Version 3 interdisciplinary treatment
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Transcript of Version 3 interdisciplinary treatment
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Interdisciplinary Treatment: Integrating Orthodontics with Restorative Dentistry and
Periodontics, Endodontics.
M. ABOULNASER- Orthodontist, BAU, Connecticut, USA.O. SANDID- Orthodontist, D.C.D., D.U.O, C.E.S.B.B,
C.E.S.O.D.F , S.Q.O.D.F, Paris. France.
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Plan• Orthodontics and Restorative Dentistry• 1 - Consequences of tooth loss• 2- Space management of Microdontia, Management of 'peg laterals'or other diminutive teeth• 3- Implant site preparation
• Orthodontics with Periodontics• Exposure of Impacted Teeth for Orthodontics• Gummy smile• Wisdom teeth• Freinectomy• Extrusion
• Orthodontics with Pediatric dentistry• Orthodontics with Oral Surgery• Orthodontics with Endodontics
http://www.semortho.com/article/S1073-8746(97)80034-5/abstracthttps://www.orthodontisteenligne.com/cas-traites-2/multidisciplinaire/http://pocketdentistry.com/11-interdisciplinary-orthodontics/
http://www.slideshare.net/almuzian/orthodontics-and-restorative-dentistry-by-almuzian-36418366
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1-Consequences of tooth loss
• Mesial tipping and rotations of distal molars
http://pocketdentistry.com/18-special-considerations-in-treatment-for-adults/
Loss of a lower molar can lead to tipping and drifting of adjacent teeth, poor interproximal contacts, poor gingival contour, reduced interradicular bone, and supra-eruption of opposed teeth. Note the loss of alveolar bone in the area where a
mandibular first molar was extracted
M. ABOULNASER- O SANDID Orthodontics and restorative dentistry
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1a-Consequences of tooth loss
• Distal tipping and rotations of mesial teeth
http://www.columbia.edu/itc/hs/dental/D5300/Lecture%2012.DDS.Class2008.20050622.Principles%20of%20Molar%20Uprigh_BW.pdf
M. ABOULNASER- O SANDID Orthodontics and restorative dentistry
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1b-Consequences of tooth loss
• Eruption of opposing tooth in edentulous space
LE MAY J-https://www.orthodontisteenligne.com/en/ortho-101-en/adult-orthodontics-4/
Loss of posterior teeth in an adult. On one side (A), the loss of a lower molar allowed the other molars to tip forward. On each side (A and B), the upper molars migrate toward the space below (extrusion).
M. ABOULNASER- O SANDID Orthodontics and restorative dentistry
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1c-Consequences of tooth loss
Gingival tissues become folded, and pockets form in the area
M. ABOULNASER- O SANDID Orthodontics and restorative dentistry
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1d-Consequences of tooth lossThis photo shows a lower ridge that has lost 60% of its width following an
extraction and normal healing. The black arrows indicate where bone is located (compare the width to the adjacent molar). The red arrows
indicate the normal width that should be there.
M. ABOULNASER- O SANDID
http://www.pittsburghdentalimplants.com/dental-implants/effects-of-tooth-loss/
Orthodontics and restorative dentistry
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1e-Consequences of tooth loss
Occlusal Interferences and Temporomandibular Joint Disorders
M. ABOULNASER- O SANDID
http://www.dr-adrianbecker.com/page.php?pageId=281&nlid=50
Orthodontics and restorative dentistry
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1f-Consequences of tooth lossAccumulation of plaque in pockets leads to periodontal damage, with loss
of gingival attachment and alveolar bone loss
M. ABOULNASER- O SANDID Orthodontics and restorative dentistry
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1g-Loss of the mandibular first molar-46Occlusal interferences- Overerupted 16- Gum pocket 47- Distalization 45-
Exaggerated curve of Spee
M. ABOULNASER- O SANDID Orthodontics and restorative dentistry
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1h-Tooth loss and ImpactionOrthodontics and restorative dentistry M. ABOULNASER- O SANDID
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1i-Uprighting the dental axes
http://pocketdentistry.com/18-special-considerations-in-treatment-for-adults/
Orthodontics and restorative dentistryM. ABOULNASER- O SANDID
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1k-Uprighting the dental axes – Mini -Implant
https://www.researchgate.net/figure/26791749_fig7_Fig-7-Patient-2-schematic-illustration-of-biomechanics-for-molar-uprighting-and /
Orthodontics and restorative dentistry M. ABOULNASER- O SANDID
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1l-Intrusion of Overerupted Molars using Miniscrews
http://www.jcdr.net/article_fulltext.asp?id=6165
Orthodontics and restorative dentistry M. ABOULNASER- O SANDID
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1m-Intrusion of Overerupted Molars using Miniscrews
http://www.jcdr.net/article_fulltext.asp?id=6165
Orthodontics and restorative dentistry M. ABOULNASER- O SANDID
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1n-IMPLANT SITE PREPARATION
Molar Uprighting, with space creation
Orthodontics and restorative dentistry M. ABOULNASER- O SANDID
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1p-Missing upper lateral incisors
Kazemi, https://www.facialart.com
Orthodontics and restorative dentistry
IMPLANT SITE PREPARATION
M. ABOULNASER- O SANDID
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1q-Missing upper lateral incisorsOrthodontics and restorative dentistry
Closure space
http://www.scielo.br/pdf/jaos/v22n5/1678-7757-jaos-22-05-0465.pdf
M. ABOULNASER- O SANDID
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1s- Managing the orthodontic-restorative patient
Early Tooth Loss and Space Maintenance Space regaining: Molar Uprighting and Distalization
Early tooth loss can be a result of traumatic avulsion or extraction of carious or infected teeth, Premature loss of primary teeth can result in a loss of arch length and have a negative effect on
occlusion and alignment, often increasing the need for orthodontic treatment.
Orthodontics and restorative dentistry M. ABOULNASER- O SANDID
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2-Multi-disciplinary approach for space management of Microdontia
- A minimal reduction was needed for lateral incisors. - Veneers cemented on lateral incisors. - Definitive composite restorations after finishing and polishing procedures.
M. ABOULNASER- O SANDID
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2a-Anterior Space Management
https://www.researchgate.net/figure/235394688_fig1_Figure-2-Occlusal-view-showing-spaces-between-maxillary-central-incisors-and-
between
Occlusal view showing spaces between maxillary central incisors, and between lateral incisors and canines.
Orthodontics and restorative dentistry Management of 'peg laterals'or other diminutive teeth
M. ABOULNASER- O SANDID
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2b-Anterior Space Management
https://www.researchgate.net/figure/235394688_fig1_Figure-2-Occlusal-view-showing-spaces-between-maxillary-central-incisors-and-between
Orthodontics and restorative dentistry
Management of 'peg laterals'or other diminutive teeth
M. ABOULNASER- O SANDID
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2c-Anterior Space Management
Additional orthodontic treatment is initiated to improve the dental midline and evenly distribute the space around the microdontic lateral incisors
Orthodontics and restorative dentistry
Management of 'peg laterals'or other diminutive teeth
M. ABOULNASER- O SANDID
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3-INTERDISCIPLINARY TREATMENT IMPLANT SITE PREPARATION
Move the roots from implant site, To create space priorimplant placement, the roots of the adjacent teeth should be upright and parallel
Dr Jebin
M. ABOULNASER- O SANDID
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3a-INTERDISCIPLINARY TREATMENT- IMPLANT SITE PREPARATION
Molar Uprighting, with space creation
M. ABOULNASER- O SANDID
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3b-INTERDISCIPLINARY TREATMENT- IMPLANT SITE PREPARATION
Root parallelism
M. ABOULNASER- O SANDID
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3c-INTERDISCIPLINARY TREATMENT- IMPLANT SITE PREPARATION
Yvon Roberge, Sylvain Gagnon, Orthod Fr 2008;79:55–57
Implant site preparation : Open Space, Root proximity, Bone quality, implant types…
www.orthofree.com
M. ABOULNASER- O SANDID
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3d-INTERDISCIPLINARY TREATMENTIMPLANT SITE PREPARATION
M. ABOULNASER- O SANDID