Ortho ida /certified fixed orthodontic courses by Indian dental academy

om sai ram
www.indiandentalacademy.com

Ortho DENTIST
The architect of smile design

INDIAN DENTAL ACADEMY
Leader in continuing dental education


• As a family dentist you are the
one to notice the malocclusion
first

• Whether you treat or refer a

strong grasp of orthodontics
can provide a boost to your
practise which your are looking
for

• Incorporating orthodontics into

your practise can add a vital
dimension to your professional
life and add a valuable service

• The need for orthodontic care is growing
day by day. We need general dentists to
fill this very real need

• Only 20 -30 percent cases are diagnosed

and treated , If all dentists aptly diagnose
and treat , this figure may go even upto 90
percent


Early
intervention
which
takes
advantage of facial growth and tooth
eruption can less the severity of a
problem and it makes the completetion
of treatment at a later stage less time
consuming and less expensive


• Early treatment may give you a chance to:
• Guide jaw growth
• Lower the risk of trauma to protruded incisors
• Correct harmful oral habits
• Improve appearance
• Guide permanent teeth into a more favorable
position
• Create a more pleasing arrangement of teeth,
lips and face
• • Through an early orthodontic evaluation, you’ll
be giving your child patient the best
• opportunity for a healthy, beautiful smile.

• This presentation

helps to identify
the orthodontic
patient at the
right time and
age and explains
a few of the
appliances and
options


Stages of orthodontic treatment
• Preventive

role of general

practioner
• Interceptive

• Corrective
• Surgical

Some preventive measures
begins before birth and continues till last

•
•
•

Parent and patient education
Control of dental caries
Diagnosis of abnormal habits and braking
appliance if necessary
• Maintenance of proper shedding and
eruption timings
• Space maintenance
• Abnormal frenal attachments

Interception

Timing : mixed dentition stage

• Control of abnormal habits
• Interception of developing
cross bites
• Interception of skeletal
abnormalities
• Serial extraction

Caries control
“A properly restored
primary tooth is a
good space
maintainer and
allows arch length to
be compatible with
the eruption of the
permanent teeth “


Space maintainers


Lingual holding arch

Nancy holding arch

Distal shoe
aplliance


Crown and loop


Band and
loop


Interception
Cross bites

Delete as soon as

soon as you
diagnose


Effects of crossbite

Truamatic occlusion

Facial
asymetry

Type timing and development of
cross bite
• Developing or
•
•
•

developed
Skeletal –dental
Anterior segment
--Posterior segment
Single tooth—group
of teeth


Developing crossbite –anterior segment
age-6-8 years
treatment—tongue blade therapy


Developed cross bite
early stages of eruption
7-8 years


Catalans appliance


Pre treatment

Post
treatment


precuation
• Don’t give catalans
for more than 6
weeks

Open bite

Screw type of appliance


Z-springs


How to diagnose dental / skeletal
crossbite
• Ask the patient to bite edge to edge

Yes----dental
No---probably skeletal
More than 5mm reverse
overjet--skeletal

Developed cross bite –growth
potential
Age-11-14 years
Go for growth modulation --- face
mask is the answer


Is growth potential there??
• Check for voice
• Ask if there is

sudden increase in
the growth
• Ask for maturation
history in girls


Normal mandible

deficient maxilla


P
o
s
t

P
r
e
t
r
e
a
t
m
e
n
t

t
r
e
a
t
m
e
n
t

Normal Maxilla
Protruded mandible


Posterior cross bites --


Removable slow maxillary
expansion device


Efficacy of SME
•
•
•

¼ quarter turn every fort night
Gets corrected with in 6 months
Midline dastema opens


Tongue thrusting –cause or the effect
• Thumb sucking

• Tongue thrusting

Lips and
buccal
musculature

D
e
n
t
i
t
i
o
n


• Tongue

Thumb sucking

Protrusion of upper anteriors

Narrowing of
maxillary arch

Lip seal lost
Compensenatory
tongue thrusting


Effects of thumb sucking


Simple tongue thrust –teeth
together swallow


Complex tongue thrust

Big tongue

Tooth apart
swalllow


Anterior tongue thrust


Lateral tongue thrust


Pre treatment

Post treatment


A simple hawley appliance with tongue spikes works it all


Lip sucking


To extract or not


Timely extractions


Growth modulation by functional
aplliances
• Visual treatment objective –positive
• Horizontal growth pattern


Growth modulation by
myofunctional appliances


Effects of myofunctional therapy


Simple corrective treatments


Midline diastema

Split labial bow


Closure of diastema with finger
springs


Correction of mild crowding

Z-springs


Touch me not—ugly ducking stage


Prescription of orthodontics
• There is only one medicine

“ force”—given timely in correct doses
can cure all types of malocclusions


WISHING YOU A MARVELLOUS FUTURE
AHEAD !

THAN q


The harder you work..,
the luckier you will
become


Ortho ida /certified fixed orthodontic courses by Indian dental academy

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