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188-The Timing of Orthodontic
Treatment
Early Treatments in Orthodontics
Olivier Oussama SANDID
Orthodontist- SQODF
The Timing of Orthodontic
Treatment
Early Treatments in Orthodontics
1-Anterior cross bite
2-Posterior Crosse bite
3-Crowding
4-Openbite
5-Protrusion
6-Ectopic eruption
7-Class III- proglissement
8-Disatema-freins
9-Oral habits- Thumb sucking Tongue thrusting Lips
10-Class II division 2-Blockc growth
11-Mouth breathing
12-Mandibular deviation growth midline
13-Space maintainer
15-guidage of eruption
-
Early Treatments
in Orthodontics
www.orthofree.com
1-Early Treatments
in Orthodontics
Anterior Crossbite
www.orthofree.com
2-Early Treatments
in Orthodontics
www.orthofree.com
5
Posterior Crossbite
2-Early Treatments
in Orthodontics
Case1-B
www.orthofree.com
Juan M. Font Jaume
Comparison of intermolar width before treatment and after expansion with quadhelix.
Expansion with quadhelix
2-Early Treatments
in Orthodontics
Case1 -a
www.orthofree.com
Lines indicate asymmetry between right and left condyles.
Juan M. Font Jaume
Posterior crossbite asymmetry
2-Early Treatments
in Orthodontics
Case1 -C
www.orthofree.com
Juan M. Font Jaume
11 years after the end of treatment.
3-Early Treatments
in Orthodontics
Crowding
9
www.orthofree.com
4-Early Treatments
in Orthodontics
Open bite
www.orthofree.com
4-Early Treatments
in Orthodontics
Open bite
www.orthofree.com
4-Early Treatments
in Orthodontics
Open bite
www.orthofree.com
5-Early Treatments
in Orthodontics
Protrusion
www.orthofree.com
5-Early Treatments
in Orthodontics
Protrusion
www.orthofree.com
5-Early Treatments
in Orthodontics
Protrusion
www.orthofree.com
5-Early Treatments
in Orthodontics
Protrusion
www.orthofree.com
Early Treatments
in Orthodontics
www.orthofree.com
6-Early Treatments
in Orthodontics
Ectopic Eruption
www.orthofree.com
6-Early Treatments
in Orthodontics
Ectopic Eruption
www.orthofree.com
6-Early Treatments
in Orthodontics
Ectopic Eruption
www.orthofree.com
6-Early Treatments
in Orthodontics
Ectopic Eruption
www.orthofree.com
7-Early Treatments
in Orthodontics
Class III malocclusion- Proglissement
www.orthofree.com
8-Early Treatments
in Orthodontics
Diastema- frenum
www.orthofree.com
8-Early Treatments
in Orthodontics
Diastema- frenum
www.orthofree.com
8-Early Treatments
in Orthodontics
Diastema- frenum
www.orthofree.com
8-Early Treatments
in Orthodontics
Diastema- frenum
www.orthofree.com
8-Early Treatments
in Orthodontics
Diastema- frenum
www.orthofree.com
9-Early Treatments
in Orthodontics
Oral habits - Thumb sucking
www.orthofree.com
9-Early Treatments
in Orthodontics
Lip sucking caused
open bite and tongue thrust
www.orthofree.com
9-Early Treatments
in Orthodontics
Finger sucking caused
open bite and tongue thrust
www.orthofree.com
9-Early Treatments
in Orthodontics
Thumb sucking
caused open bite
www.orthofree.com
9-Early Treatments
in Orthodontics
Open bite caused by lower tongue trust
www.orthofree.com
9-Early Treatments
in Orthodontics
Oral habits- Thumb sucking
www.orthofree.com
9-Early Treatments
in Orthodontics
Oral habits - Thumb sucking
Before trt After Trt
www.orthofree.com
9-Early Treatments
in Orthodontics
Oral habits- Tongue thrusting
www.orthofree.com
9-Early Treatments
in Orthodontics
Oral habits- Tongue thrusting
www.orthofree.com
9-Early Treatments
in Orthodontics
Oral habits- Tongue thrusting
www.orthofree.com
9-Early Treatments
in Orthodontics
Oral habits- Tongue thrusting
www.orthofree.com
10-Early Treatments in Orthodontics
Class II, Division 2, malocclusion with
Deep Overbite
www.orthofree.com
10-Early Treatments in Orthodontics
Class II, Division 2, malocclusion with
Deep Overbite
www.orthofree.com
10-Early Treatments in Orthodontics
Class II, Division 2, malocclusion with
Deep Overbite
www.orthofree.com
11-Early Treatments in Orthodontics
Mouth breathing
www.orthofree.com
11-Early Treatments in Orthodontics
Mouth breathing
www.orthofree.com
11-Early Treatments in Orthodontics
Mouth breathing
www.orthofree.com
11-Early Treatments in Orthodontics
Mouth breathing
www.orthofree.com
11-Early Treatments in Orthodontics
Mouth breathing
www.orthofree.com
12-Early Treatments in Orthodontics
Mandibular Growth of Children
with Temporomandibular Joint Abnormalities
www.orthofree.com
12-Early Treatments in Orthodontics
Mandibular Growth of Children
with Temporomandibular Joint Abnormalities
www.orthofree.com
12-Early Treatments in Orthodontics
Mandibular Growth of Children
with Temporomandibular Joint Abnormalities
www.orthofree.com
12-Early Treatments in Orthodontics
Mandibular Growth of Children
with Temporomandibular Joint Abnormalities
www.orthofree.com
13-Early tooth loss may require a
space maintainer
Sandid.O - www.orthofree.com
13-Early tooth loss may require a
space maintainer
www.orthofree.com
13-Early tooth loss may require a
space maintainer
Sandid .O- www.orthofree.com
13-Early tooth loss may require a
space maintainer
www.orthofree.com
14- Guidance of Eruption
?
14-Early Treatment
Guidance of Eruption
selective extraction of deciduous teeth
www.orthofree.com
14-Early Treatment
Guidance of Eruption
www.orthofree.com
Early Treatments
in Orthodontics
www.orthofree.com
15-Prevention/interception
of impaction
Impacted Canines
www.orthofree.com
Before After
Dr O. SANDID
59
15-Prevention/interception
of impaction
Impacted Canines
www.orthofree.com
Dr O. SANDID
60
15-Prevention/interception
of impaction
www.orthofree.com
Dr O. SANDID
61
Odontoma – Root resorption
15-Prevention/interception
of impaction
Impacted Canines
www.orthofree.com
62
15-Prevention/interception
of impaction
Impacted Canines
www.orthofree.com
63
Dr O. SANDID
15-Prevention/interception
of impaction
Impacted Canines
www.orthofree.com
64
Dr O. SANDID
15-Prevention/interception
of impaction
Impacted Canines
www.orthofree.com
65
Dr O. SANDID
Prevention/interception of impaction
66
Early trt –Mesiodens
A. Patti
67
16- Early Treatments
in Orthodontics-
Serial Extraction
www.orthofree.com
O.SANDID
16- Early Treatments
in Orthodontics-
Serial Extraction
www.orthofree.com
69
O.SANDID
16- Early Treatments
in Orthodontics-
Serial Extraction
www.orthofree.com
70
DOLPHIN IMAGING
EXTRACTIONS 53-63-73-83
EXTRACTIONS 54-64-74-84
EXTRACTIONS 14-24-34-44
17- Early Treatments
in Orthodontics-
Interceptive orthodontic correction of ectopically erupting permanent molar
www.orthofree.com
71
17- Early Treatments
in Orthodontics-
Interceptive orthodontic correction of ectopically erupting permanent molar
www.orthofree.com
72
17- Early Treatments
in Orthodontics-
Interceptive orthodontic correction of ectopically erupting permanent molar
www.orthofree.com
73
17- Early Treatments
in Orthodontics-
Interceptive orthodontic correction of ectopically erupting permanent molar
www.orthofree.com
74
Early Treatments
in Orthodontics-
Ankylosis
www.orthofree.com
Early Treatments
in Orthodontics-
Premolar Impaction
13-Early Treatments
in Orthodontics
Space maintainers
www.orthofree.com
- Primary teeth as space maintainers
- Unilateral space maintainer
Early Treatments
in Orthodontics
Case 2: M.O. 4 years 2 months
www.orthofree.com
Unilateral crossbite
facial assymetry.
Early Treatments
in Orthodontics
Case 2: M.O. 4 years 2 months
www.orthofree.com
-Unilateral crossbite
-facial assymetry.
Composite build-ups on right deciduous molars,
selective grinding
Early Treatments
in Orthodontics
Case 2: M.O. 4 years 2 months
www.orthofree.com
-Follow -up
PREVENTIVE & INTERCEPTIVE ORTHODONTICS
www.orthofree.com
• Abnormal Labial Frenum
PREVENTIVE & INTERCEPTIVE ORTHODONTICS
www.orthofree.com
• Abnormal lingual Frenum
BIBLIOGRAPHIE
• Armstrong MM.(1971) : Controlling the magnitude, direction, and duration of extraoral
• force. Am J Orthod.,Vol.59, N°3, pp:217-43.
• Baccetti T,and al.(1998) : Skeletal effects of early treatment of Class III malocclusion with
• maxillary expansion and face-mask therapy. Am J Orthod Dentofacial Orthop.
• Vol.113, N°3, pp:333-43.
• Basciftci FA, Karaman AI.(2002) :Effects of a modified acrylic bonded rapid maxillary
• expansion appliance and vertical chin cap on dentofacial structures. Angle
• Orthod.Vol.72, N°1, p:61-71.
• Baumrind S, and al. (1983) :Superimpositional assessment of treatment-associated changes
• in the temporomandibular joint and the mandibular symphysis.Am J Orthod.
• Vol.84, N°6, pp:443-65.
• Behlfelt K, and al (1989) : Dentition in children with enlarged tonsils compared to control
• children. Eur J Orthod, Vol 11, N°4, pp:416-29.
• Clifford FO. (1971) : Cross-bite correction in the deciduous dentition : principles and
• procedures. Am J Ortthod.Vol.59 :343-9
• Cozza P and al. (2005) : Early orthodontic treatment of skeletal open-bite malocclusion: a
• systematic review.Angle Orthod.Vol.75, N°5, pp:707-13.
• Dale JG. (2000) Serial extraction ... nobody does that anymore. Am J Orthod Dentofacial
• Orthop.Vol.117, N°5, pp:564-6.
• Delaire J.(1971) Confection du masque ortopédique. Rev Stomat Paris Vol.72, pp: 579- 84
• Demisch A.(1972).: Effects of activator therapy on the craniofacial skeleton in classe II,
• division 1 malocclusion. Trans. Eur. Orthod. Soc., pp :295-310.
• Droschl H.(1973) : The effect of heavy orthopedic forces on the maxilla in the growing
BIBLIOGRAPHIE
• Egermark-Eriksson I, and al.(1990) :A longitudinal study on malocclusion in relation to signs
• and symptoms of cranio-mandibular disorders in children and adolescents. Eur J
• OrthodVol.12, N°4, pp:399-407.
• Freunthaller P.(1967) : Cephalometric observation in Class II, Division I malocclusions
• treated with the activator. Angle Orthod.Vol.37, N°1, pp:18-25.
• Gugino CF, Dus I. (1998) :Unlocking orthodontic malocclusions: an interplay between form
• and function.Semin Orthod. Vol.4, N°4, pp:246-55.
• Ghafari J, and al. (1998) : Headgear versus function regulator in the early treatment of Class
• II, division 1 malocclusion: a randomized clinical trial. Am J Orthod Dentofacial
• Orthop.Vol.114, N°2, pp:162-5.
• Gianelly AA, Arena SA, Bernstein L. (1984): A comparison of Class II treatment changes
• noted with the light wire, edgewise, and Fränkel appliances. Am. J.Orthod.Vol.86,
• N°4, pp:269-76.
• Graber TM. (1971) : Serial Extraction. AmJ Orthod Vol.60, pp:541-575.
• Graber TM., Profitt WR. (2007):Contemprary orthodontics. 4th St Louis,pp: 689- 707.
• Guyer EC, Ellis EE 3rd, Mc Namara JA Jr (1986): Components of class III malocclusion in
• juveniles and adolescents. Angle orthod.Vol.56, N°1, pp:7-30.
• Orthop.Vol.66, pp:599-617.
BIBLIOGRAPHIE
• McNamara JA Jr, Bookstein FL, Shaughnessy T.(1985) :Skeletal and dental changes
• following functional regulator therapy on class II patients. Am J Orthod.Vol.88, N°2,
• pp:91-110.
• McNamara JA Jr (1987) : An orthopedic approach to the treatment of Class III
malocclusion
• in young patients. J Clin Orthod.Vol.21, N°9, pp:598-608.
• McNamara JA Jr, Brudow WL.(1993): Orthdodontic and orthodpedic treatment in
the mixed
• dentition. Ann Arbor, Mich. : Needham Press.
• McNamara JA Jr. (2002) :Early intervention in the transverse dimension: is it worth
the
• effort? Am J Orthod Dentofacial OrthopVol.121, N°6, pp:572-4.
• Nartallo-Turley PE, Turley PK.(1998): Cephalometric effects of combined palatal
expansion
• and facemask therapy on Class III malocclusion. Am J Orthod. Vol.68, N°3, pp:217-
• 24.

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