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Objectives /certified fixed orthodontic courses by Indian dental academy
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Objectives /certified fixed orthodontic courses by Indian dental academy

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The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and offering a wide range of dental certified courses in different formats.

Indian dental academy provides dental crown & Bridge,rotary endodontics,fixed orthodontics,
Dental implants courses.for details pls visit www.indiandentalacademy.com ,or call
0091-9248678078

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  • 1. INDIAN DENTAL ACADEMY Leader in continuing dental education www.indiandentalacademy.com www.indiandentalacademy.com
  • 2. OBJECTIVES: Get an optimal balance between: 1. Aesthetics 2. Function 3. Stability (Aesthetics should not be sacrificied for function – but improvement in function will bring about improvement in Aesthetics) www.indiandentalacademy.com
  • 3. PATIENT EVALUATION Gathering diagnostic information involves: 1. Patients concerns: Expectation 2. Clinical Evaluation: 3. Radiographic analysis: 4. Dental study model analysis: 5. Others: I. Speech II. Audiometry III. Psychological IV. Medical www.indiandentalacademy.com
  • 4. RADIOGRAPHIC ANALYSIS 1. 2. CEPHALOMETRIC: Lateral and anteroposterior: Lips must be in repose, teeth only lightly touching and in centric relation ORTHOPANTOMOGRAM: Check for position of inferior alveolar canal and screen for any gross pathology www.indiandentalacademy.com
  • 5. SEQUENCE OF TREATMENT PLANNING 1. 2. 3. 4. 5. 6. 7. Dental & Periodontal treament Extractions Pre-surgical orthodontics Orthognathic surgery Post-surgical orthodontics Definitive general dental management and maintenance Others: eg. Rhinoplasty www.indiandentalacademy.com
  • 6. Facial thirds: 1. 2. 3. Upper third: Forehead Middle third: between eyebrows and base of the nose Lower third: from base of the nose to the undersurface of the chin www.indiandentalacademy.com
  • 7. FRONTAL VIEW 1. 2. 3. 4. 5. 6. ICD to alar base width ( 28 to 34mm) Dental Vs soft tissue midlines (chin,nose, upper lip) – to assess facial asymmetry Lip length: Upper=22±2mm Upper central incisal display at rest= 2 to 4mm Gingival display at rest and smiling Vermillion display www.indiandentalacademy.com
  • 8. Lateral view 1. 2. 3. 4. 5. Glabella to base of nose = base of nose to soft tissue chin Relationship of globe to surrounding tissues Chin throat angle Nasal tip-upper lip angle Labiomental fold and lip competence www.indiandentalacademy.com
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  • 10. TREAMENT PLANNING 1. 2. 3. 4. 5. DENTAL AND PERIODONTAL TREATMENT EXTRACTIONS: bicuspids, 8’s Presurgical Orthodontics: SURGERY POST-SURGICAL ORTHODONTICS www.indiandentalacademy.com
  • 11. Primary goals of Presurgical orthodontics: 1. 2. 3. 4. 5. 6. Position the teeth over their respective basal bone Align and level the teeth Adjust for tooth size discrepancies Correct rotated teeth Divergence of roots adjacent to surgical sites Co-ordination of upper and lower arch widths www.indiandentalacademy.com
  • 12. SURGERY  Is Designed to reposition the basal bone and/or dentoalveolar segments into more normal interrelationships.  The aim is to provide the best functional and aesthetic result and provide stability of the achieved results www.indiandentalacademy.com
  • 13. Post-surgical orthodontics (after 2 to 6 weeks of surgery) Objectives: 1. Final tooth alignment and root parallelism 2. Maximal interdigitation 3. Ideal overjet and overbite 4. Centric relation = centric occlusion www.indiandentalacademy.com
  • 14. Before After Before After www.indiandentalacademy.com
  • 15. Investigation Clinical Evaluation Radiographic Dental Model www.indiandentalacademy.com
  • 16. Diagnosis  Clinical Examination  Soft tissue measurements  Radiographic Examination  Cephlametric analysis  Computer analysis www.indiandentalacademy.com
  • 17. Clinical upper 1/3 – rd Forehead, Orbits www.indiandentalacademy.com
  • 18. Clinical- Middle 1/3rd Nasal Morphology Zygomatic Prominance www.indiandentalacademy.com
  • 19. Clinical Lower 1/3rd Upper Lip    Length Thickness Nasonabial angle www.indiandentalacademy.com
  • 20. Competence of lips  Incisisal show   Rest  Smile Mentolabial Sullus  Chin Prominence  www.indiandentalacademy.com
  • 21. Cephlometric analysis www.indiandentalacademy.com
  • 22.  Burstone’s Analysis  Hard Tissue  Soft Tissue www.indiandentalacademy.com
  • 23. Dental Model analysis www.indiandentalacademy.com
  • 24. Problem List Hard Tissue  Soft Tissue  www.indiandentalacademy.com
  • 25. Treatment Plan  Hard Tissue Abnormalities  Soft Tissue Abnormalities  Patienjts chief complain www.indiandentalacademy.com
  • 26. Treatment  Presurgical Ortho  Surgery  Post surgical Orthodontist www.indiandentalacademy.com
  • 27. Surgical Procedures Total Procedure Segmental Procedure www.indiandentalacademy.com
  • 28. Total Procedure Lefort I Osteotomy Lefort II Osteotomy www.indiandentalacademy.com
  • 29. Segmental Procedure  Anterior Maxillary Osteotomy  (Cupar’s ) (Premaxilla)  Posterior Maxillary Osteotomy  Midline Osteotomy (3 piece maxilla) www.indiandentalacademy.com
  • 30. Mandible Total Bilateral Sagittal Split Osteotomy IVRO (Intra oral vertical ramus osteotomy • Segmental •Subapical Osteotomy www.indiandentalacademy.com
  • 31. Genioplasty Vertical Reduction Advancement AP Reduction Advancement www.indiandentalacademy.com
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  • 45. Complications Intraoperative Bleeding Greater palatine Inferior Alveolar nerves Damage to Vital structures Inferior alveolar nerve Infra orbital nerve www.indiandentalacademy.com
  • 46. Post operative  Pain  Edema  Difficulty in mastication mouth opening  Parasthesia, Anaesthesia - Lip, Tongue • Occlusion • Patient Satisfaction www.indiandentalacademy.com
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  • 49. Thank you For more details please visit www.indiandentalacademy.com www.indiandentalacademy.com