DentalFellowship®

American Orthodontic Society                          Mastership Orthodontic Course                                        in the Middle East, Dubai

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Course Schedule

DentalFellowship® Faculty

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Course Outline

Session 1

 

Days 1-6
 
Records, Examination
Anatomy
Ceph Tracing and Examination
Skeletal Age (the wrist film)
Structuring Diagnostic Information
Airway and OSAS
Esthetics in Orthodontics and Dental Practice
 
  • Orthodontics and dental practice – Office systems
o    Patient entry into practice/office
o    Appointment sequencing, patient flow and routines
 
           
  • Initial orthodontic clinical examination/ visit (IOX or Initial Orthodontic Examination)
    • Medical history
    • Chief complaint
    • Orthodontic examination
    • Dental and Occlusion History: questions and forms
    • Postural evaluation
      • Body Posture
      • Head posture
      • Head rotation, flexion and extension
      • Face typing
      • muscle palpations
    • Soft tissue and speech
    • Functional movements
    • TMJ sounds and manipulation
    • Reference position, Centric  Occlusion and slides
    • Occlusion
    • Esthetics, profile and personality
    • Hands-on: Clinical practice
-excursions and maximum opening
-measurement
-muscle palpation        
                                   
  • The airway and its impact on childhood, growth and development, health, orthodontic treatment and adulthood and how airway and posture affect your orthopedic findings and corrections
 
  • Esthetics as a patient concern and as treatment goal
 
  • The DA (Developmental or Diagnostic Analysis):        
                        Photographic procedures – intraoral and extraoral             
                        Wrist film: skeletal age
 
                        Orthodontic radiographic procedures
                                    -Diagnostic Values
                                     -settings: example Frontal ceph is set at 25%> impulses than lateral ceph, etc.
 
                        Orthodontic models
                                    -mounted models and facebow
                                    -leaf gauge and bite
                       
  • Orthodontic diagnostic radiographs: The state of the art
    • evaluation of radiographs
      • what is diagnostic?
      • what is not?
    • how to improve radiographs
    • in-office techniques for orthodontic radiographs
    • staff training
 
 
                      
           
  • The Science of Esthetics – “Survival of the prettiest”                                                                           
 
·         Head and neck anatomy                                                                           
 
·         Lateral Ceph Tracing and Measurement                                                                                    
·         Frontal Cephalometric Tracing and Measurement
·         Lateral Ceph

Session 2

Days 7-12
 
Diagnosis
Treatment Planning
Consultation Procedures
Bracketing and Banding
The Mechanics of the Looped Arch Wire
 
 
  • Review of diagnostics: what is challenging, and how to make it easier
    • Leaf gauge, mounted models, facebow, ROM (rulers)
  • Treatment planning and clinical considerations: the influence of each in treatment planning, treatment and in patient progress and results
    • Treatment planning checklist
    • How to prepare the treatment plans
    • Review of “points and planes” measurements
    • Skeletal classification and face typing
    • Convexity in the frontal dimension
    • Skeletal age vs. chronological age
    • Airway and posture
    • Profile and facial pattern
    • Dental classification
    • Problem analysis
    • Use of treatment planning checklist with sample case, side-by side on PowerPoint
  • Mega concepts
    • Class I, Class II, Class III – including “opposites: Dental Cl II, Skeletal Cl III”
    • Skeletal vs. dental problems
    • Facial type and impact on occlusion, restorative, and orthodontic treatment
    • Extraction vs. non-extraction treatment
  • Consultation procedures
    • Preparing for the consultation
    • Defining the findings/problem list
      • medical
      • airway
      • skeletal
      • muscular and occlusion parameters
      • dental
    • Defining the treatment goals and procedures
    • Defining the concerns
    • Informed consent protocols
  • Fee schedule and account management                                              
    • how to ask for and collect money
    • how to structure the fees into payments
    • Pay in full and other discounting
    • Orthodontic insurance
      • coverage
      • billing
  • Bracketing
    • Placement
    • Sequence
    • heights individualized for tooth and for bracket type
    • Bracket cements: the state of the art materials
      • what works and what causes the dentist and the patient troubles
    • Exercise: Bracketing on models  
  • Banding
    • Placement
    • Fit and adjustment
    • Troubleshooting
    • Prevention of band loss during treatment
    • Cements
  • The initial banding and bracketing appointment
    • protocols
    • POV – Patient Orientation Visit –
      • how to care for orthodontic appliances
      • recommendations re. foods, care, prevention
      • how to get patient and parent on same side as the doctor
  • Delegation of orthodontic treatment to staff
·         staff training
·         being efficient
·         being effective
·         saving doctor time
·         effectively
 
  • Class I crowded mechanics - extraction versus non-extraction
  • Cephalometric review of 11 factor analysis                                                                                                        
  • The skeletal age: Use of Gruelich and Pyle to determine skeletal age with a wrist film:
    • Wrist film/skeletal age exercise                                        
  • Case selection
  • Mechanics using typodont:
    • Crowding treatment mechanics - Looped arch wire
  • Doctor cases for diagnosis

Session 3

Days 13-18
 
Craniofacial Orthopedics/Functional Orthopedics
The Treatment of Habits
Primary and Transitional Dentition Treatment of Class III
Transverse Discrepancies and Expansion
Case Selection 
Development of Occlusion
Functional Occlusion
Mechanics: Orthodontic Wires
Sectional Wires, Utility Wires, Full Arch Wires
Sequencing of Wires and Appliances
 
  • Craniofacial Orthopedic treatment / Functional appliance treatment
·         Growth and Development
·         Treatment goals
·         Appliance selection and protocols
 
  • Phasing treatment – Phase I and Phase II
·         how to phase treatment if primary, transitional and/or adolescent treatment is needed   
 
  • The treatment of habits
  • Treatment of the Class III preschool (primary dentition) child
·         The young Class III patient: chin sling treatment; facemask treatment
  • Impacted teeth:
·         When to consider extractions of primary teeth: making your patients’ lives better and reducing risk of canine impactions
 
·         Incisor crowding, primary tooth extractions
  • Transverse discrepancies: Narrow maxilla, skeletal and dental; crossbites, diagnostics of maxillary width and mandibular width, decision making, Expansion
  • Introduction to Bioprogressive Mechanics
·         Bioprogressive sequencing and principles:
·         Stages of treatment and goals of each stage: how to attain your goals
o   Level and align
o   Correct molar relationship and close spaces
o   Finishing
  • Bolton tooth-size evaluation
  • Mechanics:
·         Sectionals
·         Utility arch wires
·         Mechanics sequence sheet
·         Orthodontic wire sequence in straight-wire treatment
o   Initial wire selection, efficiency, effectiveness
·         Wire materials
o   stainless steel
o   Titanium-Molybdenum Alloys
o   Nitinols
o   Smart wires
 
·         Initial wire selection
·         Arch wire size, shape and selection
o   Patient arch form
  • Development of Occlusion
  • Current Concepts of Functional Occlusion                   
  • Doctor cases

Session 4

Days 19-24
 
Class II Treatment
Challenges in Mechanics: Distalization and Anchorage
Temporary Anchorage Devices
Retraction
Longterm Stability and the Impact of Appropriate Finishing Techniques
Detailing the Case
Retention
Invisible Aligners – Diagnostics, Fees and Use
Mechanics: Detailing Wires, Closing Wires
 
 
  • Class II treatment: goals and mechanics sequencing

treatment timing

primary dentition

transitional dentition

adolescent dentition

decision making pros and cons 

  • Craniofacial Orthopedic Class II treatment of the growing child

review of appliances

removable appliances

fixed appliances

2 x 4 appliances

goals

treatment protocols

lab-based vs. non-customized orthopedic correctors

Herbst

Distal jet

Hulsey

Keles slider

Other fixed correctors

Frankel

Selection

  • Phase I transitional dentition Class II treatment
  • Class II treatment of the adolescent
  • Challenges in mechanics: distalizing molars and anchorage
  • History of Class II corrections

what worked

what didn’t work

what we don’t know

impact on future occlusion

The use of elastics –are we reaching our goals?

  • TAD’s

concepts and theories

realities and usage

diagnostics

placement

palatal vs labial/buccal

trouble-shooting

accomplishing goals          

  • Case finishing and detailing

what is a finished case?

esthetics

crown positions

Root angulations

  • occlusion

what makes for a happy patient?

what makes for a happy doctor?

  • The American Orthodontic Society board process

Tier advancement levels

International Fellowship

parameters

board cases

records

sequencing

preparing

write-ups

use of templates

  • Finishing and longterm stability – Part I

How to shorten treatment time and improve your finished results at the same time

What are parameters with which to measure quality of finishing:

Tooth positions and occlusion factors

Periodontal factors

Esthetic factors

a look at the main reasons for poor orthodontic results

a look at the common factors in a comfortable occlusion

a mutually protected occlusion

Do current brackets achieve your occlusal goals?

  • Finishing and longterm stability – Part II

use of finishing procedures to achieve your functional goals

Methods for compensating for bracket limitations

when to reposition brackets and when not to reposition

Wires – detailing & miscellaneous

crown tipping

root parallelling

Elastics & fixed correctors

auxiliary appliances

Auxiliary wires/springs

Elastic/elastodontic appliances

Recontouring

Equilibration

Active retainers

  • Debanding and debonding procedures

scheduling the patient for removing the appliances

sequencing the appointment

procedures and techniques

post-treatment records and evaluation

  • Overview of Invisible aligners in orthodontics

Diagnostic considerations

What are the alternatives?

Do they work? -when and when not?

Can you finish the case?

Is the patient happy?

Are you happy?

How and when to use them effectively

Structuring fees

  • Retention

Retainer designs

Use of retainers

adjusting retainers

patient/parent education

loss and damage

use of retainer insurance to keep parent, patient and doctor happy

  • Mechanics: 

canine retraction springs, sectionals and contraction utilities

detailing wire exercises I

molar uprighting spring

brass wires for ectopic teeth