ORTHOdontics PGI/II/III

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COUR8E D: ODO.61
CASE PRESENTATIONS SEMINARS

INCLUDES:
CASE STUDY BY RESIDENTS FROM DIAGNOSIS TO TREATMENT PLAN
PRESENTATION OF TREATMENT PROGRESS
SEMINARS BY FACULTY ON DIFFERENT CLINICAL TOPICS
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FACULTY AND RESIDENTS

Goals: This series of seminars should enable the resident to:
1. Acquire in depth knowledge about diagnosis and treatment of different
malocclusions, in order to strengthen his way of approach to any
encountered clinical situation.
2. Provide evidence based knowledge about different debatable orthodontic
issues.

Objectives: The resident should be proficient in:
1. Diagnosing any clinical situation.
2. Establishing alternative treatment plans.
3. Managing any complication encountered in the progress of any treatment.

ORTHOdontics PGI
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COUR8E D: ODO.61
CASE PRESENTATION SEMINARS

TREATMENT PLANING OF NEW CASES
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FACULTY: Felipe Rezk-Lega, DDS.

Goals: This series of seminars should enable the resident to:
1. Become familiar with power point presentations.
2. Develop a chronological problem-oriented approach to diagnosis.
3. Form a problem list and set up the ideal treatment plan.
4. Become exposed to different treatment approaches according to the various
treatment philosophies.
5. Expand the capacity of developmental ideas.

Objectives: The resident should be able to:
1. Gather a detailed patient data base.
2. Determine the patients chief complaint.
3. Present a comprehensive clinical examination along with a complete analysis of
diagnostic records.
4. Formulate a problem list in a priority order and create possible solutions to the
individual problems.
5. Accordingly set up the ideal treatment plan along with compromise options.
6. Plan the appropriate mechanotherapy.
7. Engage in interactive sessions and debates related to treatment options and
mechanics.
8. Develop a critical evaluation.







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COURSE DURATION AND SCOPE: This course is scheduled between May and July for the first
year residents. It is given every Thursday at 2-hour session between 10:00 a.m and 12:00 a.m and includes
case study of different types of malocclusions.

POLICY ON EXAMINATIONS: The contribution of residents in these sessions will influence their general
evaluation by present faculty in seminars.

ORTHOdontics PGI
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COUR8E D: ODO.61
SEMINARS ON ORTHODONTICS ISSUES
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FACULTY: Mona Sayegh Ghoussoub, DDS.

Goals: This lecture should enable the resident to:
A 1. Assess the importance of an early treatment in order to correct a skeletal
discrepancy.
2. Gauge the indications and contra-indications of camouflage treatment (according
to chief complaint, profile, selective extractions).
B 4. Assess the existence of tooth size-arch length discrepancy.
5. Establish the possible early treatment plans in order to resolve the existing
discrepancy.
C 6. Diagnose facial asymmetries.
7. Establish an adequate treatment plan with the proper timing of intervention.
D 8. Differentiate between the various types of Class III Malocclusion.
9. Evaluate the indications and contra-indications of an early treatment.
E 10. Compare the classical conceptions of growth to the new data.
11. Justify the early intervention for the treatment of Class III Malocclusions
F 12. Know about different treatment modalities of different types of supernumerary teeth
already mentioned in the literature.
13. Manage a case where supernumerary teeth are present.


Objectives: The resident should be proficient in:
A 1. Establishing the treatment modalities to correct the molar relationship according
to age.
2. Assessing the indications of a camouflage treatment.
B 4. Measuring the anterior crowding.
5. Estimating the Lee-way space using different techniques.
6. Assessing the advantages and disadvantages of early treatment techniques for
crowding (serial extractions or management of spaces: stripping and lingual arch to
maintain the Lee way space)
7. Establishing an adequate treatment plan.
C 8. Understand the etiology of the deformity.
9. Detect and diagnose a facial asymmetry.
10. Establish an adequate treatment plan.
1. Understand the etiology of Class III malocclusion.
12. Decide if early orthopedic intervention is necessary.
13. Assess the relation between etiology, timing and stability of the treatment.
E 14. Understand the development of the anterior frontal region of the cranial base and the
spheno-basilar region of the cranial base.
15. Assess the importance of the adaptative development of the cranial base
16. Diagnose a case of supernumerary teeth.
17. Establish a proper treatment plan.

SEMINARS ON ORTHODONTIC ISSUES

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SUMMARY OUTLINE - MOLAR RELATION IN ORTHODONTICS
ACCORDING TO AGE
-SERIAL
EXTRACTION IN EARLY TREATMENT
- FACIAL
ASYMMETRY IN ORTHODONTICS
- CLASS III
MALOCCLUSIONS
- ADAPTATIVE
DEVELOPMENT OF CRANIAL BASE- A
Justification For Early Treatment Of Class Iii Discrepancies (Article)
- DIAGNOSIS AND
MANAGEMENT OF A PARTICULAR
CASE OF COMPOUND COMPOSITE ODONTOMA
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MOLAR RELATION IN ORTHODONTICS ACCORDING TO AGE

1. INTRODUCTION

2. ANGLE CLASSIFICATION

3. EARLY v/s LATE TREATMENT

4. INDICATIONS OF CONPROMISE OR CAMOUFLAGE TREATMENT

5. CL II MALOCCLUSION
A. Early treatment
B. Late treatment (therapeutic Cl II)

6. CL III MALOCCLUSION
A. Early treatment
B. Late treatment (therapeutic Cl III)

7. CLINICAL CASES


REFERENCES


1. Bennett JC, McLaughlin RP: First molars. In: Orthodontic management of the dentition with the
preadjusted appliance. St. Aldates: Isis Medical Media Ltd; 1997. p.279-310.
2. Profitt WR, Fields HW: Orthodontic treatment planning: limitations, controversies, and special
problems. In: Profitt WR, Fields HW. Contemporary orthodontics. St. Louis: Mosby; 1999.p.240-93.
3. Ghafari J, Shofer FS, Jacobson-Hunt U et al: Headgear versus function regulator in the early treatment
of Class II, division 1malocclusion: a randomized clinical trial. Am J Orthod Dentofac Orthop
1998;113:51-61.


SERIAL EXTRACTION IN EARLY TREATMENT

1. INTRODUCTION ON SERIAL EXTRACTION AND MANAGEMENT OF

SPACE

2. ADVANTAGES AND DISADVANTAGES OF SERIAL EXTRACTION

3. MANAGEMENT OF BORDER LINE CASES
4. GUIDELINES TO ESTIMATE THE DISCREPANCY
A. Measurement of the anterior crowding.
B. Estimation of the Lee way space using radiological and statistical means.
C. Calculation of lower incisors repositioning.
D. Evaluation of the profile (esthetics).

5. SUBSTITUTE TECHNIQUE FOR SERIAL EXTRACTION-2 STEP-
PROCEDURE
A. Stripping of the deciduous canines
B. Preservation of the Lee way space

6. ADVANTAGES AND DISADVANTAGES OF THE SUBSTITUTE
TECHNIQUE



REFERENCES


1. Gottlieb EL, Brazones MM, Malerman AJ, Moskowitz EM, Phipps GS, Sarver DM: Early orthodontic
treatment, part 1, J Clin Orthod 38(2): 79-90, 2004.
2. Gottlieb EL, Brazones MM, Malerman AJ, Moskowitz EM, Phipps GS, Sarver DM: Early orthodontic
treatment, part 2, J Clin Orthod 38(3): 135-54, 2004.
3. Gianelly AA: Crowding: Timing of treatment, Angle Orthod 64: 415-8, 1994.
4. Bacetti T, Franchi L, Mc Namara JA. Jr : An improved version of the cervical vertebral maturation
(CVM) method for the assessment of mandibular growth, Angle Orthod 72 :316-23, 2002.

FACIAL ASYMMETRY IN ORTHODONTICS

1. INTRODUCTION

2. ETIOLOGY

3. DIFFERENTIAL DIAGNOSIS AND HISTORY OF THE ASYMMETRY

4. RADIOLOGICAL EXAMINATION

5. PRINCIPLES OF MANAGEMENT

6. SEMIOLOGY OF THE UNILATERAL TYPE

7. RADIOLOGICAL SEMIOLOGY

8. CLINICAL CASES



REFERENCES


1. Salagnac JM: Mandibular hypercondylias: differential diagnosis, Rev Orthop Dento Faciale 36:75-83,
2002.
2. Duchateaux C, Vion P, Ferr JC, Choquin Y: Le diagnostic des dissymtries faciales squelettiques, Orth
Fr 45 : 158-214, 1974.
3. Profitt WR, Vig KWL, Turvey TA: Fractures of the mandibular condyle: Frequently an unsuspected
cause of facial asymmetry, Am J Orthod 78: 1-24, 1980.
4. Obwegeser HL, Malek MS: Hemimandibular hypertrophy hemimandibular elongation, J Maxillofac
Surg 14: 183-208, 1986.
5. Melsen B, Bjerregaard J, bundgaard M: The effect of treatment with functional appliance on a
pathologic growth pattern of the condyle, Am J Orthod 90: 503-12, 1986.
6. Musich DR: Orthodontics and orthognathic sugery: principles of combined treatment. In: Graber TM,
Vanarsdall RL,Jr. Orthodontics current principles and techniques. St. Louis: Mosby; 1994.p.876.

CLASS III MALOCCLUSIONS

1. INTRODUCTION

2. TRADITIONAL ANGLE CLASSIFICATION

3. WEAKNESS OF THE ANGLE CLASSIFICATION

4. DIFFERENTIATION BETWEEN THE TYPES OF CL III MALOCCLUSION

5. DECISION MAKING

6. ETIOLOGY OF SKELETAL PROBLEMS

7. THERAPEUTIC ALTERNATIVES FOR SKELETAL CL III
MALOCCLUSIONS

8. DILEMMA BETWEEN EARLY ORTHOPEDIC TREATMENT AND
SURGERY

9. CLINICAL CASES



REFERENCES


1. Fields HW, Profitt WR: Treatment of orthodontic problems in preadolescent children. In: Profitt WR,
Fields HW. Contemporary orthodontics. St. Louis: Mosby; 1999.p.478-523.
2. Bailey TNJ, Profitt WR: Combined surgical and orthodontic treatment. In: Profitt WR, Fields HW.
Contemporary orthodontics. St. Louis: Mosby; 1999.p.674-709.
3. Westwood PV, Mc Namara Jr JA, Baccetti T, Franchi L, Sarver DM: Long-term effects of Class III
treatment with rapid maxillary expansion and facemask therapy followed by fixed appliances, Am J
Orthod Dentofacial Orthop 2003;123: 306-20.
4. Bacetti T, Mc Gill JS, Franchi L, Mc Namara Jr JA, Tollaro I: Skeletal effects of early treatment of
Class III malocclusion with maxillary expansion and face-mask therapy. Am J Orthod Dentofacial
Orthop 1998;113: 333-43.


THE ADAPTATIVE DEVELOPMENT OF THE CRANIAL BASE-
A Justification For Early Treatment Of Class III Discrepancies (Article)

1. INTRODUCTION

2. GROWTH OF THE CRANIAL BASE: CLASSICAL CONCEPTS

3. CRITIQUE OF CLASSICAL CONCEPTS: NEW DATA

4. DEVELOPMENT OF THE ANTERIOR FRONTAL REGION OF THE
CRANIAL BASE

5. DEVELOPMENT OF THE SPHENO-BASILAR REGION OF THE
CRANIAL BASE

6. CONCLUSION


REFERENCES


1. Delaire J. Rev. Orthop Dento Faciale. 2003; 37:243-65.


DIAGNOSIS AND MANAGEMENT OF A PARTICULAR CASE OF
COMPOUND COMPOSITE ODONTOMA

1. LITERATURE REVIEW

A. Definition
B. Etiology
C. Prevalence and distribution
D. Classification
E. Problems associated with supernumerary teeth and effects on the dentition

2. ORTHODONTIC MANAGEMENT OF COMPOUND COMPOSITE
ODONTOMA

A. History
B. Etiology and diagnosis
C. Treatment modalities
D. Treatment alterabatives
E. Treatment progress
G. Treatment results
H. Discussion

1. CONCLUSION



REFERENCES


1. Garvey MT, Barry HJ, Blake M. Supernumerary teeth- An overview of classification, diagnosis and
management. J Can Dent Assoc 1999; 65: 612-6.
2. Danan M, Zenou S, Bouaziz-Attal AS, Dridi SM. Orthodontic traction of an impacted canine through a
synthetic bone substitute. J C O. 2004; 38: 39-44.