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  1. 1. Ultimate Orthodontic Program OverviewThe purpose of the Ultimate Orthodontic Program is to gather a group of educationally prepared dentiststogether to polish their skills and fine tune their understanding of all aspects of orthodontics. This wouldbe accomplished by meeting over four 2-day sessions held over a period of 12 months.The topics studied would include clinical photography and radiology; knowledge and skills incomprehensive orthodontic analysis, diagnosis, and treatment design; an enhanced background in the Bio-Mechanics of Orthodontic Forces and how they affect and remodel the jaw and facial tissues being actedupon (this includes the new self-ligating and variable force orthodontic systems); definitive methods tosharpen skills in child and adult psychology; Functional-Orthopedic Appliance therapy; FixedStraightwire Appliance treatment; TMD diagnosis and treatment; and a study of new advances in ourunderstanding of growth and development of the face and skull. Sections on anatomy and physiology ofthe craniomandibular and facial complexes will also be taught. In general, we intend to build upon thesolid foundation that you as an experienced dental practitioner have gained from your university degreeprogram, your private practice, your subsequent continuing educational hours, and your experiences fromvarious learning venues. Curriculum for the Ultimate Orthodontic Program SESSION I – OUTLINEBio-mechanics of orthodontic forces and how they affect and remodel the jaw and facial tissuesbeing acted upon. 1. Andrews 6 keys of occlusion. 2. Selecting the optimal bracket prescription. a. Available prescriptions. b. Ceramic brackets. c. Direct bracketing vs. indirect bracketing. d. Banding of molars vs. molar tub bonding. e. Debonding. 3. Self-ligating orthodontic systems. a. Bracket design. b. Passive. c. Active. d. Interactive. e. Friction vs. low friction. 4. Variable force orthodontic systems. 875 W. Poplar Suite 16, Collierville, TN 38017 USA Telephone: +901.853.1183 Telefax: +901.853.4200 Website: Email:
  2. 2. Review of archwire biomaterials. a. b. Interaction between various components. 5. Functional-orthopedic appliance therapy. a. Bio-mechanics of appliance design. 6. Orthodontic force. a. Levels of force. b. Time of force application. c. Determining the actual path of necessary force. d. How to continuously deliver the correct force. e. Application of the correct amount of force. f. Redirecting force and determining vectors of force. 7. Predictable tooth movement and tissue response. a. Fixed appliance treatment. b. Factors under control of brackets. c. Factors under control of the doctor. d. Errors that are easily introduced. e. Anchorage. f. Elastics. g. Closing or opening spaces. h. Uprighting teeth. i. Distalization. j. Protraction. k. Advancing the mandible. l. ARS.Saturday 8:00 a.m. – 4:00 p.m.Crystal Clear Diagnostics 1. Understanding orthodontic treatment objectives. a. Skeletal classification system. b. Dental division. c. Vertical dimension of the face. d. Assessing facial growth. i. Myo-functional problems. ii. Airway evaluation. 1. Allergies, adenoids, and airways. iii. Eruption problems. iv. Ability to predict facial growth by using the cervical vertebrae index (C2 – C6) v. Evaluation of the TMJ. vi. Benefits of early orthodontic intervention. vii. Etiology of malocclusions. 2. Growth of the maxilla and mandible. a. Arch development techniques. 3. Impacted canines. 875 W. Poplar Suite 16, Collierville, TN 38017 USA Telephone: +901.853.1183 Telefax: +901.853.4200 Website: Email:
  3. 3. 4. Evaluation of the smile and facial proportions. 5. Cephalometric analyses. a. Cervical posture. b. Divine proportion (facial beauty). c. Evalluating dental and skeletal midlines. d. Occlusal cants. e. Facial asymmetry. f. Paranasal airway. g. Watching dental and skeletal changes. h. Evaluation and reversing deteriorating factors in an early malocclusion.Treatment Design1. How to develop the perfect treatment design which is the beginning of case finishing.2. Variable treatment design and making changes “on the fly.”3. The difference between cookbook orthodontics and an innovative logical thought process.4. How to create a win-win opportunity in your treatment design.5. Why bad things happen to great treatment plans.6. Effectively communicating with medical professionals7. Appliance design for arch development.8. Growth patterns and a logical choice of treatment designs.9. Interceptive orthodontics and growth modification.10. Early treatment philosophy. a. Diagnosis and treatment. b. Thumb, pacifier, and/or tongue. c. Posterior and/or anterior crossbite. d. 2x4 straightwire appliance in mixed dentition. e. Leeway space. f. Myo-functional corrections. g. Maintaining early treatment. h. Interceptive therapies in Class III malocclusions. i. Treatment and prevention of craniomandibular dysfunction in children.11. Harmonizing width of the dental arches.12. Correcting speech problems.13. Prevention and treatment of periodontal problems. a. High-risk periodontal patients and relapse. b. Tissue response to teooth movement. c. Managing high-risk adult patients. d. Controlled extraction of roots to increase available bone for implants. e. Guiding the eruption of cuspids. f. Gingivectomies. g. Frenulectomies. h. Mobile teeth/occlusal trauma. i. Radiology techniques to locate impacted teeth. j. Gingival scalloping and papilla discrepancies. k. Extrusion mechanics for subgingival fractures. l. Improving the crown-to-root ratio. 875 W. Poplar Suite 16, Collierville, TN 38017 USA Telephone: +901.853.1183 Telefax: +901.853.4200 Website: Email:
  4. 4. m. Correction of gingival/osseous defects. n. When to open or close missing lateral incisor spaces. o. Efficient molar uprighting. p. Etiology of canine impaction. q. Treatment of impacted teeth. r. Movement of teeth into a bony defect. s. Fiberotomy. t. Ankylosis and root resorption.14. Treatment of dental trauma.15. Child and adult psychology. SESSION II – OUTLINETreatment Paradigms1. Treatment of vertical growth patterns. a. Treating patients with a deep dental overbite and increased facial proportions. b. Treating patients with an open bite and increased facial proportions. c. Measuring vertical growth. d. Genetic and environmental factors. e. The importance of proper nasal respiration. f. Vertical maxillary excess i.e., “gummy smile.” g. Anterior open bite correction. i. Tongue thrust and tongue posture. h. Fixed mechanics for the high-angle malocclusion. m. Second molar replacement therapy. n. Intrusion appliance. i. Implants. ii. Fixed mechanics. o. Retention in anterior open bite cases. p. Maxillary impaction. q. Elastics. r. Surgical correction.2. Treatment of horizontal growth patterns. a. Treating patients with a deep dental overbite and overclosed facial proportions. b. Treating patients with an open bite and overclosed facial proportions.Friday Evening Session – Optional 7:00 PM – 10:00 p.m.The Ultimate Orthodontics Program Members will discuss the following topics to enhance their learningexperience: Anatomy and physiology review. Understanding clinical literature reviews. Writing clinical articles and case studies for professional journals.Saturday 8:00 a.m. – 4:00 p.m.1. Class I Treatment. 875 W. Poplar Suite 16, Collierville, TN 38017 USA Telephone: +901.853.1183 Telefax: +901.853.4200 Website: Email:
  5. 5. a. Functional mandibular position vs. habitual bite. b. True Class I vs. pseudo Class I. c. Treatment protocol. d. Crowding issues. 1. When 2nd molar replacement is appropriate. e. Problems inherent to Class I patients. f. Stability and relapse.2. Class II Treatment. a. Growth modification. 1. Determining optimal time to treat. 2. Removable appliances. 3. Fixed appliances. b. Camouflage therapy. c. Surgical correction. d. Vertical Class II correction. e. Horizontal Class II correction. f. Non-compliance Class II treatment. g. Removable functional appliances. 1. Case finishing and retention. h. Problems inherent to Class II vertical patients. i. Extraction versus non-extraction treatment philosophies. j. Stability and retention. SESSION III – OUTLINETreatment Paradigms Continued 1. Class III Treatment. a. Etiology of true and pseudo Class III. b. Factors that influence the development of Class III. c. Midface deficiency vs. true mandibular prognathism. d. Interceptive treatment for Class III. e. Traction and protraction in the nasomaxillary complex. 1. Fitting a Tandem-bow. 2. Fitting and adjusting removable orthopedic appliances. 3. Fitting and removing fixed orthopedic appliances. 4. Fitting and adjusting traction facemasks. 5. Fitting and adjusting incisor torquing appliances. f. Retention philosophy for the Class III malocclusion. g. Surgical Class III patients. 1. Indications for surgery. 2. Psychological aspects of surgery patients. 3. Patient expectations. 4. Evaluation of soft tissue changes post surgery. 5. Treatment prior to surgery. a. Preparing dental arches for surgery. 875 W. Poplar Suite 16, Collierville, TN 38017 USA Telephone: +901.853.1183 Telefax: +901.853.4200 Website: Email:
  6. 6. b. Mechanics. 6. Surgery set-up. a. Philosophy of surgical set-up and management. b. Communication with the surgeon. c. Maxillary surgery. d. Mandibular surgery. e. Combination surgery. f. Distraction osteogenesis. g. Chin modification. h. Rhinoplasty. i. Lip procedures. j. Midface and paranasal implants. k. Surgical complications. 7. Post surgery treatment. a. Mechanics. b. Case finishing. c. Stability and relapse.Saturday 8:00 a.m. – 4:00 p.m. 1. TMJ Treatment. a. Classification of orofacial pain. b. Intracapsular disorders. c. Temporomandibular joint anatomy, physiology, and function. d. Trauma. e. Diseases of the TMJ. f. Nutrition, patient cooperation, and daily routines. g. Splints – construction and adjustments. 1. Anterior repositioning. 2. Flat plane. 3. Pivotal. 4. Deprogramming. 5. Problem specific splints. 6. Transition to case finishing. h. Treatment adjuncts. 1. Neuromuscular technique. 2. JVA. 3. Other bioinstrumentation. 4. Botox. i. Case finishing. 1. Orthodontics. 2. Occlusal equilibration. 3. Prosthodontics. 875 W. Poplar Suite 16, Collierville, TN 38017 USA Telephone: +901.853.1183 Telefax: +901.853.4200 Website: Email:
  7. 7. SESSION IV – OUTLINETreatment Paradigms Continued 1. Treating sleep disorders/sleep apnea. a. Causes of snoring and obstructive sleep apnea. b. Treatment for OSA and snoring. c. Monitoring devices/polysomography. d. How to review a sleep study. e. Designing, then fitting snoring/OSA appliances. 2. Esthetic orthodontics. a. EOA appliances. b. Fixed technique. c. Tooth positioners. 3. Re-treating relapsed cases. a. Expectations. b. Considerations. c. Technique. 4. Planning long-term stability and retention. a. Biological stability and retention. b. Design, fabrication, and fitting of removable retainers. c. Design and bonding of a fixed retainers. d. Use of T-scan technology for precise occlusal detailing.Saturday 8:00 a.m. – 4:00 p.m. 1. Integrating your current treatment system into a predictable treatment design. 2. Clinical decision-making. a. Steps to sound clinical decision making and making it second nature. 3. Problems. How they happen, why they happen, and how to prevent them in the future. a. b. What to look for before a problem becomes obvious. c. Five major reasons cases do not finish well. 1. Developing an “eye” for trouble with patients and progress. 2. How to use advanced mechanics to streamline and simplify your cases. 3. How to easily and predictably control your mechanics. 4. When to change mechanics and sequence your case based upon your patient’s progress. 5. Become skilled at solutions to every conceivable case-finishing problem. 4. Trouble shooting patient treatment cases. 875 W. Poplar Suite 16, Collierville, TN 38017 USA Telephone: +901.853.1183 Telefax: +901.853.4200 Website: Email:
  8. 8. 5. Case Finishing RevisitedIncluded in the Ultimate Orthodontic Program sessions, there will be sections on anatomy and physiologyof the craniomandibular and facial complexes. In general, we intend to build upon the solid foundationthat you as an experienced dental practitioner have gained from your university degree program, yourprivate practice, your subsequent continuing educational hours, and your experiences from variouslearning venues. Each applicant will be encouraged to author an article for publication (according to theguidelines presented during the course). These will count as additional CE credits.The graduates of the Ultimate Orthodontic Program will be expected to attain a high level of proficiencyin the use of computers and computerized communication.1. Each applicant will be encouraged to purchase six textbooks essential for the Ultimate Orthodontic Program: a. “Orthodontics - A Medical Dictionary, Bibliography, and Annotated Research Guide to Internet References,” by Icon Health Publications. b. “Problem Solving in Orthodontics: Goal-Oriented Treatment Strategies,” by Charles J. Burstone, DDS, MS and Michael R. Marcotte, DDS, MSD. c. “Excess Face Height Malocclusion: Etiology, Diagnosis, and Treatment,” by Sten Linder- Aronson and Donald G. Woodside. d. “Essentials of Facial Growth,” by Donald Enlow, PhD and Mark G. Hans, DDS, MS. e. “Biomechanics and Esthetic Strategies in Clinical Orthodontics” by Ravindra Nanda, B.D.S., M.D.S., Ph.D. f. “Radiographic Cephalometry: From Basics to 3-d Imaging,” by Alexander Jacobson. g. Reading assignments will be taken from these textbooks and from articles provided in the course materials. h. You may purchase all of the above books at a special discounted price from Johns Dental Laboratory, 423 South 13th St., Terre Haute, IN 47808; telephone (800)457-0504, (812) 232-6026, fax (812) 234-4464, Email: labinfo@johnsdental.comOur Instructors and Professors have spent the past 24 months working tirelessly developing this four-session Ultimate Orthodontics Program to achieve our goal of making this the finest Orthodontic Programpossible.With Warmest Regards,Steve A. Galella, DDS, IBO 875 W. Poplar Suite 16, Collierville, TN 38017 USA Telephone: +901.853.1183 Telefax: +901.853.4200 Website: Email: