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ORTHOdontics PGI ____________________________________________________________________________________________________________ _________ PRINCIPLES AND TECHNIQUES IN ORTHODONTICS INCLUDES: BANDING/BONDING CONCEPTS EXTRACTION/NON VERSUS NON-EXTRACTION TREATMENTS CONCEPT OF SERIAL EXTRACTION DISCUSSION OF CLINICAL CASES ____________________________________________________________________________________________________________ _________ FACULTY: Sami Karam, DDS. Goals: This series of lectures will enable the resident to know in depth: 1. The concepts of bonding and banding in orthodontics. 2. The indications of extraction and non-extraction treatments. 3. The concept of serial extraction. Objectives: At the end of this series, the resident should: 1. Be proficient in the bonding and banding techniques, and know about the different changes in the techniques that might ameliorate the treatment progress. 2. Know the indications of extraction, and if so gauge the right teeth to be extracted. 3. Have in depth knowledge in the serial extraction concept, and be able to judge the exact timing to apply it. 4. Be acquainted in the dealing with any clinical malocclusion after being exposed to a variety of challenging clinical cases. ____________________________________________________________________________________________________________ _________ COURSE DURATION AND SCOPE: This course is scheduled between Mid-December and February for the first year residents. It is given every Wednesday at a 2-hour session from 10:00 a.m. to 12:00 a.m and imparts fundamental knowledge on the techniques of bonding/banding, the indications of extraction, the concept and timing of serial extraction, and presentations of challenging clinical cases. POLICY ON EXAMINATIONS: A final examination covering this course will be given at the final examination in July. During the course, any number of progress tests or assignments may be given. Their cumulative weight in proportion to the final grade may not exceed 50%. PRINCIPLES AND TECHNIQUES IN ORTHODONTICS ____________________________________________________________________________________________________________ _________ SUMMARY OUTLINE BANDING/BONDING CONCEPTS - - EXTRACTION/ NON EXTRACTION TREATMENTS - SERIAL EXTARACTION - DISCUSSION OF CLINICAL CASES ____________________________________________________________________________________________________________ _________ COURSE OUTLINE 1. BANDING/BONDING CONCEPTS 2. EXTRACTION/ NON EXTRACTION TREATMENTS A. Indications B. Which teeth to extract 3. SERIAL EXTRACTION A. The concept of serial extraction B. Three tissue system a. The tooth system a.1. Interdental spacing a.2. Intercanine arch width growth a.3. Labial positioning of erupting incisors a.4. Size differential b. The skeletal system c. The muscular system C. Morphologic assessment a. Tooth mass: present and future b. Arch length: present and future c. Skeletal pattern and denture position d. Skeletal growth potential e. Anticipated transitional changes in denture position f. Orofacial musculature g. Facial esthetics h. Oral habits i. Hereditary assessment of parents and application to the patient D. Early observations a. Basic face form and shape of the arches b. Arch width in the cuspids region c. Severity of the crowding of the deciduous and permanent incisor teeth d. Midline shift e. Increased amount of overbite f. State of facial balance E. Case analysis a. Cephalometrics b. Skeletal assessment c. Modifications with appliances F. Sequence of extractions 4. DISCUSSION OF CLINICAL CASES A. Case analysis a. Skeletal analysis b. Dental analysis c. Facial analysis B. Major orthodontic problems C. Treatment planning a. Extraction/Non extraction b. Surgical/Non surgical D. Mechanotherapy: from the beginning of treatment till the finishing REFERENCES 1. 2. 3. Thomas M. Graber, Brainerd F. Swain. Current orthodontic concepts and techniques, 2nd edition, 1975. Thomas M. Graber, Brainerd F. Swain. Orthodontics: Current principles and techniques, 1985. Thomas M. Graber, Robert L.Vanarsdall. Orthodontics: Current principles and techniques, 3rd edition, 2000.