Orthodontics in Oral Rehabilitation: Biomechanics, Interdisciplinary Planning and Prosthetic Preparation
Orthodontics in Oral Rehabilitation: Biomechanics, Interdisciplinary Planning and Prosthetic Preparation
Course overview
Comprehensive oral rehabilitation requires precise collaboration between the orthodontist, prosthodontist and other specialists. Orthodontic treatment in such cases becomes part of the overall treatment plan, allowing for the creation of optimal conditions for subsequent prosthetic work and achieving a stable functional result.
This course is dedicated to orthodontic protocols in comprehensive patient rehabilitation — from occlusion analysis and treatment planning to the use of mini-implants, 3D biomechanics and preparation of the dental arches for prosthetics.
Within the course you will learn:
The Vienna School concept and its application in modern orthodontics
Occlusal biomechanics and principles of interdisciplinary planning with maxillofacial surgeons
The use of mini-implants and the biomechanics of orthodontic tooth movement
Planning tooth positions with consideration of subsequent prosthetic work
Prevention and management of complications
Composite protocols and the use of aligners in comprehensive rehabilitation
The retention phase and stabilization of treatment results.
The course will help systematize the approach to orthodontic preparation of patients prior to prosthetics and build a consistent interdisciplinary treatment protocol."
Course lessons
Lesson 1. Complications, composite protocol, aligners and the retention phase
The final lesson covers complex clinical situations, remediation of clinician errors and the final stages of team treatment. You will review algorithms for managing joint complications, bruxism and TMJ hypomobility, as well as the possibilities of the composite protocol. The lesson reveals the pros and cons of aligners, the methodology for superimposing planned movements with CBCT data, rules for transferring the patient to prosthetics and features of the retention period before and after prosthetic treatment.
Clinical case review: joint complications after orthodontics, retreatment and prosthodontics
Composite protocol in interdisciplinary practice: advantages
Systemic analysis of errors and complications when there is no communication between clinicians
Advantages and limitations of using aligners when preparing for prosthetics
Methodology of superimposition (comparison) of planned tooth movements with CBCT data
Analysis of complex clinical cases:
Patient with a distal position of the mandible, bruxism and TMJ hypomobility
Algorithm for correcting prosthetic errors using orthodontic means.
Protocol for completion of orthodontic treatment and official transfer of the patient to the prosthodontist
Organization of the retention phase: features of retaining appliances before and after prosthetics."
Lesson 2. Preparation for prosthetics, control timelines and therapeutic position
This lesson is devoted to the initial stage of preparing the patient for prosthetics and the control protocols during orthodontic treatment. You will study the criteria for choosing between aligners and braces, the schedule for routine check-ups, arch activations and data transfer to the prosthodontist. The lesson examines in detail the causes of loss of the therapeutic position, methods for its interim diagnostics (axiography, myography, CBCT), as well as ways to eliminate artifacts and overexposure on images.
Comparative analysis: aligners or bracket systems before the prosthetic stage
Regulation of dynamic monitoring: check-up schedules, arch replacement and activation, control timelines
Protocols for joint appointments and the regulation of clinical data transfer to the prosthodontist
Loss of the therapeutic jaw position: causes, risks and methods of interim diagnostics
Clinical case review: team communication error and loss of the therapeutic position
Instrumental diagnostics: use of axiography and electromyography (EMG)
Features of imaging and diagnostics with braces and aligners: combating artifacts and overexposure on scans/CT
Clinical case analysis (skeletal Class II): myographic analysis and fabrication of a splint
Procedure for joint decision-making on fixation of the therapeutic position by the orthodontist and prosthodontist.
Lesson 3. Orthodontic preparation for prosthetics, TADs and 3D biomechanics
The second lesson examines specific clinical cases and local tooth movements to create conditions for prosthodontics and implant placement. You will learn protocols for preparation for vertical preparation, the use of the MEAW technique and skeletal anchorage (TADs), algorithms for intrusion, uprighting, distalization and addressing the midline. The lesson contains solutions for complex pathologies: management of growing patients, crossbite and open bite, elimination of a gummy smile, use of the composite protocol and final occlusal organization after orthognathic surgery.
Orthodontic preparation for vertical preparation and partial orthodontics prior to implantation
Use of the MEAW technique and micro-implants (TADs) to create skeletal anchorage
Stepwise planning of combined orthodontic and prosthodontic treatment
Analysis of the biomechanics of tooth movement:
Intrusion and elimination of mesio-distal tipping
Elimination of protrusion and correction of the midline
Uprighting and distalization in the sagittal direction.
Arch expansion and leveling in growing patients and patients with crossbite
Correction of functional overload and the use of the composite protocol as an alternative to prosthetics
Management of patients with joint symptoms and concurrent periodontal involvement
Work in the vertical plane:
Correction of cant/tilt of the maxilla and analysis of common errors
Intrusion of the anterior group and elimination of a gummy smile
Treatment of open bite: combination of anterior extrusion, intrusion of posterior teeth and use of myofunctional therapy for infantile swallowing.
Occlusal interrelationships: canine guidance dominance, protrusive guidance and Wilson curve
Final occlusal reorganization and contacts after maxillofacial surgery.
Lesson 4. Vienna School concept, occlusal biomechanics and planning with orthognathic surgery
The lesson is devoted to the biomechanical and interdisciplinary foundations for forming the main and alternative treatment plans. You will review the features of interaction between the orthodontist and prosthodontist, the Vienna School concept and the parameters of fundamental occlusion (Spee curve, DOA, anterior guidance). The lesson offers an in-depth analysis of clinical cases with TMJ pathology, asymmetry, skeletal Class III, as well as criteria for choosing between orthognathic surgery and conservative maxillary expansion using mini-implant-supported appliances.
The concept of main and alternative treatment plans in interdisciplinary dentistry
Mechanics of interaction and task distribution between the orthodontist and prosthodontist
Vienna School concept in orthodontics: technical tasks and occlusal landmarks
Management of patients with TMJ pathology: the role of splints, aligners and prosthetic correction
Occlusal biomechanics: Spee curve, Disocclusion Angle (DOA), cusp inclination and anterior guidance
Distribution of masticatory load: prevention of occlusal trauma and functional overload
Involvement of the maxillofacial surgeon: indications for skeletal expansion and orthognathic surgery
Comparative case analysis: surgical protocols (orthognathic surgery of the TMJ) vs alternative conservative methods
Clinical analysis of retreatment for asymmetry and skeletal Class III with joint syndrome
Transverse issues: maxillary constriction, assessment of the maturation stage of the midpalatal suture
Basal and dental (coronal) expansion of the maxilla: appliances with and without mini-implants
Limits of orthodontic treatment and collegial decision-making.
