COURSE CONTENTS:
Day 1 – Wednesday
10.00 General Discussion of any problems Case consultation. Diagnosis & Treatment planning
12.30 Lunch
14.00 Revision of Differential diagnosis & Diagnosis Protocol Clinical diagnosis: What is 4 T in 4 D?
I. Hard Tissue (Skeletal pattern)
II. Soft Tissue and
III. Teeth
IV. TMJ
Treatment Planning in Adult vs. in Children Periodontal considerations
Age Limitation and The inform consent
Side Effects: Gingival Recession and the Black Triangle Conduction of the treatment in a periodontal involved cases Tooth mobility. What to do?
Pre-orthodontic Scaling and Periodontal Treatment
Plaque control during orthodontic treatment.
Supragingival plaque and Subgingival plaque
Post-orthodontic Deep-Scaling
Technical revision for Tooth Lost : Space opening or maintaining or Closing
Space Opening Technique: How to use the Key?
The mandibular incisor position
Coil spring, 016x016 Expansion combination loops
Retraction technique for max. anteriors. See Biomec. Manual
Headgear effects in Adult. What about TPA?
Up-righting of the molars: Technical and side effect
Wire bending at the extraction site
Bone : See detail in Course No. 13
TYPODONT SET UP
Please set up your Typodont in Class I Molar relationship with anterior crowding of both arches.
Deep over-bite, Unilateral high canine eruption (not too high), #35 or # 45 are partially
embeded. Band all 2nd molars
One of mandibular molar may lost and the mand. 2nd molar is mesially tipped and space loss
18.00 Class finish
Day 2 - Thursday
9.45 Biomechanics for Deep-bite and Open bite cases
Bite opening & bite closing
Case Demonstration Non-Extraction, Decrowding Technique
Free the mandible - Maxillary Bite plate
Extraction vs. Stripping (IER) in Adults
Extraction pattern and timing in Adult vs. in Children
12.30 Lunch
14.00 Wire bending Exercise : 0.016” SS leveling arch wire
0.016” x 0.016” SS Intermediate arch wire (or 0.016”x0.022” TMA) with intrusion/extrusion steps ( 0.016” x 0.016” SS
contraction arch wire) Midline Correction with 0.016”x0.022” SS with 3 contraction
loops arch wire
Torque control in the anterior segment
0.016” x 0.022” or 0.017” x 0.022” SS contraction arch wire
Biomechanics for open-bite cases ( Revision ) & Vertical control by extraction for bite closure:
The Wedging Principle Bending Steps and Bracket positioning in open-bite case Vertical elastics, Short vs. Long Class II elastics High pull headgear, High pull chin cap
Conclusion: Mechanotherapy for Class I, Class II and Class III
treatment
18.00 Class finish
Day 3 - Friday
09.30 Monitoring of the host response
Conclusions: The Adjustment phase
1. Final tooth positioning
2. Close the rest of space
3. Fine tuning of the intercuspation (occlusion)
Marginal ridge relationship leveled and Midline Correction Stripping and selective grinding Over-correction. The role of finishing with Superclass I Molar relationship.
Why leave the finishing arch wires in place for at lease 6 –9 months.
Segmentalize the arch wires and the use of Maxillo-Mandibular
Elastics (W- or M-Figures)
Case demonstration
12.30 Lunch
14.00 Wire Bending Exercise (cont.)
0.016 x 0.022 or 0.017 x 0.022 SS finishing arch wires with tie-back loops Conclusions: Retention Phase Positioner, Wraparound plate 3+3 Max. Retainers (0.016x 0.022 D-Rect or 0.017 Dead soft Respond) 3-3 Mand. Retainers (0.7 mm hard SS or 0.017x0.022 SS) 6-6 Lingual arch with Spikes
15.00 Class finish
WHAT TO BRING ALONG?
Pliers & Wires
0.016x 0.022 D-Rect or 0.0175 Dead soft Respond Dead soft (Ormco 264-1170)
Wire Bending Exercise Book
1 Articulator (Typodont) with acrylic white teeth
1 set of 018 slot Mini WICK Brackets bonded
ORMCO banded with Alexander 1st & 2nd molar bands 018 slot
1 super glue
1 set cementation kit
1 "Stabilo" or Edding Waterproof Marker, M size, Black