Retention1 /certified fixed orthodontic courses by Indian dental academy

802 views

Published on


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

0 Comments
0 Likes
Statistics
Notes
  • Be the first to comment

  • Be the first to like this

No Downloads
Views
Total views
802
On SlideShare
0
From Embeds
0
Number of Embeds
2
Actions
Shares
0
Downloads
8
Comments
0
Likes
0
Embeds 0
No embeds

No notes for slide

Retention1 /certified fixed orthodontic courses by Indian dental academy

  1. 1. INDIAN DENTAL ACADEMY Leader in continuing dental education www.indiandentalacademy.com www.indiandentalacademy.com
  2. 2. RETENTION • TEETH TEND TO RETURN TO FORMER POSITIONS • ELIMINATE ETIOLOGY • CORRECTIONS DURING GROWTH • GROWTH EFFECTS • MAINTAIN ARCH FORM PARTICULARLY LOWER www.indiandentalacademy.com
  3. 3. RETENTION • OVERCORRECTION • IDEAL STATIC AND FUNCTIONAL OCCLUSION • TEETH UPRIGHT OVER BASAL BONE • LOWER INCISOR UPRIGHTING • ALLOW TISSUES TIME TO REORGANIZE/ADAPT www.indiandentalacademy.com
  4. 4. RETENTION PRE-TREATMENT www.indiandentalacademy.com POST-TREATMENT RELAPSE UNPREDICTABLE
  5. 5. RELAPSE RELAPSE FUNCTIONAL OPEN BITE SHORT UPPER LIP www.indiandentalacademy.com
  6. 6. RELAPSE PRE-ORTHO AFTER SERIAL EXT. POST-TREAMENT www.indiandentalacademy.com POST-RETENTION
  7. 7. www.indiandentalacademy.com
  8. 8. www.indiandentalacademy.com
  9. 9. THE ETIOLOGY OF LATE LOWER ARCH CROWDING RICHARDSON, ME. AJODO 1994  CROWDING IN ORTHODONTICALLY TREATED PATIENTS OVER TIME  ARCH LENGTH AND ARCH DEPTH DECREASE AFTER ERUPTION OF SECOND MOLARS……. LEADING TO CROWDING  CROWDING IN UNTREATED SUBJECTS BETWEEN 12-18-30 YEARS  NORMAL PHYSIOLOGIC PHENOMENON www.indiandentalacademy.com • (10 REFERENCES)
  10. 10. GROWTH  MANDIBLE > MAXILLA LATE MANDIBULAR GROWTH  BASAL BONE > ALVEOLAR BONE  MANDIBULAR ARCH CONTAINED BY MAXILLARY ARCH  GROWTH DIRECTION CLOSING ROTATION: MESIAL PATH OF ERUPTION OF POST. TEETH OPENING ROTATION: RETROCLINATION OF INCISORSwww.indiandentalacademy.com
  11. 11. GROWTH  MUSCLE FORCES LIPS, CHEEKS, TONGUE  MESIALLY DIRECTED FORCES -PHYSIOLOGIC MESIAL DRIFT -ANT. COMPONANT OF FORCES OF OCCLUSION -THIRD MOLAR DEVELOPMENT www.indiandentalacademy.com
  12. 12. RETENTION FEW YEARS POST-TREAMENT PRIOR TO RETENTION LOWER THIRD MOLARS THIRD MOLARS NORMAL DEVELOPMENT HORIZONTAL IMPACTIONS www.indiandentalacademy.com
  13. 13. OBJECTIVES FOR RETENTION Teeth tend to return toward pretreatment condition Retain what has been achieved Consider the three dimensions + ROTATIONS www.indiandentalacademy.com
  14. 14. MAXILLARY HAWLEY RETAINER Palate = transverse+antero-posterior Labial bow = overjet + alignment standard or circumferential Anterior bite plane = overbite Finger springs = rotations, spaces, lingual tipping Clasps for retention of appliance -ball, Adams, interproximal, “C” clasp Headgear for www.indiandentalacademy.com bands Class II to molar
  15. 15. RETAINERS MAXILLARY HAWLEY RETAINER MAXILLARY CIRCUMFERENTIAL HAWLEY RETAINER MANDIBULAR www.indiandentalacademy.com HAWLEY RETAINER
  16. 16. UPPER HAWLEY FINGER SPRINGS POST-TREATMENT SMALL LATERALS www.indiandentalacademy.com
  17. 17. MAXILLARY FRENUM MIDLINE DIASTEMA DEEP OVERBITE CLASS I MALOCCLUSION www.indiandentalacademy.com
  18. 18. FULL FIXED APPLIANCES POST-TREATMENT www.indiandentalacademy.com
  19. 19. SPLINTING/PERMANENT RETENTION 0.022 SPIRAL WIRE ALLOWS FOR PHYSIOLOGIC MOVEMENT OF ADJACENT TEETH www.indiandentalacademy.com
  20. 20. SPLINTING LONG-TERM CLASS III CASE POST-TREATMENT RELAPSE MIN. OVERJET+OVERBITE www.indiandentalacademy.com
  21. 21. MANDIBULAR RETAINERS HAWLEY RETAINER labial bow=space closure +alignment occlusal rests www.indiandentalacademy.com
  22. 22. MANDIBULAR RETAINERS FIXED BONDED LINGUAL 3-3 0.030 BLUE ELGILOY OR 4-4 (OVERBITE/CURVE OF SPEE) LONG-TERM HOLD AGAINST GROWTH INCISOR UPRIGHTING INTERCANINE WIDTH INCISOR MALALIGNMENT THIRD MOLARS??? FIXED BONDED 3-3 BONDING TECHNIQUE www.indiandentalacademy.com
  23. 23. LOWER ESSIX RETAINER UPPER ESSIX RETAINER www.indiandentalacademy.com
  24. 24. POST-TREATMENT ESSIX RETAINERS MISSING LATERALS www.indiandentalacademy.com WITH ACRYLIC TEETH
  25. 25. IMPRESSIONS FOR TOOTH POSITIONER LAB SET-UP FOR TOOTH POSITIONER www.indiandentalacademy.com
  26. 26. RUBBER TOOTH POSITIONER www.indiandentalacademy.com
  27. 27. PRE-TREATMENT INCISOR ROTATION CIRCUMFERENTIAL SUPRA-CRESTAL FIBEROTOMY www.indiandentalacademy.com
  28. 28. KEYSTONING INTER-PROXIMAL STRIPPING www.indiandentalacademy.com
  29. 29. PRE-TREATMENT CROWDING AND ROTATIONS LAB. SET-UP FOR SPRING ALIGNER www.indiandentalacademy.com
  30. 30. SPRING ALIGNER IDEAL SET-UP INITIAL PLACEMENT www.indiandentalacademy.com
  31. 31. SCHEDULE MANAGEMENT DURING RETENTION • LETTERS TO PATIENTS AND PARENTS • LETTER TO DENTIST-explain plan and request help in monitoring fixed lingual retainer. • L www.indiandentalacademy.com
  32. 32. SCHEDULE MANAGEMENT DURING RETENTION • • • • • • • PLACE RETAINERS 6-8 WEEK RECALL 4 MONTH FOLLOW-UP 6-8 MONTHS FOLLOW-UP ONE YEAR LATER AFTER 2 YEARS AS NEEDED NO RECALLS-letter to patient and dentist FEES ??? www.indiandentalacademy.com
  33. 33. FIXED BONDED RETAINER AFTER 8 YEARS REMOVAL OF FIXED LINGUAL RETAINER CONSIDER LOWER HAWLEY/ESSIX WHILE SLEEPING RELAPSE MAY NEED TO BE MANAGED LONG-TERM www.indiandentalacademy.com
  34. 34. CLASS I MALOCCLUSION INCREASED OVERBITE SMALL UL LATERAL CONGENITALLY ABSENT UPPER RIGHT LATERAL www.indiandentalacademy.com
  35. 35. POST-TREATMENT www.indiandentalacademy.com
  36. 36. ACID ETCH BRIDGE UPPER RIGHT LATERAL BONDING BUILD-UP LEFT LATERAL INCISOR www.indiandentalacademy.com
  37. 37. Thank you For more details please visit www.indiandentalacademy.com www.indiandentalacademy.com

×