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Retention: an International Perspective, Evidence and Solutions

Retention: an International Perspective, Evidence and Solutions
 
Retention is arguably the most important and most controversial subject
in orthodontics. The speaker will give an international perspective on this
key topic, looking at best practice worldwide as well as discussing an
evidence-based approach to provide us with solutions for reducing relapse
in our patients. This lecture promises to be an entertaining journey that
will provide delegates with a contemporary approach to reducing relapse
through appropriate treatment planning, mechanics, retainers and adjunctive
techniques.
The Face: a Goldmine for the Future of
Orthodontics
Dr. Renato Cocconi
Orthodontics faces many challenges to match the needs of today’s patients.
This requires a reset: new perspectives, new means, new goals.
In occlusion driven orthodontics the correction of the occlusion is the main
parameter to define the success of a treatment.
In face driven orthodontics the overjet correction should be achieved along
with a facial improvement or at least avoiding facial decline.
This new perspective defines when a patient can be treated with an
orthodontic camouflage, with ortho – surgery or with limited treatment. New
treatment options, addressing patient’s main complaints can be offered in this
golden age of orthodontics.
Segmentation techniques in multidisciplinary approach for enhanced aesthetics
Dr. Dalia Latkauskiene and Dr. Simonas Grybauskas
Combined orthodontic-surgical approach is recognised as the best treatment
option for adults with severe dentofacial deformities from both dental and
skeletal perspectives. Cooperation between an orthodontist and a surgeon is
obviously fundamental to achieve this task. Treatment is organized into five
phases: planning, pre-surgical orthodontic setup, orthognathic surgery, post
surgical orthodontics and retention. All of these steps are equally important to
achieve the long-term success of combined treatment: improved and balanced
facial aesthetics together with functional occlusion and well aligned dental
arches. Preparation for the surgery is a coordinated process focused on clearly
set objectives. The surgeon from the very beginning foresees anticipated
changes in the dentoalveolar arches and sets the goals for the overjet, overbite
and the shapes of dental arches. The dentition is planned to be set up in a way
that it would not hinder the aesthetical repositioning of jaws. The orthodontist
analyses the information and comes up with the orthodontic treatment
strategy, then tunes it up together with the surgeon. Once the orthodontic
treatment objectives are met, the patient is ready for surgery. Pre-surgical
orthodontics unties the hands of the surgeon and enables surgical repositioning
of jaws into the most aesthetically pleasing position that would otherwise be
impossible. Post surgical orthodontics is of utmost importance to finish the
case in a stable way. One of the ways to improve final aesthetic outcome and
stability is segmentation of skeletal structures. Although most of the literature
considers upper jaw segmentation in order to expand it in transversal plane
and align the occlusal plane vertically, segmentation of the lower jaw in order
to change the anatomy of the mandible is also a possibility to consider. The
aim of the presentation is to deliver the orthodontic and surgical protocols for
segmentation techinques in both jaws, orthodontic mechanics in three planes
will be considered before and after orthognatic surgery, special attention will
be paid to how to finalise the case both in surgical and orthodontic aspects
and keep the result stable. Clinical cases will be presented in order to illustrate
different orthodontic and surgical techniques and treatment outcomes.
Aesthetic considerations in the development of the smile.
Dr. José Chaqués Asensi
The actual conception of orthodontics involves the development of a nice
occlusal result in a healthy biological environment, within a beautiful
dentofacial complex. Therefore, the aesthetic considerations of the orthodontic
outcome have become a major priority in diagnosis and treatment planning.
Furthermore, the current aesthetic perspective involves not only the changes
in the facial profile but, more importantly, the relationship between the teeth
and the soft tissues, namely the gingival contour and the lips. Adequate
balance and relationship among these factors is critically important to achieve
an excellent clinical result and a beautiful smile. In this presentation, strategies
about how to deal with these parameters from the clinical point of view will be
presented, some “new concepts” will be analysed and critically evaluated and
some recommendations on how to improve our overall dentofacial aesthetics
in clinical orthodontics will be proposed
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