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Protocol new /certified fixed orthodontic courses by Indian dental academy
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Protocol new /certified fixed orthodontic courses by Indian dental academy




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



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Protocol new /certified fixed orthodontic courses by Indian dental academy Protocol new /certified fixed orthodontic courses by Indian dental academy Presentation Transcript

  • INDIAN DENTAL ACADEMY Leader in continuing dental education www.indiandentalacademy.com www.indiandentalacademy.com
  • L C P www.indiandentalacademy.com
  • Introduction  Very common congenital deformity of orofacial structures  Cleft lip – Cheiloschisis  Cleft palate – Palatoschisis  Incidence – 0.59 to 3.63 per 1000 live births India – 1.7 per 1000 live births  Boys : girls = 3:2  Isolated cleft palate more in girls  Left > right when unilateral www.indiandentalacademy.com
  • TREATMENT  Prosthetic era (1565 -1764) - Ambroise Pare  Surgical era (1764 – 1940) - Le Mornier  Surgery – ortho – prostho era (1940 – 1970)  Surgery – ortho – surgery era (1970 to present) www.indiandentalacademy.com
  • Aims of treatment  Long mobile palate, which can completely close the nasopharynx and oropharynx.  Achieve intact well-aligned dental arch. Ultimate goal Attain normal form and function with least possible damage to growth and development by surgery www.indiandentalacademy.com
  • www.indiandentalacademy.com
  • FISHMAN protocol e) Bone grafting for alveolar defects primary grafting (< 2 yrs) f) Orthopedics for reapproximating maxillary segments and normalizing oral function. Stage I Maxillary orthopedic stage Birth to 18 months Stage II Primary Dentition 18 months to 5yrs Stage III Late Primary or Mixed dentition 6 to 11 yrs Stage IV Permanent dentition 12 to 18 yrs a)Maxillary obturator to prevent feeding problems, increasing burpingand chocking. a) Establishing maintaining oral health. a) Orthodontic treatment 7 to 8 yrs. Started 12 months before grafting. *Arch expansion to correct posterior cross bite – Quad Helix. *Alignment of maxillary incisor. a) Final tooth alignment and interdigitation b)“Bulb” prosthesis to position premaxilla in midline c)“Bonnet & Strap” prosthesis for retraction of premaxilla d) Cheiloplasty “Rule of Tens”. b) Palatoplasty (12 to 14 months) for normal speech. Improves hearing and swallowing c) Early secondary bone grafting. (2 to 4 yrs) b) Secondary bone grafting (6 to 15 yrs) for eruption of permanent canine. www.indiandentalacademy.com b) Rapid palatal expansion. c) Cosmetic surgery for nasal bone, tip and symmetry.
  • Orthodontic treatment phases  Presurgical orthopedics (0-3 months)  Interceptive orthopedics (6-7yrs) - Transverse expansion, protraction  Alignment of maxillary incisors  Secondary alveolar bone grafting (8-11yrs)  Conventional orthodontics (permanent)  Dental adjustments (16-17yrs in female and 18-19yrs in male) www.indiandentalacademy.com
  • Obturators www.indiandentalacademy.com
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  • Thank you For more details please visit www.indiandentalacademy.com www.indiandentalacademy.com