Abstract

Patient-Driven Orthodontic Treatment Planning

by Ciuffolo Fabio

The request of Adult orthodontic treatment is increasing due to the advent of cosmetic orthodontics. However, the adult patient frequently shows several critical issues in terms of expectations, complexity and multidisciplinary needs which requires a "tailor-made" therapy, i.e. guided by the condition of each individual. The lecture highlights all the skills that are necessary in managing this type of patient, in order to plan the best orthodontic journey and achieve excellent results, for a better oral health-related quality-of-life. This purpose is obtained by showing a case series and the related scientific evidence supporting the conclusive take home messages (THM). The first THM is based on the challenge to avoid prosthodontics in future adults when the agenesis of lower second premolars is present and a lower molar protraction is requested even in patient with straight profile. A second THM is to understand as priority on how to manage the periodontics and tooth-shape before to choose the orthodontic appliance. The third THM is related to the differential diagnosis which is necessary in order to distinguish borderline patients from surgical cases, other than to manage TMD and OSAS comorbidity.

Learning Objectives

After this lecture, you will be able to know the simplified biomechanics for lower molar protraction
After this lecture, you will be able to treatment plan a multidisciplinary orthodontic journey
After this lecture, you will be able to distinguish a borderline patient from a surgical patient

Patient-Driven Orthodontic Treatment Planning

by Fontana Mattia

The request of Adult orthodontic treatment is increasing due to the advent of cosmetic orthodontics. However, the adult patient frequently shows several critical issues in terms of expectations, complexity and multidisciplinary needs which requires a "tailor-made" therapy, i.e. guided by the condition of each individual. The lecture highlights all the skills that are necessary in managing this type of patient, in order to plan the best orthodontic journey and achieve excellent results, for a better oral health-related quality-of-life. This purpose is obtained by showing a case series and the related scientific evidence supporting the conclusive take home messages (THM). The first THM is based on the challenge to avoid prosthodontics in future adults when the agenesis of lower second premolars is present and a lower molar protraction is requested even in patient with straight profile. A second THM is to understand as priority on how to manage the periodontics and tooth-shape before to choose the orthodontic appliance. The third THM is related to the differential diagnosis which is necessary in order to distinguish borderline patients from surgical cases, other than to manage TMD and OSA comorbidity.

Learning Objectives

After this lecture, you will be able to avoid prosthodontics in future adults when the agenesis of lower second premolars is present and a lower molar protraction is requested even in patient with straight profile.
After this lecture, you will be able to understand as priority on how to manage the periodontics and tooth-shape before to choose the orthodontic appliance
After this lecture, you will be able to distinguish borderline patients from surgical cases, other than to manage TMD and OSA comorbidity.