1. Charles Tweed made significant contributions to orthodontics including popularizing premolar extractions and developing the diagnostic facial triangle and Tweed's occlusion.
2. Tweed's occlusion involves positioning the mandibular arch flat and the maxillary arch with an accentuated curve of Spee, resulting in a disclusion of the second molars and distal cusps of the first molars.
3. Tweed developed this occlusion to allow the muscles of mastication to effect the greatest force on the primary chewing table while also achieving stability, function, and esthetics.
determinate vs indeterminate force systemKumar Adarsh
This document discusses force systems in orthodontics. It describes determinate and indeterminate force systems, with determinate systems providing better control of forces and moments. One-couple systems are created using a cantilever spring or auxiliary arch wire tied to a tooth at one end. Two-couple systems are created when an arch wire is tied into brackets on both ends. Common applications of one and two-couple systems include intrusion/extrusion arches and lingual arches. Segmented arch mechanics allow precise control but require more wire bending compared to continuous arch wires.
This document discusses various types of intrusion arches used in orthodontics to correct deep overbites. It begins by defining intrusion and describing the biomechanics and principles involved. It then covers 9 specific intrusion arch designs: 1) Rickett's Utility Arch 2) Tipback Springs 3) Burstone's Continuous Intrusion Arch 4) Burstone's Three Piece Intrusion Arch 5) K-SIR 6) Connecticut Intrusion Arch 7) PG Retraction Spring 8) Translation Arch 9) Lingual Arch for intruding lower incisors. For each type, it provides details on materials, design, and mechanics of intrusion.
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 pendulum appliance uses acrylic and springs to deliver continuous force from the palate to the upper molars, producing distal movement without affecting other teeth. It is fabricated with acrylic covering springs that extend to molar bands. Springs are activated in 3-week intervals to monitor distalization over 4 months before stabilizing molars. The appliance effectively treats Class II malocclusions without extractions through distal molar movement.
The document summarizes the Royal London Space Planning approach for orthodontic treatment planning. The approach involves assessing six factors that impact the space required for treatment: crowding, occlusal curves, arch width, incisor positioning, tooth angulation, and tooth inclination. Scores are recorded for each factor to quantify the overall space needed. The approach aims to ensure a systematic treatment plan, determine if objectives are achievable, anticipate anchorage issues, and improve informed consent.
This document discusses Steiner's acceptable compromises for compensating for sagittal discrepancies between the upper and lower jaws. It provides guidelines for adjusting the positions of the upper and lower incisors based on the ANB angle. A case example is used to illustrate how to predict changes to the ANB angle through growth or treatment and adjust incisor positions accordingly. The document also discusses individualizing treatment proposals based on factors like soft tissue function.
Comparison of The Roth prescription,Alexander prescription & MBT prescription...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
The document discusses orthodontic bracket prescriptions, including:
1) Early edgewise brackets required wire bends to control tooth movement, while contemporary brackets have built-in prescriptions for in-out, tip, and torque adjustments.
2) Lawrence Andrews introduced the pre-adjusted edgewise appliance with customized brackets programmed for specific tooth control without wire bends.
3) Later prescriptions like Roth and MBT incorporated changes like more torque in upper incisors to compensate for bracket limitations, while individual adaptations are often needed for specific cases.
determinate vs indeterminate force systemKumar Adarsh
This document discusses force systems in orthodontics. It describes determinate and indeterminate force systems, with determinate systems providing better control of forces and moments. One-couple systems are created using a cantilever spring or auxiliary arch wire tied to a tooth at one end. Two-couple systems are created when an arch wire is tied into brackets on both ends. Common applications of one and two-couple systems include intrusion/extrusion arches and lingual arches. Segmented arch mechanics allow precise control but require more wire bending compared to continuous arch wires.
This document discusses various types of intrusion arches used in orthodontics to correct deep overbites. It begins by defining intrusion and describing the biomechanics and principles involved. It then covers 9 specific intrusion arch designs: 1) Rickett's Utility Arch 2) Tipback Springs 3) Burstone's Continuous Intrusion Arch 4) Burstone's Three Piece Intrusion Arch 5) K-SIR 6) Connecticut Intrusion Arch 7) PG Retraction Spring 8) Translation Arch 9) Lingual Arch for intruding lower incisors. For each type, it provides details on materials, design, and mechanics of intrusion.
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 pendulum appliance uses acrylic and springs to deliver continuous force from the palate to the upper molars, producing distal movement without affecting other teeth. It is fabricated with acrylic covering springs that extend to molar bands. Springs are activated in 3-week intervals to monitor distalization over 4 months before stabilizing molars. The appliance effectively treats Class II malocclusions without extractions through distal molar movement.
The document summarizes the Royal London Space Planning approach for orthodontic treatment planning. The approach involves assessing six factors that impact the space required for treatment: crowding, occlusal curves, arch width, incisor positioning, tooth angulation, and tooth inclination. Scores are recorded for each factor to quantify the overall space needed. The approach aims to ensure a systematic treatment plan, determine if objectives are achievable, anticipate anchorage issues, and improve informed consent.
This document discusses Steiner's acceptable compromises for compensating for sagittal discrepancies between the upper and lower jaws. It provides guidelines for adjusting the positions of the upper and lower incisors based on the ANB angle. A case example is used to illustrate how to predict changes to the ANB angle through growth or treatment and adjust incisor positions accordingly. The document also discusses individualizing treatment proposals based on factors like soft tissue function.
Comparison of The Roth prescription,Alexander prescription & MBT prescription...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
The document discusses orthodontic bracket prescriptions, including:
1) Early edgewise brackets required wire bends to control tooth movement, while contemporary brackets have built-in prescriptions for in-out, tip, and torque adjustments.
2) Lawrence Andrews introduced the pre-adjusted edgewise appliance with customized brackets programmed for specific tooth control without wire bends.
3) Later prescriptions like Roth and MBT incorporated changes like more torque in upper incisors to compensate for bracket limitations, while individual adaptations are often needed for specific cases.
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 information on various non-patient compliant fixed functional appliances used to treat Class II malocclusions, including the Herbst appliance, MARA, Advansync, and fixed twin block. It discusses the history, design, advantages, disadvantages, and effects of each appliance. In general, these fixed functional appliances can eliminate patient compliance issues compared to removable appliances, have continuous effects, and shorter treatment times, but may have higher breakage and mechanical dislodgement risks.
The document discusses the Opus loop, a new orthodontic closing loop design developed by Raymond Siatkowski. It aims to deliver a consistent moment-to-force ratio (M/F) of 8-9 mm without adding residual moments. Traditional loops require residual moments via bends to achieve desired M/F ratios. The document outlines the theoretical basis for the Opus loop's design using Castigliano's theorem. Finite element analysis confirmed it maintains a consistent high M/F when positioned off-center. Experimental testing of prototypes verified the Opus loop achieves its intended M/F range, representing an improvement over other loops.
The document discusses bracket variations that can be used to optimize tooth positioning for different malocclusion types. Specifically, it describes how inverting the bracket on an upper lateral incisor that is palatally displaced can provide beneficial labial root torque to help align the crown and root. Inverting the bracket changes the torque prescription from +10 degrees to -10 degrees, facilitating labial movement of the root during treatment. Careful selection and positioning of brackets can simplify treatment of localized anomalies.
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
Friction less mechanics in orthodontics /certified fixed orthodontic course...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
Bioprogressive therapy /certified fixed orthodontic courses by Indian 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.
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
This document discusses utility arches, which are orthodontic appliances used to apply light forces in the dental arch. It provides details on:
- The historical background and development of utility arches based on biomechanical principles.
- Common wire dimensions and materials used, including stainless steel, nickel titanium, and beta titanium alloys.
- The standard design components of utility arches, including molar, vertical, and incisal segments.
- Different types of utility arches like passive arches, intrusion arches, and retraction/protrusion arches and how they are activated to apply specific orthodontic forces.
This document discusses soft tissue analysis in cephalometric evaluations. It begins by explaining the importance of analyzing soft tissue profiles in orthodontic treatment planning. It then outlines various soft tissue landmarks used in cephalometric analysis of the profile, nose, chin, and lips. Specific angular measurements are described to evaluate different regions of the soft tissue facial profile, including nasal angle, nasolabial angle, mentocervical angle, and others. The document provides details on traditional planes of reference and how to assess vertical facial proportions, convexity, and prominence of different soft tissue structures.
Dr. Viken Sassouni developed a cephalometric analysis method based on craniofacial x-rays of 100 children. He identified planes, arcs, and points to analyze facial proportions and classify facial patterns. A well-proportioned face has four planes intersecting at point O and equal upper/lower anterior and posterior facial heights. Sassouni found most faces were Type II patterns. His analysis considered vertical and horizontal relationships and classified occlusions, palates, profiles, and dental axes. He concluded that "normal" is relative and proportions are more important than absolute measurements.
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 information about postero-anterior cephalometric analysis, including its history, setup, landmarks, and purposes. Some key points:
- Postero-anterior cephalograms can provide important qualitative and quantitative skeletal and dentofacial data as a supplement to lateral cephalograms.
- Broadbent and Hofrath pioneered the methodology in 1931. Modern setup involves a headholder that can rotate 90 degrees from lateral to postero-anterior position.
- Analysis involves identifying landmarks like zygomatic arches, maxillary molars, and measuring widths, ratios, and angles to evaluate symmetry and proportions.
- Postero-anterior views have limitations due to superimposition
Schwarz analysis divides the evaluation into craniometry (skeletal) and gnathometry (dental) using reference lines and planes. Craniometry assesses the skeletal base and profile using angles like J angle, F angle, and TMJ position. Gnathometry evaluates the dentition using angles like B angle, gonial angle, and axial tooth inclinations. Linear measurements include anterior cranial base, ascending ramus, maxillary base, and soft tissue thickness. The analysis provides metrics to assess the skull, jaws, dentition, and facial profile.
Ricketts analysis /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
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 the history and evolution of fixed orthodontic appliances, leading to the development of the pre-adjusted edgewise appliance. It describes Lawrence Andrews' research which identified six keys to optimal occlusion based on measurements of untreated dental casts. His studies found that traditional edgewise appliances did not achieve optimal occlusion in most treated cases. This led to the concept of a fully programmed pre-adjusted edgewise appliance that would incorporate his findings on natural tooth morphology and positioning.
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 summarizes the first stage of Begg's appliance in orthodontic treatment. Stage I objectives include closing spaces, correcting crowding, overcorrecting rotations, overjet, and overbite. Anterior teeth undergo labial/lingual, intrusive, and retractive movements. Posterior teeth are maintained upright or overcorrected distally. Characteristic archwires include plain or looped 0.016" wires. Class II or III elastics are used. Bracket placement and archwire details such as offsets are described.
This document provides an overview of pitchfork analysis for evaluating changes in cephalometric radiographs over time. It discusses landmarks used for superimposing tracings of the cranial base, maxilla, and mandible. For the cranial base, sella and nasion are commonly used. The maxilla can be superimposed along the palatal plane or contours of the zygomatic arches. For the mandible, the lower border, symphysis, or gonion-gnathion and gonion-menton planes are used. Pitchfork analysis expresses changes in molar and incisor relationships algebraically to quantify treatment effects.
IMPORTANCE OF VERTICAL JAW RELATION
METHODS OF DETERMINING VERTICAL JAW RELATION
EFFECT OF INCREASED VERTICAL DIMENSION
EFFECT OF DECREASED VERTICAL DIMENSION
PHYSIOLOGIC REST POSITION
Description of Biomechanics of occlusion, Effect of anatomical determinants, Ideal occlusion, Evolution of occlusion, Concepts of Occlusion in FPD such as Group function occlusion, canine guided occlusion, Occlusal contacts, Occlusal Interferences, Patient"s adaptability, Pathogenic occlusion and Philosophies of full mouth rehabilitation. Added references for further readings.
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 information on various non-patient compliant fixed functional appliances used to treat Class II malocclusions, including the Herbst appliance, MARA, Advansync, and fixed twin block. It discusses the history, design, advantages, disadvantages, and effects of each appliance. In general, these fixed functional appliances can eliminate patient compliance issues compared to removable appliances, have continuous effects, and shorter treatment times, but may have higher breakage and mechanical dislodgement risks.
The document discusses the Opus loop, a new orthodontic closing loop design developed by Raymond Siatkowski. It aims to deliver a consistent moment-to-force ratio (M/F) of 8-9 mm without adding residual moments. Traditional loops require residual moments via bends to achieve desired M/F ratios. The document outlines the theoretical basis for the Opus loop's design using Castigliano's theorem. Finite element analysis confirmed it maintains a consistent high M/F when positioned off-center. Experimental testing of prototypes verified the Opus loop achieves its intended M/F range, representing an improvement over other loops.
The document discusses bracket variations that can be used to optimize tooth positioning for different malocclusion types. Specifically, it describes how inverting the bracket on an upper lateral incisor that is palatally displaced can provide beneficial labial root torque to help align the crown and root. Inverting the bracket changes the torque prescription from +10 degrees to -10 degrees, facilitating labial movement of the root during treatment. Careful selection and positioning of brackets can simplify treatment of localized anomalies.
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
Friction less mechanics in orthodontics /certified fixed orthodontic course...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
Bioprogressive therapy /certified fixed orthodontic courses by Indian 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.
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
This document discusses utility arches, which are orthodontic appliances used to apply light forces in the dental arch. It provides details on:
- The historical background and development of utility arches based on biomechanical principles.
- Common wire dimensions and materials used, including stainless steel, nickel titanium, and beta titanium alloys.
- The standard design components of utility arches, including molar, vertical, and incisal segments.
- Different types of utility arches like passive arches, intrusion arches, and retraction/protrusion arches and how they are activated to apply specific orthodontic forces.
This document discusses soft tissue analysis in cephalometric evaluations. It begins by explaining the importance of analyzing soft tissue profiles in orthodontic treatment planning. It then outlines various soft tissue landmarks used in cephalometric analysis of the profile, nose, chin, and lips. Specific angular measurements are described to evaluate different regions of the soft tissue facial profile, including nasal angle, nasolabial angle, mentocervical angle, and others. The document provides details on traditional planes of reference and how to assess vertical facial proportions, convexity, and prominence of different soft tissue structures.
Dr. Viken Sassouni developed a cephalometric analysis method based on craniofacial x-rays of 100 children. He identified planes, arcs, and points to analyze facial proportions and classify facial patterns. A well-proportioned face has four planes intersecting at point O and equal upper/lower anterior and posterior facial heights. Sassouni found most faces were Type II patterns. His analysis considered vertical and horizontal relationships and classified occlusions, palates, profiles, and dental axes. He concluded that "normal" is relative and proportions are more important than absolute measurements.
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 information about postero-anterior cephalometric analysis, including its history, setup, landmarks, and purposes. Some key points:
- Postero-anterior cephalograms can provide important qualitative and quantitative skeletal and dentofacial data as a supplement to lateral cephalograms.
- Broadbent and Hofrath pioneered the methodology in 1931. Modern setup involves a headholder that can rotate 90 degrees from lateral to postero-anterior position.
- Analysis involves identifying landmarks like zygomatic arches, maxillary molars, and measuring widths, ratios, and angles to evaluate symmetry and proportions.
- Postero-anterior views have limitations due to superimposition
Schwarz analysis divides the evaluation into craniometry (skeletal) and gnathometry (dental) using reference lines and planes. Craniometry assesses the skeletal base and profile using angles like J angle, F angle, and TMJ position. Gnathometry evaluates the dentition using angles like B angle, gonial angle, and axial tooth inclinations. Linear measurements include anterior cranial base, ascending ramus, maxillary base, and soft tissue thickness. The analysis provides metrics to assess the skull, jaws, dentition, and facial profile.
Ricketts analysis /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
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 the history and evolution of fixed orthodontic appliances, leading to the development of the pre-adjusted edgewise appliance. It describes Lawrence Andrews' research which identified six keys to optimal occlusion based on measurements of untreated dental casts. His studies found that traditional edgewise appliances did not achieve optimal occlusion in most treated cases. This led to the concept of a fully programmed pre-adjusted edgewise appliance that would incorporate his findings on natural tooth morphology and positioning.
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 summarizes the first stage of Begg's appliance in orthodontic treatment. Stage I objectives include closing spaces, correcting crowding, overcorrecting rotations, overjet, and overbite. Anterior teeth undergo labial/lingual, intrusive, and retractive movements. Posterior teeth are maintained upright or overcorrected distally. Characteristic archwires include plain or looped 0.016" wires. Class II or III elastics are used. Bracket placement and archwire details such as offsets are described.
This document provides an overview of pitchfork analysis for evaluating changes in cephalometric radiographs over time. It discusses landmarks used for superimposing tracings of the cranial base, maxilla, and mandible. For the cranial base, sella and nasion are commonly used. The maxilla can be superimposed along the palatal plane or contours of the zygomatic arches. For the mandible, the lower border, symphysis, or gonion-gnathion and gonion-menton planes are used. Pitchfork analysis expresses changes in molar and incisor relationships algebraically to quantify treatment effects.
IMPORTANCE OF VERTICAL JAW RELATION
METHODS OF DETERMINING VERTICAL JAW RELATION
EFFECT OF INCREASED VERTICAL DIMENSION
EFFECT OF DECREASED VERTICAL DIMENSION
PHYSIOLOGIC REST POSITION
Description of Biomechanics of occlusion, Effect of anatomical determinants, Ideal occlusion, Evolution of occlusion, Concepts of Occlusion in FPD such as Group function occlusion, canine guided occlusion, Occlusal contacts, Occlusal Interferences, Patient"s adaptability, Pathogenic occlusion and Philosophies of full mouth rehabilitation. Added references for further readings.
Bjork studied mandibular growth rotation using metallic implants placed in the mandible. He observed that the mandible undergoes forward rotation during growth, with greater growth posteriorly than anteriorly. This rotation is masked by resorption in the gonial region and apposition below the symphysis. Bjork described three types of forward rotation based on the center of rotation: type I at the joints, type II at the incisal edges, and type III farther back at the premolar level. Backward rotation is less common and can occur with the center at the TMJ or more anteriorly. The pattern and degree of mandibular rotation influences orthodontic treatment planning and outcomes.
This document provides an overview of transverse malocclusions, specifically crossbites and scissor bites. It defines and classifies different types of transverse malocclusions such as anterior and posterior crossbites. It discusses the prevalence, etiology, clinical features, diagnosis and various treatment options for correcting transverse malocclusions depending on the specific case. Treatment may involve the use of removable or fixed appliances, selective grinding, dental expansion techniques, and in some cases, surgical intervention. Long term retention is emphasized after correcting the underlying skeletal discrepancy.
This document discusses the history and considerations around extraction versus non-extraction orthodontic treatment. It notes that views on extractions have changed over time, from rarely being done to becoming common in the 1960s and then declining since the 1990s. Key factors in the extraction decision are stability of results and esthetics. Extraction may allow for better alignment but can result in narrower dental arches and smiles. Non-extraction through arch expansion risks instability but can provide better esthetics with wider smiles. The optimal choice depends on the individual case and a balance of these prioritizing stability and esthetics.
Dr. Rahul VC Tiwari - Fellowship In Orthognathic Surgery - Jubilee Mission Medical College Hospital and Research Center, Thrissur, Kerala - 19TH PUBLICATION - IJOHMR
calcium and it's metabolism.pptx calcium and it's metabolism in orthodonic fieldShahVidhi10
The document discusses the concepts of occlusion in orthodontics. It defines occlusion as the relationship between the maxillary and mandibular teeth during functional contact. It outlines the development of occlusion concepts from fictional to hypothetical to factual periods. Key factors determining tooth position are discussed, including intrinsic and extrinsic forces. Classifications of occlusion are presented, including based on mandibular position and organization of occlusion. The document also summarizes Andrew's six keys to optimal occlusion and Begg's hypothesis of attritional occlusion. References on occlusion fundamentals and concepts are provided.
calcium and it's metabolism in orthodonicShahVidhi10
This document provides an overview of occlusion concepts in orthodontics. It defines occlusion as the relationship between the maxillary and mandibular teeth during functional contact. The development of occlusion concepts is described moving from fictional ideas prior to 1900, to hypothetical models from 1900-1930, to becoming more factual from 1930 onward based on advances like cephalometry. Factors determining tooth position include intrinsic forces from muscles and extrinsic forces from habits. Optimal occlusion involves factors like the line and plane of occlusion, classification systems, occlusal contact during jaw movements, Begg's hypothesis of attritional occlusion, and Andrews' six keys to normal occlusion involving molar relationship, crown angulation, and crown inclination.
This document provides an overview of occlusion concepts in fixed partial dentures. It discusses theories of occlusion such as Bonwill's triangular theory, the conical theory, and the spherical theory. It also covers classifications of occlusion by Dawson, concepts such as bilateral balanced occlusion and mutually protected occlusion, determinants of occlusion including condylar guidance and anterior guidance, and curves of occlusion like the curves of Spee and Wilson. The document is intended as a reference for understanding occlusion in prosthodontic treatments involving fixed partial dentures.
The document presents research by Lawrence F. Andrews on identifying characteristics of normal occlusion. He studied 120 untreated models and 1,150 treated cases to identify six keys to normal occlusion: 1) proper molar relationship, 2) distal crown tipping, 3) proper crown inclinations, 4) absence of tooth rotations, 5) tight tooth contacts, and 6) correct occlusal plane. His goal was to understand normal occlusion to improve orthodontic treatment outcomes.
This document provides biographies of several orthodontists and an outline of topics to be covered in the MBT technique presentation. It introduces Drs. Richard McLaughlin, John Bennett, and Hugo Trevisi, who have contributed to the development of the MBT technique. The presentation contents include the work of Andrews and Roth in developing straight wire appliances, and the subsequent work of McLaughlin, Bennett, and Trevisi from 1975 to 2001 in refining the technique through modifications to brackets and emphasis on light continuous forces and sliding mechanics.
The document discusses a study investigating the magnitude of the collum angle (the angle between the long axis of the crown and root of the maxillary central incisor) in patients with Class II division 2 malocclusion compared to Class I and Class II division 1 malocclusions. The study found the collum angle was highest in Class II division 2 patients, particularly when the lower lip line contacted the middle third of the central incisor. A higher collum angle correlated with a more cervically positioned lower lip line. The position of the lower lip significantly influences the crown-root angulation of maxillary incisors.
This document discusses factors that affect normal occlusion. It begins by outlining the learning objectives and contents of the seminar. The key factors discussed include:
1) Bone relation - The position and size of the jaws, which are influenced by heredity, congenital conditions, and trauma.
2) Tooth relation - The developmental position of teeth, which can be modified by the presence of other tooth germs if space is limited.
3) Eruption - The path teeth follow to erupt through the gums and be guided into place by intraoral forces.
It provides details on each of these factors and how they influence the development of normal occlusion. The document also reviews the historical development
RAPID MAXILLARY EXPANSION VS SLOW MAXILLARY EXPANSIONShehnaz Jahangir
This document provides an overview of rapid maxillary expansion (RME) vs slow maxillary expansion (SME). It discusses the historical perspective of maxillary expansion, articulation and ossification of the midpalatal suture, indications and contraindications for expansion, classifications based on activation and support, examples of RME and SME appliances, activation protocols, and the biomechanical aspects and effects of RME on skeletal and dental structures. Key differences between RME and SME include the rate of activation (rapid vs slow) and appliances used (tooth-borne vs tissue-borne).
This document provides an overview of cephalometrics, including its definition, history, equipment, types of cephalograms, objectives, uses, landmarks, and various analysis methods. Cephalometrics is a radiographic technique for analyzing the geometry of the human head. It has given orthodontists a way to evaluate dental problems within the dentofacial complex. Common analyses discussed include those developed by Downs, Steiner, Tweed, Wits, and McNamara. Despite limitations, cephalometrics can be a useful diagnostic tool when used logically.
The document discusses the development of occlusion from primary to permanent dentition in children. It describes the eruption patterns and timing of primary and permanent teeth. The first transitional period involves the eruption of the first permanent molars between ages 6-8 years. The inter-transitional stage from ages 8-10 years involves incomplete eruption of permanent incisors. By age 13 years, all permanent teeth except third molars have erupted and the permanent dentition period is established. Factors like oral habits, existing malocclusion, and premature tooth loss can affect the normal development of occlusion.
The document provides an overview of the osteology of the maxillofacial skeleton. It discusses the prenatal growth and development of bones in the head and neck region. It describes the bones that make up the skull and face, including their morphology, ossification, and age-related changes. Examples of clinical correlations and applications to conditions like fractures and cleft palate are provided. Anatomy of important structures like the temporomandibular joint and paranasal sinuses is also summarized.
The document discusses the biomechanics of space closure during orthodontic treatment. It covers topics such as determinants of space closure including axial inclination and midline discrepancies. It also discusses fundamentals of anchorage control including extraoral forces, intermaxillary elastics, and tipping movements. Additionally, it describes strategies for differential space closure such as applying different moment-to-force ratios to anterior vs. posterior teeth. The center of resistance during anterior retraction is also examined.
The document discusses occlusion and temporomandibular disorders. It begins with an introduction to the temporomandibular joint (TMJ) and its classification as a compound joint. The presentation then covers the anatomy of the TMJ including ligaments, muscles, the articular disc, movements, and examination. Common TMJ disorders are outlined such as hyperplasia and hypoplasia of the condyle. Treatment options for different disorders are mentioned. The document provides an overview of the structure, function and clinical aspects of the temporomandibular joint and disorders.
role of harmones and vitamins in craniofacial growth and developmentDeeksha Bhanotia
Growth and development of the craniofacial structures is influenced by hormones and vitamins. The pituitary gland secretes growth hormone which acts directly and indirectly to stimulate growth of the maxilla, mandible, and other bones. Studies have shown increased craniofacial growth in patients receiving long-term growth hormone therapy. Deficiencies or excess of growth hormone can result in conditions like dwarfism or gigantism with characteristic dental and skeletal features.
Removable appliances have several advantages including improved oral hygiene, less chair time, ability to do tipping movements and bite reduction, less strain on teeth. They require patient cooperation and have a greater risk of being misplaced. They work by applying single forces to tip teeth around their center of resistance. Key components are retentive elements like clasps to aid retention, active elements like springs and elastics to induce tooth movement, and a base plate for support. Patients must be instructed to wear appliances full-time and maintain oral hygiene.
This document discusses the management of open bite and crossbite under the guidance of Dr. Mridula Trehan. It defines open bite and classifies it based on location and tissues involved. Anterior open bite can be skeletal or dental in nature. Crossbite is classified based on location as anterior or posterior, and based on nature as skeletal, dental, or functional. Treatment depends on the type and includes appliances, elastics, expansion, and in severe skeletal cases, surgery. The goal is to address the underlying cause and intrude or prevent eruption of posterior teeth to correct the bite.
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1. Guided by: Presented by:
Dr. Mridula Trehan. Dr. Deeksha Bhanotia
Professor & HOD MDS First Year.
Department of Orthodontics
& Dentofacial Orthopaedics.
1
2. Historical Perspective
Tweed’s Contribution to Orthodontic Speciality
The Diagnostic Facial Triangle
Facial Growth trends
Tweed’s Occlusion
Case Treated with Tweed’s Occlusion
Conclusion
2
3. Historical Perspective:
Charles H. Tweed graduated from a improvised
Angle course given by GEORGE HAHN in 1928,
when he was 33 years old.
Angle admired TWEED’s ability , he asked him to
help in article, published in DENTAL COSMOS.
Graber TM, Vanarsdall RL. Orthodontics: Current Principles and Technique
(2nd edn).St Louis, Mosby 1994: 634-635 3
4. He returned to Arizona and started 1st edgewise
specialty practice in United State.
On august 11, 1930 Angle died at the age of 75.
In 1932 ,Tweed published 1st article in ANGLE
ORTHODONTICS.
Graber TM, Vanarsdall RL. Orthodontics: Current Principles and Technique
(2nd edn).St Louis, Mosby 1994: 634-635 4
5. TWEED held to ANGLE’S firm conviction that one
must never extract the teeth.
But the result was very unsatisfactory, and he almost
gave up the orthodontic practice.
He observed that
1) in the analysis of non extraction cases,
only 20% was successful.
2) upright mandibular incisors are related to
post treatment facial balance and harmony.
Graber TM, Vanarsdall RL. Orthodontics: Current Principles and Technique
(2nd edn).St Louis, Mosby 1994: 634-635 5
6. He concluded that one should prepare the anchorage
and extract the teeth where needed.
He retreated his 80% of failure cases with the
extraction of 4 first premolar.
Graber TM, Vanarsdall RL. Orthodontics: Current Principles and Technique
(2nd edn).St Louis, Mosby 1994: 634-635 6
7. In 1936, Tweed published his first paper on EXTRACTION OF
TEETH FOR ORTHODONTIC MALOCCLUSION
CORRECTION.
MOTHER ANGLE refused to attend the lecture and GEORGE
HANN criticized him severely.
Graber TM, Vanarsdall RL. Orthodontics: Current Principles and Technique
(2nd edn).St Louis, Mosby 1994: 634-635
7
8. In 1940, Tweed presented a paper and display his case
report in meeting of ANGLE SOCIETY in CHIKAGO.
In this way, Tweed’s philosophy was born.
Graber TM, Vanarsdall RL. Orthodontics: Current Principles and Technique
(2nd edn).St Louis, Mosby 1994: 634-635 8
9. Tweed was considered the premier edgewise
orthodontist of those day.
He devoted 42 years of his life in advancement of
edgewise appliance and died on 11 January 1970.
Graber TM, Vanarsdall RL. Orthodontics: Current Principles and
Technique (2nd edn).St Louis, Mosby 1994: 634-635
9
10. 1. Emphasized the four objectives of orthodontic
treatment—esthetic, health, function and stability
with emphasis and concern for facial esthetic.
2. Developed the concept of uprighting teeth over basal
bone with emphasis on mandibular incisors.
Graber TM, Vanarsdall RL. Orthodontics: Current Principles and Technique
(2nd edn).St Louis, Mosby 1994: 636-637.
10
11. 3.Made the extraction of teeth for orthodontic
correction acceptable, and popularized the extraction
of the first premolars.
4.Enhanced the clinical application of
cephalometrics.
Graber TM, Vanarsdall RL. Orthodontics: Current Principles and
Technique (2nd edn).St Louis, Mosby 1994: 636-637.
11
12. 5.Developed the diagnostic facial triangle to make
cephalometrics a diagnostic tool, as well as a guide in
treatment and an evaluation of treatment results.
6.Developed a concept of orderly treatment procedures
and introduced anchorage preparation as a major step in
treatment.
Graber TM, Vanarsdall RL. Orthodontics: Current Principles and
Technique (2nd edn).St Louis, Mosby 1994: 636-637. 12
13. 7. Developed a fundamentally sound and consistent pre
orthodontic guidance program using and popularizing
serial extraction of primary and permanent teeth.
Graber TM, Vanarsdall RL. Orthodontics: Current Principles and
Technique (2nd edn).St Louis, Mosby 1994: 636-637.
13
14. Four angles will be referred to repeatedly during the
discussion of clinical orthodontic procedures.
They are as follows:
1. Frankfort mandibular plane angle---FMA.
2. Mandibular incisor plane angle---IMPA.
3. Frankfort mandibular incisor angle---FMIA.
4. SNA–SNB(Down’s)---ANB.
Tweed C.H.Clinical Orthodontics.St Louis, Mosby 1966;2: 6-12 14
15. The Frankfort plane is established by connecting a
point 4.5mm above the geometric center of the ear rod
and an orbitale point midway between left and right
lower borders of the orbits.
The mandibular plane is drawn along the lower border
of the mandible and is extended posteriorly to connect
with the Frankfort plane.
Tweed C.H.Clinical Orthodontics.St Louis, Mosby 1966;2:6-12 15
Porion Orbitale
menton
Gonion
16. Anteriorly it connects with menton, and posteriorly it
bisects the distance between the right and left lower
borders of the mandible in the region of the gonial
angle.
The third plane of the triangle is made by extending the
long axis of the mandibular CI downward to the
mandibular plane and upward to the Frankfort plane.
Tweed C.H.Clinical Orthodontics.St Louis, Mosby 1966;2:6-12 16
17. Angle ANB is important .
It expresses mesiodistal relationship of the maxillary
and mandibular basal bones.
Range is : 5to -2 degree.
Tweed C.H.Clinical Orthodontics.St Louis, Mosby 1966;2:6-12 17
18. Essentially, Tweed described the growth of the face as
being normal when mandible and face grow in unison
in downward and forward direction with no change in
angle ANB.
Kharbanda OP.Orthodontics Diagnosis and Management of malocclusion
and Dentofacial Deformities.Elsevier 2020;3:574 18
20. Type A :
Middle and lower face grows in forward
and downward in unison with no change in size of
ANB angle.
Growth is approximately equal in both
vertical and horizontal dimension.
Tweed C.H.Clinical Orthodontics.St Louis, Mosby 1966;2: 13-26
20
21. Prognosis is good because the point B is
moving forwards as the maxillary denture
is moved posteriorly.
Tweed C.H.Clinical Orthodontics.St Louis, Mosby 1966;2: 13-26
21
23. Middle face grows more rapidly than the lower
face.
Growth occurs predominantly in the vertical
dimension.
Tweed C.H.Clinical Orthodontics.St Louis, Mosby 1966;2: 13-26
23
25. Lower face growing downward and forward
more rapidly than the middle face with
decrease size of ANB angle.
Growth occurs predominantly in the
horizontal direction.
Tweed C.H.Clinical Orthodontics.St Louis, Mosby 1966;2: 13-26
25
26. Tweed C.H.Clinical Orthodontics.St Louis, Mosby 1966;2:13-26
26
Growth is Confined to
Horizontal Dimension,
regardless of the size of
Frankfort Mandibular
Angle (FMA)
27. Tweed’s occlusion refers to that set of occlusion in which
the teeth are positioned with the mandibular arch flat while
the maxillary arch exhibits an accentuated curve of Spee.
Klontz H.A.Readout.Charles Tweed Foundation:53-64. 27
28. "Tweed occlusion," properly identified as transitional
occlusion, is characterized by a disclusion of the
second molars and the distal cusps of the first molars.
Klontz H.A.Tweed –Merrifield Sequential Directional Force Treatment.Seminars in
Orthodontics.1996;2:254-267. 28
29. The mesio lingual cusp of the maxillary first molar is
seated into the central fossa of the mandibular first
molar with the mesial inclined plane of the mesial cusp
of the maxillary first molar contacting the distal
inclined plane of the mesial cusp of the mandibular
first molar.
Klontz H.A.Tweed –Merrifield Sequential Directional Force Treatment.Seminars in
Orthodontics.1996;2:254-267.
29
30. The maxillary second premolar buccal cusp contacts
the distal inclined plane of the mandibular second
premolar buccal cusp, while the distal inclined plane of
the maxillary second premolar buccal cusp contacts the
mesial inclined plane of the mesial buccal cusp of the
mandibular first molar.
Klontz H.A.Tweed –Merrifield Sequential Directional Force Treatment.Seminars in
Orthodontics.1996;2:254-267.
30
31. The anterior part of the denture is guided by the
Tweed’s triangle , while the necessary inclinations of
posterior teeth are monitored with read out.
Read out is a very effective and easily used clinical
procedure for monitoring all second order tooth movement.
This control makes it possible to place the posterior teeth to a
predetermined position.
Fig: Range of ideally tipped maxillary and mandibular posterior teeth.
Klontz H.A.Readout.Charles Tweed Foundation:53-64.
31
32. Once the case has been over treated to Tweed’s
Occlusion, finishing wires are fabricated to maintain all
the distal tips in both maxillary and mandibular arch.
Klontz H.A.Readout.Charles Tweed Foundation:53-64. 32
33. This arrangement allows the muscles of mastication
to effect the greatest force on the "primary chewing
table" in the mid arch area.
The slightly intruded distally inclined maxillary and
mandibular second molars can now re-erupt to a
healthy functional occlusion without trauma or
premature contact.
Klontz H.A.Tweed –Merrifield Sequential Directional Force Treatment.Seminars in
Orthodontics.1996;2:254-267.
Distally inclined
33
34. . Because of overtreatment of Class I and Class II
"deep-bite" patients, the anterior teeth are positioned in
an end-to-end relationship with no overbite or
overjet.
This relationship, however, is transitory and will
rapidly adjust to an ideal overjet and overbite
relationship.
Klontz H.A.Tweed –Merrifield Sequential Directional Force Treatment.Seminars in
Orthodontics.1996;2:254-267.
34
35. Tweed occlusion is further characterized by a
balanced skeleto-facial complex because the denture
is positioned upright over basal bone for maximum
stability and esthetics.
The muscles of swallowing, expression, and
mastication are actively involved in determining the
final stable, esthetic relationship of the teeth, referred
to as functional occlusion.
Klontz H.A.Tweed –Merrifield Sequential Directional Force Treatment.Seminars in
Orthodontics.1996;2:254-267. 35
36. The concept of a transitional occlusion followed by
a period of recovery is based on the belief that each
individual's own oral environment will determine the
ultimate position of the dentition and that
overtreatment allows the patient the greatest
opportunity for maximum stability and functional
efficiency.
Klontz H.A.Tweed –Merrifield Sequential Directional Force Treatment.Seminars
in Orthodontics.1996;2:254-267. 36
37. After finalizing, idealizing and proper cusp seating, the
appliance is removed and the case is put into retainers
for recovery.
Fig: Model comparision between pre treatment, post treatment and recovery.
Klontz H.A.Readout.Charles Tweed Foundation:53-64. 37
38. Klontz H.A.Tweed –Merrifield Sequential Directional Force Treatment.Seminars in
Orthodontics.1996;2:254-267.
Pre-Treatment Photographs
and Casts.
38
40. The orthodontist should not strive for the ideal final
result at the end of treatment. The ideal result will
occur after all treatment mechanics are discontinued
and uninhibited function and other environmental
influences, active in the post treatment period, stabilize,
and finalize the position of the total dentition.
40
41. When all appliances are removed and the retainers
are placed, the most critical "recovery" phase occurs.
The latter is the recovery period, and the forces
involved are those of the surrounding environment,
primarily the muscles and the periodontium. If
mechanical corrective procedures barely achieve
normal relationships of the teeth, there will be
inevitable relapse. Hence overcorrection of the finished
dental arches are done to prevent relapse.
41
42. 1. Graber TM, Vanarsdall RL. Orthodontics: Current
Principles and Technique (2nd edn).St Louis, Mosby 1994:
634-635.
2. Tweed C.H.Clinical Orthodontics.St Louis, Mosby
1966;2:6-26.
3. Klontz H.A.Tweed –Merrifield Sequential Directional
Force Treatment.Seminars in Orthodontics.1996;2:254-
267.
4. KlontzH.A.Readout.Charles Tweed Foundation:53-64.
5. Kharbanda OP.Orthodontics Diagnosis and Management of
malocclusion and Dentofacial Deformities.Elsevier 2020;3:574
42