Join me for a summary exploring bullying and its relationship with malocclusion, with a contemporary review of evidence showing the psychological effects various malocclusions can cause young people. This podcast is a summary of Andrew DiBiase’s lecture last year at the British Orthodontic Conference. Andrew’s research explores what factors moderate bullying, and what factors can be protective against bullying.     Introduction   ·      Nearly 1 in 3 patients report teasing or fear of teasing as a motivating factor for orthodontic treatment Bauss 2023 AJ ..read more

Join me for a summary of Madhur’s lecture on the biomechanics and aligners, where he describes the fundamentals biomechanics of aligners, explains the reason for the shortcomings of aligners and his tips to reduce them. How do aligner work? Two approaches Shape moulding effect – shape driven Move position of teeth to ideal Invisalign 80% through shape moulding Attachments 20% force delivery Perpendicular surface with Invisalign When shape moulding is considered 2g/mm2 of stress, with attachments 20g/mm2, higher stress to aligner, which is a downside How to aligners treat malocclusions ..read more

Join me for Neal Kravitz’s lecture on canine substitution and the clinical management of it. Focusing on bracket selection and canine recontouring Case selection · 2 key factors o Profile o Mandibular crowding Bracket selection · Goal: o Canine substitution: § Reduce canine root prominence o Premolar substitution: § Hide palatal cusp o Molar interdigitation: § class 2 cases 4 bracket choices for canine · UR1 (+17 tq, + 4 tip) · Achieves ideal torque · Requires flattening of canine labial face = plasty · UR2 (+10 tq, + 8 tip) o plasty and step out · UR3 inverted (+7tq, +8 tip) o Flipped U3 o Li ..read more

Orthodontic treatment in stage IV periodontitis patients. Spyridon Papageorgiou. EFP Euro series Join me for a summary of the EFP’s lectures on periodontitis and orthodontic treatment. The orthodontic lecture was by Spyridon Papageorgiou and two lectures from periodontists, The topic explored related to stage IV periodontitis and orthodontics Stage IV – new classification from world workshop Papapanou 2017 · Clinical attachment loss 5mm+ · Bone loss extend to mid third of root · Malocclusion / masticatory dysfunction o Bite collapse:  Loss of posterior support resulting in tooth movement ..read more

Join me for day one of the BOS 2021. Day one covers 5 lectures; research presentations, the Chapman prize looking at full or part-time functional appliances, retention and what’s new, paediatric orthodontic management and lingual appliances Speakers: Pratik Sharma Padhraig Fleming, Simon Littlewood, Sarah Good, Esfandiar Modjahedpour Individual lecture podcasts are available in the description from the website www.orthoinsummary.com Lectures covered 1. Research presentation: University Teachers Group 2. Chapman Prize 2020: Prescription of full or part-time Twin Block wear: A randomised contro ..read more

Join me for a summary of a lecture by Ramesh Sabhlok, looking at one of the most popular sites for TAD placement, the maxillary buccal interradicular site.   The most common site in maxilla for implant placement is between 2nd premolar and 1st molar  in the keratinized gingiva. Two factors 1.    Buccal bone thickness 2.    Inter radicular distance Bone thickness: ·      Greatest bone width of bone is between 2nd premolar and 1st molar, and considered ‘safe zone’ thickness of bucco-palatal bone 10.2-11.4mm ( Pogio 2006 Angle ortho ..read more

Join me for a summary of Oliver Liebl’s lecture looking at digital orthodontics, through both digital indirect bonding and in-house aligners. The workflow Oliver described was through Onyxceph in a step by step process, however the modules used are similar to other available software modules. Oliver described the ‘digital orthodontist’ who uses 1. Digital bracket positioning with Indirect Bonding Trays IDB 2. Finishing with in-house aligners Digital bracket positioning Advantages · Automatic placement of different heights, MBT, Andrews etc · Virtual simulation = visualise effects of changes Di ..read more

Join me as I summarise Mona Ghoussoub’s lecture looking at the excessive gingival display (EGD). Mona looked at the diagnosis and treatment of EGD, with a focus on aetiology leading to treatment method, effect of age, and input of multidisciplinary care for appropriate cases. Definition Kokich 1999, Machado 2014 · Negative effects = 4mm + gingival display Treatment approach Early treatment o Medical  ENT allergology o Excessive gingival show age 7-8 years o Nasal obstruction causes decrease in lip closing force Sabashi 2011 o Detect and refer ENT if suspect nasal obstruction § Dark eyes ..read more

Join me for a topic summary looking at anterior openbites from the AAO. This summary looks at the differences in key diagnostic criteria, the options for treatment planning, and the evidence to support time. The summary is taken from Roberto Carrillo, Flavia Artese and Ravi Nanda’s lectures. Separate treatment plan: · treatment of the aetiology · Treatment of mechanics Aetiology Tongue posture / thrust or mouth breathing, alter equilibrium of AP and vertical tooth position. · Tongue posture / thrust o Forwards position, not thrust / swallowing, as low intensity and duration o Different positio ..read more

Lower arch missing lower 2nd premolars Hemisection lower E – distal half – Old school Allow mesial drift of 6s, L4s do not distally tip, important in class 2 cases Use mesial aspect for anchorage if ankylosed Remove remaining Other options TADs 30% failure in the mandible in Caucasian Herbst Mini-plates – very evasive But hemisection is simple Gingivectomy After extrusion of impacted tooth,  need for gingivectomy Orthodontists should learn as common need Process Scan Plan a gingivectomy guide Laser or electrosurgery for gingivectomy Cant and TADs adult cases are the future of ..read more