WAAR: Aula Schaubroeck in Nazareth
WANNEER: donderdag 27 oktober 2016
SPREKER:– José Chaques Asensi
1-Non-surgical treatment of dental and skeletal asymmetrical malocclusions.
Asymmetrical malocclusions are one of the most challenging situations in orthodontic practice. The aetiology may be functional, dental or skeletal, but the limits among the different categories are not always clear. Furthermore, asymmetries of skeletal origin may have different levels of impact on the rest of the structures affected. For example, the degree of soft tissues involvement, the severity of the dental malocclusion or the level of asymmetry of the bony bases. That is, the maxilla, the mandible and the rest of the structures of the mid face. In the course of this presentation we will analyze the features that define skeletal asymmetries and how they determine the global scenario of the malocclusion. Different treatment alternatives will be analyzed and the clinical concepts to be taken into consideration in order to provide adequate treatment strategies will be discussed through the presentation of the clinical cases.
2-Limiting factors in the Class III camouflage treatment.
The Class III skeletal malocclusion has been traditionally treated with a combined approach of orthodontics and orthognathic surgery or with a strategy of orthodontic camouflage. Some severe cases can be identified as ideal candidates for a surgical treatment whereas some others can be handled with orthodontics alone, with a reasonable expectation of an acceptable result. However, the problem remains for the borderline patient. In fact, limited information is available in the literature regarding the identification of the factors that can help in establishing the limits for one treatment modality or the other. Furthermore, the quantification of some of these factors, for practical purposes, is practically missing or very seldom suggested. Therefore, the decision making process remains a subjective reflection based on the “good clinical sense” of the orthodontist or just reduced to an “educated guess”. In order to add some information, hopefully useful in deciding the most suitable treatment option for the individual patient, we propose a clinical protocol based on four different factors. Namely: the skeletal discrepancy, the occlusal discrepancy, the periodontal condition and facial aesthetics. For each one of these factors several parameters will be evaluated and, for some of them, an attempt to provide some reference numerical values will be made. Finally, clinical examples will be presented to illustrate the concepts discussed and the treatment alternatives, final treatment plan and treatment outcome will be analyzed for each one of them.
3-Excellence in Finishing
Part I. Orthodontic procedures
Part II. Restorative and periodontal procedures
Finishing is the last and one of the most important parts of orthodontic treatment. Traditionally, the fine tuning of the occlusion in an ideal settlement (that could be accomplished by the use of elastics, wire-bending or rebracketing) was considered the fundamental goal, if not the only one, of the finishing stage. This line of thought endorsed the well-known principle of “plaster on the table” as the way to substantiate an excellent result. However, with the integration of other disciplines into the orthodontic practice, special attention has been given to different aspects that play a role in the finishing process. Namely, the relationship between the vertical position of the teeth and the gingival margins, the size and shape of the teeth and the level of the incisal edges, among others. Furthermore, the integration of the position of the teeth in relationship with the surrounding soft tissues determine the tooth exposure and the smile line, parameters disregarded in the past but considered essentials in the finishing approach nowadays. Finally, the correlation of torque and teeth angulation provided by the different prescriptions or treatment “philosophies” represent a new perspective that is being considered in recent times. In this presentation we will try to analyze some of these concepts, discuss possible strategies and provide some useful clinical procedures to improve the final result.
Uw inschrijving is definitief na overschrijving van 180 euro (100, – voor postgraduaatstudenten) op rekeningnummer van het COS voor 10 oktober e.k.:
IBAN: BE03 4419 0427 6184
Vermelding: naam + voornaam