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Smile architect /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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Smile architect /certified fixed orthodontic courses by Indian dental academy

  1. 1. Orthodontist – The Smile Architect INDIAN DENTAL ACADEMY Leader in continuing dental education www.indiandentalacademy.com www.indiandentalacademy.com
  2. 2. Department of Orthodontics and Dentofacial Orthopaedics www.indiandentalacademy.com
  3. 3. Department of Orthodontics and Dentofacial Orthopaedics www.indiandentalacademy.com
  4. 4. Department of Orthodontics and Dentofacial Orthopaedics www.indiandentalacademy.com
  5. 5. More than just beautiful smiles…... www.indiandentalacademy.com
  6. 6. The Forgotten Triad…… www.indiandentalacademy.com
  7. 7. www.indiandentalacademy.com
  8. 8. Diagnosis • Diagnosis is the key to • However, Diagnosis is no cake walk. • Diagnostic aids help us to come as close as possible to a comprehensive diagnosis. www.indiandentalacademy.com
  9. 9. COMPREHENSIVE DIAGNOSIS www.indiandentalacademy.com
  10. 10. • However, in the field of orthodontics, at the time of diagnosis, the treatment objectives are set and the diagnosis, as such, is considered only tentative until those treatment objectives are achieved, because the tissue response and the duration, direction and magnitude of growth varies in individual patients. www.indiandentalacademy.com
  11. 11. • Hence, as a clinician, a thorough knowledge of the normal is a must in order to recognize any deviations from the normal. www.indiandentalacademy.com
  12. 12. Primary Spacing www.indiandentalacademy.com
  13. 13. Deep Bite (Early Deciduous Dentition) Eruption of first permanent molars Attrition of Incisors Forward movement of the mandible due to growth Edge-to-edge bite (Late Deciduous / Early Mixed Dentition) www.indiandentalacademy.com
  14. 14. Incisal Liability Usage in Inter-canine Width Increase of Primary Spacing Increased labial inclination of permanent incisors www.indiandentalacademy.com
  15. 15. Leeway space 0.9mm 1.7mm www.indiandentalacademy.com
  16. 16. Ugly Duckling Stage www.indiandentalacademy.com
  17. 17. Andrew’s Six Keys to Normal Occlusion Mesio-distal Molar Inter-arch Labio-lingual Angulation Relationship Crown Inclination +7º 18º Key 3 2 1 5º 90º Occlusal plane 90º 90º -1º www.indiandentalacademy.com 16º
  18. 18. Andrew’s Six Keys to Normal Occlusion Curve of Spee Absence of Rotation Tight Contacts not exceeding Key 5 1.5 mm 6 4 www.indiandentalacademy.com
  19. 19. Skeletal Combination www.indiandentalacademy.com Dental
  20. 20. Maxilla Combination www.indiandentalacademy.com Mandible
  21. 21. Planes www.indiandentalacademy.com
  22. 22. Planes www.indiandentalacademy.com
  23. 23. Planes www.indiandentalacademy.com
  24. 24. Combinations www.indiandentalacademy.com
  25. 25. Malocclusions in the Saggital Plane www.indiandentalacademy.com
  26. 26. Class II Malocclusion - Dental Normal www.indiandentalacademy.com
  27. 27. Class II Malocclusion - Skeletal Normal www.indiandentalacademy.com
  28. 28. Class III Malocclusion - Dental Normal www.indiandentalacademy.com
  29. 29. Class III Malocclusion - Skeletal Normal www.indiandentalacademy.com
  30. 30. Malocclusions in the Vertical Plane www.indiandentalacademy.com
  31. 31. Open bite www.indiandentalacademy.com
  32. 32. Deep bite www.indiandentalacademy.com
  33. 33. Malocclusions in the Transverse Plane www.indiandentalacademy.com
  34. 34. Posterior Cross bite www.indiandentalacademy.com
  35. 35. Anterior Cross bite www.indiandentalacademy.com
  36. 36. Orthodontic Treatment – Age no bar www.indiandentalacademy.com
  37. 37. Orthodontic Treatment Preventive Corrective Orthodontic Active Appliance Therapy Interceptive Orthognathic Camouflage Adjunctive www.indiandentalacademy.com Retention
  38. 38. Preventive Orthodontics “Prevention is better than cure” So, “Catch ‘em young” • Preventive orthodontics includes procedures undertaken prior to the onset of a malocclusion in anticipation of a developing malocclusion. www.indiandentalacademy.com
  39. 39. • The following are some of the procedures undertaken in preventive orthodontics: 1. 2. 3. 4. 5. Parent education Caries control Supervision of timely tooth shedding Space maintenance Checkup for oral habits and habit breaking appliance if necessary 6. Occlusal equilibration if there are any occlusal prematurities 7. Extraction of supernumerary teeth 8. Management of abnormal frenal attachment www.indiandentalacademy.com
  40. 40. Space Maintenance • Premature loss of deciduous teeth can cause drifting of the adjacent teeth into the space. • This can result in abnormal axial inclination of teeth, spacing between teeth and sometimes a shift in the dental midline, i.e. – malocclusion. • Space maintenance is the maintenance of the mesio-distal and vertical width of an arch space created by the loss of deciduous dentition. • The appliances/devices used or intended to be used for this space maintenance are called space maintainers. www.indiandentalacademy.com
  41. 41. Removable Partial Denture Crown and loop Lingual Arch Distal Shoe www.indiandentalacademy.com
  42. 42. Habits • A habit is ‘an act that has become fixed due to repeated performance.’ • Oral habits in children have a definite bearing on the development of occlusion. • Frequently, children acquire certain habits that may either temporarily or permanently be harmful to dental occlusion and to the supporting structures. www.indiandentalacademy.com
  43. 43. • However, when the habit is corrected while the occlusion is still undisturbed and no malocclusion has set in, it is termed as preventive orthodontics. • But, in case the habit has already caused the onset of a malocclusion, the measures applied to correct the habit are termed as ‘interceptive orthodontics’. www.indiandentalacademy.com
  44. 44. Interceptive Orthodontics “A stitch in time saves nine” • Interceptive orthodontics includes procedures that are undertaken at an early stage of a malocclusion to eliminate or reduce the severity of the same. www.indiandentalacademy.com
  45. 45. • The procedures undertaken interceptive orthodontics include: 1. 2. 3. 4. 5. 6. Serial extraction Correction of developing cross bite Control of abnormal habits Space regaining Muscle exercises Interception of skeletal malrelation www.indiandentalacademy.com in
  46. 46. Serial Extraction • The early mixed dentition is easily prone to development of irregularities in the dento-facial complex. • When such potential irregularities are recognized and anticipated, the planned extraction of certain deciduous teeth and later specific permanent teeth in an orderly sequence and pre-determined pattern can help in guiding the erupting permanent teeth into a more favorable position. www.indiandentalacademy.com
  47. 47. Correction of developing cross bite Pre treatment Post treatment www.indiandentalacademy.com
  48. 48. Interception of Habits • Interception of the habit will cause interception of the developing malocclusion effected by the habit. • Some of the common oral habits: – – – – – – Thumb sucking Tongue thrusting Mouth breathing Bruxism Lip biting Nail biting www.indiandentalacademy.com
  49. 49. Buccinator Mechanism Thumb sucking www.indiandentalacademy.com
  50. 50. Thumb sucking www.indiandentalacademy.com
  51. 51. Tongue Thrusting Pre treatment Post treatment www.indiandentalacademy.com
  52. 52. Mouth Breathing Oral Screen Pre treatment Post treatment www.indiandentalacademy.com
  53. 53. Space Regaining www.indiandentalacademy.com
  54. 54. Interception of Developing Skeletal Malrelationship www.indiandentalacademy.com
  55. 55. Interception of developing skeletal class II Pre treatment Post treatment www.indiandentalacademy.com
  56. 56. Interception of developing skeletal class III Pre treatment Post treatment www.indiandentalacademy.com
  57. 57. Corrective Orthodontics “Better late than never” Corrective orthodontics includes procedures undertaken to correct a fully established malocclusion. These corrective procedures may be:  Orthodontic  Orthognathic (Surgical) www.indiandentalacademy.com
  58. 58. Envelope of discrepancy 10 6 4 10 5 2 Orthodontics alone 7 2 Growth modulation & orthodontics 5 Orthodontics and orthognathic surgery www.indiandentalacademy.com 12 15
  59. 59. Orthodontic Corrective Measures • It includes the following: Active Appliance Therapy Camouflage Adjunctive Orthodontics Retention www.indiandentalacademy.com
  60. 60. Active Appliance Therapy www.indiandentalacademy.com
  61. 61. Case 1 www.indiandentalacademy.com
  62. 62. Pre Treatment – Extra Oral www.indiandentalacademy.com
  63. 63. Pre Treatment – Intra Oral www.indiandentalacademy.com
  64. 64. Pre Treatment - Occlusal www.indiandentalacademy.com
  65. 65. With Appliance www.indiandentalacademy.com
  66. 66. Post Treatment - Extraoral www.indiandentalacademy.com
  67. 67. Post Treatment- Intraoral www.indiandentalacademy.com
  68. 68. Post Treatment- Occlusal www.indiandentalacademy.com
  69. 69. Pre treatment Post treatment www.indiandentalacademy.com
  70. 70. Pre treatment Post treatment www.indiandentalacademy.com
  71. 71. Case 2 www.indiandentalacademy.com
  72. 72. Pre Treatment – Extra Oral www.indiandentalacademy.com
  73. 73. Pre Treatment – Intra Oral www.indiandentalacademy.com
  74. 74. With Appliance www.indiandentalacademy.com
  75. 75. Post Treatment – Extra Oral www.indiandentalacademy.com
  76. 76. Post Treatment – Intra Oral www.indiandentalacademy.com
  77. 77. Pre treatment Post treatment www.indiandentalacademy.com
  78. 78. Pre treatment Post treatment www.indiandentalacademy.com
  79. 79. Case 3 www.indiandentalacademy.com
  80. 80. Pre Treatment – Extra Oral www.indiandentalacademy.com
  81. 81. Pre Treatment – Intra Oral www.indiandentalacademy.com
  82. 82. Pre Treatment – Occlusal www.indiandentalacademy.com
  83. 83. Post Treatment – Extra Oral www.indiandentalacademy.com
  84. 84. Post Treatment – Intra Oral www.indiandentalacademy.com
  85. 85. Post Treatment – Occlusal www.indiandentalacademy.com
  86. 86. Pre treatment Post treatment www.indiandentalacademy.com
  87. 87. Pre treatment Post treatment www.indiandentalacademy.com
  88. 88. Case 4 www.indiandentalacademy.com
  89. 89. Pre Treatment - Extra Oral www.indiandentalacademy.com
  90. 90. Pre Treatment – Intra Oral www.indiandentalacademy.com
  91. 91. Pre Treatment Radiograph – Lateral Cephalogram www.indiandentalacademy.com
  92. 92. Post Expansion – Intra Oral www.indiandentalacademy.com
  93. 93. Post Expansion - Occlusal www.indiandentalacademy.com
  94. 94. With Appliance www.indiandentalacademy.com
  95. 95. Post Treatment – Extra Oral www.indiandentalacademy.com
  96. 96. Post Treatment – Intra Oral www.indiandentalacademy.com
  97. 97. Post Treatment - Occlusal www.indiandentalacademy.com
  98. 98. Post Treatment – Lateral Cephalogram www.indiandentalacademy.com
  99. 99. Pre treatment Post treatment www.indiandentalacademy.com
  100. 100. Pre treatment Post treatment www.indiandentalacademy.com
  101. 101. Case 5 www.indiandentalacademy.com
  102. 102. Pre Treatment – Extra Oral www.indiandentalacademy.com
  103. 103. Pre Treatment – Intra Oral www.indiandentalacademy.com
  104. 104. Pre Treatment – Occlusal www.indiandentalacademy.com
  105. 105. Pre Treatment – Lateral Cephalogram www.indiandentalacademy.com
  106. 106. TREATMENT PLAN: • Growth still remaining, hence reverse pull headgear • RME for expansion of narrow maxilla • Fixed therapy with PEA mechanics www.indiandentalacademy.com
  107. 107. Mid Treatment – Reverse Pull Head Gear www.indiandentalacademy.com
  108. 108. Mid Treatment – Intra Oral www.indiandentalacademy.com
  109. 109. Mid Treatment – RME www.indiandentalacademy.com
  110. 110. End of Orthopaedic Phase – Extra Oral www.indiandentalacademy.com
  111. 111. End of Orthopaedic Phase – Intra Oral www.indiandentalacademy.com
  112. 112. End of Orthopaedic Phase – Occlusal www.indiandentalacademy.com
  113. 113. Mid Treatment – Fixed Therapy www.indiandentalacademy.com
  114. 114. Fixed Therapy – Intra Oral www.indiandentalacademy.com
  115. 115. Fixed Therapy – Occlusal www.indiandentalacademy.com
  116. 116. Fixed Therapy – Lateral Cephalogram www.indiandentalacademy.com
  117. 117. Pre treatment Present Status www.indiandentalacademy.com
  118. 118. Pre treatment Present Status www.indiandentalacademy.com
  119. 119. Orthognathic • Orthognathic surgeries are major surgical procedures carried out along with orthodontic therapy to correct dento-facial deformities or severe oro-facial disproportions involving the maxilla, the mandible or both in combination. www.indiandentalacademy.com
  120. 120. • 1. 2. 3. 4. 5. Steps involved in orthognathic surgery: Diagnosis (pre operative evaluation) Pre-surgical orthodontics (reverse orthodontics) Mock surgery Surgery and stabilization Post-surgical orthodontics www.indiandentalacademy.com
  121. 121. Case 1 www.indiandentalacademy.com
  122. 122. Pre Treatment - Extra Oral www.indiandentalacademy.com
  123. 123. Pre Treatment - Intra Oral www.indiandentalacademy.com
  124. 124. Pre Treatment Lateral Cephalogram www.indiandentalacademy.com
  125. 125. Pre Surgical (After decompensation) – Extra Oral www.indiandentalacademy.com
  126. 126. Pre Surgical (After decompensation) – Intra Oral www.indiandentalacademy.com
  127. 127. Pre Surgical (After decompensation) - Occlusal www.indiandentalacademy.com
  128. 128. Pre Surgical (After decompensation) – Lateral Cephalogram www.indiandentalacademy.com
  129. 129. Occlusal Splint www.indiandentalacademy.com
  130. 130. Post Surgical – Extra Oral www.indiandentalacademy.com
  131. 131. Post Surgical – Intra Oral www.indiandentalacademy.com
  132. 132. Post Surgical – Lateral Cephalogram www.indiandentalacademy.com
  133. 133. Pre Treatment Pre Surgical www.indiandentalacademy.com Post Surgical
  134. 134. Pre Treatment Pre Surgical www.indiandentalacademy.com Post Surgical
  135. 135. Case 2 www.indiandentalacademy.com
  136. 136. Pre Treatment – Extra Oral www.indiandentalacademy.com
  137. 137. Pre Treatment – Intra Oral www.indiandentalacademy.com
  138. 138. Pre Treatment – Occlusal www.indiandentalacademy.com
  139. 139. Pre Surgical www.indiandentalacademy.com
  140. 140. Post Surgical – Extra Oral www.indiandentalacademy.com
  141. 141. Post Surgical – Intra Oral www.indiandentalacademy.com
  142. 142. Present Status – Intra Oral www.indiandentalacademy.com
  143. 143. Present Status – Occlusal www.indiandentalacademy.com
  144. 144. Pre treatment Post treatment www.indiandentalacademy.com
  145. 145. Pre treatment Post treatment www.indiandentalacademy.com
  146. 146. Case 3 www.indiandentalacademy.com
  147. 147. Pre Treatment – Extra Oral www.indiandentalacademy.com
  148. 148. Pre Treatment – Intra Oral www.indiandentalacademy.com
  149. 149. Pre Treatment – Occlusal www.indiandentalacademy.com
  150. 150. Pre Treatment Radiograph – Lateral Cephalogram www.indiandentalacademy.com
  151. 151. Pre Surgical (After decompensation) – Intra Oral www.indiandentalacademy.com
  152. 152. Pre Surgical (After decompensation) – Intra Oral www.indiandentalacademy.com
  153. 153. Pre Surgical – Lateral Cephalogram www.indiandentalacademy.com
  154. 154. Post Surgical – Extra Oral www.indiandentalacademy.com
  155. 155. Post Surgical – Intra Oral www.indiandentalacademy.com
  156. 156. Post Surgical - Occlusal www.indiandentalacademy.com
  157. 157. Post Surgical - Lateral Cephalogram www.indiandentalacademy.com
  158. 158. Present Status – Extra Oral www.indiandentalacademy.com
  159. 159. Present Status – Intra Oral www.indiandentalacademy.com
  160. 160. Present Status - Occlusal www.indiandentalacademy.com
  161. 161. Present Status - Lateral Cephalogram www.indiandentalacademy.com
  162. 162. Pre treatment Post treatment www.indiandentalacademy.com
  163. 163. Pre treatment Post treatment www.indiandentalacademy.com
  164. 164. Camouflage • ‘Disguise of guns, ships etc effected by obscuring outlines with splashes of various colours.’ - Oxford Dictionary • ‘To deceive observation, or plan as a false front.’ - Webster’s Dictionary www.indiandentalacademy.com
  165. 165. • The orthodontist uses ‘camouflage’ treatment in cases where the ideal treatment protocol was/is not possible due to some reason or the other, to try and improve the dental occlusion and facial esthetics. • The term ‘camouflage’ is chosen to emphasize that successful treatment must produce “acceptable” facial esthetics as well as “acceptable” dental occlusion. www.indiandentalacademy.com
  166. 166. Case 1 www.indiandentalacademy.com
  167. 167. Pre Treatment – Extra Oral www.indiandentalacademy.com
  168. 168. Pre Treatment – Intra Oral www.indiandentalacademy.com
  169. 169. Pre Treatment – Occlusal www.indiandentalacademy.com
  170. 170. Mid Treatment www.indiandentalacademy.com
  171. 171. Post Treatment - Extra Oral www.indiandentalacademy.com
  172. 172. Post Treatment – Intra Oral www.indiandentalacademy.com
  173. 173. Post Treatment – Occlusal www.indiandentalacademy.com
  174. 174. Pre treatment Post treatment www.indiandentalacademy.com
  175. 175. Case 2 www.indiandentalacademy.com
  176. 176. Pre Treatment – Extra Oral www.indiandentalacademy.com
  177. 177. Pre Treatment – Intra Oral www.indiandentalacademy.com
  178. 178. Pre Treatment – Occlusal www.indiandentalacademy.com
  179. 179. Pre Treatment Radiograph – Lateral Cephalogram www.indiandentalacademy.com
  180. 180. Post Treatment - Extra Oral www.indiandentalacademy.com
  181. 181. Post Treatment - Intra Oral www.indiandentalacademy.com
  182. 182. Post Treatment – Occlusal www.indiandentalacademy.com
  183. 183. Post Treatment - Lateral Cephalogram www.indiandentalacademy.com
  184. 184. Pre treatment Post treatment www.indiandentalacademy.com
  185. 185. Pre treatment Post treatment www.indiandentalacademy.com
  186. 186. Adjunctive Orthodontics • Adjunctive orthodontic treatment is tooth movement carried out to facilitate other dental procedures necessary to control disease and restore function. www.indiandentalacademy.com
  187. 187. Case 1 Increasing pontic space www.indiandentalacademy.com
  188. 188. Case 2 Correcting traumatic occlusion www.indiandentalacademy.com
  189. 189. Retention “It’s not over till it’s over” “I will give you half my fees if you can retain what I have achieved” • Retention is the phase following active orthodontic treatment aimed at stabilization of achieved orthodontic correction or holding of the teeth in ideal functional esthetic occlusion. www.indiandentalacademy.com
  190. 190. Retention is necessary for three reasons:  The gingival and periodontal tissues are affected by orthodontic tooth movements and require time for reorganization, when an active appliance is removed.  After treatment, the teeth are in unstable condition. So the soft tissue pressures constantly produce relapse tendency.  Growth changes can alter orthodontic results. www.indiandentalacademy.com
  191. 191. • Aids to retention:  Natural Aids  Surgical Aids  Mechanical Aids www.indiandentalacademy.com
  192. 192. www.indiandentalacademy.com
  193. 193. www.indiandentalacademy.com
  194. 194. A beautiful smile… … is your choice. www.indiandentalacademy.com
  195. 195. A is contagious - Lets start an epidemic! Thank you www.indiandentalacademy.com

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