Orthodontic Treatment in the Early Permanent Dentition

This course will take you from zero to hero of the following orthodontic topics: Orthodontic treatment in the early permanent dentition and Development of a vertical problem.

Here are the main headlines that this course covers:

Orthodontic treatment in the early permanent dentition.

1.Space Gaining Procedures

1.1 Extraction as a Method to Gain Space

1.2 Extraction versus Nonextraction Controversy

1.3 Extraction Choice

1.4 Interproximal Enamel Reduction

• Indications and Contraindications
• Steps Involved in Interproximal Reduction
• Techniques for Enamel Reduction

1.5 Derotation of Posterior Teeth

1.6 Uprighting of Tilted Posterior Teeth

1.7 Proclination of Anterior Teeth

1.8 Arch Expansion

1.9 Molar Distalization

• Upper Molar Position
• Influence of Second Molar on Molar Distalization
• Indications and Contraindications
• Complications of Molar Distalization

2.Treatment of Class I Malocclusions

2.1 Arch Length Deficiency

2.2 Expansion

2.3 Extractions

2.4 Treatment Sequence for Class I Malocclusion Correction

• Alignment
• Correction of crossbites
• Alignment of impacted tooth
• Closure of diastema or anterior spacing
• Leveling
• Space closure
• Detailing and final settling followed by retention.

Development of a vertical problem

1. Diagnosis of vertical discrepancies

1.1 Long face patients

1.2 Short face patients

1.3 Cephalometric characteristics

1.4 Vertical Class II type

1.5 Treatment planning

2. Deep bite

2.1 Types of deep bite.

2.2 Possible treatment options to open a deep bite

• Anterior bite plane
• Anterior bite plane with intermaxillary elastics
• Bite ramps
• Individual bypass
• Incisal bracket bonding.
• Intrusion bend
• Tip back
• Use of a reverse curve
• Utility Arch
• CIA (Connecticut Intrusion Arch)
• Intrusive arch with loops
• Headgear

3. Open bite

3.1 Etiology

• Local Factors
• General Factors

3.2 Types of open bite

3.3 Clinical characteristics

3.4 Treatment Options

• In block extrusion bend
• Second order or individual extrusion bend
• Reverse curve
• Individual bypass
• In block bypass
• Inverted tip back
• Posterior bite block
• Posterior intrusion block with TMA wire
• High Pull Headgear
• TPA or Chromosome arch with acrylic button
• Intermaxillary elastics
• Bracket bonding closer to the gingival margin
• Maxillary surgery
• Glossectomy