Myths and realities in clinical orthodontics /certified fixed orthodontic courses by Indian dental academy

MYTHS

AND

REALITIES

IN
CLINICAL ORTHODONTICS
www.indiandentalacademy.com

PREMATURE LOSS OF DECIDUOUS
TEETH CAUSE MALOCCLUSION

Here cause is mistaken for effect
PR BEGG & KESLING

PROLONGED RETENTION OF
DECIDUOUS
TEETH CAUSE
MALOCCLUSION

Again cause is mistaken for effect
PR BEGG & KESLING
Original article

LABIAL FRENA MUST BE EXCISED BEFORE
TREATING MIDLINE DIASTEMA

The Frenum must be excised AFTER
moving the teeth Orthodontically as
movement is easier in unoperated
site than in Scar
KESLING

ALL CASES OF MALOCCLUSION
CAN
BE EFFECTIVELY TREATED BY
FIXED

APPLIANCES


FIXED APPLIANCE THERAPY
IS
CONTRA INDICATED
IN PATIENTS WITH
VALVULAR LESION OF HEART

NON VITAL TOOTH CANNOT
WITHSTAND
ORTHODONTIC FORCE


COLOUR OF TEETH AFTER DIRECT BONDING
FIXED APPLIANCE IS MORE YELLOWISH
THAN PRIOR TO THE TREATMENT

ORTHODONTIC SCAR

THE TEETH GET THINNED OUT AFTER

DIRECT BONDING FIXED APPLIANCES
DUE TO REPEATED ETCHING


RESORPTION OF ROOT IS MORE
IN
STRAIGHT ARCH WIRE TECH
(PEA)
AS HEAVIER FORCE IS
EMPLOYED

DURATION OF TREATMENT VARIES
FROM
TEHCNIQUE TO TECHNIQUE IN
FIXED
APPLIANCES

BEGG
TIP EDGE
PEA
VIAZIS

BRACKETS OF PEA ONCE FALLEN
DOWN
CANNOT BE USED & HENCE IT IS
OUT
OF REACH FOR COMMON MAN

RECYCLING POSSIBLE

RECURRENT ULCERS IN FIXED APPLIANC
IS DUE TO MECHANICAL IRRITATION

NITI WIRES
SENSITIZATION

SPECIAL ORTHODONTIC BRUSH
IS

INEVITABLE


AFTER WEARING RETAINER
SOME
AMOUNT OF INCREASE IN
OVERJET
IS

DUE

TO

RELAPSE


UPPER AND LOWER FIXED
APPLIANCE
SHOULD BE DONE
SIMULTANEOUSLY


BEGG IS INFERIOR TO STRAIGHT WIRE (PEA)
BEGG must be the choice in majority of India
context because
1. Nature of malocclusion encountered in Indian Pt.
2. Limited scope of growth Modulation or
Orthognathic surgery
3. General level awareness
4. Cost of treatment

KALIAMMAL


BEGG TREATMENT IS PREDOMENANTLY AN
EXTRACTION TREATMENT

PEA TREATMENT IS LATEST AND ANY
MALOCCLUSION CAN BE TREATED
WITHOUT EXTRACTION

GNANAOLI


PREMKUMAR


Extraction decision should not be a political
one, but rather than should be designed to
provide benefits of esthetics, function and
Stability

DR BOWMAN


BEGG RESULTS IN FLAT OR
CONCAVE
PROFILES ( DISH IN PROFILE )


The fear of ‘ dish – in ’ profile said
commonly to result from Extraction of
Premolar is derived
from carefully
selected reports of unfavorable results .
.


SARVANAN


On an average, the major effect of Premolar
extraction appears to be 2 mm of profile flattening
(BUTCHER’S BILL FOR PM EXT)


BUCCAL CORRIDOR IS
UNWANTED RESULT IN
BEGG


AN

Dark intra oral spaces (-ve spaces) at the corners
of mouth that are said to be obvious during smiling
is called Buccal or Orthodontic corridor.

Begg calls this as a mischievous nonsense.
HULSEY
AM. J .ORTH. 1990.


PEA GIVES GOOD FINISH WHEN COMPARED TO BEGG

BEGG is ideal in

PEA is ideal in

-

-

-

Severe protrusion
Min crowding
Bimax
Cl II div 1

Orthognathic
- Periodontally
compromised cases
- Pre prosthetic cases
- Arch lengthening
procedures


Invisible—how much able they are


Invisible orthodontics
•
Doesn't that sound great!
Unfortunately this is the real story • Lingual orthodontics (so you can't see them): These are very
difficult to place and more difficult to keep in place. They
are considerably more expensive.
• Clear brackets: They are only slightly more expensive and
we will be happy to discuss whether your orthodontic case
is suitable for clear brackets. Most adult patients find these
meet their aesthetic demands.
• Clear removable orthodontic guides (aligners): Widely
advertised in magazines. These are only suitable for very
minor orthodontic movements and are very expensive
because a lot of laboratory costs.

No Treatment modality is so good that
it
cannot be Misused or Misguided

BOWMAN


“Old need not be gold and that
latest

need not be the best ”


Ortho trainers –do really train you or
strain you


Retainers –strainers of ortho
treatment


emergencies
• Ask the patient to follow our dietary guidelines. Experience
has shown 95% of breakages result from failing to observe
instructions as to the correct foods to eat.
• Wires sticking into buccal mucosa
Use the wax provided as necessary to manage any spots that
feel sharp or rough. Soften the wax under warm water and
place over the area. It will fall off by itself and need to be
replaced (there is no problem with regard to swallowing it).
• Brackets comes loose from a tooth.
This is best fixed at the next appointment. If it has rolled
around or moved it can be easily positioned with light finger
pressure.
• Broken wire.
Will not cause harm and is easily replaced at the next visit.
The teeth are still moving and under treatment.

Myths and realities in clinical orthodontics /certified fixed orthodontic courses by Indian dental academy

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Myths and realities in clinical orthodontics /certified fixed orthodontic courses by Indian dental academy