EXTRACTION IN CL II TREATMENT… FOR AESTHETICS & FUNCTION | THE ORTHODONTIST AS A MEMBER OF THE CLEFT LIP AND PALATE TEAM
20 October 2023
EXTRACTION IN CL II TREATMENT… FOR AESTHETICS & FUNCTION
Extractions are often debated and questions are; why do we extract and when are extractions needed? The indications can be biologic and aesthetic aiming for good occlusion with harmonious position of the incisors in the face and in the alveolar bone. The mandibular gingival biotype and the alveolar bony envelope are determinant factors in the decision to extract. Space closure can be performed on continuous wires or with sectional and segmented technique. The choice of approach depends on the initial malocclusion. The objectives are to maximize the effects and minimize the side effects of the appliance. Furthermore, anchorage control is required from the beginning of treatment and sometimes TADs can be helpful. And what about aligners?
The lecture will focus on:
– When to extract? Biologic and aesthetic indications.
– Space closure techniques on sectional and continuous wires.
– Predictability and anchorage control in space closure.
THE ORTHODONTIST AS A MEMBER OF THE CLEFT LIP AND PALATE TEAM
Interdisciplinary collaboration and protocols of treatment.
Patients with orofacial clefts need multidisciplinary care. Treatment complexity and high burden of care require several specialists to work in harmony when establishing treatment protocols. Usually the following disciplines participate in the Cleft teams: paediatrics, genetics, plastic and reconstructive surgery, social work or nursing, orthodontics, speech language therapy, ENT, maxillofacial surgery, prosthetic dentistry and psychology.
The presentation will focus on the role of the orthodontic consultant in the management of children born with a cleft condition at multiple stages of dental and growth development. Protocols of treatment will be introduced through clinical examples. Attention will be drawn to functional adaptation, issues with post-treatment stability and need for life-long retention. The importance of a close communication among all professional specialties in the team, respecting patients own expectations and perceptions will be emphasized.
|09.00 – 09.30||Registration|
|09.30 – 11.00||Lecture|
|11.00 – 11.30||Coffee break|
|11.30 – 13.00||Lecture|
|13.00 – 14.00||Lunch|
|14.00 – 15.30||Lecture|
|15.30 – 16.00||Discussion|
DR. MORTEN LAURSEN
Morten Godtfredsen Laursen received his DDS from Aarhus University, Denmark in 2001. He qualified as a specialist in orthodontics in 2007 after attending the International Postgraduate Programme in Orthodontics at Aarhus University. Since 2007, Dr. Laursen is employed part time at the Section of Orthodontics, Aarhus University, where he is currently involved in teaching of pre- and post-graduate students and organization of the International Short-Term Course in Orthodontics. He has a private office limited to orthodontics in Aarhus, Denmark and he is provisional member of the Angle Society of Europe. His research is focused on the dento-alveolar-bone-complex and tooth movement. He is past-president of the European Postgraduate Student Orthodontic Society (EPSOS).
DR. SUSANNA BOTTICELLI
Susanna Botticelli is consultant orthodontist at the Aarhus Cleft Lip and Palate Department, Postdoc at Aarhus University and in
private practice in Aarhus. She graduated as a dentist from University of Bologna in 2001 and completed her orthodontic
training in 2007 and her Ph.D studies in 2019 at Aarhus University. Her research focuses on assessment of cleft size, palatal
volume, and pre- and post-surgical evaluation of bone grafting procedures. Furthermore, she has an interest in impacted teeth
and interdisciplinary collaboration. She is director of the International Short-Term Course in Orthodontics at Aarhus University.
She was awarded the First Prize for the best oral presentation at the Nordic PhD Summit (NorDoc) in Helsinki in 2018.