Recent advances in surgical orthodontics /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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Recent advances in surgical orthodontics /certified fixed orthodontic courses by Indian dental academy

  1. 1. INDIAN DENTAL ACADEMY Leader in continuing dental education www.indiandentalacademy.com www.indiandentalacademy.com Recent advances in surgical orthodontics 
  2. 2. INDIA SHINES !! THE MOOD IS UPBEAT ECONOMY GROWS DISPOSABLE INCOMES ON THE RISE CONSUMERISM ON A HIGH BEAUTY IS BIG BUSINESS THE INDIAN FACE SELLS ALL !!! THE FEEL GOOD FACTOR +++++ www.indiandentalacademy.com
  3. 3. THE GOOD NEWS •Increasing demand for orthodontics •A shift towards cosmetic dentistry •Mass Marketing ,consumer branding Strategies – Invisalign • 54 % OF INDIANS BELOW 25 YEARS OF AGE !! www.indiandentalacademy.com
  4. 4. Indian Orthodontics: are we in a process of change ? A period of turbulent global change • Books journals ,information •A profusion of appliances,space age materials •New diagnostics and Treatment modalities, •Distraction,MIA, •Craniofacial orthodontics •Age,no longer a consideration !!! Have our dimensions,horizons changed ? Are we looking beyond our mechanical preoccupation? www.indiandentalacademy.com
  5. 5. The Drivers for change in the 21st century Biology / technology / evidence Patient centered approach Efficient and effective orthodontics •Convergence of technology •Materials •information •Philosophies •Techniques •Comfort of status • quo/opinion www.indiandentalacademy.com
  6. 6. SO WHY DO PEOPLE SEEK ORTHODONTIC TREATMENT ?? www.indiandentalacademy.com
  7. 7. Orthodontics Justified spirit mindbody “ If there is a defect on the soul, it cannot be corrected on the face, but if there is a defect on the face and one corrects it, it can correct a soul. “ - Jean Cocteau www.indiandentalacademy.com
  8. 8. Esthetics primarily responsible for Orthodontics Appearance - The most important motivating factor for treatment. Physically attractive people achieve higher levels of success in life than unattractive people Breece & Nieberg JCO 1986 www.indiandentalacademy.com
  9. 9. Reasons for seeking orthodontic treatment :  Malaligned teeth 84%  Advice of dentist 52%  Facial appearance 41% © Self concept in class II malocclusion and early treatment Dan C et al Angle Orthod. 65(6) 411, 1995 Silver Platter Search www.indiandentalacademy.com
  10. 10. Information and Awareness Patient empowerment A right to participate in the decisions and entitled to results “Dentofacial Appearance is a significant predictor of orthodontic patients expectations of treatment” Am J Orthod Dentofacial Orthop 2003; 123-127 Time Society driven by speed !! Service on Demand,Instant gratification + www.indiandentalacademy.com
  11. 11. The Face “A singular structure that teems with subtleties An enchanted terrain,a zone of sensuality A playground of secrets,a glory of function” Daniel McNeill Facial Appearance :-The most important characteristic in relation to self image and self esteem People Dissatisfied with Facial appearance express more dissatisfaction with teeth than any other feature !! Hershon LE, Giddon DB. Determinants of facial profile self-perception. Am J Orthod 1980;78:279-95.   Berscheid E, Walster E, Bohrnstedt G. Body image. Psychol Today 1973;7:119-131v www.indiandentalacademy.com
  12. 12. ADULT ORTHODONTICS- A NEW VISTA Growing segment in orthodontic Practice 95.3 % of orthodontists in US into Surgical orthodontics ! 70 75 80 85 90 97 02 10% 15% 20% 25% 5% 30% JCO 1997-02 www.indiandentalacademy.com
  13. 13. Three dimensional treatment goals 4th Dimension TIME !! The 5th Dimension Function 1. Do traditional strategies and goals in orthodontics still hold good ? Is there a new paradigm in orthodontics ? www.indiandentalacademy.com
  14. 14. o Facial / Dental aesthetics decide successful outcome both may not correlate o Anterior Smile Aesthetics critical for the patient o Alteration of the skeletal bases needs to be harmonized with dentoalveolar modification o Orthodontics and surgeons – a synergism !! Success !! www.indiandentalacademy.com
  15. 15. ORTHODONTIC LIMITATIONS Angle – Class 1 molar Relation ship 1925 – 1945 Tweed – Lower Incisor Position 1945 –1985 Surgical influence – Upper incisors/positioning anterior 6 teeth www.indiandentalacademy.com
  16. 16. Cephalometrics – What Value ?  Measurements based on cranial base landmarks –inaccurate in defining clinical profile  Disconnect between hard & soft tissues!  No measurement is 100% accurate  Soft tissue thickness / axial inclination of incisors – the most important variables in inaccuracy Michels & Tourne Int J Adult orthod orthog Surg 1990 5 (1) 43-52 www.indiandentalacademy.com
  17. 17. JCO Survey 99 – traditional Ceph Analysis used by 94% orthodontists Is it a Problem ? • Measure skeletal and dental relationships • Measure to cranial base • Soft tissue/ profile correlation ? •Did we forget to reintegrate soft and hard tissues ?? Face First – The Emerging Paradigm www.indiandentalacademy.com
  18. 18. NO CORRELATION BETWEEN NORMSAND PROFILE BALANCE !! OCCLUSAL /DENTOALVEOLAR CORRECTION BASED ON NORMS – LESS THAN OPTIMAL FACIAL RESULTS www.indiandentalacademy.com
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  22. 22. PRE-TREATMENT POST-TREATMENT www.indiandentalacademy.com
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  26. 26. Inheritance or mind set? Is Traditional Cephalometric and model diagnosis relevant towards a comprehensive treatment outcome ? Evidence :- Changes in facial profile during orthodontic treatment with extraction of first four premolars Am J Orthod Dentofac Orthop 95(3):220-30 Mar 89 Dobrocky and Smith found • 160 orthodontic patients treated to Class 1 models • 15% of lips excessively flat ! • 30.6 % nasolabial angles excessively obtuse !!( >120) ORTHODONTIC LIMITATIONS www.indiandentalacademy.com
  27. 27. A TIME FOR INTROSPECTION Did a good occlusion match a good face at the end of treatment ?? Was Anchorage ever a problem ?? Was a special effort required to finish and detail your cases ? www.indiandentalacademy.com
  28. 28. OCCLUSION AESTHETICS 180° turn around in conceptual Orthodontic thought !!! Occlusion Static records Non extn Lower incisors Face First Soft tissue and smile dynamics Skeletal modification 90’s paradigm www.indiandentalacademy.com
  29. 29. “The winds of change are blowing in the face of time” Scorpions www.indiandentalacademy.com
  30. 30. Orthodontic Limitations The Perceived Ideal Position not possible orthodontically Adverse Facial Changes if attempt to compromise is made . A Surgical /Orthodontic solution is essential Compromised occlusions – a special challenge! An entire new dimension in Orthodontics !! www.indiandentalacademy.com
  31. 31. TVL TVL TVL 0 4 -5 -12 -11 57 64 0 4 2 -5 -3 57 64 0 4 -1 -8 -6 57 64 normalOrthodontics ++Surgery Defining orthodontic limitations www.indiandentalacademy.com
  32. 32. TVL TVL 64 57 0 3 -5 -12 -11 0 4 2 -5 -3 64 57 Repositioning teeth can help the profile only that much ! www.indiandentalacademy.com
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  37. 37. TVL TVL 0 4 7 1 3 57 64 0 4 2 -5 -3 57 64 Color codes used with the Arnett soft tissue cephalometric analysis Black = within 1 SD Green = within 2 SD Blue = within 3 SD Red = more than 3 SD www.indiandentalacademy.com
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  39. 39. FACE FIRST – A Paradigm change Increasing focus on altering skeletal bases to achieve a positive outcome . Growth modification Compromise Orthodontics with malar augmentation, rhinoplasty ,genioplasty Osteotomies – mandibular / maxillary for skeletal excess Deficiencies ?? Grafts www.indiandentalacademy.com
  40. 40. Right now my life is just one learning experience after another…… By the end of the week I should be a genius! Jeanette Osias www.indiandentalacademy.com
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  45. 45. thank you www.indiandentalacademy.com

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