Ortho-Perio Approach: Treatment of Patients with Dentofacial Anomalies and Periodontal Diseases
Ortho-Perio Approach: Treatment of Patients with Dentofacial Anomalies and Periodontal Diseases
Course overview
In orthodontic rehabilitation cases, the complexity of clinical decisions requires treatment planning options that involve several specialists and effective soft tissue management throughout the entire orthodontic treatment process, from diagnosis to post-brace support.
During the course, which is entirely dedicated to the ortho-perio approach, you will learn:
Strategies to facilitate orthodontic tooth movement and improve the condition of periodontal tissues
Mucogingival reconstructive therapy in adult orthodontic patients
Protocols for orthodontic rehabilitation of patients with various forms of generalized periodontitis
Soft tissue management protocols in the area of impacted teeth
Techniques for creating sufficient volume of soft tissue in the area of missing lateral incisors
Root coverage techniques before, during, and after orthodontic treatment.
Course lessons
Lesson 1. 8 signs of periodontitis: diagnosis for orthodontics
Orthodontics & microbiota
Periodontal consequences of orthodontic treatments
Differential diagnosis between gingivitis and periodontitis
Understand the periodontitis infectious model
The 8 signs of periodontitis
The 6 risk-factors of periodontitis
Clinical implication in orthodontics.
Lesson 2. Borderline cases: diagnosis and ortho-perio therapeutic protocols
Diagnosis and therapeutic assessments
Treatment plan option and subjective factors
Borderline cases:
localized
localized/generalized
generalized.
Borderline cases: dental ankylosis in the anterior sextant
Borderline cases: trauma in the anterior segment associated with sagittal and transverse growth deficits
Muco-gingival reconstructive therapy in an adult borderline case
Intra-operative Orthodontic-Parodontal Clinical Synergies
Orthodontic-periodontal assessments before prosthetic finalization.
The participant can learn:
The advantages of a combined orthodontic - periodontal diagnosis
In detail the orthodontic phases and periodontal therapeutic sequences in complete synergy
Clinical strategies to facilitate orthodontic movement and improve mucogingival problems.
Lesson 3. Periodontal orthodontic synergies for optimal esthetics
Orthodontic treatment of adult patients: limitations, risks and patient`s expectation
Periodontal-orthodontic sinergy:
to facilitate and accelerate the orthodontic movement
minimize periodontal risks
new perspectives capable to enhance the smile aesthetics
preserve periodontal tissue health.
Periodontal surgical techniques selected based on different orthodontic and periodontal diagnosis and goals
Periodontal and Orthodontic indications: advantages and / or disadvantages
Orthodontics with skeletal anchorage and Periodontal Surgical protocols
Anchorage selection for optimum case management without patient compliance
Tutorial videos of some surgical procedures and Guided Mini Screws insertion.
The participant can learn:
The advantages of a combined orthodontic - periodontal diagnosis for an optimal aesthetic assessment
The opportunity to facilitate and accelerate the orthodontic movement
To minimize the periodontal risk and to enhance the aesthetics of the smile.
Lesson 4. Optimizing the periodontal conditions around impacted upper and lower canines
The palatal canines: risks
The prerequisites before the periodontal exposure surgery of an impacted tooth
Differences and indications of open and closed surgeries
Surgeries for the upper and lower canine: the surgical decision tree
Skeletal anchorage for canine traction
Moving impacted teeth though and with the periodontium
Mandibular canines: classification of Mupparapu.
Lesson 5. Optimizing the periodontal conditions around impacted teeth
Impacted maxillary central incisor and odontoma: diagnosis and treatment planning
Low and mid maxillary central incisors: tactics
High maxillary central incisor: clinical case
Impacted upper and lower premolars: treatment protocols
Impacted 2nd lower and upper molar
The prerequisites before the periodontal exposure surgery of an impacted tooth
Differences and indications of open and closed surgeries
Surgeries and anchorage for tooth movement of the impacted tooth
Surgical decision trees applied to the different group of impacted teeth.
Lesson 6. Maxillary lateral incisor agenesis & implant
Lateral incisor ideal width determination: Bolton index
3D implant position
Osseointegration and aging: clinical cases
Orthodontics and 3D implantology: diagnosis and treatment planning
Risks of the single implant in the anterior maxilla
Bonded bridges: advantages and indications
The optimal conditions for implant in the anterior maxilla
Zirconia cantilever bonded bridge: advantages.
Lesson 7. Critical aspects in the solution of complex cases. The point of view of the periodontist
To know the critical point from the periodontal point of view of complex ortho-perio treatments
Understand how to manage treat and maintein complex ortho-perio cases
Critical aspects in the resolution and maintenance of complex clinical cases.
Lesson 8. Periodontal therapy in the interdisciplinary Complex Case. Goals, techniques and therapeutic sequence
The appropriate diagnostic sequence
The value and importance of saving the natural tooth
The potential of the periodontal regenerative procedure
The periodontal surgical techniques
The operative sequence in complex cases
Planning of ortho-perio treatment
Protocols will be shown with the demonstration of resolution of several clinical cases of patients severely compromised by Periodontal Desease and Malocclusion, saving the natural dentition.
Lesson 9. Gum recession and surgical root coverage. Before, during or after orthodontics?
Etiologies of gum recession: initiating factors
Miller's classification
Root coverage and clinical based decisions
The decision tree for root coverage techniques:
Coronally advanced flap (CAF)
Laterally sliding flap (LSF)
Free gingival graft (FGG)
Connective tissue graft (CTG).
One incision technique: video demonstration
The conditions for successful root coverage
Determining the timing of surgery: before, during or after orthodontic treatment.
