INDIAN DENTAL ACADEMY
Leader in continuing dental education
www.indiandentalacademy.com

www.indiandentalacademy.com
OBJECTIVES:
Get an optimal balance between:
1. Aesthetics
2. Function
3. Stability
(Aesthetics should not be sacrificied f...
PATIENT EVALUATION
Gathering diagnostic information involves:
1. Patients concerns: Expectation
2. Clinical Evaluation:
3....
RADIOGRAPHIC ANALYSIS
1.

2.

CEPHALOMETRIC: Lateral and
anteroposterior: Lips must be in repose,
teeth only lightly touch...
SEQUENCE OF TREATMENT
PLANNING
1.
2.
3.
4.
5.
6.
7.

Dental & Periodontal treament
Extractions
Pre-surgical orthodontics
O...
Facial thirds:
1.
2.
3.

Upper third: Forehead
Middle third: between eyebrows and
base of the nose
Lower third: from base ...
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)...
Lateral view
1.
2.
3.
4.
5.

Glabella to base of nose = base of nose
to soft tissue chin
Relationship of globe to surround...
www.indiandentalacademy.com
TREAMENT PLANNING
1.
2.
3.
4.
5.

DENTAL AND PERIODONTAL
TREATMENT
EXTRACTIONS: bicuspids, 8’s
Presurgical Orthodontics:
S...
Primary goals of Presurgical
orthodontics:
1.
2.
3.
4.
5.
6.

Position the teeth over their respective basal
bone
Align an...
SURGERY
 Is

Designed to reposition the basal bone
and/or dentoalveolar segments into more
normal interrelationships.

 ...
Post-surgical orthodontics
(after 2 to 6 weeks of surgery)
Objectives:
1. Final tooth alignment and root
parallelism
2. Ma...
Before

After

Before

After

www.indiandentalacademy.com
Investigation
Clinical

Evaluation
Radiographic
Dental Model

www.indiandentalacademy.com
Diagnosis
 Clinical

Examination
 Soft tissue measurements
 Radiographic Examination
 Cephlametric analysis
 Computer...
Clinical upper 1/3 –
rd

Forehead,

Orbits

www.indiandentalacademy.com
Clinical- Middle 1/3rd
Nasal

Morphology
Zygomatic Prominance

www.indiandentalacademy.com
Clinical Lower 1/3rd
Upper Lip




Length
Thickness
Nasonabial angle

www.indiandentalacademy.com
Competence of lips
 Incisisal show


 Rest
 Smile

Mentolabial Sullus
 Chin Prominence


www.indiandentalacademy.com
Cephlometric analysis

www.indiandentalacademy.com
 Burstone’s

Analysis

 Hard

Tissue
 Soft Tissue

www.indiandentalacademy.com
Dental Model analysis

www.indiandentalacademy.com
Problem

List

Hard Tissue
 Soft Tissue


www.indiandentalacademy.com
Treatment Plan
 Hard

Tissue Abnormalities
 Soft Tissue Abnormalities
 Patienjts chief complain

www.indiandentalacadem...
Treatment
 Presurgical

Ortho

 Surgery
 Post

surgical Orthodontist

www.indiandentalacademy.com
Surgical Procedures
Total Procedure
Segmental Procedure

www.indiandentalacademy.com
Total Procedure

Lefort I Osteotomy
Lefort II Osteotomy

www.indiandentalacademy.com
Segmental Procedure
 Anterior

Maxillary Osteotomy
 (Cupar’s ) (Premaxilla)
 Posterior Maxillary Osteotomy
 Midline Os...
Mandible
Total
Bilateral

Sagittal Split Osteotomy
IVRO (Intra oral vertical ramus
osteotomy
• Segmental

•Subapical Os...
Genioplasty
Vertical
Reduction
Advancement

AP
Reduction
Advancement
www.indiandentalacademy.com
www.indiandentalacademy.com
www.indiandentalacademy.com
www.indiandentalacademy.com
www.indiandentalacademy.com
www.indiandentalacademy.com
www.indiandentalacademy.com
www.indiandentalacademy.com
www.indiandentalacademy.com
www.indiandentalacademy.com
www.indiandentalacademy.com
www.indiandentalacademy.com
www.indiandentalacademy.com
www.indiandentalacademy.com
Complications
Intraoperative

Bleeding
Greater palatine
Inferior Alveolar nerves
Damage to Vital structures
Inferior alve...
Post operative
 Pain
 Edema
 Difficulty

in mastication mouth opening
 Parasthesia, Anaesthesia
- Lip, Tongue
• Occlus...
www.indiandentalacademy.com
www.indiandentalacademy.com
Thank you
For more details please visit
www.indiandentalacademy.com

www.indiandentalacademy.com
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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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Objectives /certified fixed orthodontic courses by Indian dental academy

  1. 1. INDIAN DENTAL ACADEMY Leader in continuing dental education www.indiandentalacademy.com www.indiandentalacademy.com
  2. 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. 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. 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. 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. 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. 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. 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
  9. 9. www.indiandentalacademy.com
  10. 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. 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. 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. 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. 14. Before After Before After www.indiandentalacademy.com
  15. 15. Investigation Clinical Evaluation Radiographic Dental Model www.indiandentalacademy.com
  16. 16. Diagnosis  Clinical Examination  Soft tissue measurements  Radiographic Examination  Cephlametric analysis  Computer analysis www.indiandentalacademy.com
  17. 17. Clinical upper 1/3 – rd Forehead, Orbits www.indiandentalacademy.com
  18. 18. Clinical- Middle 1/3rd Nasal Morphology Zygomatic Prominance www.indiandentalacademy.com
  19. 19. Clinical Lower 1/3rd Upper Lip    Length Thickness Nasonabial angle www.indiandentalacademy.com
  20. 20. Competence of lips  Incisisal show   Rest  Smile Mentolabial Sullus  Chin Prominence  www.indiandentalacademy.com
  21. 21. Cephlometric analysis www.indiandentalacademy.com
  22. 22.  Burstone’s Analysis  Hard Tissue  Soft Tissue www.indiandentalacademy.com
  23. 23. Dental Model analysis www.indiandentalacademy.com
  24. 24. Problem List Hard Tissue  Soft Tissue  www.indiandentalacademy.com
  25. 25. Treatment Plan  Hard Tissue Abnormalities  Soft Tissue Abnormalities  Patienjts chief complain www.indiandentalacademy.com
  26. 26. Treatment  Presurgical Ortho  Surgery  Post surgical Orthodontist www.indiandentalacademy.com
  27. 27. Surgical Procedures Total Procedure Segmental Procedure www.indiandentalacademy.com
  28. 28. Total Procedure Lefort I Osteotomy Lefort II Osteotomy www.indiandentalacademy.com
  29. 29. Segmental Procedure  Anterior Maxillary Osteotomy  (Cupar’s ) (Premaxilla)  Posterior Maxillary Osteotomy  Midline Osteotomy (3 piece maxilla) www.indiandentalacademy.com
  30. 30. Mandible Total Bilateral Sagittal Split Osteotomy IVRO (Intra oral vertical ramus osteotomy • Segmental •Subapical Osteotomy www.indiandentalacademy.com
  31. 31. Genioplasty Vertical Reduction Advancement AP Reduction Advancement www.indiandentalacademy.com
  32. 32. www.indiandentalacademy.com
  33. 33. www.indiandentalacademy.com
  34. 34. www.indiandentalacademy.com
  35. 35. www.indiandentalacademy.com
  36. 36. www.indiandentalacademy.com
  37. 37. www.indiandentalacademy.com
  38. 38. www.indiandentalacademy.com
  39. 39. www.indiandentalacademy.com
  40. 40. www.indiandentalacademy.com
  41. 41. www.indiandentalacademy.com
  42. 42. www.indiandentalacademy.com
  43. 43. www.indiandentalacademy.com
  44. 44. www.indiandentalacademy.com
  45. 45. Complications Intraoperative Bleeding Greater palatine Inferior Alveolar nerves Damage to Vital structures Inferior alveolar nerve Infra orbital nerve www.indiandentalacademy.com
  46. 46. Post operative  Pain  Edema  Difficulty in mastication mouth opening  Parasthesia, Anaesthesia - Lip, Tongue • Occlusion • Patient Satisfaction www.indiandentalacademy.com
  47. 47. www.indiandentalacademy.com
  48. 48. www.indiandentalacademy.com
  49. 49. Thank you For more details please visit www.indiandentalacademy.com www.indiandentalacademy.com

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