Functional Orthodontics: Autotransplantation and Retention
Functional Orthodontics: Autotransplantation and Retention
Course overview
In the course by Bakr Rabie you will find up-to-date and detailed information on the treatment of complex and non-standard cases in orthodontics.
From the course you will learn:
biomechanical aspects and protocols for working with the Herbst appliance
protocols for correcting pseudo-mesial (false mesial) bite
camouflage treatment protocols
protocols for treating patients with horizontal bone loss
protocols for treating facial asymmetry due to mandibular shift
retention protocols and relapse prevention in orthodontics
methods of preventing root resorption associated with orthodontic tooth movement.
- Describe biomechanical principles and treatment planning considerations for Herbst and other functional appliances
- Plan and justify autotransplantation or camouflage strategies for complex tooth-position and transposition cases
- Design retention protocols and relapse prevention measures tailored to identified risk factors and tooth stability
- Identify risk factors for orthodontic root resorption and outline evidence-based prevention and monitoring tactics
What you will learn
Course lessons
Lesson 1. Preventive Orthodontics
Preventive orthodontics: principles and advantages
Growth modification principle: appliances and recommendations
Diagnosis and treatment prognosis
Methods for limiting vertical growth of the maxilla
Elastic traction: indications and contraindications
Maxillary constriction: methods and treatment principles
Overcorrection: relapse prevention
Creating space for teeth: principles and methods
Midface deficiency: tactics and treatment principles
Sequential tooth extraction: clinical tips
Appliances for combating harmful habits: advantages and disadvantages
Preparation of the alveolar ridge for implant placement.
Lesson 2. Use of Functional Appliances for Treatment of Skeletal Distal Bite
Evidence-based approach to treatment using functional appliances
Degree of mandibular advancement: impact on outcome and treatment duration
Methods of mandibular advancement: indications
Mechanism of growth induction: biological and histological aspects
Protein Ihh: role in mandibular development
Herbst appliance: biomechanical aspects of operation, structure and indications
Degree of Ihh expression: dependence on the method of mandibular advancement
Optimal magnitudes of mandibular advancement
Fabrication and fitting of the Herbst appliance: recommendations
Reactivation of the Herbst appliance: technique.
Lesson 3. Treatment of Young Adults with Mild Skeletal Class II Using Functional Appliances
Methods for correction of Class II pathology
Biological aspects of functional appliances in adults
Role of mechanical stress in mandibular development
Growth modification in adult patients
Age limit for treating adults with functional appliances
Herbst appliance and surgical treatment: comparison
Bracket systems for Class II division 2 pathology: features, recommendations, sequence of actions
Treatment through dentoalveolar changes: methodology
Buttons, mini-implants in adult treatment: indications and techniques.
Lesson 4. Treatment of Pseudo-Class III Pathologies and Elimination of Functional Shifts
Mesial bite: treatment challenges and optimal timing
Planning tactics and treatment features for:
Mandibular prognathism
Midface deficiency
Combined type of mesial bite.
Diagnostic criteria for pseudo-mesial (false mesial) bite
Principles of maxillary and mandibular growth: factors forming the discrepancy
Early orthodontic treatment: indications and advantages
Correction of pseudo-mesial bite: choice of appliances
Camouflage treatment: indications, methodology, advantages.
Lesson 5. Orthodontic Treatment of Adult Patients with Severe Alveolar Bone Pathology
Gingival margin and orthodontic treatment
Methods for preventing gingival margin recessions
Movement of a displaced canine into the central incisor position
Lingual root torque: significance of closing loops in the development of recession
Orthodontic intrusion and stimulation of bone growth
Management tactics for patients with horizontal bone loss
Use of Emdogain: advantages
Bone substitute materials in combination with periodontal surgery
Technique for intrusion of a group of teeth
The nature of newly formed bone when using bone substitute materials
Principles of new attachment formation.
Lesson 6. Clinical Management of Transpositions in Orthodontics with Emphasis on Autotransplantation
Horizontal retention of second and third molars: tactics and step-by-step protocol
Theory of reciprocal induction: main propositions
Bimaxillary protrusion: treatment protocol with extractions and autotransplantation
Tooth transposition: step-by-step treatment protocol and clinical nuances
Facial asymmetry due to mandibular shift: treatment principles
Interproximal enamel reduction: indications
Application of palatal root torque: rules and technique
Technique of bending a closing loop: demonstration
Exposure of an impacted canine: clinical tips.
Lesson 7. Retention. Relapses in Orthodontics
Retention planning: stages and recommendations
Tooth rotation: timing for retainer application
Tendencies to relapse: removable or fixed appliances
Role of soft tissues in relapse development
Factors of tooth stability:
Occlusion
Proximal contacts
Fissure-cusp contacts.
Mandibular rotation
Differences in retention between males and females
Relapse prevention: main principles
High risk of relapse: main criteria
Fibrotomy: indications and technique
Vertical incisor disocclusion: retention features
Dentoalveolar incisor disocclusion: types of retention
Retainer design
Retention features during growth period
RAATS: technique and indications
Retention features in growth modification.
Lesson 8. Root Resorption Associated with Orthodontic Tooth Movement
Factors of root resorption: biological aspects
Prevention of resorption
Classification of resorption by Malmgren
Risk of resorption with treatment with and without extractions
Signs of root resorption
Documentation and informed consent
Technique for moving teeth at risk of resorption
Force moment: role in resorption development
Arch bending technique
Invisalign: treatment in cases with resorption risks.
