Orthodontic triage

continuing dental education for local dentist,MYANMAR

1. ORTHODONTIC TRIAGE; A DECISION MAKING PROCESS IN DAILY PRACTICE DR. TED NAING Lecturer,department of orthodontics,university of dental medicine,Mandalay,MYANMAR meikhtila CDE talk,29.5.18 1

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5. ORTHODONTIC TRIAGE : DISTINGUISHING MODERATE FROM COMPLEX TREATMENT PROBLEMS Step 1: Syndromes and Developmental Abnormalities Step 2: Facial Profile Analysis Step 3: Dental Development Step 4: Space Problems Step 5: Other Occlusal Discrepancies meikhtila CDE talk,29.5.18 5

6. 1.Syndromes and developmental anormalies meikhtila CDE talk,29.5.18 6

7. 2.PROFILE ANALYSIS meikhtila CDE talk,29.5.18 7

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11. CRITERIA FOR SELECTION OF PATIENT FOR GROWTH MODIFICATION The patient must still be growing, preferably approaching a phase of rapid growth. The pattern and direction of facial growth should be reasonably favourable . While functional appliances may have a small effect on growth, this must be regarded as being limited and it is not possible to make a dramatic improvement upon a very unfavourable growth pattern. The patient must be well motivated. These appliances are bulky and must be worn for a substantial amount of time. This requires a considerable effort and commitment by the patient and the family, particularly in the early stages of treatment. meikhtila CDE talk,29.5.18 11

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26. Minor canine interference leading to a mandibular shift meikhtila CDE talk,29.5.18 26

27. W arch is ideal for bilateral maxillary expansion meikhtila CDE talk,29.5.18 27

28. Quad helix appliance for bilateral maxillary expansion meikhtila CDE talk,29.5.18 28

29. MANAGEMENT OF OCCLUSAL RELATIONSHIP PROBLEMS Posterior Crossbite Anterior Crossbite Anterior Open Bite meikhtila CDE talk,29.5.18 29

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33. Anterior crossbite meikhtila CDE talk,29.5.18 33

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37. Anterior openbite meikhtila CDE talk,29.5.18 37

38. Removable appliance can treat for localized anterior cross bite meikhtila CDE talk,29.5.18 38

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42. MANAGEMENT OF ERUPTION PROBLEMS Overretained Primary Teeth Ectopic Eruption Supernumerary Teeth Delayed Incisor Eruption Ankylosed Primary Teeth meikhtila CDE talk,29.5.18 42

43. Primary failure of eruption meikhtila CDE talk,29.5.18 43

44. MANAGEMENT OF SPACE PROBLEMS Space Analysis: Quantification of Space Problems meikhtila CDE talk,29.5.18 44

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47. TREATMENT OF SPACE PROBLEMS Premature Tooth Loss with Adequate Space ;space Maintenance Localized Space Loss (3 mm or Less): Space Regaining Mild-to-Moderate Crowding of Incisors with Adequate Space Generalized Moderate Crowding Other Tooth Displacements meikhtila CDE talk,29.5.18 47

48. REFERENCE Contemporary Orthodontics. Profit 5th edition.,chapter 11. Handbook_of_Orthodontics ; Martyn T Cobourne , 2010, Elsevier Limited. Interceptive orthodontics - a practical guide to occlusal management_Joseph Noar [ 2014 Essentials of Orthod ontics Diagnosis and Treatment planning,Robert N. Staley, 2011 by Blackwell Publishing, Ltd. meikhtila CDE talk,29.5.18 48

49. Dedicated to serve the people meikhtila CDE talk,29.5.18 49

50. THANK YOU for your kind attention! meikhtila CDE talk,29.5.18 50

51. Questions & Answers meikhtila CDE talk,29.5.18 51