Surgical and Non-Surgical Strategies for Orthodontic Success

November 7, 2020 / 7:15 - 8:30 am

Program Track: Interdisciplinary Therapy

This session will cover the etiology of tooth crowding from an anthropological and genetic perspective. It will provide insights into minimizing the risk of post orthodontic gingival recession, post-orthodontic relapse, decreasing the risk of apical root resorption and accelerating the rate of tooth movement (a patient value). Phenotype modification is oftentimes a critically needed component to facilitate the above, for patients presenting with a crowded dentition.

Orthodontists are often faced with treatment planning dilemmas for patients presenting with complex impacted and ectopic teeth. Treatment options usually include extraction or surgical exposure with advanced orthodontic mechanics. This presentation will also review the strategies and techniques for surgical exposure, transplantation and repositioning.  Surgical and orthodontic collaboration is essential to achieve an optimal outcome for these patients.

Adjunctive orthodontic movements to benefit tissue morphology and implant site development have long been utilized.  Lately, a shift from conventional fixed appliance therapy to aligner therapy has revolutionized these interactions. This presentation will illustrate just a few examples and take a brief look at biologic means of accelerating orthodontic movements.

Educational Objectives:

• Consider the etiology of gingival recession, orthodontic relapse, and apical root resorption as iatrogenic risk factors associated with orthodontic treatment
• Appreciate the value of PAOO/SFOT in reducing the above iatrogenic risk factors
• Identify both genetic and anthropological factors associated with orthodontic tooth crowding
• Review surgical approaches for exposure, transplantation or repositioning
• Examine orthodontic mechanics for challenging impactions
• Discuss collaborative planning and communication
• Gain an appreciation for the physiology of tooth movement
• Explain the limitations of new attachment via orthodontic movement
• Benefit from recent developments promoting orthodontic acceleration.