Advances and Updates in the Management of the Dentition

This course describes the management and correction of specific dental problems involving each individual tooth. Multiple issues related to the incisors, with case examples, are presented. The mechanics of cuspid movement is described, as well as the diagnosis, prevention and treatment of impacted cuspids. The bicuspid extraction verses non-extraction issue is reviewed in detail. First and second molars are discussed relative to anchorage control, distalization, and vertical control. This course closely coincides with the material covered in Dr. Bennett’s and Dr. McLaughlin’s textbook entitled “Orthodontic Management of the Dentition with the Preadjusted Appliance”.

PROGRAM FORMAT

Incisors
Specific concerns of upper central and lateral incisors, as well as lower incisors will be discussed. Emphasis will be placed on incisor trauma, congenital absence, tooth fit and tooth size discrepancy.

Cuspids
The critical tip and torque issues of cuspids will be discussed. Also the management of blocked out cuspids and impacted cuspids will be presented.

First Bicuspids
The extraction of first bicuspids has been a controversial subject throughout the history of the orthodontic specialty. This controversy will be analyzed in detail. Also, the indications for upper first bicuspid extraction only will be discussed.

Second Bicuspids
The rationale, advantages and disadvantages, and the technique of second bicuspid extraction will be presented.

First Molars
The importance of the first molars will be emphasized relative to stabilization, distalization and extraction. The management of badly decayed, broken down and missing first molars will be discussed.

Second Molars
Horizontal and vertical aspects of second molars will be discussed. The controversial subject of second molar extraction will be reviewed. Cases will be presented in an attempt to provide an objective look at this subject.

Retention
The etiology of orthodontic relapse will be discussed, and various techniques of the retention process will be presented.