mohamad aboualnaser-awatef shaar-oussama sandid- orthodontist-orthodontist paris france-Seminars in Orthodontics-Orthodontic & Dental Continuing Education, Seminars & Courses-orthodontist saudi ksa-orthodontist qatar-orthodontist koweit-orthodontist emirats- lebanon beirut, dentist beirut lebanon-pediatric dentsitry beirut lebanon-dentiste orthodontiste beyrouth lebanon-pediatrique dentistrie beyrouth liban- periodontics lebanon-orthodontic lebanon-lebanese university dentistry-american university of beirut dentistry orthodontics-beirut arab university dentistry- universite saint joseph beirut dentistry-

1. 106-Early Treatments in Orthodontics
The Timing of Orthodontic Treatment
Awatef SHAAR (BAU-LB), Orthodontist.
Mohamad ABOULNASER- Orthodontist, BAU, Connecticut, USA.
Oussama SANDID- Orthodontist, D.C.D., D.U.O, C.E.S.B.B, C.E.S.O.D.F ,
S.Q.O.D.F, Paris. France.
Contact: dr.aboualnaser@hotmail.com

2. 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
10--Blockc growth
11-Mouth breathing
12-Mandibular deviation growth midline
13-Space maintainer
14-Guidance of eruption
Oussama SANDID - Mohamad ABOUALNASER- Awatef SHAAR

3. Early Treatments
in Orthodontics
www.orthofree.com

4. 1-Early Treatments in Orthodontics Anterior Crossbite
www.orthofree.com
Oussama SANDID - Mohamad ABOUALNASER- Awatef SHAAR

5. 2-Early Treatments in Orthodontics
www.orthofree.com
5
Posterior Crossbite
Oussama SANDID - Mohamad ABOUALNASER- Awatef SHAAR

6. Comparison of intermolar width before treatment and after expansion with quadhelix.
Expansion with quadhelix
Juan M. FontJaume
3-Early Treatments in Orthodontics
Oussama SANDID - Mohamad ABOUALNASER- Awatef SHAAR

7. 2-Early Treatments
in Orthodontics
Case1 -a
Lines indicate asymmetry between right and left condyles.
Posterior crossbite asymmetry
Juan M. FontJaume
Oussama SANDID - Mohamad ABOUALNASER- Awatef SHAAR

8. 2-Early Treatments
in Orthodontics
Case1 -C
11 years after the end of treatment.
Juan M. FontJaume
Oussama SANDID - Mohamad ABOUALNASER- Awatef SHAAR

9. 3-Early Treatments
in Orthodontics
Crowding
9
www.orthofree.com
Oussama SANDID - Mohamad ABOUALNASER- Awatef SHAAR

10. 4-Early Treatments
in Orthodontics
Open bite
www.orthofree.com
Oussama SANDID - Mohamad ABOUALNASER- Awatef SHAAR

11. 4-Early Treatments
in Orthodontics
Open bite
www.orthofree.com
Oussama SANDID - Mohamad ABOUALNASER- Awatef SHAAR

12. 4-Early Treatments
in Orthodontics
Open bite
www.orthofree.com
Oussama SANDID - Mohamad ABOUALNASER- Awatef SHAAR

13. 5-Early Treatments
in Orthodontics
Protrusion
www.orthofree.com
Oussama SANDID - Mohamad ABOUALNASER- Awatef SHAAR

14. 5-Early Treatments
in Orthodontics
Protrusion
www.orthofree.com
Oussama SANDID - Mohamad ABOUALNASER- Awatef SHAAR

15. 5-Early Treatments
in Orthodontics
Protrusion
Oussama SANDID - Mohamad ABOUALNASER- Awatef SHAAR

16. 5-Early Treatments
in Orthodontics
Protrusion
Oussama SANDID - Mohamad ABOUALNASER- Awatef SHAAR

17. Early Treatments
in Orthodontics
www.orthofree.com
Oussama SANDID - Mohamad ABOUALNASER- Awatef SHAAR

18. 6-Early Treatments
in Orthodontics
Ectopic Eruption
Oussama SANDID - Mohamad ABOUALNASER- Awatef SHAAR

19. 6-Early Treatments
in Orthodontics
Ectopic Eruption
www.orthofree.com
Oussama SANDID - Mohamad ABOUALNASER- Awatef SHAAR

20. 6-Early Treatments
in Orthodontics
Ectopic Eruption
Oussama SANDID - Mohamad ABOUALNASER- Awatef SHAAR

21. 6-Early Treatments
in Orthodontics
Ectopic Eruption
www.orthofree.com
Oussama SANDID - Mohamad ABOUALNASER- Awatef SHAAR

22. 7-Early Treatments
in Orthodontics
Class III malocclusion- Proglissement
www.orthofree.com
Oussama SANDID - Mohamad ABOUALNASER- Awatef SHAAR

23. 8-Early Treatments
in Orthodontics
Diastema- frenum
www.orthofree.com
Oussama SANDID - Mohamad ABOUALNASER- Awatef SHAAR

24. 8-Early Treatments
in Orthodontics
Diastema- frenum
www.orthofree.com
Oussama SANDID - Mohamad ABOUALNASER- Awatef SHAAR

25. 8-Early Treatments
in Orthodontics
Diastema- frenum
www.orthofree.com
Oussama SANDID - Mohamad ABOUALNASER- Awatef SHAAR

26. 8-Early Treatments
in Orthodontics
Diastema- frenum
www.orthofree.com
Oussama SANDID - Mohamad ABOUALNASER- Awatef SHAAR

27. 8-Early Treatments
in Orthodontics
Diastema- frenum
www.orthofree.com
Oussama SANDID - Mohamad ABOUALNASER- Awatef SHAAR

28. 9-Early Treatments
in Orthodontics
Oral habits - Thumb sucking
Oussama SANDID - Mohamad ABOUALNASER- Awatef SHAAR

29. 9-Early Treatments
in Orthodontics
Lip sucking caused
open bite and tongue thrust
Oussama SANDID - Mohamad ABOUALNASER- Awatef SHAAR

30. 9-Early Treatments
in Orthodontics
Finger sucking caused
open bite and tongue thrust
Oussama SANDID - Mohamad ABOUALNASER- Awatef SHAAR

31. 9-Early Treatments
in Orthodontics
Thumb sucking
caused open bite
Oussama SANDID - Mohamad ABOUALNASER- Awatef SHAAR

32. 9-Early Treatments
in Orthodontics
Open bite caused by lower tongue trust
Oussama SANDID - Mohamad ABOUALNASER- Awatef SHAAR

33. 9-Early Treatments
in Orthodontics
Oral habits- Thumb sucking
Oussama SANDID - Mohamad ABOUALNASER- Awatef SHAAR

34. 9-Early Treatments
in Orthodontics
Oral habits - Thumb sucking
www.orthofree.com
Before trt After Trt
Oussama SANDID - Mohamad ABOUALNASER- Awatef SHAAR

35. 9-Early Treatments
in Orthodontics
Oral habits- Tongue thrusting
Oussama SANDID - Mohamad ABOUALNASER- Awatef SHAAR

36. 9-Early Treatments in Orthodontics
Oral habits- Tongue thrusting
www.orthofree.com
Oussama SANDID - Mohamad ABOUALNASER- Awatef SHAAR

37. 9-Early Treatments in Orthodontics
Oral habits- Tongue thrusting
www.orthofree.com
Oussama SANDID - Mohamad ABOUALNASER- Awatef SHAAR

38. 9-Early Treatments in Orthodontics
Oral habits- Tongue thrusting
www.orthofree.com
Oussama SANDID - Mohamad ABOUALNASER- Awatef SHAAR

39. 10-Early Treatments in Orthodontics Class II, Division 2, malocclusion with
Deep Overbite
www.orthofree.com
Oussama SANDID - Mohamad ABOUALNASER- Awatef SHAAR

40. 10-Early Treatments in Orthodontics
Class II, Division 2, malocclusion with
Deep Overbite
www.orthofree.com
Oussama SANDID - Mohamad ABOUALNASER- Awatef SHAAR

41. 10-Early Treatments in Orthodontics
Class II, Division 2, malocclusion with
Deep Overbite
www.orthofree.com
Oussama SANDID - Mohamad ABOUALNASER- Awatef SHAAR

42. 11-Early Treatments in Orthodontics Mouth breathing
www.orthofree.com
Oussama SANDID - Mohamad ABOUALNASER- Awatef SHAAR

43. 11-Early Treatments in Orthodontics Mouth breathing
www.orthofree.com
Oussama SANDID - Mohamad ABOUALNASER- Awatef SHAAR

44. 11-Early Treatments in Orthodontics Mouth breathing
www.orthofree.com
Oussama SANDID - Mohamad ABOUALNASER- Awatef SHAAR

45. 11-Early Treatments in Orthodontics Mouth breathing
www.orthofree.com
Oussama SANDID - Mohamad ABOUALNASER- Awatef SHAAR

46. 11-Early Treatments in Orthodontics Mouth breathing
www.orthofree.com
Oussama SANDID - Mohamad ABOUALNASER- Awatef SHAAR

47. 12-Early Treatments in Orthodontics
Mandibular Growth of Children
with Temporomandibular Joint Abnormalities
www.orthofree.com
Oussama SANDID - Mohamad ABOUALNASER- Awatef SHAAR

48. 12-Early Treatments in Orthodontics Mandibular Growth of
Children
with Temporomandibular Joint Abnormalities
www.orthofree.com
Oussama SANDID - Mohamad ABOUALNASER- Awatef SHAAR

49. 12-Early Treatments in Orthodontics
Mandibular Growth of Children
with Temporomandibular Joint Abnormalities
www.orthofree.com
Oussama SANDID - Mohamad ABOUALNASER- Awatef SHAAR

50. 12-Early Treatments in Orthodontics Mandibular Growth of
Children
with Temporomandibular Joint Abnormalities
www.orthofree.com
Oussama SANDID - Mohamad ABOUALNASER- Awatef SHAAR

51. 13-Early tooth loss may require a space maintainer
Sandid.O - www.orthofree.com
Oussama SANDID - Mohamad ABOUALNASER- Awatef SHAAR

52. 13-Early tooth loss may require a space maintainer
www.orthofree.com
Oussama SANDID - Mohamad ABOUALNASER- Awatef SHAAR

53. 13-Early tooth loss may require a space maintainer
Sandid .O- www.orthofree.com
Oussama SANDID - Mohamad ABOUALNASER- Awatef SHAAR

54. 13-Early tooth loss may require a space maintainer
www.orthofree.com
Oussama SANDID - Mohamad ABOUALNASER- Awatef SHAAR

55. 14- Guidance of Eruption
?
Oussama SANDID - Mohamad ABOUALNASER- Awatef SHAAR

56. 14-Early Treatment
Guidance of Eruption
selective extraction of deciduous teeth
www.orthofree.com
Oussama SANDID - Mohamad ABOUALNASER- Awatef SHAAR

57. 14-Early Treatment
Guidance of Eruption
www.orthofree.com

58. Early Treatments
in Orthodontics
www.orthofree.com
Oussama SANDID - Mohamad ABOUALNASER- Awatef SHAAR

59. 15-Prevention/interception
of impaction
Impacted Canines
Before After
59
Dr O. SANDID
Oussama SANDID - Mohamad ABOUALNASER- Awatef SHAAR

60. 15-Prevention/interception
of impaction
Impacted Canines
60
Dr O. SANDID
Oussama SANDID - Mohamad ABOUALNASER- Awatef SHAAR

61. 15-Prevention/interception of impaction
www.orthofree.com
Odontoma – Root resorption 61
Dr O. SANDID
Oussama SANDID - Mohamad ABOUALNASER- Awatef SHAAR

62. 15-Prevention/interception of
impaction
Impacted Canines
62
Oussama SANDID - Mohamad ABOUALNASER- Awatef SHAAR

63. 15-Prevention/interception
of impaction
Impacted Canines
www.orthofree.com
63Dr O.SANDID
Oussama SANDID - Mohamad ABOUALNASER- Awatef SHAAR

64. 15-Prevention/interception of impaction
Impacted Canines www.orthofree.com
64
Oussama SANDID - Mohamad ABOUALNASER- Awatef SHAAR

65. 15-Prevention/interception of impaction
Impacted Canines
www.orthofree.com
65
Oussama SANDID - Mohamad ABOUALNASER- Awatef SHAAR

66. Prevention/interception of impaction
66
Oussama SANDID - Mohamad ABOUALNASER- Awatef SHAAR

67. Early trt –Mesiodens
67
A. Patti
Oussama SANDID - Mohamad ABOUALNASER- Awatef SHAAR

68. 16- Early Treatments
in Orthodontics-
Serial Extraction
www.orthofree.com
O.SANDID
Oussama SANDID - Mohamad ABOUALNASER- Awatef SHAAR

69. 16- Early Treatments in Orthodontics- Serial Extraction
www.orthofree.com
69O.SANDID
Oussama SANDID - Mohamad ABOUALNASER- Awatef SHAAR

70. 16- Early Treatments
in Orthodontics-
Serial Extraction
70
DOLPHIN IMAGING
EXTRACTIONS 53-63-73-83
EXTRACTIONS 54-64-74-84
EXTRACTIONS 14-24-34-44
Oussama SANDID - Mohamad ABOUALNASER- Awatef SHAAR

71. 17- Early Treatments
in Orthodontics-
Interceptive orthodontic correction of ectopically erupting permanent molar
71
Oussama SANDID - Mohamad ABOUALNASER- Awatef SHAAR

72. 17- Early Treatments
in Orthodontics-
Interceptive orthodontic correction of ectopically erupting permanent molar
www.orthofree.com
72
Oussama SANDID - Mohamad ABOUALNASER- Awatef SHAAR

73. 17- Early Treatments
in Orthodontics-
Interceptive orthodontic correction of ectopically erupting permanent molar
www.orthofree.com
73
Oussama SANDID - Mohamad ABOUALNASER- Awatef SHAAR

74. 17- Early Treatments
in Orthodontics-
Interceptive orthodontic correction of ectopically erupting permanent molar
www.orthofree.com
74
Oussama SANDID - Mohamad ABOUALNASER- Awatef SHAAR

75. Early Treatments
in Orthodontics-
Ankylosis
www.orthofree.com
Oussama SANDID - Mohamad ABOUALNASER- Awatef SHAAR

76. Early Treatments
in Orthodontics-
Premolar Impaction
Oussama SANDID - Mohamad ABOUALNASER- Awatef SHAAR

77. 13-Early Treatments
in Orthodontics
Space maintainers
www.orthofree.com
- Primary teeth as space maintainers
- Unilateral space maintainer
Oussama SANDID - Mohamad ABOUALNASER- Awatef SHAAR

78. Early Treatments
in Orthodontics
Case 2: M.O. 4 years 2 months
www.orthofree.com
Unilateral crossbite
facial assymetry.
Oussama SANDID - Mohamad ABOUALNASER- Awatef SHAAR

79. 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
Oussama SANDID - Mohamad ABOUALNASER- Awatef SHAAR

80. Early Treatments
in Orthodontics
Case 2: M.O. 4 years 2 months
www.orthofree.com
-Follow -up
Oussama SANDID - Mohamad ABOUALNASER- Awatef SHAAR

81. PREVENTIVE & INTERCEPTIVE ORTHODONTICS
www.orthofree.com
• Abnormal Labial Frenum
Oussama SANDID - Mohamad ABOUALNASER- Awatef SHAAR

82. PREVENTIVE & INTERCEPTIVE ORTHODONTICS
www.orthofree.com
• Abnormal lingual Frenum
Oussama SANDID - Mohamad ABOUALNASER- Awatef SHAAR

83. BIBLIOGRAPHIE
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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 malocclusionwith
maxillary expansion and face-mask therapy. Am J Orthod DentofacialOrthop.
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 JOrthod.
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 OrthodDentofacial
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 orthopedicforces on the maxilla in the growing

84. 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.

85. 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.