"Contemporary Clinical Orthodontics: A Value Based Audit"

 

Date: Sunday, February 19, 2017
Venue: Hotel Sea Princess, Juhu Beach Rd., Juhu, Mumbai 400 049, India
Timing: 8.00 am to 6.00 pm

Jae Hyun, Sung DDS,
M.D.S., Phd.
  • Professor Emeritus, Kyungpook National University, Deagu, Korea
  • 1972: Seoul national University DDS.
  • 1975: Kyunghee University MSD
  • 1980: Kyunghee University Ph.D
  • 1985: Visiting scholar University of Michigan, Ann Arbor USA
  • 1978-2004: professor and chair, Department of Orthodontic, Kyungpook National University.
  • Dean of Dental school, Director of dentistry, KNUM Hospital.
  • 1998-2000: President of Korean Association of Orthodontists(KAO)
  • 2010-2014: President of Korean orthodontic research institute Inc.(KORI)
  • 2004: Emeritus Professor, Kyungpook National University.

Title and Summary:

“How to use MIA for Non growing Class III Patients:”

There are many options to treat Class III malocclusion non-surgically, such as Conventional Edgewise with Class III elastics, MEAW( Multi-loop Edgewise Arch Wire)Technique, Class III and vertical elastics, Tandem mechanics/ Class III elastics, Directional force with High pull J hook etc.

Developing micro implants anchorage, we have tried to use it for Class III treatment.

There are two options:

  1. Two micro implants placed intra-radicularly in buccal segment or retromolar area in Mandible.
  2. Two micro implants between 2nd premolar and 1st molars in maxilla and Class III elastics
  3. This presentation will cover the two options above mentioned and show many Class III cases which were treated using MIA, non surgically.
Dr. Soo-Byung Park,
D.D.S., M.S.D. Ph.D
  • 1987 - 1989: Residency in Department of Orthodontics - Pusan National University Hospital
  • 1989 - 1992: Army service as a dentist
  • 1992 - 1993: Private practice of orthodontics
  • 1993 - 1995: Full time instructor, Pusan National University, College of Dentistry, Department of Orthodontics
  • 1995 - 1999: Assistant Professor, Pusan National University College of Dentistry, Department of Orthodontics
  • 1999 - 2004: Associate Professor, Pusan National University College of Dentistry, Department of Orthodontics
  • 2000 – 2001: Visiting Professor, University of Southern California (USA) School of Dentistry, Department of Orthodontics
  • 2003 - 2006: Chairman, Pusan National University College of Dentistry, Department of Orthodontics
  • 2004: Present Professor, Pusan National University College of Dentistry, Department of Orthodontics
  • 2006 - 2011: Head, Pusan National University Hospital Department of Dentistry
  • 2011 - 2014: President, Pusan National University Dental Hospital
  • 2014: Present Board of Korean Association of Orthodontists

Title and Summary:

Micro-implant Assisted Rapid Palatal Expander (MARPE): It’s Clinical Applications:

The development of mini-implants with exchangeable abutments paved the way to employ them as skeletal anchorage units for rapid maxillary expansion and protraction. Micro-implant Assisted Rapid Palatal Expander (MARPE) seem to enhance the effectiveness of this treatment modality. Maxillary transverse deficiency is common in orthodontic patients, and it can create clinical, esthetic, and functional problems that affect both the arches.

According to an epidemiologic study, around 21 % of children have some form ofskeleton discrepancy involving both dental arches and less than 10 % in adult orthodontic patients. While the cause of maxillary constriction is multifactorial, one way to alleviate this skeletal deficiency is through rapid palatal expansion.

However, conventional palatal expander provokes an orthodontic effect of buccal tipping and movement of the posterior teeth. In recent years, a new palatal expansion design has been developed with a jackscrew attached to the palatal vault by a temporary anchorage device. This design is MARPE, used to combat undesired dental effects by achieving pure skeletal changes.

For growing patients with maxillary deficiency, the use of a facemask for protraction of the maxilla is one of the most common therapies. The orthopedic treatment of class III malocclusion is particularly efficient in patients during the early developmental phases. The use of a facemask for class III correction may also cause problems. The forces for maxillary protraction are normally applied to the upper teeth. As a result, a significant mesial migration of the upper teeth can be observed. This may cause severe anterior crowding and reduce the orthopaedic treatment effects. To avoid this side effect and increase the skeletal effect on the

maxilla, facemask therapy is often combined with MARPE. This presentation evaluates treatment outcomes after using a hybrid MARPE-facemask combination in growing class III patients.

Mani K. Prakash
B.D.S., M.D.S.
  • Hon. Consultant Orthodontist, Bombay Hospital, Marine Lines, Mumbai
  • 1968  MDS from Govt. Dental College, Bombay in and spent
  • 1969 to 1971 Lecturer in Orthodontics in GDC, Bombay.
  • 1971 to 1979 Asst. Professor in Orthodontics in Nair Hospital Dental College, Bombay.
  • 1979 to 19889 Visiting Clinical Lecturer in Orthodontics with the same institution and is a recognized P.G. teacher for 12 years.
  • 1994 to 1996 Prof. & Head of Orthodontics at D. Y. Patil Dental College, Nerul, New Bombay.
  • 1981 to todate, Honorary Consultant in Bombay Hospital (Medical Research Centre), Marine Lines, Bombay. He is in exclusive practice of Orthodontics in Mumbai for over 40 years.
  • '2000 -Awarded the 'Diplomate' by the Indian Board of Orthodontics
  • 2005 to 2010 Elected as the ‘Director’ of Indian Board of Orthodontics 2010 Chairman, Indian Board of Orthodontics.
  • Presented in every forum like IOC, AAO, WFO, WIOC Moyers Symposium, IOS Annual Meets (25 presents) to cite a few

Title and Summary

'Does Implant based Protocols override the need for Diagnostic skills?'

In Orthodontics, from the time in memory, the effective control of both Anterior and Posterior segments during their movement in mandated Treatment plan is the key to the successful achievement our Orthodontic objectives. Such deemed control is usually applicable in the three plains of space. Our concepts in treatment planning revolve around these challenges being countered effectively, so that our goals are met with consummate ease.

Much of the time and energy spent on the evolution of Treatment strategies, have revolved around the effective anchor management, in our planning and execution stages of treatment. However, all this changed noticeably and significantly, with the advent of Implant based anchor controls, by the turn of this century.

These systems made humble beginning, with a handful of operators crating the magic, to the extent of throwing the age old concepts going out of the window, and the rest of the orthodontic world stood aside casting some pusillanimous aspirations. Today after a decade and half the situation has done a somersault, has gone to the stage if you have any hitches in treatment planning, hit the case with TAD’s. Has it worked? Have the Implant based protocols, superseded the need for a good Diagnostic and Treatment planning skills, and coupled with practical biomechanics?

The presentation will discuss these issues and possible to answer to what makes the cut, with well-illustrated Clinical case reports as undeniable evidence.

Learning Objectives,

Mini screws for Different situations coupled with emphasis on Diagnosis and Biomechanics

Hyo-Sang Park
D. D. S., M. S. D., Ph.D
  • His research background was on immuno-histochemical studies for neurotransmitter following tooth movement and growth studies using rats as experimental animal. He has published numerous papers.
  • He did poineering work and extensive researches on Development of microimplants since 1998. He is using microimplants for 18 years and owned ten patents and wrote more than 70 international articles, five text books, and seven chapters dealing with Orthodontic Microimplants. He has spoken has in many world orthodontic meetings more than 70 times as keynote speaker and provided 2 or 3 days microimplants training course internationally more than 100 times.
  • He is director of Orthodontic Research Center in Kyungpook University Hospital which performs research on Microimplants. He is serving as reviewer AJODO, Angle Orthod, EJO, J of Orthodontics, KJO, and other journals.

'Maximum Facial Profile changes after Vertical Control with Microimplants in Hyper-Divergent Patients'

The treatment of patients with hyper-divergent skeletal patterns have been considered as one of the most difficult task for orthodontists. With traditional mechanics, it was almost impossible to reduce vertical dimension during orthodontic treatment. Occlusal correction can be obtained but there was deterioration of facial harmony.

The microimplants have brought tremendous paradigm shift in orthodontic treatment. Among those, the advances in vertical control are of a paramount importance.

Nowadays, the intrusion of the posterior teeth with/or without anterior teeth can be achieved easily and consistently with microimplants. In open-bite treatment, the intrusion of the posterior teeth is known as best the treatment strategy. The intrusion of the posterior teeth can produce the increase of the anterior overbite, and resulted in resolution of the anterior openbite. However, even though intrusion of the posterior teeth is obtained and anterior openbite is closed, the profile improvement is less than desirable occasionally in Hyperdivergent patients.

In order to get better profile changes, vertical control should be done not only in the posterior teeth but also in the anterior teeth. And this should be done on both arches, not to one arch.

In hyper-divergent patients, the extraction of premolars can be planned and this will be helpful in reducing vertical dimension. The cant of occlusal plane in antero-posterior dimension can also affect on facial harmony.

Speaker will discuss the importance of extraction sites, and its role in controlling the occlusal plane, and importance of intrusion of the whole arch in regard to facial harmony.

Vijay K. Baswa
BDS., MDS
  • Abha Dental Specialty Centre, Kuwait City, Kuwait and runs a private practice restricted to the specialty of orthodontics in the state of Kuwait.
  • He has been an associate professor in India before joining the private practice here in Kuwait.
  • 1994-Bachelor's degree in Dental Surgery from the Government Dental College and Hospital, Hyderabad,
  • 1997 and Masters degree in Orthodontics from College of Dental Surgery, Mangalore, Manipal academy of Higher Education.

“Orthognathic like Orthodontics”

There has been a paradigm shift in orthodontic therapy with the advent of microimplants. Cases which were previously considered surgical only in nature are now treatable with temporary anchorage devices. A wide variety of malocclusions including skeletal open bites, skeletal Class III, and huge gummy smiles are now manageable with the help of microimplants. The results are comparable to surgery and hence the moniker ' orthognathic like orthodontics'.

Adults with mutilated dentitions are forming the major percentage of orthodontic practices worldwide. It is but impossible to treat them without the use of microimplants due to complexity of malocclusions that they present with and without any growth component.

Bad, sloppy and poor orthodontic results are not uncommon too, given the fact that unqualified quackery is on a rise in India. Retreatments pose a huge challenge to the orthodontist who faces the suspicion of the patient on one side and if extractions have already been performed, the dilemma of where to find space for the retraction and intrusion mechanics.

The extra-radicular implants, those that are placed in the infra-zygomatic crest and the buccal shelf and not in between the roots of the dentition bring with them plenty of newer ideas and third molar spaces become fully utilizable for the problems in the anterior region.

Cases will be presented where surgery was the only option once upon time, treated with temporary anchorage devices non surgically.

Punit H Thawani
MDS, MOrth, RCS, Ed(UK)
  • Private Practice, Orthodontics,
  • Medical Director at Precision Dental Clinic, Sheikh Zayed Road, Dubai, UAE.
  • Email: punitthawani@gmail.com
  • Master of Dental Surgery (MDS) in Orthodontics in 2005
  • Membership of the Faculty of Orthodontics – Royal College of Surgeons, Edinburgh, UK (MOrthRCSEd) in 2005
  • Certification in Incognito Lingual appliance in 2011
  • FACE-RW (Functional and Cosmetic Excellence – Roth Williams) course in orthodontics and Functional occlusion (Conducted by the Roth Williams international society of Orthodontics – USA) Completed in 2014
  • Certification in Invisalign in 2014
  • Full time Orthodontist and Medical Director at Precision Dental Clinic, Sheikh Zayed Road, Dubai.
  • Currently attached to “British Medical Consulting Centre”, Jumeirah, Dubai as Part time specialist Orthodontist.
  • Worked as Specialist Orthodontist in Sharjah at Dr. Sunny Medical Centre, Shahba, Sharjah,UAE, from June 2011 to September 2015
  • Worked as an Associate Orthodontist at Dr. M.K.Prakash’s Orthodontic Clinic, Chembur, Mumbai from Dec 2005 to July 2011
  • Professor and Postgraduate guide in Department of Orthodontics, M.A. Rangoonwala College of Dental sciences and Research Centre, Pune since the past 12 years.
  • In private practice restricted exclusively to orthodontics since 12 years in Pune and as a consultant orthodontist at a private dental clinic in Abudhabi, UAE.

Small movements... Big impact!
Use of Micro-implants for adjunctive procedures to aid in orthodontic or restorative treatments.

The introduction of micro-implants in orthodontics has opened up a huge array of tooth movements which were either difficult, or impossible, in the past. But apart from using micro-implants for full arch movements, or in maximum anchorage situations, they can also be used for small, single tooth movements, which can aid in full orthodontic treatment or restorative treatment. The presentation highlights a few such examples where micro-implants were used to move teeth into more favourable positions, to aid in the overall treatment plan of the patient.

Jeegar Vakil
M.D.S., M. Orth RCS (Edinburgh, UK)
  • Reader - SMBT Dental College, Sangamner, Ahmednagar, MH Private Practice, Surat, Gujrat.
  • BDS - SDM Dental College, Dharwad-2007 (Reg no A-3741)
  • MDS - Bharati Vidyapeeth University, (Pune-2011) under the able guidance of Dr Sable, Dr Shailesh Deshmukh and Dr Gauri Vichare
  • M Orth RCS (Edinburgh, UK)- 2015. Cleared the exam in Colombo

"Bringing us together : Multi-disciplinary Orthodontics for Comprehensive Patient Care"

Multi-disciplinary approach in dentistry entails contribution from each discipline towards best possible esthetic and functional results, so that the ultimate beneficiary is the patient. New advances in materials & technology are emerging in dentistry daily. Orthodontics, being the oldest specialty forms an integral part of the Multi-disciplinary approach. Orthodontics becomes a necessity in patients presenting with periodontal and restorative concerns.

The basis of multi-disciplinary therapy is the combination of diagnostic, treatment planning and therapeutic procedures utilizing the expertise and skills of other dental specialties.

Collaboration of an orthodontist with a periodontist helps in improving the periodontal status of the patient and thereby increasing the scope of adult orthodontics. An Orthodontist’s role in cleft and surgical cases to correct the skeletal problems is well known. An Orthodontist plays a pivotal role in restorative dentistry, be it uprighting of teeth or creating space for prosthesis. Team work between an orthodontist and pedodontist helps in preventive and interceptive work.

The theme "Bringing us together" will be aptly illustrated by a series of complex clinical cases treated by the presenter. This clinical presentation will include treatment approaches to bring together a diverse group of professionals into a cohesive team to provide an overall comprehensive patient care.

 

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