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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Retention: an International Perspective, Evidence and Solutions