Orthodontic Treatment Mistakes: Camouflage and Retreatment Protocols for Compromised Cases

Orthodontic Treatment Mistakes: Camouflage and Retreatment Protocols for Compromised Cases

Category: Orthodontics

Instructor(s): Adith Venugopal

Course structure: Lessons: 7 lessons | Duration: 5 h 40 min

Course overview

Diagnosis and solutions for clinical mistakes during orthodontic treatment of compromised cases with Dr. Adith Venugopal – expertise in the management of challenging cases!

Compromised cases require specialized approaches to correct jaw position and improve both function and appearance.

Course lessons

Lesson 1: Iatrogenics of Orthodontic Treatment and Modalities of Prevention. Introductory lesson

• Categorizing iatrogenic incidents
• Evaluation of common diagnostic mistakes during orthodontic treatment. Protocols to avoid iatrogenic complications
• The upper central incisors position and their effect on facial aesthetics
• The lower incisors positions. Is it possible to maintain long-term stability? Literature review
• Comparing extraction and non-extraction approaches. Indications and contraindications
• Analyzing literature on the extraction-non-extraction controversy
• Treatment outcomes in relation to extraction and non-extraction treatment approach
• Aesthetic driven orthodontics: evaluation of the patient profile before and after treatment
• The importance of controlling the vertical dimension in orthodontic treatment
• Protocols of molars vertical control

Lesson 2: Iatrogenics of Orthodontic Treatment and Modalities of Prevention

• Categorizing iatrogenic incidents
• Evaluation of common diagnostic mistakes during orthodontic treatment. Protocols to avoid iatrogenic complications
• The upper central incisors position and their effect on facial aesthetics
• The lower incisors positions. Is it possible to maintain long-term stability? Literature review
• Comparing extraction and non-extraction approaches. Indications and contraindications
• Analyzing literature on the extraction-non-extraction controversy
• Treatment outcomes in relation to extraction and non-extraction treatment approach
• Aesthetic driven orthodontics: evaluation of the patient profile before and after treatment
• The importance of controlling the vertical dimension in orthodontic treatment
• Protocols of molars vertical control
• Analysis of clinical cases:
• Extraction cases and space closure
• Non-extraction cases
• Treatment with microimplants.

Lesson 3: Biomechanics of Space Closure. Avoiding the Most Common Clinical Mistakes

• Management of the rollercoaster effect
• Treatment with extraction. Anchorage and space closure
• The protocols of sliding mechanics. How to avoid undesired tooth movement
• Tie backs for space closure
• Lace back and tie-back sliding mechanics: understanding the differences
• Treatment with microimplants. Protocols for managing anchorage throughout the treatment
• Analysis of clinical cases:
• Evaluation of the most common mistakes during retraction and space closure
• Dealing with loss of anchorage
• Overcorrection protocols
• Protocols of space closure with microimplants
• Mistakes to avoid during distalization, mesalization, intrusion, and extrusion of teeth
• Mistakes to avoid when working with cantilevers and loops.

Lesson 4: Treatment Protocols of Ectopic Canines and Application of Third Order Bends

• Interarch traction of impacted canines. Protocols of canine traction into the occlusal arch
• Planning disimpaction of palatally impacted canines to avoid iatrogenic complications
• Third order bends. Protocols of working with torque
• Iatrogenic root exposure. Third order bends fabrication
• Working with torque springs: common mistakes and how to avoid them
• Designing torquing springs to correct severe iatrogenic root exposures
• Analysis of various clinical cases.

Lesson 5: Orthodontic Retreatment of Complex Class 3 and Class 2 Cases

• Case selection and diagnosis
• Retreatment options and predictability of the outcome
• Step-by-step video demonstration of custom-made extra-slot torquing springs
• Class 2 and Class 3 camouflage protocols to avoid iatrogenic complications
• Biomechanics for the retreatment of compromised clinical cases
• Analysis of clinical cases.

Lesson 6: Vertical Delusions: Biomechanically Controlling the Vertical Dimension

• The ideal biomechanics for retraction in Class 1 and Class 2 bimaxillary protrusion
• Biomechanics for treatment of gummy smile
• TAD aided distalization and intrusion of molars to achieve chin projection
• Aesthetic and functional orthodontics: alteration of the vertical dimension of occlusion
• Correction of severe skeletal cants using TADS
• Analysis of various clinical cases:
• Segmented distalization
• Segment intrusion
• Application of TADS, loops, cantilevers, and torque springs.

Lesson 7: Class 3 Camouflage: Protocol to Optimize Aesthetics and Stability and to Avoid Iatrogenic Complications

• Diagnosis of Class 3: Pseudo/functional or true skeletal?
• Characteristics of Class 3 malocclusion
• Treatment protocols of pseudo Class 3
• Camouflage protocols of skeletal Class 3
• Treatment protocols of Class 3 with facial asymmetry
• Clinical case analysis:
• Class 3 treatment with microimplants
• Biomechanics of lower teeth distalization
• Class 3 treatment with extraction.

Who is this course for?

This online course is designed for dentists and dental professionals interested in orthodontics, clinical decision-making and evidence-informed dental practice.