Finishing the orthodontic case and retention

This course will take you from zero to hero of the following orthodontic topics: Finishing the orthodontic case; Pain, Lesions and Emergencies during Orthodontic Treatment; Retention in orthodontics

Here are the main headlines that this course covers:

Finishing the orthodontic case

1. Adjustment of individual tooth position

1.1 Initial bracket positioning

1.2 Primary expression of bracket prescription and position

1.3 Reset evaluation

1.4 Reset appointment

1.5 Secondary expression and finishing

2. Incisor torque

3. Correction of vertical incisor relationships

4. Excessive Overbite

5. Anterior open bite

6. Midline descrepancies

7. Final “settling” of teeth

8. Positioners

9. Debonding

9.1. Mechanical debonding

• Base method

• Wing method

• Debonding by bracket removing plier

• Debonding by ligature cutter plier

• Debonding by weingard plier

• Howe plier

• Lift-off Debonding Instrument (LODI

• Bracket and adhesive removing plier

• Self – ligating bracket removing

• Lingual bracket debonding

• Debonding of esthetic brackets

9.2 Debonding by solvents

9.3. Debonding by Notching

9.4. Ultrasonic debonding

• Choice of tip

9.5. Impulse debonding

9.6. Thermal debonding

• Effects on enamel

• Effects on pulp

10. Removal of adhesive

10.1 Hand instrumentation for adhesive removal

10.2 Adhesive removing pliers

10.3 Ligature wire cutters

10.4 Hand Scalers

10.5 Burs

• Carbide burs

• Diamond burs

11. Finishing and polishing

12. Special finishing procedures to avoid relapse

• Control of unfavorable growth

• Control of Soft Tissue Rebound

• Crossbite Correction

• Adjunctive Periodontal Surgery

Pain, Lesions and Emergencies during Orthodontic Treatment

1. Introduction

2. Pain in orthodontics

2.1 Antipyretic analgesics

• Acetaminophen

• Sodium dipyrone-Metamizol

2.2 Non steroidal anti-inflammatory drugs (NSAID

• Propionic acid derivates

• Carboxylic acid derivates

• Acetic acid derivates

• Oxicam derivates

• Non-acidic derivates

2.3 Vibrating stimuli

2.4. Laser therapy in pain reduction

3. Lesions and urgencies during orthodontic treatment

3.1 External apical root resorption (EARR)

3.2 Oral lesions

3.3 Gingival inflammation

3.4 Orthodontic movements

3.5 Poorly adapted molar bands

3.6 Lesions caused by elastic chain

3.7 Lesions caused by fixed or removable appliances

Retention in orthodontics

1. The need for retention

1.1 Reorganization of periodontal ligament

1.2 Occlusal Changes Related to Growth

2. Retention After Class II Correction

3. Retention After Class III Correction

4. Retention After Deep Bite Correction

5. Retention After Anterior Open Bite Correction

6. Retention of Lower Incisor Alignment

7. Timing of Retention

8. Removable retainers

8.1 Hawley retainer

8.2 Wrap around retainer

8.3 Elastic wrap around retainer

8.4 Van der Linden retainer

8.5 Sarhan all wire retainer

8.6 Spring aligner

8.7 Osamu retainer

8.8 Essix

8.9 Reinforced Essix

9. Fixed retainers

9.1 Prefabricated

9.2 Adapted on the patient (made to fit)

10. Removable retainers vs. fixed retainers.

11. Correction of Occlusal Discrepancies

11.1 Modified Functional Appliances as Active Retainers