This document provides information on adult orthodontics. It discusses the history of adult orthodontic treatment, reasons for the increased interest in adults seeking treatment, differences between adult and adolescent patients, limitations of treatment for adults, and objectives of adult orthodontic treatment. Treatment for adults focuses on aesthetics, function, stability and achieving Class I occlusion while considering biological and biomechanical factors like reduced growth potential and periodontal health.
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.for more details please visit
www.indiandentalacademy.com
Temporary anchorage devices in orthodonticsParag Deshmukh
The document discusses temporary anchorage devices (TADs) used in orthodontics, specifically mini-implants. It provides background on how TADs have improved orthodontic anchorage compared to traditional methods. The introduction describes how TADs solve limitations of extraoral anchorage devices and provide reliable anchorage. It then covers implant terminology, history, parts, types, indications, bone physiology, and clinical applications of TADs as absolute anchorage for various tooth movements.
Orthodontic tooth movements and biomechanics.Sk Aziz Ikbal
The document discusses biomechanics principles related to orthodontic tooth movement. It covers topics such as:
- Forces applied to teeth can cause movement through bone remodeling.
- Biomechanics refers to mechanics applied to biological systems. Knowledge of forces is needed to control orthodontic treatment.
- Teeth can move through light forces during normal function but heavier sustained forces over 1 second are needed for orthodontic tooth movement.
- Forces have magnitude and direction, while scalars only have magnitude. Resultant forces and moments from multiple applied forces are calculated.
- Different force systems and moment-to-force ratios produce different types of tooth movement such as tipping, translation, rotation, and torque.
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.for more details please visit
www.indiandentalacademy.com
Functional malocclusion /certified fixed orthodontic courses by Indian dent...Indian dental academy
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
00919248678078
This document provides an overview of methods used to accelerate orthodontic tooth movement. It begins with an introduction to the topic and discusses the main concerns with traditional orthodontic treatment duration. It then outlines several methods to speed up tooth movement, including pharmacological methods using agents like prostaglandins, surgical methods like corticotomy and piezocision, and physical methods employing vibratory stimulation or low-level laser therapy. For each method, the document discusses the procedure, indications, advantages, disadvantages and relevant studies. It primarily serves to educate on the various techniques available to reduce the length of orthodontic treatment.
This article reviews different methods of maxillary expansion including rapid maxillary expansion (RME), slow maxillary expansion (SME), and surgically-assisted maxillary expansion. RME uses appliances like Haas or Hyrax expanders to apply heavy forces and separate the midpalatal suture quickly in 2-3 weeks. SME uses appliances like quad helix or coils to apply lighter, continuous forces over months. Surgically-assisted expansion is used when expansion is needed in older patients after suture closure. Maxillary expansion treats transverse deficiencies, crossbites, and improves nasal breathing. Complications can include discomfort, relapse, and tooth tipping.
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.for more details please visit
www.indiandentalacademy.com
Temporary anchorage devices in orthodonticsParag Deshmukh
The document discusses temporary anchorage devices (TADs) used in orthodontics, specifically mini-implants. It provides background on how TADs have improved orthodontic anchorage compared to traditional methods. The introduction describes how TADs solve limitations of extraoral anchorage devices and provide reliable anchorage. It then covers implant terminology, history, parts, types, indications, bone physiology, and clinical applications of TADs as absolute anchorage for various tooth movements.
Orthodontic tooth movements and biomechanics.Sk Aziz Ikbal
The document discusses biomechanics principles related to orthodontic tooth movement. It covers topics such as:
- Forces applied to teeth can cause movement through bone remodeling.
- Biomechanics refers to mechanics applied to biological systems. Knowledge of forces is needed to control orthodontic treatment.
- Teeth can move through light forces during normal function but heavier sustained forces over 1 second are needed for orthodontic tooth movement.
- Forces have magnitude and direction, while scalars only have magnitude. Resultant forces and moments from multiple applied forces are calculated.
- Different force systems and moment-to-force ratios produce different types of tooth movement such as tipping, translation, rotation, and torque.
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.for more details please visit
www.indiandentalacademy.com
Functional malocclusion /certified fixed orthodontic courses by Indian dent...Indian dental academy
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
00919248678078
This document provides an overview of methods used to accelerate orthodontic tooth movement. It begins with an introduction to the topic and discusses the main concerns with traditional orthodontic treatment duration. It then outlines several methods to speed up tooth movement, including pharmacological methods using agents like prostaglandins, surgical methods like corticotomy and piezocision, and physical methods employing vibratory stimulation or low-level laser therapy. For each method, the document discusses the procedure, indications, advantages, disadvantages and relevant studies. It primarily serves to educate on the various techniques available to reduce the length of orthodontic treatment.
This article reviews different methods of maxillary expansion including rapid maxillary expansion (RME), slow maxillary expansion (SME), and surgically-assisted maxillary expansion. RME uses appliances like Haas or Hyrax expanders to apply heavy forces and separate the midpalatal suture quickly in 2-3 weeks. SME uses appliances like quad helix or coils to apply lighter, continuous forces over months. Surgically-assisted expansion is used when expansion is needed in older patients after suture closure. Maxillary expansion treats transverse deficiencies, crossbites, and improves nasal breathing. Complications can include discomfort, relapse, and tooth tipping.
Early vs late orthodontic treatment /certified fixed orthodontic courses by I...Indian dental academy
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.
Moment to force ratio final presentation /certified fixed orthodontic courses...Indian dental academy
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
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.for more details please visit
www.indiandentalacademy.com
The document discusses various concepts related to mandibular growth rotations proposed by different orthodontic researchers over time. It begins by introducing Arne Bjork who first described growth rotations in 1955. It then covers Enlow's concept of remodeling and displacement rotations. Bjork's 1969 classification of forward and backward mandibular rotations is described, including his identification of three types of forward and two types of backward rotations based on their center of rotation. The document also discusses concepts by Bjork and Skieller on total, matrix, and intramatrix rotations. Fred Schudy's concept relating rotation to the disharmony between vertical, anteroposterior and horizontal growth is summarized. Finally, Dibbets' re
Headgear /certified fixed orthodontic courses by Indian dental academy Indian dental academy
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
00919248678078
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.for more details please visit
www.indiandentalacademy.com
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.for more details please visit
www.indiandentalacademy.com
This document provides a history of the evolution of bonding in orthodontics from the 1960s to present day. It discusses key developments such as the introduction of acid etching by Buonocore in the 1950s, the early use of epoxy and composite resins for bonding by Newman and Miura in the 1960s-1970s, the introduction of visible light curing systems in the 1980s, and the development of self-etching primers in the 2000s. Bonding has evolved from using fillings materials to specialized orthodontic bonding resins and primers, and techniques now allow bonding to both dry and wet enamel surfaces.
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.for more details please visit
www.indiandentalacademy.com
The document provides a history and overview of rapid maxillary expansion (RME). It discusses:
- The early history of RME dating back to the 1800s and its reintroduction by Haas in the 1960s.
- Classification of RME based on factors like rate of expansion, direction, and type of appliance.
- Indications for RME including dental issues like posterior crossbites and medical issues like poor nasal breathing.
- Contraindications such as single tooth crossbites or severe anteroposterior skeletal discrepancies.
- Examples of RME appliances including the Hyrax expander and bonded expanders, discussing their advantages.
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.for more details please visit
www.indiandentalacademy.com
1. Arch space analysis methods estimate tooth size and jaw size relationships. Space analysis compares available space to required space for proper tooth alignment.
2. Methods are classified by tooth size estimation method, arch length estimation method, developmental stage, and estimation/digitization method.
3. Common methods include measurements from radiographs, prediction tables using erupted tooth sizes, and combinations of methods. Nance analysis accounts for space changes between deciduous and permanent dentitions.
This document discusses the three orders of tooth movement that can be achieved through bending orthodontic archwires: first, second, and third order bends. First order bends move teeth inwards/outwards and can be used for derotation. Second order bends tip teeth vertically and are used for anchorage. Third order bends torque individual teeth by twisting the wire. Special pliers can help perform specific bends, like step pliers for first order bends and rose pliers for third order torque bends. Proper bending technique is important to avoid wire fractures.
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.for more details please visit www.indiandentalacademy.com
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.for more details please visit
www.indiandentalacademy.com
This document discusses anchorage in orthodontics, including definitions, classifications, and types of anchorage. It covers intraoral and extraoral anchorage units such as teeth, alveolar bone, basal bone, musculature, cranium, cervical vertebrae, and facial bones. Factors that affect anchorage planning like number of teeth being moved, type of teeth and movement, treatment duration, and skeletal growth patterns are also summarized. The classifications of anchorage include simple, stationary, reciprocal, intramaxillary, intermaxillary, single/primary, compound, reinforced, and according to amount of expected anchorage loss.
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.for more details please visit
www.indiandentalacademy.com
This document provides an overview of functional appliances used in orthodontic treatment. It begins with an introduction to functional appliances and their use in guiding natural forces to correct morphological abnormalities. It then covers classifications of functional appliances, how cephalometric analysis is used to assess patients, and descriptions of common appliances like the activator, bionator, and twin-block. The document discusses how functional appliances can correct Class II and III malocclusions by influencing facial growth. In under 3 sentences.
Effects of drugs on orthodontic treatmentumairshoukat5
Dr. Umair Shoukat Ali presented on orthodontic tooth movement and factors that affect it. Orthodontic tooth movement is a biological response to forces applied to the teeth. Continuous light forces produce the most desirable tooth movement with minimal harm. Heavier forces can result in necrosis and delayed movement. Tooth movement is regulated by chemicals like prostaglandins and leukotrienes that influence bone remodeling. Many drugs can also impact orthodontic treatment by altering these chemical pathways and affecting the rate of bone turnover. NSAIDs decrease tooth movement while corticosteroids increase it. Systemic factors like hormones and vitamins also influence the speed of orthodontic tooth movement. Close coordination with physicians is important when patients are
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.for more details please visit
www.indiandentalacademy.com
This document discusses adult orthodontics and compares treatment of adult patients to adolescent patients. It notes that interest in orthodontic treatment for adults has increased due to factors like improved aesthetics from direct bonding and lingual appliances. Adult patients are generally divided into younger adults seeking comprehensive treatment and older adults prioritizing dental health. Treatment objectives, diagnosis, and planning require more customization for adults. Key differences from adolescents include no growth potential, more emphasis on symptoms over signs, and less adaptability.
This document discusses adult orthodontics, including:
- The history of adult orthodontics dating back to 1880.
- Reasons for the increased interest in adult orthodontics, such as improved appliance techniques and patient awareness.
- Differences between treating adult vs. adolescent patients, including that adults have no growth potential and require more collaboration with other specialists.
- Types of adult orthodontic patients and treatments, including adjunctive treatment to facilitate restorations by positioning teeth.
- Goals and procedures for adjunctive treatment focus on improving periodontal health and crown-root ratios by uprighting teeth.
Early vs late orthodontic treatment /certified fixed orthodontic courses by I...Indian dental academy
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.
Moment to force ratio final presentation /certified fixed orthodontic courses...Indian dental academy
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
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.for more details please visit
www.indiandentalacademy.com
The document discusses various concepts related to mandibular growth rotations proposed by different orthodontic researchers over time. It begins by introducing Arne Bjork who first described growth rotations in 1955. It then covers Enlow's concept of remodeling and displacement rotations. Bjork's 1969 classification of forward and backward mandibular rotations is described, including his identification of three types of forward and two types of backward rotations based on their center of rotation. The document also discusses concepts by Bjork and Skieller on total, matrix, and intramatrix rotations. Fred Schudy's concept relating rotation to the disharmony between vertical, anteroposterior and horizontal growth is summarized. Finally, Dibbets' re
Headgear /certified fixed orthodontic courses by Indian dental academy Indian dental academy
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
00919248678078
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.for more details please visit
www.indiandentalacademy.com
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.for more details please visit
www.indiandentalacademy.com
This document provides a history of the evolution of bonding in orthodontics from the 1960s to present day. It discusses key developments such as the introduction of acid etching by Buonocore in the 1950s, the early use of epoxy and composite resins for bonding by Newman and Miura in the 1960s-1970s, the introduction of visible light curing systems in the 1980s, and the development of self-etching primers in the 2000s. Bonding has evolved from using fillings materials to specialized orthodontic bonding resins and primers, and techniques now allow bonding to both dry and wet enamel surfaces.
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.for more details please visit
www.indiandentalacademy.com
The document provides a history and overview of rapid maxillary expansion (RME). It discusses:
- The early history of RME dating back to the 1800s and its reintroduction by Haas in the 1960s.
- Classification of RME based on factors like rate of expansion, direction, and type of appliance.
- Indications for RME including dental issues like posterior crossbites and medical issues like poor nasal breathing.
- Contraindications such as single tooth crossbites or severe anteroposterior skeletal discrepancies.
- Examples of RME appliances including the Hyrax expander and bonded expanders, discussing their advantages.
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.for more details please visit
www.indiandentalacademy.com
1. Arch space analysis methods estimate tooth size and jaw size relationships. Space analysis compares available space to required space for proper tooth alignment.
2. Methods are classified by tooth size estimation method, arch length estimation method, developmental stage, and estimation/digitization method.
3. Common methods include measurements from radiographs, prediction tables using erupted tooth sizes, and combinations of methods. Nance analysis accounts for space changes between deciduous and permanent dentitions.
This document discusses the three orders of tooth movement that can be achieved through bending orthodontic archwires: first, second, and third order bends. First order bends move teeth inwards/outwards and can be used for derotation. Second order bends tip teeth vertically and are used for anchorage. Third order bends torque individual teeth by twisting the wire. Special pliers can help perform specific bends, like step pliers for first order bends and rose pliers for third order torque bends. Proper bending technique is important to avoid wire fractures.
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.for more details please visit www.indiandentalacademy.com
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.for more details please visit
www.indiandentalacademy.com
This document discusses anchorage in orthodontics, including definitions, classifications, and types of anchorage. It covers intraoral and extraoral anchorage units such as teeth, alveolar bone, basal bone, musculature, cranium, cervical vertebrae, and facial bones. Factors that affect anchorage planning like number of teeth being moved, type of teeth and movement, treatment duration, and skeletal growth patterns are also summarized. The classifications of anchorage include simple, stationary, reciprocal, intramaxillary, intermaxillary, single/primary, compound, reinforced, and according to amount of expected anchorage loss.
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.for more details please visit
www.indiandentalacademy.com
This document provides an overview of functional appliances used in orthodontic treatment. It begins with an introduction to functional appliances and their use in guiding natural forces to correct morphological abnormalities. It then covers classifications of functional appliances, how cephalometric analysis is used to assess patients, and descriptions of common appliances like the activator, bionator, and twin-block. The document discusses how functional appliances can correct Class II and III malocclusions by influencing facial growth. In under 3 sentences.
Effects of drugs on orthodontic treatmentumairshoukat5
Dr. Umair Shoukat Ali presented on orthodontic tooth movement and factors that affect it. Orthodontic tooth movement is a biological response to forces applied to the teeth. Continuous light forces produce the most desirable tooth movement with minimal harm. Heavier forces can result in necrosis and delayed movement. Tooth movement is regulated by chemicals like prostaglandins and leukotrienes that influence bone remodeling. Many drugs can also impact orthodontic treatment by altering these chemical pathways and affecting the rate of bone turnover. NSAIDs decrease tooth movement while corticosteroids increase it. Systemic factors like hormones and vitamins also influence the speed of orthodontic tooth movement. Close coordination with physicians is important when patients are
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.for more details please visit
www.indiandentalacademy.com
This document discusses adult orthodontics and compares treatment of adult patients to adolescent patients. It notes that interest in orthodontic treatment for adults has increased due to factors like improved aesthetics from direct bonding and lingual appliances. Adult patients are generally divided into younger adults seeking comprehensive treatment and older adults prioritizing dental health. Treatment objectives, diagnosis, and planning require more customization for adults. Key differences from adolescents include no growth potential, more emphasis on symptoms over signs, and less adaptability.
This document discusses adult orthodontics, including:
- The history of adult orthodontics dating back to 1880.
- Reasons for the increased interest in adult orthodontics, such as improved appliance techniques and patient awareness.
- Differences between treating adult vs. adolescent patients, including that adults have no growth potential and require more collaboration with other specialists.
- Types of adult orthodontic patients and treatments, including adjunctive treatment to facilitate restorations by positioning teeth.
- Goals and procedures for adjunctive treatment focus on improving periodontal health and crown-root ratios by uprighting teeth.
This document provides an overview of adult orthodontics. It discusses the history, classifications, goals, adjunctive treatments, comprehensive treatments, and surgical treatments for adult orthodontics. It also covers topics like recent advances, retention, psychological factors, periodontal and TMJ diagnoses, and limitations of treatment for adults. The document is from www.indiandentalacademy.com and appears to be educational material on the topic of orthodontic treatment for adult patients.
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.for more details please visit
www.indiandentalacademy.com
Adult orthodontics /certified fixed orthodontic courses by Indian dental aca...Indian dental academy
Welcome to Indian Dental Academy
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 has a unique training program & curriculum that provides students with exceptional clinical skills and enabling them to return to their office with high level confidence and start treating patients
State of the art comprehensive training-Faculty of world wide repute &Very affordable.
Biomechanical modifications made to accommodate orthodontic treatment of adult dentitions are generally minor and adhere to the basic laws of physics as they apply to orthodontic tooth movement.
Some adult presentations necessitate changes in treatment strategy from what would otherwise be employed in adolescent patients to achieve similar goals.
In other cases, objectives themselves may need to be modified because of lack of growth potential, constraints of treatment mandated by the patient or the presence of multiple missing or compromised teeth.
This document provides information on orthodontic treatment for adults. It discusses the increase in adult orthodontic patients in recent decades due to improved techniques and materials. Treatment of adults differs from adolescents in that adults do not have growth to assist in correcting malocclusions. The goals, limitations, diagnosis, treatment planning and biomechanics of adult orthodontics are described. Adults often require interdisciplinary treatment involving orthodontics, periodontics, restorative dentistry and sometimes orthognathic surgery. Maintaining proper vertical control and achieving an optimal functional and aesthetic outcome are priorities in treating orthodontic cases in adult patients.
15.ectodermal dyspalsia prosthodontic managament/ dental implant coursesIndian dental academy
This document discusses the dental management and treatment of patients with ectodermal dysplasia (ED). It describes the characteristics of ED such as abnormal development of skin, hair, nails and teeth. The most common treatment approaches for ED patients include removable dentures, fixed dental work and dental implants. While implants can provide benefits, there are concerns about placing them in growing jaws as they may become fused in the bone or interfere with jaw growth. Overall treatment of ED patients requires a multidisciplinary approach and prosthetic treatment is important for physiological and psychological reasons.
Ectodermal dysplasia prosthodontic managament/endodontic coursesIndian dental academy
Description :
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.for more details please visit
www.indiandentalacademy.com
Indications & contra indications of implant supported prosthesis /certified f...Indian dental academy
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
00919248678078
Indications & contra indications of implant supported prosthesis / implant de...Indian dental academy
Indian Dental Academy: will be one of the most relevant and exciting training
center with best faculty and flexible training programs for dental
professionals who wish to advance in their dental practice,Offers certified
courses in Dental implants,Orthodontics,Endodontics,Cosmetic Dentistry,
Prosthetic Dentistry, Periodontics and General Dentistry.
Indications & contra indications of implant supported prosthesis / implant de...Indian dental academy
This document discusses the indications and contraindications of implant supported prostheses. It provides indications for different types of dental implants based on factors like the amount and location of available bone. Contraindications include uncontrolled medical conditions like diabetes or thyroid disorders that could impact healing. For patients with controlled conditions, careful planning is needed to minimize risks during dental procedures.
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.for more details please visit
www.indiandentalacademy.com
- Orthodontic diagnosis and treatment planning must consider the patient's age, as normal dentofacial development differs at each age. Transient malocclusions in children may not require treatment as they often self-correct with growth.
- Treating patients early, when growth is active, allows for greater treatment options like guiding growth. Late treatment has limitations as it cannot utilize remaining growth potential.
- Younger patients respond better to orthodontic forces due to greater vascularity and cellularity in tissues, making tooth movement faster. Adults have denser bone and narrower apical foramina, slowing movement and increasing risk of damage.
Aims, scope & global history of orthodontics /certified fixed orthodontic cou...Indian dental academy
Welcome to Indian Dental Academy
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 has a unique training program & curriculum that provides students with exceptional clinical skills and enabling them to return to their office with high level confidence and start treating patients
State of the art comprehensive training-Faculty of world wide repute &Very affordable.
Post insertion complaints in cd patients/ orthodontic continuing educationIndian dental academy
This document discusses common post-insertion complaints reported by patients with complete dentures and their treatments. Some common complaints include pain, poor fit, occlusal issues. Causes of pain include over-extended denture borders, poor fit, insufficient relief over bony areas, uneven bite, excessively high or low bite. Treatments involve adjusting denture borders, adding soft liners, correcting bite issues by grinding or remaking dentures. Addressing the specific cause of the complaint is important to resolve the patient's issues.
The document discusses the diagnostic process for removable partial dentures. It involves a thorough oral examination including medical and dental history, visual examination, radiographs, vitality testing, and analysis of diagnostic casts on an articulator and surveyor. This allows the dentist to evaluate tooth and tissue health, occlusion, interridge space, retention needs, and determine the ideal path of insertion for the partial denture. Inadequate diagnosis can lead to deficiencies in design or support, resulting in treatment failure.
Diagnosis & Treatment Planning In Complete denture By Dr Anmol Asghar FOR BDS...MuhammadAnmolAsghar
This document discusses diagnosis and treatment planning for complete dentures. It covers evaluating the patient's medical and dental history, performing a clinical examination, taking radiographs, developing a treatment plan, and providing adjunctive care and prosthodontic treatment. Key aspects of diagnosis include assessing the patient's mental attitude, residual ridge, oral cancer risk factors, saliva production, bony undercuts and redundant tissue. The treatment plan considers options like implant or soft tissue supported dentures.
Post insertion complaints in cd patients/ oral surgery courses Indian dental academy
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.for more details please visit
www.indiandentalacademy.com
Opportunity for Dentists (BDS/MDS )to relocate to United kingdom -Register as a DENTAL HYGIENIST/ DENTAL THERAPIST without Board exams and after approval you can register in GDC as a DH/DT and start working as a DH/DT Immediately and get paid.
You can complete the whole process in 3-4 months.Salary range for DH/DT is around 2500-3500 Pounds per month.
Eligibility / requirements-
1. An International English Language Testing System (IELTS) certificate
at the appropriate level.(Within 2 yrs of application date )
2: A recent primary dental qualification that has been taught and examined in English..(Within 2 yrs of application date )
3: A recent pass in a language test for registration with a regulatory authority in a country where the first language is English.
If you are interested Please contact us for more details.
1ST, 2ND AND 3RD ORDER BENDS IN STANDARD EDGEWISE APPLIANCE SYSTEM /Fixed ort...Indian dental academy
Indian Dental Academy: will be one of the most relevant and exciting training center with best faculty and flexible training programs for dental professionals
who wish to advance in their dental practice,Offers certified courses in Dental implants,Orthodontics,Endodontics,Cosmetic Dentistry, Prosthetic Dentistry,
Periodontics and General Dentistry.
Indian Dental Academy: will be one of the most relevant and exciting training center with best faculty and flexible training programs for dental professionals who wish to advance in their dental practice,Offers certified courses in Dental implants,Orthodontics,Endodontics,Cosmetic Dentistry, Prosthetic Dentistry, Periodontics and General Dentistry.
I –Aligners are made with FDA approved transparent thermoplastic materials using 3D scanning, 3D Printing and finally Trays with Pressure vacuum formers.
Dear Doctor,
Indian Dental Academy Now offers comprehensive online Orthodontics course.
Course includes:
1.whiteboard lecture presentations
2.Case Discussions
3.with hundreds of pictures.
4.Demo on Models
5.Demo on Patients
6. subtitles in your own language
12 months unlimited access and support @350 USD only.
For Demo please visit :www.idalectures.com/preview/
For more details visit: www.idalectures.com
Please contact us for any clarifications:
idalectures@gmail.com
indiandentalacademy@gmail.com
Thanks & Regards
Indian Dental Academy
--
Indian Dental Academy
Leader in continuing dental education
www.indiandentalacademy.com
skype:indiandentalacademy
+919248678078
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.for more details please visit
www.indiandentalacademy.com
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.for more details please visit
www.indiandentalacademy.com
Cytotoxicity of silicone materials used in maxillofacial prosthesis / dental ...Indian dental academy
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.for more details please visit
www.indiandentalacademy.com
Diagnosis and treatment planning in completely endntulous arches/dental coursesIndian dental academy
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.for more details please visit
www.indiandentalacademy.com
Properties of Denture base materials /rotary endodontic coursesIndian dental academy
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.for more details please visit
www.indiandentalacademy.com
Use of modified tooth forms in complete denture occlusion / dental implant...Indian dental academy
This document discusses dental occlusion concepts and philosophies for complete dentures. It introduces key terms like physiologic occlusion and defines different occlusion schemes like balanced articulation and monoplane articulation. The document discusses advantages and disadvantages of using anatomic versus non-anatomic teeth for complete dentures. It also outlines requirements for maintaining denture stability, such as balanced occlusal contacts and control of horizontal forces. The goal of occlusion for complete dentures is to re-establish the homeostasis of the masticatory system disrupted by edentulism.
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.for more details please visit
www.indiandentalacademy.com
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.for more details please visit
www.indiandentalacademy.com
This document discusses dental casting investment materials. It describes the three main types of investments - gypsum bonded, phosphate bonded, and ethyl silicate bonded investments. For gypsum bonded investments specifically, it details their classification, composition including the roles of gypsum, silica, and modifiers, setting time, normal and hygroscopic setting expansion, and thermal expansion. It provides information on how the properties of gypsum bonded investments are affected by their composition. The document serves as a comprehensive overview of dental casting investment materials.
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.for more details please visit
www.indiandentalacademy.com
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.for more details please visit
www.indiandentalacademy.com
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.for more details please visit
www.indiandentalacademy.com
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.for more details please visit
www.indiandentalacademy.com
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.for more details please visit
www.indiandentalacademy.com
How to Control Your Asthma Tips by gokuldas hospital.Gokuldas Hospital
Respiratory issues like asthma are the most sensitive issue that is affecting millions worldwide. It hampers the daily activities leaving the body tired and breathless.
The key to a good grip on asthma is proper knowledge and management strategies. Understanding the patient-specific symptoms and carving out an effective treatment likewise is the best way to keep asthma under control.
Computer in pharmaceutical research and development-Mpharm(Pharmaceutics)MuskanShingari
Statistics- Statistics is the science of collecting, organizing, presenting, analyzing and interpreting numerical data to assist in making more effective decisions.
A statistics is a measure which is used to estimate the population parameter
Parameters-It is used to describe the properties of an entire population.
Examples-Measures of central tendency Dispersion, Variance, Standard Deviation (SD), Absolute Error, Mean Absolute Error (MAE), Eigen Value
Know the difference between Endodontics and Orthodontics.Gokuldas Hospital
Your smile is beautiful.
Let’s be honest. Maintaining that beautiful smile is not an easy task. It is more than brushing and flossing. Sometimes, you might encounter dental issues that need special dental care. These issues can range anywhere from misalignment of the jaw to pain in the root of teeth.
These lecture slides, by Dr Sidra Arshad, offer a simplified look into the mechanisms involved in the regulation of respiration:
Learning objectives:
1. Describe the organisation of respiratory center
2. Describe the nervous control of inspiration and respiratory rhythm
3. Describe the functions of the dorsal and respiratory groups of neurons
4. Describe the influences of the Pneumotaxic and Apneustic centers
5. Explain the role of Hering-Breur inflation reflex in regulation of inspiration
6. Explain the role of central chemoreceptors in regulation of respiration
7. Explain the role of peripheral chemoreceptors in regulation of respiration
8. Explain the regulation of respiration during exercise
9. Integrate the respiratory regulatory mechanisms
10. Describe the Cheyne-Stokes breathing
Study Resources:
1. Chapter 42, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 36, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 13, Human Physiology by Lauralee Sherwood, 9th edition
- Video recording of this lecture in English language: https://youtu.be/Pt1nA32sdHQ
- Video recording of this lecture in Arabic language: https://youtu.be/uFdc9F0rlP0
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
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Giloy in Ayurveda - Classical Categorization and SynonymsPlanet Ayurveda
Giloy, also known as Guduchi or Amrita in classical Ayurvedic texts, is a revered herb renowned for its myriad health benefits. It is categorized as a Rasayana, meaning it has rejuvenating properties that enhance vitality and longevity. Giloy is celebrated for its ability to boost the immune system, detoxify the body, and promote overall wellness. Its anti-inflammatory, antipyretic, and antioxidant properties make it a staple in managing conditions like fever, diabetes, and stress. The versatility and efficacy of Giloy in supporting health naturally highlight its importance in Ayurveda. At Planet Ayurveda, we provide a comprehensive range of health services and 100% herbal supplements that harness the power of natural ingredients like Giloy. Our products are globally available and affordable, ensuring that everyone can benefit from the ancient wisdom of Ayurveda. If you or your loved ones are dealing with health issues, contact Planet Ayurveda at 01725214040 to book an online video consultation with our professional doctors. Let us help you achieve optimal health and wellness naturally.
Travel Clinic Cardiff: Health Advice for International TravelersNX Healthcare
Travel Clinic Cardiff offers comprehensive travel health services, including vaccinations, travel advice, and preventive care for international travelers. Our expert team ensures you are well-prepared and protected for your journey, providing personalized consultations tailored to your destination. Conveniently located in Cardiff, we help you travel with confidence and peace of mind. Visit us: www.nxhealthcare.co.uk
Travel vaccination in Manchester offers comprehensive immunization services for individuals planning international trips. Expert healthcare providers administer vaccines tailored to your destination, ensuring you stay protected against various diseases. Conveniently located clinics and flexible appointment options make it easy to get the necessary shots before your journey. Stay healthy and travel with confidence by getting vaccinated in Manchester. Visit us: www.nxhealthcare.co.uk
2. Index
• Adult ?
• History of adult orthodontics
• Adult orthodontics
• Reasons for increased interest of adults in
orthodontic treatment
• Indications
• Contraindications
• Difference between adult and adolescent
patients
• Limitations
www.indiandentalacademy.com
4. ADULT ?
• Adult is defined as one who is fully grown, most
males 18 and above and most females of 16
and above can be considered to be adults,
although residual growth is left.
• It is however quite impractical to determine the
exact time when adulthood begins, since there is
no definite age when a person reaches physical
maturity.
www.indiandentalacademy.com
5. HISTORY
• Kingsley, in 1880, indicated an early awareness
regarding orthodontic potential in adult patient.
• He stated, “It may be regarded as settled fact
that there are hardly any limits to the age when
movement of teeth might not succeed.”
www.indiandentalacademy.com
6. HISTORY
• MacDowell(1901) was of the opinion that
after the age of 16 years, a complete and
permanent change in transition of the occlusion
& hence orthodontic treatment, is almost
impossible owing to the development of,
- adult glenoid fossa,
- density of the bones ,
- muscles of mastication.
www.indiandentalacademy.com
7. HISTORY
• Lischer (1912) believed that the period
from 6th
to 14th
year was a golden age of
treatment
www.indiandentalacademy.com
8. HISTORY
• In 1921 Calvin Case demonstrated the value of
orthodontic therapy in the lower anterior area for
the aged, periodontally affected patient.
www.indiandentalacademy.com
9. ADULT ORTHODONTICS
• Ackerman : “Adult orthodontics is concerned
with striking a balance between achieving
optimal proximal and occlusal contact of the
teeth, acceptable dentofacial aesthetics, normal
function and reasonable stability.”
www.indiandentalacademy.com
10. Recent AAO survey : Increased % of patients >21
yrs, from 4% ten yrs ago, to almost 7% today; in
another decade’s time adult pts would constitute
11% of avg orthodontic practice.
• [JCO:1997:Gottleib,Nelson]
www.indiandentalacademy.com
11. INCREASED INTEREST IN
THE ADULT PATIENT
Reasons
[Melsen in ‘Curent controversies in
Orthodontics’]
1] Innovations in appliance placement techniques
– Direct bonding, lingual/invisible appliances
www.indiandentalacademy.com
12. 2] Innovations in
material research –
ceramic brackets &
tooth coloured
wires
3] Role of family
dentist - Increased
desire of restorative
dentists and
patients for
treatment of dental
mutilation problems
using tooth
movement rather
than prostheses.
www.indiandentalacademy.com
13. 4] Role of media, visual as well as print -
Articles in magazines ,news paper as well
as community programs have increased
patient awareness towards health &
esthetics.
5] Better management of TMJ dysfunction.
www.indiandentalacademy.com
14. 6] More effective management of skeletal jaw
dysplasias with advanced orthognathic surgical
techniques.
7] Reduced vulnerability to periodontal breakdown
as a result of improved tooth relationships and
occlusal functions.
8] A broader understanding of the biology of the
tooth movement especially with regard to age
changes.
www.indiandentalacademy.com
15. 9] Ingenious approaches to anchorage management
such as implants.
10] Role of Insurance companies – in the US
11] Affluence – Improving socioeconomic standards
makes orthodontics more affordable today .
www.indiandentalacademy.com
16. INDICATIONS (RAVINS)
1) Improvement of tooth-periodontal tissue
relationship.
2) Establishing an improved plane of occlusion to
distribute the forces of occlusion better.
3) Balancing the existing space for better prosthetic
replacement.
4) Improve occlusion and coordination between the
muscle and TMJ.
5) Improve patient esthetic.www.indiandentalacademy.com
17. CONTRAINDICATIONS
(BARRER)
1) Severe skeletal discrepancies.
2) Advanced local or systemic disease.
3) Excessive alveolar bone loss.
4) Poor stability prognosis – tooth movt into
unfavourable positions.
5) Lack of patient motivation & co-operation,
resistance to wear the appliance.www.indiandentalacademy.com
18. 6) Inability to prevent excessive hard/soft tissue
destruction
7)Inadequate space for tooth movt
8)Movt of teeth against occlusal opposition or into
occlusal trauma
9)No improvement in PDL health, function/esthetics.
10)Negative anchorage potential – movt of teeth
against inadequate anchorage.
www.indiandentalacademy.com
20. 1] Younger adults (under 35, often in their 20’s)
2] Older patients (in their 40’s and 50’s)
[Proffit-Fields]
2 GROUPS OF ADULT
ORTHODONTIC PATIENTS
www.indiandentalacademy.com
22. Reasons for not receiving orthodontic
treatment early
1) Did not desire treatment.
2) Were not aware of orthodontic treatment.
3) Parents could not afford.
4) Were not given proper advise by family
dentist.
5) No orthodontist located in the vicinity.
www.indiandentalacademy.com
23. 6) Incomplete orthodontic treatment when
younger or were uncooperative.
7) Had orthodontic treatment as children but
relapse occurred.
8) More conscious of appearance with age.
9) Anterior teeth started to crowd or minor
crowding becomes worse.
10) Dissatisfaction with the outcome of previous
treatment www.indiandentalacademy.com
24. OLDER GROUP
Goal -
- Maintain proper dental health.
- For easy & effective control of disease &
restoration of missing teeth.
- As an adjunctive procedure to the larger
periodontal & restorative goals ; not necessarily
interested in the ideal result.
www.indiandentalacademy.com
25. Reasons for seeking orthodontic
treatment
1) Malposed teeth contributing to PDL disease.
2) Increased difficulties with mastication.
3) Anterior spaces enlarging or new ones developing.
4) For better tooth positioning prior to prosthetic
preparation.
5) Tooth interferences & mandibular slide causing
TMJ problems.
www.indiandentalacademy.com
26. ADOLESCENT vs ADULT
ORTHODONTIC PATIENT
Levitt : “In adult patient there is no growth
and only tooth movement”.
Barrer : “Adult, unlike the child is a
relentless patient, who will not cover our
deficiencies in skills or our errors in the
use of mechanical procedures by helpful
settling in post-treatment.”
www.indiandentalacademy.com
27. • Ackerman : “In a child ,one occasionally
calls on another specialist. On the other
hand it is a rare adult whom one treats
orthodontically without finding it necessary
to collaborate with another specialist.”
www.indiandentalacademy.com
28. • Adults – orthodontic treatment is based on
symptoms detected by the patient
• Children - treatment is based more often
on signs detected by practitioners/parents.
www.indiandentalacademy.com
29. • Adult – seeks treatment more often for
esthetics & hence is likely to have
unreasonable expectations about the
outcome, is less adaptable to the
appliance & is uncompromising in
appraisal of the Rx results.
• Brighter side – cleaner, more careful,
punctual, prompt paying, much less
sensitive to pain & Rx time is either
same/less than that for younger patients.
www.indiandentalacademy.com
30. FIVE MAJOR CATEGORIES IN WHICH
ADULT PATIENTS SIGNIFICANTLY
DIFFER FROM THEIR ADOLESCENT
COUNTERPARTS
1) Clarification & individualization of
treatment objectives
2) The diagnostic process
3) Treatment plan selection
4) Acceptance of recommended therapy
5) Achievement of treatment objectives
www.indiandentalacademy.com
31. 1) Clarification & individualization of
treatment objectives-
This requires specific study of the problem &
the indicated therapeutic refinements.
www.indiandentalacademy.com
32. 2) The diagnostic process-
Problem oriented dental record aides
in making the appropriate diagnosis,
for it requires that the patient’s
problems be listed and a plan be
developed to manage each problem.
www.indiandentalacademy.com
33. Diagnostic steps:
1) Collect data accurately.
2) Analyze data base.
3) Develop problem list.
4) Prepare tentative treatment plan.
5) Interact with those who are involved;
discuss plans and options; clarify
sequence, acquire patient acceptance.
6) Create final treatment plan.
www.indiandentalacademy.com
35. Before starting the treatment, the
orthodontist needs to be prepared to
do the following:
1) Diagnose different stages of PDL
disease and their associated risk factors.
2) Diagnose TMJ dysfunction before,
during or after tooth movement.
www.indiandentalacademy.com
36. 3) Determine which cases require surgical
management and which ones require
incisor reangulation to camouflage the
skeletal base discrepancy.
4) Work cooperatively with team of other
specialists to give the patient the best
outcome.
www.indiandentalacademy.com
37. 3) Treatment plan selection-
More systemic & detailed analysis is
required for adults than for adolescents.
Factor affecting treatment plan
selection:
i) Existing oral pathology:
- dental caries
- periodontal disease
- faulty restoration
- TMJ adaptability
- occlusal awarenesswww.indiandentalacademy.com
40. 4) Patient’s acceptance of the
treatment plan-
Patients thorough understanding of &
agreement with the recommended Rx are
necessary. Also, an informed consent
should be signed
i) Sociobehavioral interaction:
- Office environment: group / privacy
- Team coordination, interaction:
multidisciplinary approach
ii) Duration of treatment.
www.indiandentalacademy.com
41. iii) Cost of treatment: with/without
insurance cover
iv) Perceived risk/benefit ratio: more
benefits compared to minimal risks
v) Appliance selection.
vi) Insurance coverage
www.indiandentalacademy.com
42. • Vii) Negative conditioning: in the past .
viii) Positive conditioning.
www.indiandentalacademy.com
43. 5) Achievement of treatment
objectives-
-requires specific study of the problem &
the indicated therapeutic refinements
- depends on :
i) Dental history.
ii) Ability of the orthodontist to interface
the treatment plan with those of other
dental specialist.
iii) skills and knowledge of orthodontist
and staff. www.indiandentalacademy.com
44. LIMITATIONS OF TREATMENT
2 types of factors :
• Intrinsic – Biological nature
• Extrinsic – Biomechanical systems
www.indiandentalacademy.com
45. INTRINSIC FACTORS
• Most marked – Adult is no longer growing, so
orthodontic Rx is limited to tooth movt & related
modelling of the alveolar process only (may vary
with the age & health )
• Periodontium – primary tissue to get affected.
• Norton : decreasing blood flow & vascularity with
increasing age – insufficient source of
progenitor(preosteoblasts) cells – delayed
response to mechanical stimulus.
www.indiandentalacademy.com
46. • Alveolar bone – cortical bone becomes
denser & spongy bone reduces with age &
structure of bone changes from
honeycomb to a network
• Apical displacement of marginal bone
level - local factor, age related but is also
due to progressive PDL disease
www.indiandentalacademy.com
47. • Teeth - adults are more likely to have
missing teeth, teeth reduced in dimension
due to attrition or teeth with large
restorations.
www.indiandentalacademy.com
48. EXTRINSIC FACTORS
• Force system used differs from that used in
young, growing individuals.
• Forces used should be at a lower level than
those used in children, as adults often have PDL
problems & reduced bone support.
• Initial forces should be further kept low as the
immediate pool of cells available for resorption is
low.
www.indiandentalacademy.com
49. • M/F ratio for a
particular tooth
movt should be
increased as per
the periodontally
compromised
state of the
dentition, to
counter the
tipping
tendency.
www.indiandentalacademy.com
50. • In the presence of marginal bone loss,
light continuous intrusive forces should be
maintained during tooth displacement.
www.indiandentalacademy.com
51. !!! ADULT PROBLEMS DIFFICULT
TO TREAT BY ORTHODONTICS !!!
• Deep bite – extrusion of post teeth is not
compensated for by condylar growth
• Posterior crossbite – arch expansion is
not stable
• Skeletal discrepancies – since growth is
complete.
www.indiandentalacademy.com
52. 1) Dentofacial aesthetics
2) Stomatognathic function
3) Stability
4) Achieving Class I occlusion
:ADULT ORTHODONTICS -
TREATMENT OBJECTIVES
www.indiandentalacademy.com
54. ADDITIONAL ORTHODONTIC
TREATMENT OBJECTIVES
1) Parallelism of abutment teeth :
- Restoration will have better prognosis as
excess cutting or devitalization during
abutment preparation are avoided.
- Allows for a better pdl response.
- Allows for better retention.www.indiandentalacademy.com
56. 2) Most favorable distribution of teeth :
- Evenly for replacement of fixed/removable
prostheses in the individual arches
- Teeth should be positioned in such a way
that occlusion of natural teeth can be
established bilaterally between the arches.
www.indiandentalacademy.com
57. 3) Redistribution of occlusal and incisal
forces –
Helpful in case of significant bone loss, to
maintain the occlusal vertical dimension.
4) Adequate embrasure space and proper
root position –
Allows for better pdl health, especially
when placement of restorations is
necessary.
www.indiandentalacademy.com
58. 5) Acceptable occlusal plane and potential
for incisal guidance at satisfactory vertical
dimension –
For a mutilated dentition with bite collapse,
the Hawley bite plane adjusted to the
correct vertical height, is inserted – allows
a centric relation at an acceptable vertical
dimension, simulatneous bilateral
neuromuscular activity;
Curve of spee should be mild to flat
bilaterally – unilateral orthodontic
treatment of an accentuated occlusal
plane should be avoided.www.indiandentalacademy.com
59. 6) Adequate occlusal landmark
relationships:
- Most difficult dimension to correct &
maintain orthodontically – transverse
sagittal vertical.
- Teeth must be positioned yo achieve
acceptable B-L landmarks.
Post crossbites due to severe transverse
skeletal dysplasias – maxillary buccal
cusps contact lower central fossae with
the crossover for incisal guidance in the
PM or canine positions.www.indiandentalacademy.com
60. 7) Better lip competency and support -
Inadequate support may create change in
antero-posterior and vertical position of upper lip
and increase wrinkling.
Some Class II, division 1 patients (surgery
rejected) – lower incisors can be placed
procumbent with bilateral posterior restorations
– establish incisal guidance; avoids palatal
tissue irritation.
Some class III’s – maxillary incisors kept more
flared than normal
www.indiandentalacademy.com
61. 8) Improved crown/root ratio –
In case of individual teeth bone loss, the
crown to root ratio can be improved by
decreasing the length of clinical crown
with a high speed handpiece as the tooth
is erupted orthodontically.
www.indiandentalacademy.com
62. 9) Improvement/ correction of mucogingival and
osseous defects:-
Proper repositioning of prominent teeth in arch will
improve gingival topography.
Adolescents – brackets placed to level marginal
ridges & cusp tips
Adults – level crestal bone between adjacent
CEJ’s; favorable osseous & soft tissue changes
with tooth movt , diminished need for
osseous/mucogingival surgery; continuous
adjustment to prevent premature post teeth
contact causing occlusal trauma.www.indiandentalacademy.com
63. 10) Better self maintenance of pdl health:
Location of gingival margin - determined by axial
inclination & alignment of the tooth.
For better periodontal health, teeth should be
positioned properly over their basal bone
support.
11) Esthetics and functional improvement:
Rx= acceptable esthetics + improved muscle
function + normal speech + mastication
Therapeutic occlusion = ant teeth as
disarticulators; post teeth support the vertical
dimension.
www.indiandentalacademy.com
64. Treatment planning
Usual sequence of procedure is as follows –
• Eliminate all pathology (caries, PDL disease,
retained roots, etc)
• Orthodontic Rx
• Periodontal re-evaluation (& therapy if
necessary)
• Prosthetic restoration (when necessary)
• Orthodontic retention
• Periodontal maintenance
• Occlusal adjustment (grinding) whenever
necessary
www.indiandentalacademy.com
65. BIOMECHANICAL
CONSIDERATIONS:
- Control of anchorage requires that
anchor teeth should not be allowed to tip.
- Fixed appliance is necessary.
www.indiandentalacademy.com
66. • Adult patients
demand for
removable
appliance but they
are not useful in
adjunctive
treatment.
- But in case of
multiple missing
teeth removable
appliance is useful.
www.indiandentalacademy.com
67. Placement of brackets
• A=ideal position
– uprighting of
ant teeth (movt
of anchor teeth
is undesirable)
• B=brackets
placed in
position of max
convenience-
maintains
existing tooth
alignmentwww.indiandentalacademy.com
68. • - In case of
reduce
periodontal
support and
bone loss ,
lighter forces
and relatively
larger
movements are
needed.
www.indiandentalacademy.com
69. TIMING AND SEQUENCE OF
TREATMENT:-
- Before any type of tooth movement
any caries or pulpal pathology should
be eliminated.
- Larger restoration require detail
occlusal anatomy should be carried
out after orthodontic treatment is
over.
www.indiandentalacademy.com
70. - Periodontal disease should be
controlled before any tooth
movement.
- Scaling, curettage and gingival graft
should be carried out before
treatment.
- Surgical pocket elimination and
osseous surgery should be carried
out after orthodontic treatment.
www.indiandentalacademy.com
72. Psychological considerations
• Children & adolescents – motivation for ortho Rx
= parent’s desire; not emotionally involved in
their own Rx
• Adults – seek ortho Rx because they themselves
want something, that is not always clearly
expressed=hidde set of motivations/unrealisti
expectations
• Imp – explore why pt wants Rx & why now
“Ortho Rx cannot repair personal relationships,
save jobs, or overcome a series of financial
disasters” - Proffitwww.indiandentalacademy.com
73. • Most adults – have realistic expectations, more
positive self image than average, a good deal of
ego strength.
• Internally motivated responds well to Rx than
externally motivated.
• Demand for invisible orthodontic appliances-
unrealistic for a patient to expect that ortho Rx
can be carried out without other people knowing
about it
www.indiandentalacademy.com
74. • Sometimes - Rx in a pvt area if the patient
demands so;
Most adults – learning from interacting with other
patients = beneficial
• Patient handling –
Adolescents = passive acceptance of what is
being done
Adults = considerble degree of explanation of what
is happening & why;
Interest in Rx does not automatically translate into
compliance with instructions
www.indiandentalacademy.com
75. • Adults – less tolerant of discomfort & more
likely to complain about pain after
adjustments & about difficulties in speech,
eating & tissue adaptations.
Additional chair time to meet these
demands should be anticipated
www.indiandentalacademy.com
76. ACCORDING TO PROFFIT ADULT
ORTHODONTIC TREATMENT IS
DIVIDED IN TO 3 PARTS:
1) ADJUNCTIVE TREATMENT.
2) COMPREHENSIVE TREATMENT
FOR ADULTS.
3) SURGICAL TREATMENT.
www.indiandentalacademy.com
77. DIFFERENCE BETWEEN
ADJUNCTIVE TREATMENT AND
COMPREHENSIVE TREAMTMENT
IS INDISTINCT,AS ANY TREAMENT
WHICH REQUIRE MORE THAN 6
MONTHS IS CALLED AS
COMPREHENSIVE TREATMENT.
www.indiandentalacademy.com
78. ADJUNCTIVE TREATMENT-
“ Tooth movement carried out to
facilitate other dental procedures
necessary to control disease and
restore function.”
www.indiandentalacademy.com
79. GOALS -
1) Facilitates restorative treatment by
positioning the teeth.
2) Improve periodontal health by
removing plaque harboring areas .
3) Establishing favourable crown to
root
ratio and position of the teeth.
www.indiandentalacademy.com
80. PROCEDURES CARRIED OUT IN
ADJUNCTIVE TREATMENT : -
1) Uprighting posterior teeth.
2) forced eruption.
3) alignment of anterior teeth.
4) crossbite correction.
www.indiandentalacademy.com
86. 1) DENTAL ORIGIN:-
a) Faulty eruption from the
normal functional position.
b) Insufficient arch length.
c) Excessive arch length.
d) Prolonged retention of primary
teeth.
e) Ectopic eruption.
www.indiandentalacademy.com
87. g) Prolonged finger and thumb
sucking habits.
h) Clenching and grinding.
i) Improper swallow pattern with
tongue thrusting.
j) Effects of tongue pressure on the
anterior teeth.
www.indiandentalacademy.com
91. 1) If third molar is present ,
whether both second and third
molar should be uprighted.
2) Whether to upright tipped
teeth by distal crown tipping or
by mesial root movement.
www.indiandentalacademy.com
93. 3) Whether we need slight extrusion
or maintain occlusal height during
uprighting.
4) Whether premolar should be
repositioned or not.
www.indiandentalacademy.com
94. APPLIANCE FOR MOLAR
UPRIGHTING:-
- Partial fixed appliance.
- Anchorage.
- Placement of brackets on canine
and premolars.
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99. • Final position of
molars and
premolars.
• Use of open coil
spring - steel
- A Ni-Ti
• Occlusion should be
checked carefully.
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100. RETENTION
• For shorter period
• For a longer period.
- Intracoronal wire
splint
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103. TREATMENT PLANING:-
- Periapical radiograph.
- Single tapering and flared and
divergent root morphology.
- Endodontic therapy.
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104. How much tooth should be extruded
can be determine by 3 factors:-
1) Location of the defect.(fracture
line)
2) Space to place margin of the
restoration.(1 mm)
3) An allowance for the biological
width of the gingival attachment.(2www.indiandentalacademy.com
110. ALIGNMENT OF ANTERIOR TEETH
Indications:-
1) To improve access and permit
placement of well contoured
restorations.
2) To permit placement of crowns
and pontics .
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111. 3) To reposition closely
approximated roots and to improve
the amount of interradicular bone.
4) To position teeth so that implants
can be placed to support
restorations.
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112. * Alignment of crowed, rotated and
displaced incisors.
* Separation of approximated teeth.
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113. • Position teeth for single tooth
implant:-
- Minimum 6mm of space is require.
- Apices of adjacent teeth.
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114. Anterior diastema closure and
space redistribution:-
Causes:-
- Loss of posterior teeth.
- Small teeth.
.- Loss of bone support.
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116. CROSSBITE CORRECTION:-
- It can cause functional problem and
occlusal trauma.
- Single tooth crossbite.
- Group of teeth in crossbite.(part of
skeletal problem).
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117. - Correction with removable
appliances.(anterior segment)
- Correction with the “through the
bite” elastics.(posterior segment).
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119. SUMMARY:-
There is wide variety
of etiology that can cause an adult
malocclusion. Also each patient’s
need for treatment are different so
treatment should be carried out
taking his/her needs in consideration.
Adjunctive treatment helps by
facilitating other dental procedures to
control disease and restore function.
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120. Thank you
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