התחל במצב לא מקוון עם האפליקציה Player FM !
Early treatment (phase 1): Topic summary AAO meeting 2022
Manage episode 332303246 series 2830917
Join me for a summary of early treatment lectures from this years AAO meeting from May 2022. Topics will cover trauma, airway diagnosis and orthodontic treatment, and optimal timing of class 2 correction
Lectures:
- Dental Trauma Eustaquio A. Araujo
- Airway-centered Orthodontic Diagnosis & Treatment for Pediatric Patients Hong He
- Predictors of Success for Early Mixed Dentition Treatment Heesoo Oh
Dental Trauma Eustaquio A. Araujo
Trauma protocol
- Reposition with firm grip
- 16x22NT
- Bite props to eliminate occlusal interference
- Soft diet
- Recall 2 weeks
Re-implantation of avulsion success
- Less than 1hour 75%
- Up to 24 hours 25%
- Conclusion – look at the neighbours
Airway-centered Orthodontic Diagnosis & Treatment for Pediatric Patients Hong He
Nasal breathing Vs mouth breathing
- NB = Tongue rests on the palate. MB = Tongue floor of the mouth
- NB = Pressure of the cheeks is balanced with the tongue. MB Pressure of the cheeks is unopposed by tongue
- NB = U shape upper arch (normal). MB = V shaped arch
Tonsillar hypertrophy
- Oropharynx obstruction
- Ventilation impaired
- Occlusal effects
- Tongue and mandible forwards Iwasaki 2017
- Mandibular protrusion
- Class 3 malocclusion
- He’s study n=1776
- Greater tonsillar hypertrophy in children with class 3
Caution as limited studies pre-pubertal and controls also improved in scores
Predictors of Success for Early Mixed Dentition Treatment Heesoo Oh
When is it best to treat class 2 cases
Study: optimal timing of the effectiveness and efficiency
- Early class 2 equally effective not as efficient
- BUT
- Mean changes = mask individual response
- Philosophy – correct some / all features of malocclusion
- Reduce / eliminate need for phase 2
- Angle orthodontist Oh 2017
Treatment protocol
- 7-9 years
- Headgear night wear 11 hours
- RME
- 2 x 4 fixed appliances
- Lingual arch
- Greater 33 months = unsuccessful (time only marker of success, as occlusal and skeletal the same at the end)
Results
- 15/54 (28%) phase 1 only
- Comparison
- No differences in occlusal and skeletal outcomes
- Time
- Total treatment times (phase 1 + phase 2):
- 67% less than 18 months in treatment active treatment
- 20% 4-5 years of total treatment time
- Total treatment times (phase 1 + phase 2):
112 פרקים
Manage episode 332303246 series 2830917
Join me for a summary of early treatment lectures from this years AAO meeting from May 2022. Topics will cover trauma, airway diagnosis and orthodontic treatment, and optimal timing of class 2 correction
Lectures:
- Dental Trauma Eustaquio A. Araujo
- Airway-centered Orthodontic Diagnosis & Treatment for Pediatric Patients Hong He
- Predictors of Success for Early Mixed Dentition Treatment Heesoo Oh
Dental Trauma Eustaquio A. Araujo
Trauma protocol
- Reposition with firm grip
- 16x22NT
- Bite props to eliminate occlusal interference
- Soft diet
- Recall 2 weeks
Re-implantation of avulsion success
- Less than 1hour 75%
- Up to 24 hours 25%
- Conclusion – look at the neighbours
Airway-centered Orthodontic Diagnosis & Treatment for Pediatric Patients Hong He
Nasal breathing Vs mouth breathing
- NB = Tongue rests on the palate. MB = Tongue floor of the mouth
- NB = Pressure of the cheeks is balanced with the tongue. MB Pressure of the cheeks is unopposed by tongue
- NB = U shape upper arch (normal). MB = V shaped arch
Tonsillar hypertrophy
- Oropharynx obstruction
- Ventilation impaired
- Occlusal effects
- Tongue and mandible forwards Iwasaki 2017
- Mandibular protrusion
- Class 3 malocclusion
- He’s study n=1776
- Greater tonsillar hypertrophy in children with class 3
Caution as limited studies pre-pubertal and controls also improved in scores
Predictors of Success for Early Mixed Dentition Treatment Heesoo Oh
When is it best to treat class 2 cases
Study: optimal timing of the effectiveness and efficiency
- Early class 2 equally effective not as efficient
- BUT
- Mean changes = mask individual response
- Philosophy – correct some / all features of malocclusion
- Reduce / eliminate need for phase 2
- Angle orthodontist Oh 2017
Treatment protocol
- 7-9 years
- Headgear night wear 11 hours
- RME
- 2 x 4 fixed appliances
- Lingual arch
- Greater 33 months = unsuccessful (time only marker of success, as occlusal and skeletal the same at the end)
Results
- 15/54 (28%) phase 1 only
- Comparison
- No differences in occlusal and skeletal outcomes
- Time
- Total treatment times (phase 1 + phase 2):
- 67% less than 18 months in treatment active treatment
- 20% 4-5 years of total treatment time
- Total treatment times (phase 1 + phase 2):
112 פרקים
כל הפרקים
×ברוכים הבאים אל Player FM!
Player FM סורק את האינטרנט עבור פודקאסטים באיכות גבוהה בשבילכם כדי שתהנו מהם כרגע. זה יישום הפודקאסט הטוב ביותר והוא עובד על אנדרואיד, iPhone ואינטרנט. הירשמו לסנכרון מנויים במכשירים שונים.