Clinical Orthodontics: Current Concepts, Goals And Mechanics

1.  Craniofacial growth: A clinical perspective

Cranial base

Maxilla

Mandible

Dental arches

Horizontal and vertical growth inter-relationship

Overbite changes

Facial soft tissue growth

Post-treatment craniofacial growth

Ageing: Skeletal and soft tissue changes

Conclusion

References

2.  Diagnosis and treatment planning

Diagnostic information

Defining treatment goals

Orthodontic treatment planning

Conclusion

References

3.  Digital imaging in orthodontics

Digital clinical photography

Tips for capturing the perfect digital clinical photograph

Communication: Case presentation, patient education, and marketing

Computerized cephalometry: Tracing, superimposition, and treatment planning

Growth/treatment prediction and visual treatment objective (VTO)

Three-dimensional radiography: Why cone beam computed tomography (CBCT)?

Caveats of cone beam

CBCT basics and terminology

Dosimetry: 2D VS 3D

Conclusion

Acknowledgements

References

4.  Sagittal discrepancies

Development of a sagittal problem

Diagnosis of sagittal discrepancies

Treatment planning

Treatment of sagittal discrepancies

Conclusion

References

5.  Vertical discrepancies

Development of a vertical problem

Diagnosis of vertical discrepancies

Treatment planning

Treatment of vertical discrepancies

Conclusion

References

6.  Transverse discrepancies

Development of a transverse problem

Diagnosis of transverse problems

Transverse discrepancies: Their relationship with sagittal and vertical dimensions

Treatment planning considerations

Treatment of transverse discrepancies

Conclusion

References

7.  Surgical orthodontics

Diagnosis and treatment planning

Cephalometrics for orthognathic surgery

Orthodontic preparation

Orthodontics for surgical patients

Surgical procedures

Conclusion

References

8.  Role of skeletal anchorage in modern orthodontics

Various skeletal anchorage used in modern orthodontics

Placement of LIM plate system

Cases using LIM plate system

Cases using mini-implant placed in the retromolar area of the mandible

Conclusion

References

9.  Lingual orthodontics

Key diagnostic and treatment planning considerations

Bracket positioning, laboratory setup and bonding procedure

Archwires used in lingual therapy

Anchorage control

Treatment sequence

Various lingual appliance systems

Biomechanics and case selection

Conclusion

References

10.  Management of cleft lip and cleft palate patients

Role of the orthodontist

Infancy

Orthodontic/orthopaedic treatment in the primary dentition

Mixed dentition

Permanent dentition

Conclusion

References

11.  Treatment of periodontally compromised patients

Minimal periodontal involvement

Moderate periodontal involvement

Severe periodontal involvement

Finishing and retention

Conclusion

References

12.  Interdisciplinary orthodontics

Interdisciplinary philosophy

Periodontally compromised patient

Ortho-restorative interrelationship

Management of congenitally missing maxillary lateral incisors

Aesthetics

Unstable occlusion

Conclusion

References

13.  Functional occlusion goals in orthodontics

Goals of orthodontics for occlusion

Mandibular position as a functional goal of orthodontic treatment

Joints first

Anatomy of the temporomandibular joints

Optimum condylar position

Jaw movement recordings

Disc displacement

Continuum of change in disc displacement

Disc displacement and orthodontic treatment

Diagnosis for the practice of a functional orthodontic treatment

Case report

Conclusion

References

14.  Excellence in finishing

Occlusal parameters

Periodontal factors

Aesthetic parameters

Conclusion

References

15.  Retention and stability: A perspective

Requirements for retention and stability

Normal changes in the untreated dentition

Changes in the treated dentition

Retainers and post-treatment occlusion

Factors to consider in the maintenance of long-term stability

The phase of maintenance: Phase 3

Clinical treatment recommendations

The future

Final comments

References

16.  Optimizing orthodontic treatment

Specific features of orthodontic treatment

Practice environment

Variables affecting treatment outcome

Conclusion

References

17.  Management of an orthodontic practice

Scheduling

Goal setting

Appointing rules

Building the standards or grids

Notify patients of change in next appointment

Appointing policy

Sample appointing policy for new patients

Start slots

Electronic sign-in

Electronic treatment card

Staying on time

Changes at the front desk

Morning meeting report

Red-dot, green-dot calendar

Vertical calendar

Key performance indicators

Practice building

Patient compliance

Finishing patients on time

12-month review, staff to ask

Overhead analysis/cost containment

Conclusion

18.  Epilogue

The unchangeable

Sustaining and disruptive technologies

Three-dimensional imaging

Mass-produced customized orthodontic appliances

Technology, processes and behaviour

References

Index