orthodontics In summary

Join me for the next interview in orthodontics with Dr Diego Peydro “The (aligner) protocols of the companies don’t work…my protocol shows expansion, the way I manage the roots, constriction of second molars…and have 95% predictability”. Diego explains his journey in orthodontics, the challenges with aligners and why he believes they are superior to fixed appliances now, also we hear his opinion o...

Join me for a summary looking at the use of botox for deep bite management and bruxism. This was an interesting lecture by Dr Nan Hatch from Seattle, which was presented at this year’s AAO 2023. She explored the use of Botox for masseter hypertrophy and the evidence around it. Masseter hypertrophy when combined with bruxism can result in: o  Long term changes in function o  Fixation breakages o  O...

Join me for a summary of a lecture by Ramesh Sabhlok, looking at one of the most popular sites for TAD placement, the maxillary buccal interradicular site.   The most common site in maxilla for implant placement is between 2nd premolar and 1st molar  in the keratinized gingiva. Two factors 1.    Buccal bone thickness 2.    Inter radicular distance Bone thickness: ·      Greatest bone width of bone...

Join me for a summary looking at accelerating orthodontic tooth movement, this podcast is a summary of two lectures from the AAO, by Ali Darendelier and Peter Buschang. Mechanical acceleration through vibration, photobiomodulation, minisurgery (Peizocision and Micro-Osteoperforation MOP) and Distraction. Vibrational mechanical Low magnitude / high frequency, used for 20 minutes per day 25g at 30Hz...

Join me for the next interview in orthodontics with Benedict Wilmes “Find a balance between clinical tips and evidence, if we only look at evidence there will be no innovation, if we only look at clinical tips we will make lots of clinical mistakes” Benedict describes his journey into mini-screws and what keeps him motivated to continue innovation in orthodontics. He describes his passion for spor...

Join me for a summary of Oliver Liebl’s lecture looking at digital orthodontics, through both digital indirect bonding and in-house aligners. The workflow Oliver described was through Onyxceph in a step by step process, however the modules used are similar to other available software modules. Oliver described the ‘digital orthodontist’ who uses 1. Digital bracket positioning with Indirect Bonding...

Join me for a topic summary looking at anterior openbites from the AAO. This summary looks at the differences in key diagnostic criteria, the options for treatment planning, and the evidence to support time. The summary is taken from Roberto Carrillo, Flavia Artese and Ravi Nanda’s lectures. Separate treatment plan : · treatment of the aetiology · Treatment of mechanics Aetiology Tongue posture /...

Join me for the next interview in orthodontics with Luis Carrière “The Carrière Motion Appliance is a story of simplicity, but not simplism” Luis describes how he conceived the Carrière Motion Appliance, and addresses in his own words addresses claims regarding changes to the occlusion, TMJ and airway. He describes the limited research regarding the appliance, as well as why he does not conduct th...

Lower arch missing lower 2nd premolars Hemisection lower E – distal half – Old school Allow mesial drift of 6s, L4s do not distally tip, important in class 2 cases Use mesial aspect for anchorage if ankylosed Remove remaining Other options TADs 30% failure in the mandible in Caucasian Herbst Mini-plates – very evasive But hemisection is simple Gingivectomy After extrusion of impacted tooth,  ...

Join me for the next interview in orthodontics with Padhraig Fleming “Innovation has made treatment more accessible, but has not necessarily translated into better outcomes” Padhraig is a Professor in Orthodontics based in Ireland. He has published over 150 peer review papers, 4 textbooks including the recent edition of Graber’s ‘Orthodontics: Current Principles and Techniques’. He won the 2021 Tu...

What goes wrong with MARPE? Audrey Yoon Join me for a lecture summary from this years AAO by Audrey Yoon. Don’t Make the Same Mistake I Did/ MARPE Complication. Success MARPE Overall separation: 87.8% Success rate of sutural separation: (Jeon 2021) · 61.05% in male · 94.17% in female · Average expansion: 7.8 ± 2.4 mm. Variation with age and gender MARPE efficacy = Achieved Vs planned expansion · G...

Join me for a summary of this years American Association Meeting from the summer looking at AI and imaging. The topics covered at CBCT the facts, use in transverse and incidental findings. Other topics of facial imaging or 4D as a diagnostic tool. Finally looking at AI, its application currently and potential use of blockchain technology in orthodontics. CBCT Shaza Mardini Myths It is new develope...

Breathing disorders and orthodontics AAO 2022 Join me for a topic summary of breathing disorders and orthodontics, from this year’s American Association of Orthodontics meeting. Two lectures were covered, the first by Takashi Ono which looks at the issues surrounding mouth breathing and its consequences, the second lecture was by Martin Palomo looking at OSA and busy offices, our role and how new...

Join me for a summary of Dr Nikhilesh Vaid’s lecture entitled More Than Meets The EYE!    Aligner Evidence Through Clinicians Eye It was part of the first International Orthodontic Foundation online symposium, with Ravi Nanda and co. Evidence available There are about 7000 papers available on clear aligner therapy 39 are prospective clinical trials 20 are systematic reviews What do...

Join me for the next interview in orthodontics with Carlos Flores-Mir Carlos is a Professor in orthodontics with an exceptional contribution to the field. He has published over 350 peer review papers and is an award winning educator within dentistry. He is an associate editor for the Angle Orthodontist journal and JWFO. We get to hear of Carlos’ story of how he came to be a leading authority in or...

Join me for a summary of Dr Bing Fang’s lecture entitled: Biomechanical Research and clinical application of orthopaedic Treatment on Adolescent mandibular retrognathia.   It was part of the first International Orthodontic Foundation online symposium, with Ravi Nanda: https://www.iofglobal.org Intrusion with aligners Clinical risk of anterior intrusion, can cause retroclination / proclin...

Join me for a summary of early treatment lectures from this years AAO meeting from May 2022. Topics will cover trauma, airway diagnosis and orthodontic treatment, and optimal timing of class 2 correction Lectures: Dental Trauma Eustaquio A. Araujo Airway-centered Orthodontic Diagnosis & Treatment for Pediatric Patients Hong He Predictors of Success for Early Mixed Dentition Treatment Heesoo Oh...

Managing Complex Cases in Orthodontics. Kleber Meireles and Andre Machado Join me for a summary of a dynamic conversation between Kleber and Andre, It was a lecture full of biomechanics and the podcast will focus on specific examples with fixed appliances and aligners. Fixed appliance mechanics 1. Canine retraction in extraction case with buccal canine: sectional mechanics o Conventional sliding m...

Join me for a summary looking at Dental Sleep Medicine and NICE guidelines. This summary describes obstructive sleep apnoea and the new guidelines of its management. There is a focus on the Mandibular Advancement Splint and the occlusal outcomes for patients using this appliance. This lecture was given by Professor Ama Johal. Ama is a member of the advisory committee to NICE sleep apnoea/hypopnoea...

Join me for the next interview in orthodontics with Steffen Decker Steffen is a leading lingual an aligner provider and a Kois recognised specialist. He has been a global advisor for 3M and is a key opinion leader for Align technology. We get to hear of Steffen’s story of how he came to use lingual appliances and aligners, his opinion on interceptive / phase 1 treatment and where he sees the futur...

Join me for a summary of Björn Ludwig’s lecture exploring Miniscrew Assisted Rapid Palatal Expansion (MARPE) and Surgically Assisted Rapid Palatal Expansion (SARPE). Björn described how MARPE works, aspects of design and his clinical process. Effects of MARPE Parallel opening of suture 2mm greater at 6 region than RME (S/R Krusi 2019) Facial changes Widens Zygoma Nasal base expands Changes to the...

Join me for a summary of  Akram Alhuwaizi’s lecture on MARPE – Miniscrew assisted rapid palatal expansion. This summary explores MARPE from a clinical aspect, assessing the advantages and disadvantages, followed by a case discussion of success and failure, a discussion of MSE and lessons learned for designing MARPE. The full lecture is available on Akram’s youtube channel: Maxillary Skeletal Expan...

Join me for the next interview in orthodontics with Ravi Nanda Ravi is an authority in orthodontics, having authored 10 textbooks and published over 200 peer review publications, he is also the current editor-in-chief of Progress in Orthodontics We get to hear of Ravi’s story of how he came in to orthodontics, his drive to ask research questions and how he has achieved so much. Ravi describes his...

Join me for a summary of Madhur’s lecture on the biomechanics and aligners, where he describes the fundamentals biomechanics of aligners, explains the reason for the shortcomings of aligners and his tips to reduce them. How do aligner work? Two approaches Shape moulding effect – shape driven Move position of teeth to ideal Invisalign 80% through shape moulding Attachments 20% force delivery Perpen...

Join me for a summary of Dalia El-Bokle’s lecture looking at disarticulation , and how they can be utilised to correct malocclusions in 3 planes of space. In this summary a novel use of disarticulation is described for class 2 and class 3 correction. This lecture follows Dalia’s publication in the AJODO 2020. Definition: disocclusion by using bite turbos or so the teeth has freedom to move in the...