable de recommander un
traitement orthodontique pour prévenir les maladies
parodontales .
Anne-Marie Bollen, http://www.jdentaled.org/content/72/8/912.full
113. The Timing of Orthodontic Treatment
Early Treatments in Orthodontics
O.SANDID
SQODF SPO- 2007
114. 3-Do Deep Overbites require correction ?
M. ABOULNASER - O. SANDID
Overbites co-contributing factor in the aetiology of TMD, (abnormal TMJ
movements), locking mandibular growth
Australian Society of Orthodontists
115. Part I: Clinical and Biologic Principles of Early-Age
Orthodontic Treatment
• 1- Rationale for Early-Age Orthodontic Treatment
• 2- Development of the Dentition and Dental Occlusion
• 3-Examination, Early Detection, and Treatment Planning
116. Part II:Early-Age Orthodontic Treatment of Non skeletal
Problems
• 1-Management of Anterior Crossbite
• 2-Management of Transverse Problems (Posterior Crossbites)
• - Space Management in the Transitional Dentition
• -Management of Incisor Crowding
• 3 -Management of Deleterious Oral Habits
• 4- Orthodontic Management of Hypodontia
• 5- Orthodontic Management of Supernumerary Teeth
• 6 -Diagnosis and Management of Abnormal Frenum Attachments
• 7- Early Detection and Treatment of Eruption Problems
• 8-Management of Sagittal Problems (Class II and Class III Malocclusions)
• 10-Management of Vertical Problems (Open Bites and Deep Bites)
117. Early Treatments in Orthodontics
1-Anterior cross bite
2-Posterior Crosse bite
3-Crowding
4-Openbite
5-Protrusion
6-Ectopic eruption
7-Class III- proglissement
8-Disatema-freins
9-Oral habits- Thumb sucking Tongue thrusting Lips
10-Class II division 2-Blockc growth
11-Mouth breathing
12-Mandibular deviation growth midline
13-Space maintainer
15-guidage of eruption
118. Early Treatment
GENERAL CONSIDERATIONS
• First Phase of early orthodontic treatment frequently begins when
children are 7-10 years of age. At that time, only the front teeth and
back molars are adult teeth.
• Excellent patient cooperation at this age makes substantial
treatment changes possible in short periods of time.
• First Phase treatment results are usually obtained in 12 months.
• During this treatment time, it is customary to use a limited number
of braces on the front teeth and back permanent molars.
• Headgears, bionators and expanders are also used when necessary.
• The Second Phase of treatment is usually necessary when all the
permanent teeth have erupted.
• The time between First Phase treatment and Second Phase
treatment can vary from patient to patient. During this time,
retainers are worn and the patient is checked regularly
119. OTHER EARLY TREATMENT CONSIDERATIONS
• A Second Phase of orthodontic treatment is usually
necessary. All the permanent teeth are braced at this
time. This requires a separate fee.
• Two phases of treatment means more office visits are
necessary over the years.
• Treatment costs can be higher if two phases of
treatment are necessary. These costs are spread out
over a number of years.
• It's important for the parents to understand the
reasons for early treatment. Remember, it's easier to
fix a problem early before it has a chance to grow.
120. REASONS FOR EARLY TREATMENT IN ORTHODONTICS
• Early age cooperation is excellent.
• The function of the teeth is improved.
• Better tooth alignment makes brushing and flossing easier.
• Cosmetics are improved. Self-esteem and peer group criticism can be factors.
• Early alignment of protruding upper front teeth ("buck teeth") helps to prevent their fracture.
• Early treatment creates more space for the proper eruption of the permanent teeth. The need for
permanent tooth removal is less.
• Jaw problems are easier to correct at an early age because the younger patient finds it easier to
wear headgear and expanders. It's sometimes rough to get teenagers to help with this.
• Creating room for crowded, erupting teeth.
• Creating facial symmetry through influencing jaw growth.
• Reducing the risk of trauma to protruding front teeth.
• Reducing treatment time with braces.
• Easier speaking and phonetics.
• Improved chewing, mastication, and digestion.
• Correct harmful oral habits.
• Proper balance of lips & gums.
• Improves growth and development of facial structures.
http://www.mybraces.com/treatment-info/early-treatment.aspx
http://www.friendlysmilesortho.com/first-visit/life-with-braces/
122. PLAN
• POSTER
• 1-DEFINITION
• 2- ETIOLOGICAL FACTORS
• 3-Anterior Crossbite, Why Early treatment ?
• -Gingival recession
• - Deficient anterior growth of maxilla
• - Unaesthetic smile
• - Enamel abrasion
• 4- Diagnosis
• -Pseudo Class III
• -Class III malocclusion
• 5-Treatment, Case report
•
123. Anterior Crossbite, Why Early treatment ?
DEFICIENT ANTERIOR GROWTH OF MAXILLA // GINGIVAL RECESSION – UNAESTHETIC SMILE // ENAMEL ABRASION
NORMAL OCCLUSION ANTERIOR CROSSBITE UNILATERAL ANTERIOR CROSSBITE
O SANDID
124. 1-DEFINITION
Anterior Crossbite
An abnormal relationship of a tooth or teeth to the opposing teeth, in which normal buccolingual or
labiolingual relationships are reversed.
Incidence 2% - 4%.
www.orthofree.com, www.prorthoassist.com
125. 2-ETIOLOGICAL FACTORS
Anterior crossbite
1-Skeletal
Genetic predisposition
Embryological defective development
Class III malocclusion mandibular prognathia, Insuffecient maxillary
2-Dental
Lingual eruption path of maxillary anterior teeth
Trauma to deciduous dentition in which there is displacement of tooth buds
Retained deciduous causing lingual eruption of permanent teeth
Supernumerary teeth
3-Functional
a-Habits
Digital or pacifer sucking habits
Oral respiration
Low tongue position
Stomach sleeping posture
Tongue trusting
b-Pseudo Class III
Class I skeletal relationship
Insuffecient maxillary overjet and incisor interference
Multi-tooth anterior crossbite may result from a functional shift of the mandible in an effort to avoid
anterior interference in centric relation and to achieve maximun intercuspation
ETIOLOGICAL FACTORS
126. Initial
intraoral
views.
Final
intraoral
views
Roberta Nascimento ANDRADE, Flávia Ribeiro TÔRRES, RGO, Rev Gaúch Odontol, Porto Alegre, v.62, n.4, p. 411-416, out./dez., 2014
3-Anterior Crossbite, Why Early treatment ?
Anterior Dental Crossbite Correction - Gingival Recession Caused by Traumatic
Occlusion (Anterior crossbite).
129. 3-Anterior Crossbite, Why Early treatment ?
Deficient anterior growth of maxilla, Maxilla stop growing, Early age cooperation is excellent.
Elie Callabe
Before After
133. 4-Diagnois Anterior dental crossbite
Ayca Tuba Ulusoy, Ebru Hazar Bodrumlu, http://www.contempclindent.org/
Pre-treatment intraoral photograph
An 8 year old girl, with the chief complaint of an unaesthetic appearance of the maxillary central incisors, and
the patient did not have a family history of Class-III malocclusion.
Class-III malocclusion
134. Early detection and treatment of malocclusions- Treatment of 6-
and 9-Year
Anterior dental crossbite correction- improving gingival
recession and corretion hypomaxillie unilaterale…
142. Bibliography
• Bibliography
• 1. Arvystas MG. The rationale for early orthodontic treatment. Am J Orthod Dentofacial Orthop 1998:133:15-8.
• 2. Adams P. The design, construction and use of removable orthodontic appliances. 5th ed. Bristol; 1984. p.111-2.
• 3. Graber TM, Neuman B. Removable orthodontic appliances. 2nd ed. Saunders; 1984. p. 57-9.
• 4. Horosilkina FJ, Maligin JM. Osnovi konstruirovanija I tehnologija izgotovlenija ortodontoticeskih aparatur. Moskva:
Medicina; 1977. p. 168-9. Rus
• 5. Kalvelis DA. Aparatūras, kas darbojas pēc slīpās plāksnes principa. Ortodontija 1964:135-6;
• 6. Patti A, Perier G. Preface. In: Clinical success in early orthodontic treatment. Quintessence; 2005. p. 8.
• 7. Proffit WR. The timing of eraly treatment: An overview. Am J Orthod Dentofacial Orthop 2006;4:S48;
• 8. Sztele R. Herstellung Kieferorthop.disher apparate. Berlin; 1960. S. 53.
• 9. Taatz H. Kieferorthop.dische Prophylaxe und Frühbehandlung. I. Jirgensone et al. CLINICAL CASE
• München,Wien: Hanser; 1976. p. 238-9.
• 10. Vadiakas G, Viazis AD. Anterior crossbite correction in the early deciduous dention. Am J Orthod Dentofacial Orthop
• 1992;102:160-2.
• 11. Zachrisson B, Thilander B. Treatment of Dento-alveolar anomalies. In: Introduction to orthodontics. Stockholm; 1994.
• p. 146-182.
• 12. Tausche E, Luck O, Harzer W. Prevalence of malocclusions in the early mixed dentition and orthodontic treatment need.
• Eur J Orthod 2004;26:237-44.
• 13. Kiyak AH. Patients’ and parents’ expectations from early treatment. Am J Orthod Dentofacial Orthop 2006;129:S50-54.
• 14. Ngan P. Biomechanics of maxillary expansion and protraction in Class III patients. Am J Orthod Dentofacial Orthop
• 2002;121:58283.
• 15. Dugoni S, Aubert M, Baumrind S. Differential diagnosis and treatment planning for early mixed dentition malocclusions.
• Am J Orthod Dentofacial Orthop 2006; 129:S80-1.
143. 2- Posterior crossbite in primary and mixed dentition
etiology and management
143
http://www.slideshare.net/vjldmd/phase-i-
orthodontic-treatment
http://www.slideshare.net/search/slideshow?s
earchfrom=header&q=POSTERIOR+CROSSBITE
144. 2-Early Treatments in Orthodontics
Posterior Crossbite
144
http://ejo.oxfordjournals.org/content/early/20
11/09/06/ejo.cjr095
153. 2-Early Treatments
in Orthodontics
Case1 -a
www.orthofree.com
Lines indicate asymmetry between right and left condyles.
Juan M. Font Jaume
Posterior crossbite asymmetry
158. Anterior dental crossbite
www.orthofree.com
Ayca Tuba Ulusoy, Ebru Hazar Bodrumlu, http://www.contempclindent.org/
A panoramic radiograph showed no evidence of bone or dental pathology, a and lateral cephalometric radiographic view showed no
evidence of basal problem between mandibular and maxillary arche
171. • Early tooth loss in the anterior region can be a result of traumatic
avulsion or extraction of carious or infected teeth.
• Unlike tooth loss in the posterior region, anterior tooth loss does
not result in space loss if the primary cuspids are erupted.
• The lack of teeth does not interfere with the child’s ability to eat.
However it may interfere with speech if teeth loss occurs before
speech development is complete.
• The most valid reason to replace anterior teeth is for aesthetics
as lack of teeth may harm the patient’s self image.
Anterior Tooth Loss
http://www.dentalcare.com/
172. Anterior Tooth Loss
J.Anderssen -Dental Trauma Guide 2010
Early tooth loss in the anterior region can be a result of traumatic
avulsion or extraction of carious or infected teeth.
173. Anterior Tooth Loss
O. SANDID
Teeth replacement can be accomplished with cemented or removable space
maintainer
174. Anterior Tooth Loss
Teeth replacement can be accomplished with cemented or removable appliances. The “pedo partial” is a simple
yet effective replacement for extracted anterior teeth.
Orthodontic bands are fitted on the posterior molars. An impression is taken and
sent to the lab with the fitted bands. Primary denture teeth,
which are smaller and whiter than adult denture teeth are available
to fabricate a natural looking appliance
http://www.dentalcare.com
175. Posterior Tooth Loss
Premature loss of a posterior primary tooth results in
mesial tilting of the tooth distal to the extraction space
due to the mesial direction of eruption of the first
permanent molar.
The lack of space prevents eruption of the permanent
tooth into its proper position. To maintain the space
and allow normal eruption of the permanent tooth a
space maintainer is placed. Depending on the location
of the extraction site there are a variety of space
maintainers from which to choose. Space maintainers
are left in place until eruption of the permanent teeth
176. Posterior Tooth Loss
The lack of space prevents eruption of the permanent tooth into its proper
position.
177. Posterior Tooth Loss- Fixed space
maintainer
www.northsydneyorthodontics.com.au
www.pdgdental.com
lingual arch space maintainers. Nance Transpalatal arch
Fixed space maintainer
178. Posterior Tooth Loss- Fixed space
maintainer
BOUYAHYAOUI N., RAMDI H., BELHAISSI F.Z., AALLOULA E. Les mainteneurs d’espace : pour une prévention rationnelle des malocclusions Journal Dentaire Alger.
Tome 8 n°30-2002; pp 24-29HAJJY A.RAMDI H. El ALOUSSI M. CHHOUL H.
AMEZIANE R.Les mainteneurs d’espace d’utilisation courante en Odontologie Pédiatrique,Faculté de Médecine Dentaire de Rabat. Université Mohamed V Suissi.
179. Posterior Tooth Loss- Removable space
maintainer
www.northsydneyorthodontics.com.au
www.pdgdental.com
Removable space maintainer
180. Posterior Tooth Loss- Removable space
maintainer
Truitt Skip
Removable space maintainer
181. Bilateral space maintainer
• A bilateral space maintainer is indicated for
loss of more than one tooth in a quadrant or
loss of a second primary molar. Three
examples of bilateral space maintainers are
the Lingual Arch space maintainer, the Nance
appliance, and the Trans Palatal Arch space
maintainer.
182. Lingual Arch Space Maintainer
Indications for a lingual arch space maintainer are:
• Bilateral loss of the mandibular primary molars after eruption of the
permanent incisors
• Unilateral loss of more than one tooth in the mandibular arch
• Its design is of bilateral bands on molars that are connected by a heavy wire
that rests on the cingulums of the anterior incisors.
183. Nance Appliance
www.baileyorthoaz.com
The indications for a Nance appliance are bilateral loss of the maxillary primary
molars or unilateral loss of more than one tooth in the maxillary arch. Its
design is of bilateral bands on molars that are connected by a heavy wire
184. Transpalatal Arch Appliance
North Sydney Orthodontics
The indications for a Transpalatal Arch appliance is bilateral loss of the
maxillary primary molars or unilateral loss of more than one tooth in the
maxillary arch. Its design is of bilateral bands on molars that are connected by
a heavy wire that transverses the hard palate without touching soft tissue.
187. Benefits of using a space maintainer
-May reduce or eliminate the need for braces.
-Eat comfortably.
-Save space for proper eruption of adult teeth
-Improve aesthetics as lack of teeth may harm
the patient’s self image.
-Prevent Impacted Tooth…
188. • HAJJY A.RAMDI H. El ALOUSSI M. CHHOUL H. AMEZIANE R.Les mainteneurs d’espace d’utilisation courante en
Odontologie Pédiatrique,Faculté de Médecine Dentaire de Rabat. Université Mohamed V Suissi.
• PETER NGAN,RANDY G. ALKIRE, HENRY FIELDS JR., MANAGEMENT OF SPACE PROBLEMS IN THE PRIMARY AND
MIXED DENTITIONS,JADA, Vol. 130, September 1999
• Brock Rodeau ,Space Maintainers Laboratory ,The Schwarz Appliance
• Rick Balon ,Space Maintenance and Interceptive Orthodontics
• BOUYAHYAOUI N., RAMDI H., BELHAISSI F.Z., AALLOULA E.
Les mainteneurs d’espace : pour une prévention rationnelle des malocclusions.
Journal Dentaire Alger. Tome 8 n°30-2002; pp 24-29
• COZLIN A., JACQUELIN L-F., BERTHET A.
Extraction prématurée en denture temporaire et mixte : il faut maintenir l’espace.
Information Dentaire, n° 30 du 11 septembre 02 ; p 2131-2135.
Creighton university school Oral pathology service
• HAMZA M., EL ARABI S., BOUSFIHA B., MSEFER S.
Les mainteneurs d’espace fixe: un moyen pour prévenir la perte d’espace en denture temporaire. Espérance médicale.
Spécial Dentaire. Novembre 2004 ; tome 11 ; n°52 ; pp9-14.
• FORTIER Abrégé de Pédodontie Editions Masson- 1989.
The journal contemporary dental practice Vo 7 Number 2 May 2001
• Truitt Skip
References
www.orthofree.com
264. Early Treatments
in Orthodontics
Case 2: M.O. 4 years 2 months
www.orthofree.com
-Unilateral crossbite
-facial assymetry.
Composite build-ups on right deciduous molars,
selective grinding
268. BIBLIOGRAPHIE
• Armstrong MM.(1971) : Controlling the magnitude, direction, and duration of extraoral
• force. Am J Orthod.,Vol.59, N°3, pp:217-43.
• Baccetti T,and al.(1998) : Skeletal effects of early treatment of Class III malocclusion with
• maxillary expansion and face-mask therapy. Am J Orthod Dentofacial Orthop.
• Vol.113, N°3, pp:333-43.
• Basciftci FA, Karaman AI.(2002) :Effects of a modified acrylic bonded rapid maxillary
• expansion appliance and vertical chin cap on dentofacial structures. Angle
• Orthod.Vol.72, N°1, p:61-71.
• Baumrind S, and al. (1983) :Superimpositional assessment of treatment-associated changes
• in the temporomandibular joint and the mandibular symphysis.Am J Orthod.
• Vol.84, N°6, pp:443-65.
• Behlfelt K, and al (1989) : Dentition in children with enlarged tonsils compared to control
• children. Eur J Orthod, Vol 11, N°4, pp:416-29.
• Clifford FO. (1971) : Cross-bite correction in the deciduous dentition : principles and
• procedures. Am J Ortthod.Vol.59 :343-9
• Cozza P and al. (2005) : Early orthodontic treatment of skeletal open-bite malocclusion: a
• systematic review.Angle Orthod.Vol.75, N°5, pp:707-13.
• Dale JG. (2000) Serial extraction ... nobody does that anymore. Am J Orthod Dentofacial
• Orthop.Vol.117, N°5, pp:564-6.
• Delaire J.(1971) Confection du masque ortopédique. Rev Stomat Paris Vol.72, pp: 579- 84
• Demisch A.(1972).: Effects of activator therapy on the craniofacial skeleton in classe II,
• division 1 malocclusion. Trans. Eur. Orthod. Soc., pp :295-310.
• Droschl H.(1973) : The effect of heavy orthopedic forces on the maxilla in the growing
269. BIBLIOGRAPHIE
• Egermark-Eriksson I, and al.(1990) :A longitudinal study on malocclusion in relation to signs
• and symptoms of cranio-mandibular disorders in children and adolescents. Eur J
• OrthodVol.12, N°4, pp:399-407.
• Freunthaller P.(1967) : Cephalometric observation in Class II, Division I malocclusions
• treated with the activator. Angle Orthod.Vol.37, N°1, pp:18-25.
• Gugino CF, Dus I. (1998) :Unlocking orthodontic malocclusions: an interplay between form
• and function.Semin Orthod. Vol.4, N°4, pp:246-55.
• Ghafari J, and al. (1998) : Headgear versus function regulator in the early treatment of Class
• II, division 1 malocclusion: a randomized clinical trial. Am J Orthod Dentofacial
• Orthop.Vol.114, N°2, pp:162-5.
• Gianelly AA, Arena SA, Bernstein L. (1984): A comparison of Class II treatment changes
• noted with the light wire, edgewise, and Fränkel appliances. Am. J.Orthod.Vol.86,
• N°4, pp:269-76.
• Graber TM. (1971) : Serial Extraction. AmJ Orthod Vol.60, pp:541-575.
• Graber TM., Profitt WR. (2007):Contemprary orthodontics. 4th St Louis,pp: 689- 707.
• Guyer EC, Ellis EE 3rd, Mc Namara JA Jr (1986): Components of class III malocclusion in
• juveniles and adolescents. Angle orthod.Vol.56, N°1, pp:7-30.
• Orthop.Vol.66, pp:599-617.
270. BIBLIOGRAPHIE
• McNamara JA Jr, Bookstein FL, Shaughnessy T.(1985) :Skeletal and dental changes
• following functional regulator therapy on class II patients. Am J Orthod.Vol.88, N°2,
• pp:91-110.
• McNamara JA Jr (1987) : An orthopedic approach to the treatment of Class III
malocclusion
• in young patients. J Clin Orthod.Vol.21, N°9, pp:598-608.
• McNamara JA Jr, Brudow WL.(1993): Orthdodontic and orthodpedic treatment in
the mixed
• dentition. Ann Arbor, Mich. : Needham Press.
• McNamara JA Jr. (2002) :Early intervention in the transverse dimension: is it worth
the
• effort? Am J Orthod Dentofacial OrthopVol.121, N°6, pp:572-4.
• Nartallo-Turley PE, Turley PK.(1998): Cephalometric effects of combined palatal
expansion
• and facemask therapy on Class III malocclusion. Am J Orthod. Vol.68, N°3, pp:217-
• 24.
276. 6-Orthodontic Treatment in Periodontally Compromised
Patients- Intrusion
www.orthofree.com
Patient with advanced periodontitis and migration of the maxillary left central incisor,
Clinical view after the end of the orthodontic treatment the teeth are retained by means of a resin-bonded
splints
Biomechanics used to intrude and move the central incisor into the defect
Stefanis Re, Giuseppe Corrente IJP and DR
277. INTERDISCIPLINARY TREATMENT-
CREATE QUALITY BONE FOR IMPLANT PLACEMENT
Create quality bone for implant placement, Forced Eruption
improving the amount of bone available for implant placement
Dr Jebin
O.SANDID
280. Intrusion of an overerupted molar using orthodontic miniscrew
implant: A preprosthodontic therapy
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4147828/
281. Traumatic loss of a maxillary incisor
https://www.researchgate.net/figure/255175102_fig2_Fig-2-A-Loss-of-maxillary-
incisor-in-a-10-year-old-girl-B-lack-of-space-and-agenesis
282. Traumatic of a maxillary incisor
http://www.jcda.ca/article/a147
286. Upper incisor trauma and the orthodontic patient—Principles of
management
http://www.sciencedirect.com/science/article/pii/S1073874614000723
287. Intrusion of an overerupted molar using orthodontic miniscrew
implant: A preprosthodontic therapy
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4147828/
289. PEDO INTERDISCIPLINARY TREATMENT- DENTISTRY
Ectopic eruption of first permanent molars
Pre-operative radiograph
Placement of separator
Final
Eight years, maxillary first permanent molars had failed to erupt.
Treatment involved placement of an elastic orthodontic separator
O. SANDID
http://www.oralhealthgroup.com/features/diagnosis-and-treatment-
of-ectopic-eruption-of-permanent-molars/
6
6
6
V
V V
290.
291. PEDO Space regaining: Molar
uprighting and distalization
http://pocketdentistry.com/10-molar-uprighting-and-space-regaining/
Stripping
292. PEDO Space regaining: Molar
uprighting and distalization
http://revodonto.bvsalud.org/scielo.php?script=sci_arttext&pid=S1519-44422012000100004&lng=es&nrm=iso
293. PEDO Space regaining: Molar
uprighting and distalization
http://revodonto.bvsalud.org/scielo.php?script=sci_arttext&pid=S1519-44422012000100004&lng=es&nrm=iso
294. Space regaining: Molar uprighting and
distalization
http://revodonto.bvsalud.org/scielo.php?script=sci_arttext&pid=S1519-44422012000100004&lng=es&nrm=iso
295. Space regaining: Molar uprighting and
distalization
http://revodonto.bvsalud.org/scielo.php?script=sci_arttext&pid=S1519-44422012000100004&lng=es&nrm=iso
296. EXTRACTION AND SPACE MAINTENER
http://www.dentistryiq.com/articles/2014/10/orthodontic-options-for-the-ectopic-eruption-of-a-maxillary-first-molar.html
297. Ectopic Eruption of Permanent Molars
http://www.oralhealthgroup.com/features/diagnosis-and-treatment-
of-ectopic-eruption-of-permanent-molars/
Preoperative radiograph
Post treatment radiograph
Placement of separator
Final
298. Space regaining: Molar uprighting and
distalization
http://pocketdentistry.com/10-molar-uprighting-and-space-regaining/
Pretreatment panoramic radiograph showing the ectopic
eruption of the upper permanent first molars.
299. Space regaining: Molar uprighting and
distalization
http://pocketdentistry.com/10-molar-uprighting-and-space-regaining/
-The lower arch of a patient with a mesially displaced lower right permanent first molar.
- Removable Shamy appliance was made to regain arch length.
300. Space regaining: Molar uprighting and
distalization
Stefano Sivolella, Michela Roberto, Paolo Bressan, resorption-www.intechopen.com
301. ANKYLOSED PRIMARY TEETH WITH NO PERMANENT SUCCESSORS
http://www.dentistryiq.com/articles/2015/03/ankylosed-primary-teeth-with-no-permanent-successors-what-do-you-do-part-1.html
1-No treatment
2-Place an onlay to put it back into
occlusion, thus supporting the occlusal
plane.
3-Extraction of the ankylosed primary
tooth and space preservation is the most
frequently recommended treatment.
Preserve the alveolar bone both vertically
and horizontally ? .
Removal of the primary teeth now
obviously would produce a large alveolar
defect (atrophy like the edentulous ridge) ,
requiring bone grafting for an implant or
orthodontic closure, Conceivably, had the
teeth been removed during adolescence,
her vertical alveolar bone would have been
much better.
4- In the decoronation technique
O. SANDID
302. Ankylosed primary teeth with no permanent successors: What
do you do?
http://www.dentistryiq.com/articles/2015/03/ankylosed-primary-teeth-with-no-permanent-successors-what-do-you-do-part-1.html
Extraction of the ankylosed primary tooth and space preservation is
the most frequently recommended treatment.
---------------------------------
would preserve the alveolar bone both vertically and horizontally as
they emerge into the arch.
or does it atrophy like the edentulous ridge of an adult?
removal of the primary teeth now obviously would produce a large
alveolar defect, requiring bone grafting for an implant or orthodontic
closure. Conceivably, had the teeth been removed during adolescence,
her vertical alveolar bone would have been much better, although not
at the same level as nonankylosed teeth would have.
Ostler (4) extracted the ankylosed teeth and followed them for a
seven-year period. He documented that alveolar width was reduced by
30%
but the edentulous ridge was documented to move occlusally as the
adjacent teeth erupted
In the decoronation technique, the crown of the tooth is removed to a
depth of 2 mm beneath the cervical bone margin. The surgical area is
left open and not sutured over. A new periosteum is formed and the
erupting teeth are linked with the periosteum, covering the top of the
alveolar socket, which induces bone formation during normal dental
eruption.
303. Ankylosed primary teeth with no permanent
successors: What do you do?
http://www.dentistryiq.com/articles/2015/03/ankylosed-primary-teeth-with-no-permanent-successors-what-do-you-do-part-1.html
304. Ankylosed primary teeth with no permanent
successors: What do you do?
http://www.dentistryiq.com/articles/2015/03/ankylosed-primary-teeth-with-no-permanent-successors-what-do-you-do-part-1.html
In the decoronation technique, the crown of the tooth is removed to a depth of 2
mm beneath the cervical bone margin. The surgical area is left open and not
sutured over. A new periosteum is formed and the erupting teeth are linked with
the periosteum, covering the top of the alveolar socket, which induces bone
formation during normal dental eruption.
310. A Multidisciplinary Approach to Implant Restoration
and Provisionalization in the Esthetic Zone
ttps://www.dentalaegis.com/id/2006/08/impl
ant-dentistry/a-multidisciplinary-approach-to-
implant-restoration-and-provisionalization-in-
the-esthetic-zone
311. The interdisciplinary management of
hypodontia: the relationship between an
interdisciplinary team and the general dental
practitioner
http://www.nature.com/bdj/journal/v194/n9/full/4810184a.html
314. Papillary regeneration: anatomical
aspects and treatment approaches
http://revodonto.bvsalud.org/pdf/rsbo/v9n4/a16v9n4.pdf
Diastema closing and papilla regeneration.
A: Teeth prior to the orthodontic treatment
showing
diastema. B: Orthodontic closure with papilla
formation
filling the space
Source: Sharma and Park [32]
315. Papillary regeneration: anatomical
aspects and treatment approaches
http://revodonto.bvsalud.org/pdf/rsbo/v9n4/a16v9n4.pdf
A: Divergent roots showing the black space. B:
Orthodontic bracket positioning to follow the long axis
of the teeth and correct the black space. C: Convergent
roots after the orthodontic treatment presenting the
filling of the space with the papilla
Source: Sharma and Park [32]
316. Treating the “Dreaded Black Triangle”
http://www.oralhealthgroup.com/features/treating-the-dreaded-
black-triangle/
317. Management of congenitally missing
maxillary lateral incisors
• Restoration of missing lateral incisor with implant
• Optimal implant space
• Implant site development
319. Periodontally compromised patient
• Tooth position and periodontal condition
• Preliminary periodontal therapy
• Endodontic treatment
• Implants for anchorage and restoration
• Orthodontic treatment
• Pathologic tooth migration
• Restorative treatment
320. Intrusion of an overerupted molar using orthodontic miniscrew
implant: A preprosthodontic therapy
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4147828/
321. Space regaining: Molar uprighting and
distalization
Stefano Sivolella, Michela Roberto, Paolo Bressan, resorption-www.intechopen.com
Example of screw positioning in retromolar area. Lateral view.
The screw used in the proposed case
has the following features: 2.0mm
screws, 8-
12mm thread lengths, made of 316L
extra-hard stainless steel for
maximum strength; selfdrilling,
self-tapping for one-step insertion;
groove under screw-head secures
wires or
elastics; cruciform head design; two
cross-holes with align cruciform head
slots; a 4-mm
capstan-style head to hold the wire
away from the mucosa (Synthes,
West Chester,
Pennsylvania).
322. Orthodontie Multidisciplinaire
• Le traitement Multi ou interdisciplinaire est la Combinaison de l’orthodontie avec d’autres disciplines.
• Dans certains cas, le traitement orthodontique fait appel à d’autres disciplines, le tout s’intègre dans un
plan de traitement global pour assurer une prise en charge optimale du patient ; Cela implique une
collaboration pluridisciplinaire de différents spécialistes à savoir :
• Orthodontie et parodontie :
• En cas de maladie parodontale, l’orthodontie permet de repositionner les dents avant de les maintenir
par un système de contention; Sinon elles risquent de continuer à bouger et à se déchausser.
• La collaboration entre le parodontiste et l’orthodontiste est capitale pour la prise en charge de patients
qui présentent des malocclusions associées à une maladie parodontale.
• Orthodontie et prothèse/ Implants
• L’orthodontie permet de redresser les dents pour recevoir une prothèse. Par exemple, en cas de fermeture
d’espace, après extraction de dents et déplacements des dents avoisinantes L’orthodontie permet, aussi,
d’aménager de l’espace pour recevoir un implant.
• Orthodontie et chirurgie :
• L’adulte est un patient qui a terminé sa croissance. Certaines anomalies squelettiques ne peuvent être
corrigées que par la chirurgie orthognathique. Pour cette raison, les traitements menés en collaboration
avec un chirurgien maxillo-facial sont assez fréquents chez l’adulte.
• Orthodontie et Occlusodontie :
• L’origine des problèmes de l’ATM (Articulation Temporo-mandibulaire) est généralement multifactorielle,
ce qui veut dire qu’il y a plus d’une cause contribuant au problème. Dans les cas où les dents et l’articulé
dentaire sont des facteurs contribuant dans le développement des problèmes de l’ATM, les soins
d’orthodontie peuvent jouer un rôle dans les thérapies de l’ATM..
• Orthodontie et ORL :
• La relation entre les mâchoires et les dents peut parfois engendrer des problèmes de respiration, du
ronflement et d’apnée du sommeil. Lorsque c’est le cas, des soins d’orthodontie peuvent aider dans le
traitement de ces problèmes.
http://www.ortho-casablanca.com/lorthodontie/multidisciplinaire/