Smile architect /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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  • With improvement in technology and research into this field it has vastly changed the way the cases have been treated over years from the days of two dimensional radiogaphy we have reached the era of 3d imaging techiniques …but that does,nt mean we diagnose all cases with the case history ,clinical examinations, BASIC STUDY MODELS ,CEPHALOGRAMS,AND PHOTOGRAPHS IN MAJORITY OF CASES to get close to a comprehensive
  • LIKE THE OLD ADDAGE “THE EYE DOES NOT SEE WHAT THE MIND DOES NOT KNOW”. IT IS IMPORTANT THAT THE CLINICIAN HAS A YOU HAVE A THROUGH KNOWLEDGE OF THE NORMAL, THE VARIATIONS OCCURING DUE TO GROWTH, THE TIMING, CHANGES IN OCCLUSION ETC .COZ THE NORMAL FOR AN ADULT MIGHT BE ABNOMAL FOR A GROWING INDIVIDUAL AND VICE-VERSA
  • Vijetha – 8 years / female. Hearing impaired.
    Upper and lower removable functional space maintainer.
    Devika - 9 years / female
    Lower lingual arch holding appliance for bilateral loss of posterior primary teeth
    Pavithra – 7 years / female
    Crown and loop space maintainer.
  • Thus it can help in avoiding establishment of a full fledged malocclusion.
  • SOUMYASHREE 10/F
  • Name – Latha
    Age – 23 years
    Sex – Female
  • Name – Latha
    Age – 23 years
    Sex – Female
  • Diagnosis
    Skeletal Class I Relation of maxillary and mandibular bases
    Class I molar relationship with
    Unilateral maxillary cleft alveolus on the left side
    Constricted maxillary arch and incisor rotations
    Straight soft tissue profile (with unilateral cleft maxillary lip)
  • Treatment plan
    Maxillary expansion with quad helix
    Alignment of maxillary teeth with fixed appliance therapy.
    Build up of peg lateral for esthetics
    Final nose revision.
  • MOHAMMED FAZALAGE : 13 YEARSSEX : MALE
  • TREATMENT PLAN
    Growth still remaining, hence reverse pull headgear
    RME for expansion of narrow maxilla
    Fixed therapy with PEA mechanics
  • Mandibular Set BackVineesh 11yrs/Male
  • Assymetry
  • Reshma Banu 12/F
  • Assymetry
  • NAME: RIYAZ
    AGE : 20yrs
    SEX : MALE
  • DIAGNOSIS
    Skeletal Class III base with retrognathic maxilla
    Bilateral Class I molar relation with
    bilateral posterior and anterior cross bite
    protruded and proclied maxillary incisors and
    retruded and retroclined mandibular incisors.
    Concave soft tissue profile
  • TREATMENT PLAN
    Pre-surgical Orthodontics: Decompensation
    Extraction of Maxillary First premolars
    Mechanotherapy:
    Vari Simplex appliance
    Surgical Procedures:
    High Lefort I osteotomy with anterior repositioning of the maxilla
    with a costochondral graft
    Genioplasty (if required at a later date)
  • Skeletal open bite corrected by dental compensation. (box elastics)
  • NAME: GEORGE SAM
    AGE : 21 YRS
    SEX : MALE
  • NAME: GEORGE SAM
    AGE : 21 YRS
    SEX : MALE
  • NAME: GEORGE SAM
    AGE : 21 YRS
    SEX : MALE
  • NAME: GEORGE SAM
    AGE : 21 YRS
    SEX : MALE
  • Skeletal class 3 corrected by dental compensation
  • NAME: GEORGE SAM
    AGE : 21 YRS
    SEX : MALE
  • Smile architect /certified fixed orthodontic courses by Indian dental academy

    1. 1. Orthodontist – The Smile Architect INDIAN DENTAL ACADEMY Leader in continuing dental education www.indiandentalacademy.com www.indiandentalacademy.com
    2. 2. Department of Orthodontics and Dentofacial Orthopaedics www.indiandentalacademy.com
    3. 3. Department of Orthodontics and Dentofacial Orthopaedics www.indiandentalacademy.com
    4. 4. Department of Orthodontics and Dentofacial Orthopaedics www.indiandentalacademy.com
    5. 5. More than just beautiful smiles…... www.indiandentalacademy.com
    6. 6. The Forgotten Triad…… www.indiandentalacademy.com
    7. 7. www.indiandentalacademy.com
    8. 8. Diagnosis • Diagnosis is the key to • However, Diagnosis is no cake walk. • Diagnostic aids help us to come as close as possible to a comprehensive diagnosis. www.indiandentalacademy.com
    9. 9. COMPREHENSIVE DIAGNOSIS www.indiandentalacademy.com
    10. 10. • However, in the field of orthodontics, at the time of diagnosis, the treatment objectives are set and the diagnosis, as such, is considered only tentative until those treatment objectives are achieved, because the tissue response and the duration, direction and magnitude of growth varies in individual patients. www.indiandentalacademy.com
    11. 11. • Hence, as a clinician, a thorough knowledge of the normal is a must in order to recognize any deviations from the normal. www.indiandentalacademy.com
    12. 12. Primary Spacing www.indiandentalacademy.com
    13. 13. Deep Bite (Early Deciduous Dentition) Eruption of first permanent molars Attrition of Incisors Forward movement of the mandible due to growth Edge-to-edge bite (Late Deciduous / Early Mixed Dentition) www.indiandentalacademy.com
    14. 14. Incisal Liability Usage in Inter-canine Width Increase of Primary Spacing Increased labial inclination of permanent incisors www.indiandentalacademy.com
    15. 15. Leeway space 0.9mm 1.7mm www.indiandentalacademy.com
    16. 16. Ugly Duckling Stage www.indiandentalacademy.com
    17. 17. Andrew’s Six Keys to Normal Occlusion Mesio-distal Molar Inter-arch Labio-lingual Angulation Relationship Crown Inclination +7º 18º Key 3 2 1 5º 90º Occlusal plane 90º 90º -1º www.indiandentalacademy.com 16º
    18. 18. Andrew’s Six Keys to Normal Occlusion Curve of Spee Absence of Rotation Tight Contacts not exceeding Key 5 1.5 mm 6 4 www.indiandentalacademy.com
    19. 19. Skeletal Combination www.indiandentalacademy.com Dental
    20. 20. Maxilla Combination www.indiandentalacademy.com Mandible
    21. 21. Planes www.indiandentalacademy.com
    22. 22. Planes www.indiandentalacademy.com
    23. 23. Planes www.indiandentalacademy.com
    24. 24. Combinations www.indiandentalacademy.com
    25. 25. Malocclusions in the Saggital Plane www.indiandentalacademy.com
    26. 26. Class II Malocclusion - Dental Normal www.indiandentalacademy.com
    27. 27. Class II Malocclusion - Skeletal Normal www.indiandentalacademy.com
    28. 28. Class III Malocclusion - Dental Normal www.indiandentalacademy.com
    29. 29. Class III Malocclusion - Skeletal Normal www.indiandentalacademy.com
    30. 30. Malocclusions in the Vertical Plane www.indiandentalacademy.com
    31. 31. Open bite www.indiandentalacademy.com
    32. 32. Deep bite www.indiandentalacademy.com
    33. 33. Malocclusions in the Transverse Plane www.indiandentalacademy.com
    34. 34. Posterior Cross bite www.indiandentalacademy.com
    35. 35. Anterior Cross bite www.indiandentalacademy.com
    36. 36. Orthodontic Treatment – Age no bar www.indiandentalacademy.com
    37. 37. Orthodontic Treatment Preventive Corrective Orthodontic Active Appliance Therapy Interceptive Orthognathic Camouflage Adjunctive www.indiandentalacademy.com Retention
    38. 38. Preventive Orthodontics “Prevention is better than cure” So, “Catch ‘em young” • Preventive orthodontics includes procedures undertaken prior to the onset of a malocclusion in anticipation of a developing malocclusion. www.indiandentalacademy.com
    39. 39. • The following are some of the procedures undertaken in preventive orthodontics: 1. 2. 3. 4. 5. Parent education Caries control Supervision of timely tooth shedding Space maintenance Checkup for oral habits and habit breaking appliance if necessary 6. Occlusal equilibration if there are any occlusal prematurities 7. Extraction of supernumerary teeth 8. Management of abnormal frenal attachment www.indiandentalacademy.com
    40. 40. Space Maintenance • Premature loss of deciduous teeth can cause drifting of the adjacent teeth into the space. • This can result in abnormal axial inclination of teeth, spacing between teeth and sometimes a shift in the dental midline, i.e. – malocclusion. • Space maintenance is the maintenance of the mesio-distal and vertical width of an arch space created by the loss of deciduous dentition. • The appliances/devices used or intended to be used for this space maintenance are called space maintainers. www.indiandentalacademy.com
    41. 41. Removable Partial Denture Crown and loop Lingual Arch Distal Shoe www.indiandentalacademy.com
    42. 42. Habits • A habit is ‘an act that has become fixed due to repeated performance.’ • Oral habits in children have a definite bearing on the development of occlusion. • Frequently, children acquire certain habits that may either temporarily or permanently be harmful to dental occlusion and to the supporting structures. www.indiandentalacademy.com
    43. 43. • However, when the habit is corrected while the occlusion is still undisturbed and no malocclusion has set in, it is termed as preventive orthodontics. • But, in case the habit has already caused the onset of a malocclusion, the measures applied to correct the habit are termed as ‘interceptive orthodontics’. www.indiandentalacademy.com
    44. 44. Interceptive Orthodontics “A stitch in time saves nine” • Interceptive orthodontics includes procedures that are undertaken at an early stage of a malocclusion to eliminate or reduce the severity of the same. www.indiandentalacademy.com
    45. 45. • The procedures undertaken interceptive orthodontics include: 1. 2. 3. 4. 5. 6. Serial extraction Correction of developing cross bite Control of abnormal habits Space regaining Muscle exercises Interception of skeletal malrelation www.indiandentalacademy.com in
    46. 46. Serial Extraction • The early mixed dentition is easily prone to development of irregularities in the dento-facial complex. • When such potential irregularities are recognized and anticipated, the planned extraction of certain deciduous teeth and later specific permanent teeth in an orderly sequence and pre-determined pattern can help in guiding the erupting permanent teeth into a more favorable position. www.indiandentalacademy.com
    47. 47. Correction of developing cross bite Pre treatment Post treatment www.indiandentalacademy.com
    48. 48. Interception of Habits • Interception of the habit will cause interception of the developing malocclusion effected by the habit. • Some of the common oral habits: – – – – – – Thumb sucking Tongue thrusting Mouth breathing Bruxism Lip biting Nail biting www.indiandentalacademy.com
    49. 49. Buccinator Mechanism Thumb sucking www.indiandentalacademy.com
    50. 50. Thumb sucking www.indiandentalacademy.com
    51. 51. Tongue Thrusting Pre treatment Post treatment www.indiandentalacademy.com
    52. 52. Mouth Breathing Oral Screen Pre treatment Post treatment www.indiandentalacademy.com
    53. 53. Space Regaining www.indiandentalacademy.com
    54. 54. Interception of Developing Skeletal Malrelationship www.indiandentalacademy.com
    55. 55. Interception of developing skeletal class II Pre treatment Post treatment www.indiandentalacademy.com
    56. 56. Interception of developing skeletal class III Pre treatment Post treatment www.indiandentalacademy.com
    57. 57. Corrective Orthodontics “Better late than never” Corrective orthodontics includes procedures undertaken to correct a fully established malocclusion. These corrective procedures may be:  Orthodontic  Orthognathic (Surgical) www.indiandentalacademy.com
    58. 58. Envelope of discrepancy 10 6 4 10 5 2 Orthodontics alone 7 2 Growth modulation & orthodontics 5 Orthodontics and orthognathic surgery www.indiandentalacademy.com 12 15
    59. 59. Orthodontic Corrective Measures • It includes the following: Active Appliance Therapy Camouflage Adjunctive Orthodontics Retention www.indiandentalacademy.com
    60. 60. Active Appliance Therapy www.indiandentalacademy.com
    61. 61. Case 1 www.indiandentalacademy.com
    62. 62. Pre Treatment – Extra Oral www.indiandentalacademy.com
    63. 63. Pre Treatment – Intra Oral www.indiandentalacademy.com
    64. 64. Pre Treatment - Occlusal www.indiandentalacademy.com
    65. 65. With Appliance www.indiandentalacademy.com
    66. 66. Post Treatment - Extraoral www.indiandentalacademy.com
    67. 67. Post Treatment- Intraoral www.indiandentalacademy.com
    68. 68. Post Treatment- Occlusal www.indiandentalacademy.com
    69. 69. Pre treatment Post treatment www.indiandentalacademy.com
    70. 70. Pre treatment Post treatment www.indiandentalacademy.com
    71. 71. Case 2 www.indiandentalacademy.com
    72. 72. Pre Treatment – Extra Oral www.indiandentalacademy.com
    73. 73. Pre Treatment – Intra Oral www.indiandentalacademy.com
    74. 74. With Appliance www.indiandentalacademy.com
    75. 75. Post Treatment – Extra Oral www.indiandentalacademy.com
    76. 76. Post Treatment – Intra Oral www.indiandentalacademy.com
    77. 77. Pre treatment Post treatment www.indiandentalacademy.com
    78. 78. Pre treatment Post treatment www.indiandentalacademy.com
    79. 79. Case 3 www.indiandentalacademy.com
    80. 80. Pre Treatment – Extra Oral www.indiandentalacademy.com
    81. 81. Pre Treatment – Intra Oral www.indiandentalacademy.com
    82. 82. Pre Treatment – Occlusal www.indiandentalacademy.com
    83. 83. Post Treatment – Extra Oral www.indiandentalacademy.com
    84. 84. Post Treatment – Intra Oral www.indiandentalacademy.com
    85. 85. Post Treatment – Occlusal www.indiandentalacademy.com
    86. 86. Pre treatment Post treatment www.indiandentalacademy.com
    87. 87. Pre treatment Post treatment www.indiandentalacademy.com
    88. 88. Case 4 www.indiandentalacademy.com
    89. 89. Pre Treatment - Extra Oral www.indiandentalacademy.com
    90. 90. Pre Treatment – Intra Oral www.indiandentalacademy.com
    91. 91. Pre Treatment Radiograph – Lateral Cephalogram www.indiandentalacademy.com
    92. 92. Post Expansion – Intra Oral www.indiandentalacademy.com
    93. 93. Post Expansion - Occlusal www.indiandentalacademy.com
    94. 94. With Appliance www.indiandentalacademy.com
    95. 95. Post Treatment – Extra Oral www.indiandentalacademy.com
    96. 96. Post Treatment – Intra Oral www.indiandentalacademy.com
    97. 97. Post Treatment - Occlusal www.indiandentalacademy.com
    98. 98. Post Treatment – Lateral Cephalogram www.indiandentalacademy.com
    99. 99. Pre treatment Post treatment www.indiandentalacademy.com
    100. 100. Pre treatment Post treatment www.indiandentalacademy.com
    101. 101. Case 5 www.indiandentalacademy.com
    102. 102. Pre Treatment – Extra Oral www.indiandentalacademy.com
    103. 103. Pre Treatment – Intra Oral www.indiandentalacademy.com
    104. 104. Pre Treatment – Occlusal www.indiandentalacademy.com
    105. 105. Pre Treatment – Lateral Cephalogram www.indiandentalacademy.com
    106. 106. TREATMENT PLAN: • Growth still remaining, hence reverse pull headgear • RME for expansion of narrow maxilla • Fixed therapy with PEA mechanics www.indiandentalacademy.com
    107. 107. Mid Treatment – Reverse Pull Head Gear www.indiandentalacademy.com
    108. 108. Mid Treatment – Intra Oral www.indiandentalacademy.com
    109. 109. Mid Treatment – RME www.indiandentalacademy.com
    110. 110. End of Orthopaedic Phase – Extra Oral www.indiandentalacademy.com
    111. 111. End of Orthopaedic Phase – Intra Oral www.indiandentalacademy.com
    112. 112. End of Orthopaedic Phase – Occlusal www.indiandentalacademy.com
    113. 113. Mid Treatment – Fixed Therapy www.indiandentalacademy.com
    114. 114. Fixed Therapy – Intra Oral www.indiandentalacademy.com
    115. 115. Fixed Therapy – Occlusal www.indiandentalacademy.com
    116. 116. Fixed Therapy – Lateral Cephalogram www.indiandentalacademy.com
    117. 117. Pre treatment Present Status www.indiandentalacademy.com
    118. 118. Pre treatment Present Status www.indiandentalacademy.com
    119. 119. Orthognathic • Orthognathic surgeries are major surgical procedures carried out along with orthodontic therapy to correct dento-facial deformities or severe oro-facial disproportions involving the maxilla, the mandible or both in combination. www.indiandentalacademy.com
    120. 120. • 1. 2. 3. 4. 5. Steps involved in orthognathic surgery: Diagnosis (pre operative evaluation) Pre-surgical orthodontics (reverse orthodontics) Mock surgery Surgery and stabilization Post-surgical orthodontics www.indiandentalacademy.com
    121. 121. Case 1 www.indiandentalacademy.com
    122. 122. Pre Treatment - Extra Oral www.indiandentalacademy.com
    123. 123. Pre Treatment - Intra Oral www.indiandentalacademy.com
    124. 124. Pre Treatment Lateral Cephalogram www.indiandentalacademy.com
    125. 125. Pre Surgical (After decompensation) – Extra Oral www.indiandentalacademy.com
    126. 126. Pre Surgical (After decompensation) – Intra Oral www.indiandentalacademy.com
    127. 127. Pre Surgical (After decompensation) - Occlusal www.indiandentalacademy.com
    128. 128. Pre Surgical (After decompensation) – Lateral Cephalogram www.indiandentalacademy.com
    129. 129. Occlusal Splint www.indiandentalacademy.com
    130. 130. Post Surgical – Extra Oral www.indiandentalacademy.com
    131. 131. Post Surgical – Intra Oral www.indiandentalacademy.com
    132. 132. Post Surgical – Lateral Cephalogram www.indiandentalacademy.com
    133. 133. Pre Treatment Pre Surgical www.indiandentalacademy.com Post Surgical
    134. 134. Pre Treatment Pre Surgical www.indiandentalacademy.com Post Surgical
    135. 135. Case 2 www.indiandentalacademy.com
    136. 136. Pre Treatment – Extra Oral www.indiandentalacademy.com
    137. 137. Pre Treatment – Intra Oral www.indiandentalacademy.com
    138. 138. Pre Treatment – Occlusal www.indiandentalacademy.com
    139. 139. Pre Surgical www.indiandentalacademy.com
    140. 140. Post Surgical – Extra Oral www.indiandentalacademy.com
    141. 141. Post Surgical – Intra Oral www.indiandentalacademy.com
    142. 142. Present Status – Intra Oral www.indiandentalacademy.com
    143. 143. Present Status – Occlusal www.indiandentalacademy.com
    144. 144. Pre treatment Post treatment www.indiandentalacademy.com
    145. 145. Pre treatment Post treatment www.indiandentalacademy.com
    146. 146. Case 3 www.indiandentalacademy.com
    147. 147. Pre Treatment – Extra Oral www.indiandentalacademy.com
    148. 148. Pre Treatment – Intra Oral www.indiandentalacademy.com
    149. 149. Pre Treatment – Occlusal www.indiandentalacademy.com
    150. 150. Pre Treatment Radiograph – Lateral Cephalogram www.indiandentalacademy.com
    151. 151. Pre Surgical (After decompensation) – Intra Oral www.indiandentalacademy.com
    152. 152. Pre Surgical (After decompensation) – Intra Oral www.indiandentalacademy.com
    153. 153. Pre Surgical – Lateral Cephalogram www.indiandentalacademy.com
    154. 154. Post Surgical – Extra Oral www.indiandentalacademy.com
    155. 155. Post Surgical – Intra Oral www.indiandentalacademy.com
    156. 156. Post Surgical - Occlusal www.indiandentalacademy.com
    157. 157. Post Surgical - Lateral Cephalogram www.indiandentalacademy.com
    158. 158. Present Status – Extra Oral www.indiandentalacademy.com
    159. 159. Present Status – Intra Oral www.indiandentalacademy.com
    160. 160. Present Status - Occlusal www.indiandentalacademy.com
    161. 161. Present Status - Lateral Cephalogram www.indiandentalacademy.com
    162. 162. Pre treatment Post treatment www.indiandentalacademy.com
    163. 163. Pre treatment Post treatment www.indiandentalacademy.com
    164. 164. Camouflage • ‘Disguise of guns, ships etc effected by obscuring outlines with splashes of various colours.’ - Oxford Dictionary • ‘To deceive observation, or plan as a false front.’ - Webster’s Dictionary www.indiandentalacademy.com
    165. 165. • The orthodontist uses ‘camouflage’ treatment in cases where the ideal treatment protocol was/is not possible due to some reason or the other, to try and improve the dental occlusion and facial esthetics. • The term ‘camouflage’ is chosen to emphasize that successful treatment must produce “acceptable” facial esthetics as well as “acceptable” dental occlusion. www.indiandentalacademy.com
    166. 166. Case 1 www.indiandentalacademy.com
    167. 167. Pre Treatment – Extra Oral www.indiandentalacademy.com
    168. 168. Pre Treatment – Intra Oral www.indiandentalacademy.com
    169. 169. Pre Treatment – Occlusal www.indiandentalacademy.com
    170. 170. Mid Treatment www.indiandentalacademy.com
    171. 171. Post Treatment - Extra Oral www.indiandentalacademy.com
    172. 172. Post Treatment – Intra Oral www.indiandentalacademy.com
    173. 173. Post Treatment – Occlusal www.indiandentalacademy.com
    174. 174. Pre treatment Post treatment www.indiandentalacademy.com
    175. 175. Case 2 www.indiandentalacademy.com
    176. 176. Pre Treatment – Extra Oral www.indiandentalacademy.com
    177. 177. Pre Treatment – Intra Oral www.indiandentalacademy.com
    178. 178. Pre Treatment – Occlusal www.indiandentalacademy.com
    179. 179. Pre Treatment Radiograph – Lateral Cephalogram www.indiandentalacademy.com
    180. 180. Post Treatment - Extra Oral www.indiandentalacademy.com
    181. 181. Post Treatment - Intra Oral www.indiandentalacademy.com
    182. 182. Post Treatment – Occlusal www.indiandentalacademy.com
    183. 183. Post Treatment - Lateral Cephalogram www.indiandentalacademy.com
    184. 184. Pre treatment Post treatment www.indiandentalacademy.com
    185. 185. Pre treatment Post treatment www.indiandentalacademy.com
    186. 186. Adjunctive Orthodontics • Adjunctive orthodontic treatment is tooth movement carried out to facilitate other dental procedures necessary to control disease and restore function. www.indiandentalacademy.com
    187. 187. Case 1 Increasing pontic space www.indiandentalacademy.com
    188. 188. Case 2 Correcting traumatic occlusion www.indiandentalacademy.com
    189. 189. Retention “It’s not over till it’s over” “I will give you half my fees if you can retain what I have achieved” • Retention is the phase following active orthodontic treatment aimed at stabilization of achieved orthodontic correction or holding of the teeth in ideal functional esthetic occlusion. www.indiandentalacademy.com
    190. 190. Retention is necessary for three reasons:  The gingival and periodontal tissues are affected by orthodontic tooth movements and require time for reorganization, when an active appliance is removed.  After treatment, the teeth are in unstable condition. So the soft tissue pressures constantly produce relapse tendency.  Growth changes can alter orthodontic results. www.indiandentalacademy.com
    191. 191. • Aids to retention:  Natural Aids  Surgical Aids  Mechanical Aids www.indiandentalacademy.com
    192. 192. www.indiandentalacademy.com
    193. 193. www.indiandentalacademy.com
    194. 194. A beautiful smile… … is your choice. www.indiandentalacademy.com
    195. 195. A is contagious - Lets start an epidemic! Thank you www.indiandentalacademy.com

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