intro to ortho
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Introduction to Orthodontics
Jonathan Chapple
Department of Orthodontics
Newcastle Dental Hospital
Jonathan ChappleDepartment of Orthodontics
Newcastle Dental Hospital
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Good morning!
If you are 3rd year dental students attending a
lecture on Orthodontics
Then we are all in the right place.
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Objectives of this lecture
Orthodontics
What is orthodontics?
What do we do?
What will you get to do? Those who are interested..
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Orthodontics
What is
Orthodontics? The branch of
dentistry concerned
with the treatment andprevention of
irregularities of the
teeth and jaws
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Orthodontics Prevention
Interceptive orthodontics
Advice on extraction of teeth to relieve crowding
or allow eruption of certain teeth
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Unerupted Teeth - incisors
Impeded by
supernumerary
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Orthodontics Prevention
Interceptive orthodontics
Advice on extraction of teeth to relieve crowding
or allow eruption of certain teeth
Advice on extraction of certain teeth with poor
prognosis to allow for spontaneous alignment.
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Extractions First molars
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Orthodontics Treatment
Skeletal discrepancy
Dento-alveolar disproportion(too little or too
much space for all permanent teeth)
Also Missing teeth/small teeth
Trauma
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Treatment for Skeletal
Discrepancy Facial proportion
(vertical) Increase in overjet
(horizontal)
Increase in overbite
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Dento-alveolar Disproportion What does that mean?
Crowding
Spacing
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Treatment for Missing Teeth Where are they?
Impacted
Congenitally missing
Syndrome
Extracted for decay orperiodontal disease
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Treatment for TraumaTrauma may result in
loss to upper centralincisors
Treatments
Acute
Removal and space
closure
Space opening andprosthesis
Transplant
Implants
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Treatment methods Orthodontics only
Removable appliances
Fixed appliances
Growth modification
Functional appliances
Headgear
Orthognathic surgery
combined approach
with Maxillofacial
Surgery
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Treatment for skeletal discrepancy
Growing patient growth modification
Adult patient accept or surgery
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Growth modification Functional appliances
Twin blocks
Medium opening
activators
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Skeletal disproportion
OJ Severe class II
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Skeletal disproportion
OJ Severe class II
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Growth Modification
Headgear
Cervical
High pull
Reverse pull
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Orthognathic surgery Treatment for skeletal
discrepancy wherefunctional appliances
have failed or patient
wanting treatment is anadult
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Orthognathic Surgery Combined approach
with MaxillofacialSurgery
Approach where
orthodontics alone isinsufficient
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Orthognathic surgery Single jaw or
Bi-maxillary osteotomy
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So, after all that What do dental students get to do?
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Orthodontics - Appliances Removable appliance
Elssa.jpg
Elssa.jpg
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Orthodontics - Appliances Fixed appliances
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And of course Functional appliances
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What else is there? Move teeth which are
impacted Commonly maxillary
canine
Exposure by themaxillo-facial surgeons
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What else do we get involved in?
Osteogenic Distraction
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Orthodontic Treatment
Is it worth it?
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Orthodontics in the NHS
Service is provided by
General Dental Services
Specialist Practitioner
Community Dental Services
Hospital services
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GDS, Specialist Practice & CDS
Treats most patients
Mostly bread and butter orthodontics Efficient with high throughput
variable training; Combines GDP withinterest and practitioners with specialisttraining
CDS may treat medically compromised ormore difficult cases
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Hospital service
Consulation service for patients referred from
primary and secondary care Management of multidisiplinay patients (cleft,
restorative, orthognathic, paedodontic,
medically compromised)
Treatment of complex orthodontic cases
Training of specialists/ GDP with interest
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Is orthodontics fun?
Its slooowwwwwwwww
And some people say its boring
It works and mostly, you get results
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Is orthodontics fun?
If you want instant gratification -
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Is orthodontics fun?
Or if you want more excitement
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Is orthodontics important?
It is to pass your final BDS examination
You may not provide any orthodontics ingeneral practice
But you need to know how it can benefit your
patients
Advances in techniques and increased publicawareness
Higher expectations
Improved outcomes
Increased multidisciplinary care
Do I want to be an
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Do I want to be an
orthodontist? Yes
If you like making nice smiles
If you like wire bending
Do I want to be an
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Do I want to be an
orthodontist? Yes
If you like doing puzzles
If you want to make loads of money (the top 10
earning dentists in the UK are all orthodontists)
No
If you dont want to study for another 5 years
(minimum)
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Those who are interested..
Postgraduate qualification
BDS (Obviously) 2-3 years clinical experience, involving either
GPT, or
VT and SHO in maxillofacial or dental hospital
MFDS, MFD Audit projects
Publications
Apply for 3 year training programme M. Sc.
M. Orth.
Further 2 years training to become a consultant
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Fi ll Th E d
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Finally - The End
Questions?
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