1. AIMS AND SCOPE OF
ORTHODONTICS
Dr.Kapil Saroha
BDS, MDS
(Orthodontics and dentofacial orthopedics)
Monday, July 31, 2017
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2. What is OrthodonticsWhat is Orthodontics
All about ??All about ??
The word “The word “ ORTHODONTICSORTHODONTICS “ is“ is
derived from Greek wordsderived from Greek words
OrthosOrthos : correct: correct
OdontosOdontos : teeth: teeth
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3. ACCORDINGTO JACKSON:
1 .Functional efficiency
2. Structural balance
3. Esthetic harmony
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Ajo 1958Ajo 1958
4. FUNCTIONAL EFFICIENCY
It depends
upon correct relationship of teeth to each
other and their orientation to skull as a
whole to permit a satisfactory excursion of
the mandible in function of mastication .
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5. STRUCTURAL BALANCE
Orofacial region consists of dentoalveolar system, skeletal tissue and soft
tissue including
musculature.
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6. ESTHETIC HARMONY:
It is a matter of proportion in shape, size and orientation of
dental organs as a whole in their relationship to other facial
factors.
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7. This goal is not ‘just cosmetic’….
It reflects the patient’s desire to improve
their social acceptability and eliminate
discrimination based on
appearance, which can affect their
quality of life greatly.
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8. To improve patient’s life by enhancing dental and jaw function
and dentofacial esthetics.
From this perspective…
Role of orthodontic treatment is analogous to that of several
other medical specialities such as plastic surgery and
orthopedics,in which patient’s problem often doesn’t result from
disease but distortion of development.
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The goal of orthodontic treatmentThe goal of orthodontic treatment
9. NEED FOR ORTHODONTICTREATMENT
1. Irregular teeth
2. Predisposition to periodontal diseases
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10. 3.To close diastema
4. Mouth breathing
5. Correction of speech
defects
6. Risk of trauma: Class II
malocclusion
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11. 7. Bruxism
8. Tmj probs: deep bite,
occlusal prematurities.
9. Surgical treatment for congenital
defects : Cleft lip and palate.
10 .Correction of shifted teeth,
prior to construction of bridges
and partial dentures.
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12. Skeletal problems
Skeletal problems result not from malpositioned teeth or well
proportioned jaws but from disproportion in size or position of
jaws themselves.
Occurs in all three planes
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18. SERVICES OFFERED
Preventive Orthodontics
Prevention is better than cure
Actions taken to preserve the integrity of what appear normal
for that age
Space maintainence
Check up for oral habits and habit breaking appliance if
required
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19. Interceptive Orthodontics
Procedure undertaken at early stage of MO to eliminate or reduce the severity
of the same, in order
to prevent establishment of full fledged MO that may require long term
orthodontic treatment at later age.
o Control of abnormal habits
Interception of skeletal malrelation using myofunctional appliance
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20. Corrective Orthodontics
A. Surgical orthodontics:
Done for patient with no remaining growth potential and severe
malocclusion.
Dentofacial orthognathic surgeries are the major surgical
procedures carried out
along with orthodontic therapy.
Require a team approach with oral surgeon and orthodontist being
imp member of team
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21. Currently a new technique of bone generation in craniofacial region
termed Distraction Osteogenesis has been introduced.
It is a biologic process of new bone formation between osteotomised
bone segments that are seperated gradually by incremental
traction.
Traction force is applied to bone segments,creating a tensional
stress in repairative callus that joins the divided bone segments.
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25. B) Camouflage
Bringing the teeth in proper occlusion without correcting jaw
discrepancy.
Underlying skeletal discrepancy be corrected by
orthodontic tooth movement.
Successful for adolescents with moderate problems.
Not useful
1. In transverse or vertical skeleton problems
2. Severe class II and III
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27. C) COMPREHENSIVE
Acc to Proffit,
It implies orthodontic treatment which would take more than
six months duration.
Done with fixed appliances.
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28. Major stages:
1.Alignment and levelling
2.Correction of molar relationship and
space closure
3.Finishing
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29. It facilitates restorative treatment by
repositioning the teeth so that more ideal and
conservative technique can be used.
1.Repositioning teeth that have drifted.
2. Forced eruption of badly broken
Teeth.
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D) Adjunctive Orthodontic treatment
30. Tby –
dr. Kapil Saroha
Bds, mds
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DENDEN ISTIST