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الإنضمام للعضوية

البرنامج العلمي

 PRE-CONFERENCE COURSES

THURSDAY 21 FEBRUARY 2019-JEDDAH

TIME

TOPIC

SPEAKER

09:00AM-03:00PM Critical Thinking for Orthodontic Management of the Orthognathic Surgery Patient

COURSE DESCRIPTION:

Successful orthognathic surgical outcomes are very much dependent on appropriate pre- and post-surgical orthodontic care. In the absence of effective orthodontic strategies and biomechanics, the very best efforts of an oral/maxillofacial surgeon to attain a planned outcome can be undermined. In his presentation, Dr. Tremont will share how critical thinking is required for choosing treatment objectives to achieve goals encompassing facial and smile aesthetics, function, the periodontium and stability. Orthodontic techniques for accomplishing these specific objectives will be illustrated.

LEARNING OBJECTIVES:

● How specific treatment objectives for the position of teeth and jaws impact general goals of facial and smile aesthetics, function, the periodontium, and stability.

● What is the “Universal Law” of how teeth fit together.

● How to critically choose optimal versus compromise objectives.

● What clinical orthodontic techniques are effective for pre- and post-surgical management of the dentition.

Dr. Timothy Tremont

03:00PM-08:00PM Skeletal Anchorage and Surgery First

Surgical-orthodontic treatment traditionally involves presurgical orthodontic preparation, including dental alignment, incisor decompensation, and arch coordination. In skeletal Class III patients, however, presurgical incisor decompensation will exacerbate an anterior crossbite and prognathic lip profile, and can increase the total treatment time with no significant benefit for the patient. We have adopted a new approach to such treatment: Sendai Surgery First (SSF), followed by orthodontic alignment. This approach was made possible by the Skeletal Anchorage System (SAS). The SSF has many biological and psychosocial advantages over traditional surgical-orthodontic treatment as follows:

  • Timing of surgery is up to the patients.
  • Patient satisfaction is virtually guaranteed, because the patient sees a major improvement in the profile at the beginning of treatment.
  • The Class III profile and anterior crossbite are not exacerbated by incisor decompensation. Concerns about worsening the profile in presurgical treatment sometimes cause Class III patients to forgo orthognathic surgery.
  • If a surgical error or skeletal relapse occurs, compensation can be made with SAS mechanics. In conventional surgical orthodontics, because the decompensation is completed before surgery, it is difficult or impossible to recover from surgical error during postsurgical orthodontic treatment.
  • The total treatment time is usually much shorter, because bone turnover after orthognathic surgery significantly accelerates orthodontic tooth movement by means of RAP (regional acceleratory phenomenon) and SAP (systemic acceleratory phenomenon).
  • Decompensation can be performed effectively and efficiently.
  • The patient’s QOL is rapidly improved in comparison with the conventional surgical orthodontics.
  • Since total treatment time of SSF is significantly short, SSF may be a one of options for growing patients who have severe skeletal disharmony.

          In this course, we are talking about the treatment planning, the recent protocol, case series and the up-to-date approach of SSF.

Dr. Junji SugawaraDr. Kenji Ojima

Program is subject to changes

 

CONFERENCE SCIENTIFIC SCHEDULE

FRIDAY 22 FEBRUARY 2019-JEDDAH

TIME

TOPIC

SPEAKER

8:30AM-8:50AM

Treatment of anterior open-bite: The orthodontic limits

Anterior open-bite is an anomaly in the vertical dimension characterized by a deficiency or absence of the incisal covering. It develops because of the interaction of several hereditary and functional factors (dysfunctional swallowing, parafunctions and oral tics ...). Treatment of anterior open-bite is primarily functional, orthodontic and in severe cases orthosurgical. In this presentation, we will focus on orthodontic treatments by mentioning the limits of this treatment by fixed appliances through showing clinical cases treated in the orthodontic department of the faculty of dentistry of Monastir-Tunisia.

Dr. Samir Tobji

08:50AM-09:30AM Treatment of maxillary deficiency in young adults
This presentation will address the treatment of maxillary deficiency in young adults. Conventional rapid palatal expansion (RPE) has been a reliable treatment method for correcting transverse skeletal jaw disharmony in pre-pubertal patients. However, the use of traditional or tooth borne expansion appliance has little to no skeletal effects in skeletally mature patients who have passed the pubertal growth period. In addition, greater side effects such as buccal tipping of the anchor teeth may be detrimental to periodontal support. Miniscrew-assisted rapid palatal expansion (MARPE) appliances have recently been offered to young adult patients to correct maxillary transverse deficiency. The speakers will present clinical cases to support this new treatment modality. Learning Objectives Attendees of this lecture will be able to: 1- Identify patients who will be benefited with early treatment of transverse problems.   2-Determine the type of patients suitable for treatment with the MARPE appliance . 3-Learn how to use the MARPE appliance in treatment of young adults with maxillary deficiency

Dr. Peter Ngan

09:30AM-09:50AM

Facial disharmony in the adolescent & young adult

The incidence of facial asymmetry is not uncommon as we may think. Aside from the genetic influence, pathological factors such as the presence of osetochondroma of the condyle, idiopathic condylar resorption (unilateral or bilateral), trauma to the mandible during growth, or inflammation within the temporomandibular joints, may all lead to the development of facial imbalance. If this disproportion is of great magnitude, it can have can have negative esthetic, functional, & psychological effects on the individual. Early detection of this problem is critical with regards to the diagnosis, prognosis, and therapeutic management of the patient. The aim of this lecture is to present cases with facial asymmetries in order for the clinician to better diagnose & treat these anomalies.

Dr. Eman Alkofide

09:50AM-10:00AM COFFEE BREAK
10:00AM-10:40AM

Contemporary non-surgical management of the vertical dimensions

In daily orthodontic practice, how do you manage the challenging cases with vertical problems, such as severe deep bite and open bite with skeletal Class II relationship? You may use the mini-screws to strengthen the anchorage or choose a more dramatic option, orthognathic surgery. However, these strategies are not always successful: you may sometimes face to failure of mini-screw retention and rejection or negative attitude from the patients when you propose such treatment options that you may think easier. Then, what else you could do? Any other secret drawer? Obviously, you must make lemonade out of lemons somehow. In this lecture, I will focus on some difficult cases with problematic vertical dimensions; a large negative/positive overbite, and even worse, a large overjet. These will be illustrated how we managed the deep-bite cases without using temporary anchorage devices, and open-bite cases with the skeletal Class II cases without orthognathic surgery, along with several pieces of evidence that we recently found.

Dr. Ono Takashi

10:40AM-11:00AM

Out of the box biomechanics guiding impacted and transposed teeth

It is the duty of every orthodontist to provide effective and efficient treatment to all patients in terms of facial esthetics and occlusal function. To realize these goals, simple mechanics can be used to correct the pathway of Impacted and Transposed teeth. Maxillary canines play an important role in creating good facial and smile esthetics, since they are positioned at the corners of the dental arch, forming the canine eminence. Besides, they support the dentition, contributing to disarticulation during lateral movements in certain persons. Canines are the second most frequently displaced and impacted teeth in the dentition, showing a prevalence of 1 to 4%. Around 85% of these misplacements are palatal, and they can occur even in patients with adequate arch length. The simple mechanics to manage these problems will be discussed. “Out of the box” thinking became the norm to treat certain situations that were not easily correctable previously. This presentation will highlight the use of simplified but efficient biomechanics to solve these problems.

Dr. Khalid Abu Alazm

11:00AM-11:40AM

"If Pinnochio was an orthodontic salesman ?"

The Orthodontic landscape has seen technology being integrated into varied aspects of care- diagnostics, planning,biomechanics and appliance planning and execution.Technology brings with service providers, who have balance sheets to balance as well.This presentation explores this phenomenon,admist the current available evidence available in peer reviewed scholarly literature and evidence based clinical trials that ascertain claims and clinical performance of current products and appliance systems. The presentation takes a humorous twist with an inspiration from Carlo Collodi's tale -The adventures of Pinnochio. Pinnochio's N.O.S.E constitutes the skeleton of this lecture.

N discusses Newer appliance claims, research and realities !

O discusses Our appliance trysts ! -An evidence based research report of CAD CAM vestibular, lingual and aligner therapy discusing accuracy and efficiency.

S discusses Surreal claims and propaganda ! -evaluates an Internet assessment of orthodontic claims on the web and their demographics.

E discusses Evidence, Eloquence and more ! - strategies for reporting research, trials and orthodontic information on the internet !

Dr.  Nikhilesh Vaid

11:40AM-12:00PM

World Federation of Orthodontists (WFO) Award Presentation

 

12:00PM-01:30PM LUNCH BREAK AND PRAYER TIME
01:30PM-01:50PM

Orthodontic treatment of borderline class III malocclusion

Class III malocclusion is characterized by a variable combination of dental and sagittal discrepancies from protrusive mandible, retrusive maxilla, protrusive lower dentition and retrusive upper dentition. Its diagnosis, prognosis, and treatment have always been a challenge for the orthodontists. The variability of clinical forms, the aesthetic impact of these malocclusions and the lack of clinical experience due to their low frequency in our country, make the treatment plan decision more difficult. Two procedures can be considered for non-growing patients: - a combined approach of orthodontics and orthognathic surgery consisting in normalization of skeletal sagittal relationships; - an orthodontic treatment based on dentoalveolar compensations creating a sort of “camouflage” of the skeletal discrepancy. The strategy to camouflage a Class III malocclusion usually involves proclination of the maxillary incisors and retroclination of the mandibular incisors to improve the dental occlusion, it might not correct the underlying skeletal problem or facial profile. The decision is based on clinical examination, cephalometric analysis, and mostly on clinical good sense, and on patient preferences. Some severe cases can be identified as ideal candidates for a surgical treatment whereas some others can be handled with orthodontics alone, with a reasonable expectation of an acceptable result. However, the problem remains for the borderline patients. Theses ones are characterized by moderate skeletal discrepancy that makes the clinician hesitate between the two procedures. My presentation is about borderline patients for whom I decided to choose the orthodontic camouflage option, using self-ligating brackets.

Dr. Yasmin Yacoubi

01:50PM-02:30PM

Limitations in the maxillary tooth movement: an update of CBCT findings

Introduction, implementation and improvement of the temporary anchorage device (TAD) has significantly expanded the envelope of discrepancy of the orthodontic tooth movement. It is obviously beneficial for the patients if treatment planning in orthodontics enlarges the horizon of non-extraction, non-compliance and non-surgical procedures. But, do you believe that the envelope of discrepancy has really expanded with the use of new techniques such as the TAD? Emerging technologies of cone-beam computed tomography (CBCT) offers the orthodontists a variety of substantial advantages. The information regarding the impacted teeth, upper airway and craniofacial anomalies that couldn’t be obtained by the conventional cephalometric radiographs provides more accurate and reliable diagnosis than before. In that sense, there may be a possibility of “the CBCT-based orthodontic treatment planning” in the future. In this lecture, I will introduce our recent mechanics for the maxillary molar distalization compared to the conventional one. Moreover, I will demonstrate the possible limitation of the maxillary teeth movement, which was revealed by the clinical CBCT analysis. Further, I will discuss how to manage such a difficulty.

Dr. Ono Takashi

02:30PM-03:10PM

"Smile Lines - The powder and puff protocol in contemporary orthodontic finishing "

The presentation will showcase Camara's 6 horizontal smile lines and their interplay in definitive aesthetic orthodontic planning & execution. A finishing check-list and its research findings will be explained in detail. The clinical take home pointers of the presentation will be :

1-  The Aesthetic Orthodontic Terrain..more than just straight teeth !

2- Smile Lines -What,When & How ?

3- Treatment Planning & Finishing check-list applications -Validation of the "Smile Line Application" concept.

Dr. Nikhilesh Vaid

03:10PM-03:50PM

Critical Thinking to determine and manage arch   form in the orthognathic surgery patient

Successful orthognathic surgical outcomes are very much dependent on appropriate pre-surgical orthodontic care. Choosing a customized arch form for every patient becomes the fundamental step in treatment planning the orthodontics as well as the surgical movements of the jaws. In his presentation, Dr. Tremont will share how critical thinking is required for choosing a customized arch form and discuss effective orthodontic strategies for attaining the planned arch form.

Dr. Timothy Tremont

03:50PM-04:05PM COFFEE BREAK
04:05PM-04:25PM

Validation of Three-dimensional and Two-dimensional Airway Imaging for Screening for Sleep Apnea in Pediatric Patients

Introduction: The prevalence of sleep apnea in children ranges from 1.2% to 5.7% and is increasing with the increase in childhood obesity. Polysomnography (PSG) is considered the gold standard in the diagnosis of obstructive sleep apnea (OSA). Timely diagnosis and management of pediatric OSA is critical to prevent progressive associated comorbidities and radiographic airway analysis is a screening tool that can assist in this diagnosis. The aims in this study were: (1) to evaluate and compare between two-dimensional (2D) and three-dimensional (3D) radiographic airway analyses as they relate to the pre-test probability for OSA in pediatric patients, and (2) to develop OSA predictive cut-off values for measurements showing promising results. Materials and Methods: A consecutive series of pediatric patients referred for a PSG had cone beam computed tomography (CBCT) scans taken. The sample was divided into two age groups: age group 1 (7 to 11 years) and age group 2 (12 to 17 years). 3D and 2D measurements were correlated with the apnea-hypopnea index (AHI). Additionally, the receiver operating characteristic (ROC) curve analysis was used for all measurements using moderate (AHI ≥ 5) and severe (AHI ≥ 10) OSA definitions. Based on the results of the correlations and the ROC analysis, sensitivity and specificity were calculated for measurements that were deemed promising in order to propose cut-off values to predict OSA. Results: The total sample included 99 CBCT scans. 3D variables that showed statistical significance included the nasopharyngeal volume (NPV) and the oropharyngeal minimum cross-sectional area (OCSA). In age group 1 (N=59), the severe OSA predictive cut-off value was 1600mm3 for NPV and 70mm2 for OCSA. In age group 2 (N=40), severe OSA predictive cut-off values were 2700mm3 and 75mm2 for NPV and OCSA respectively. 2D variables that showed statistical significance included the retropalatal airway space (RPA), the adenoid – nasopharynx (A/N) ratio, and the posterior nasal spine (PNS) to points ad1 and ad2. Cut-off values were proposed for these 2D variables similar to 3D variables Conclusions: Both 2D and 3D radiographic airway analyses had variables that significantly correlated with AHI. Contrary to findings in adults, the NPV might be of great importance when screening for OSA in children. Additionally, we proposed predictive cut-off values for these 2D and 3D measurements that can assist clinicians in the screening process for OSA in children.

Dr. Ahmed Masoud

4:25PM-4:45PM Tips in how to finish orthognathic surgery
The facial skeleton can be repositioned, redefining the face through a variety of well-established orthognathic procedures, including Le Fort I, Le Fort II, Le Fort III, maxillary segmental osteotomy, sagittal split osteotomy of the mandibular ramus, vertical ramus osteotomy, inverted L and C osteotomy, mandibular body segmental osteotomy, and mandibular symphysis osteotomy. Most maxillofacial deformities can be managed with 3 basic osteotomy: the mid face with the Le Fort I-type osteotomy, the lower face with the sagittal split ramus osteotomy of the mandible, and the horizontal osteotomy of the symphysis of the chin. However the most difficult part of orthognathic surgery is the part that take place after the surgery since the patient mood change due to the actual facial and the psychological changes that take place after the surgery. I will shed some light and ways how to mange the orthodontic surgery cases after the surgery and how to deal with the changes that take place and how to mange it.

Dr. Fahad Alsulimani

Program is subject to changes

SATURDAY 23 FEBRUARY 2019-JEDDAH

DAY 2

TIME

TOPIC

SPEAKER

08:20AM-08:40AM

Invisalign: Should it be in your treatment arsenal?

Abstract: Since it’s inception in 1997, Invisalign has gone through significant improvements that has rendered it a great aesthetic alternative to fixed appliances. However, to this day, there are Orthodontists in our region that are not taking advantage of Invisalign. During my presentation, I will demonstrate several finished cases where I personally had no option but to use Invisalign and furthermore explain why this tool must be in every Orthodontist’s treatment arsenal.

Dr. Mubarak Alsaeed 

08:40AM-09:00AM

Caries risk in orthodontic patients

White spot lesions (WSLs) are the most common adverse effect related to orthodontic treatment that may develop into manifest caries lesions if preventive measures are not strictly followed. This short presentation will highlight the risk of WSLs in orthodontic patients, different methods to diagnose WSLs, and some innovations to reduce the risk of WSLs in Orthodontic patients.

Dr. Naif Almosa

09:00AM-09:20AM

What About Adult Class II: Some Thought…
 
ABSTRACT: Class II mlocclusion is considered one of the most common problems to solve in orthodontics. Differential diagnosis constitutes a main pilar in adressing such deformations in order to be able to apply individualized therapeutic procedures. Based on the above, each Class II has to be correctd differently and no cook book to follow exists. A thinking classifying dento- alveolar, skeletal and soft tissue components as well as identifying maxillary from mandibular etiology has to be developed and applied. This presentation will expose an Individualized Orthodontic Philosophy applied to adult Class II cases through differential diagnosis and individuallized treatment planning.

Dr. Joseph Bouserhal

09:20AM-09:35AM

COFFEE BREAK

09:35AM-10:15AM

Successfully Integrating Today’s Technology into Clinical Orthodontic Practice

The introduction and constant evolution of digital technology make it a challenge to integrate into clinical practice. The added advantages to treatment and practice management make investing in this new technology worthwhile. Dr. Alvetro and her team started their digital journey over 5 years ago and are considered early adopters of today’s technology. In this presentation she will share her experience to insure the success of orthodontic practitioners, shorten their learning curve and increase their efficiency. Objectives: Demonstrate how intra oral scanning can enhance the patient experience and treatment outcome Compare and contrast different 3D print technologies and their use in clinical orthodontic practice Share the benefits and procedures associated with digitally directed bonding Explain the work flow associated with the creation of an inhouse aligner system.

Dr. Lisa Alvetro

10:15AM-10:55AM

Orthodontic, Orthopedic and Orthognathic Approach with SAS
 
The Skeletal Anchorage System (SAS) consists of titanium orthodontic anchor plates and monocortical screws that are temporarily implanted in the zygomatic buttress or the mandibular body, or in both, as absolute orthodontic anchorages. The most distinguished feature of SAS is enables us to predictably move molars. The SAS mechanics has revolutionized the concept of orthodontic and orthognathic treatment for growing and adult patients. In this conference, I will focus on Class III patients and discuss how the strategies for Class III correction were changed following the development of SAS. Firstly, it became possible to effectively camoufalge severe Class III maloclusion in adults by distalization of the mandibular molars and/or entire dentition. Secondly, thanks to the development of SAS, it became possible to completely eliminate presurgical orthodontic treatment and significantly shorten total treatment time in Class III surgical cases. Such surgical orthodontics is called as Surgery First and was mainly developed to avoid worsening of profile and occlusion during presurgical orthodthontics in conventional surgical orthodontics. Thirdly, in moderate or severe growing Class III patients, SAS is an extremely effective biomechanics for solving various problems in the second phase treatment. Therefore, the second phase treatment became more important than the first phase treatment. And lastly, in very severe growing Class III patietns, the application of Surgery First is recommended after waiting for completion of jaw growth. Thus, nowadays, the SAS becomes an indispensable modality for correction of any Class III malocclusions in any ages in my clinical practice.

Dr. Junji Sugawara

10:55AM-11:35AM

Clear Aligner Treatment Accelerated by Photobiomodulation

Due to advance in aligner technology in recent years, options to treat complex cases with aligners have grown. Today it is possible to obtain excellent orthodontic treatment results for many difficult cases using aligners. Just now we have a over 1800 cases invisalign system experience among more than 1300 cases Acceleration approach. Furthermore by adding Accelerate Devices as part of the treatment protocol we are able to shorten treatment times significantly. And Now I will share for how to approach about my Treatment Planning with DSD concept with Aligner Orthodontics. I will present various cases including Expansion, Extraction, Distilization, Openbite, Deepbite, Interdisciplinary and Surgery First with Aligner cases and explain how we were able to complete these case in a short period of time. To explore the extent to which we can accelerate Orthodontic tooth movement with Aligners though Accelerate Devices.

Dr. Kenji Ojima

11:35AM-01:30PM

OPENING CEREMONY, LUNCH BREAK AND PRAYER TIME

01:30PM-01:50PM

A Comparison of the Effects of Overbite Reduction on Smile Esthetics.

The purpose of this study was to compare the effects of 2 common methods of overbite reduction on smile esthetics. A prospective clinical trial was designed and pre-treatment and post overbite reduction records of 32 patients treated by either a maxillary incisor intrusion arch (18 patients) or a flat anterior bite plane (14 patients) were compared for changes in lip to tooth show and smile arc. Both groups of patients experienced a reduction in overbite and maxillary incisor display, and maxillary and mandibular incisor proclination during treatment. The center of resistance of the maxillary incisor and the incisal edge were intruded in patients treated with an intrusion arch (p<0.05). Both groups experienced flattening of the smile arc.

Dr. Ahmed Hamdan 

01:50PM-02:30PM

The mystery of impacted teeth: A poutporri of orthodontic pearls

With time comes change, and with change comes progress. Unquestionably, the achievements in our specialty have made our professional endeavors such a wonderful experiene. Yes, THE MYSTERY OF IMPACTED TEETH has a lot to do with my passion for orthodontics and academics. This program is a blend of old and new techniques that we expect to share with the objective to trigger a reflection on what we do and teach day in day out. The Potpourri of Orthodontic Clinic Pearls includes dilacerations, impactions and ankylosis. We hope to be able to stir even more the passion within each one and revisit ideas and concepts we execute as clinicians.

Dr. Eustaquio Araujo

02:30PM-02:50PM

Restorative considirations in orthodontic treatment 

Dr. Wael Elias &Dr. Ibrahim Yamany

02:50PM-03:30PM

Clear aligners, the possible and impossible: Is it the plastic or the orthodontist?
 
Nowadays there are many clear aligners competitors and each company claim their products superior performances. This presentation with show success snd failures of cases treated by clear aligners and will show the reasons for both success and failures which may not be attributed to the aligners themselves but other factors including diagnosis and treatment planning. Difficult cases of different malocclusions will be discussed

Dr. Tarek El-Bialy

03:30PM-03:45PM

COFFEE BREAK

3:45PM-4:05PM

Effect Of piezoelectric sutural osteotomies on accelerated bone borne sutural expansion
 
ABSTARCT Objective: The present study investigated the effect of piezoelectric sutural ostectomies on accelerated bone-borne sutural expansion. Materials and Methods: Sixteen male New Zealand white rabbits (20 to 24 weeks old) were randomly divided into 4 experimental groups (n = 4): group 1, conventional rapid sutural expansion; group 2, accelerated sutural expansion; group 3, accelerated sutural expansion with continuous ostectomy; and group 4, accelerated sutural expansion with discontinuous ostectomy. All sutural ostectomies were performed using a piezoelectric instrument (Woodpecker DTE, DS-II, Guangxi, China) before expander application with the rabbits under anesthesia. Modified hyrax expanders were placed across the midsagittal sutures of the rabbits and secured with miniscrew implants located bilaterally in the frontal bone. The hyrax expanders were activated 0.5mm/day for 12 days (group 1) or with a 2.5-mminitial expansion, followed by 0.5mm/day for 7 days (groups 2 to 4). After 6 weeks of retention, the bone volume fraction, sutural separation, and new bone formation were evaluated using micro-computed tomography and histomorphometry. Statistical analysis was performed using Kruskal-Wallis and MannWhitney U tests and Spearman’s rho correlation (P < .05). Results: Ranking of the median sutural separation was as follows: group 1, 3.05 mm; group 2, 3.97 mm; group 4, 4.78 mm; and group 3, 5.66 mm. The least and most bone formation were observed in groups 1 (63.63%) and 3 (75.93%), respectively. Spearman’s correlation showed a strong, positive, and significant correlation (r = 0.932; P < .01) between the new sutural bone formation and amount of sutural separation. Conclusions: Piezoelectric sutural ostectomies increased the rate of sutural separation and promoted new sutural bone formation/osteogenesis. Continuous ostectomy gave better results than discontinuous ostectomy.

Dr.  Akram Alyessary

 

4:05PM-4:25PM

Notes, Tips, and Tricks in Clinical Orthodontic Practice.

What we need to do in our daily Orthodontic practice is to combine the theory knowledge with the clinical procedures in the purpose of reaching our aims with the most efficient Treatment using convenient methods and simplified techniques . Keeping in mind some Notes of basic principles and guidelines is very important to avoid an inaccurate diagnosis and inappropriate therapy , also flowing Tips of innovated methods and using a smart and Tricks is very helpful to overcome the Treatment difficulties and improve our clinical skills.

Dr.  Jihad Albaroudi

04:25PM-04:45PM

Modern Approach for the Treatment of Skeletal and Dental Class III Malocclusion.

Abstract: Treatment of Class III is always complicated by the amount of malocclusion, either skeletal, dental or combination of both. There are many methods to be used to resolve the problem, example; Face mask with or without rapid palatal expander, functional appliances, orthodontic camouflage or surgical correction for the skeletal problem. A case report of a complex Skeletal and dental Class III, treated in two phases. Phase 1: modern approach (new design RPE plus reverse pull headgear) and phase

2: Maxillary and mandibular comprehensive pre-adjusted fixed appliance therapy. Treatment results were greatly improved as shown by the PAR and the IOTN indices. The patient and her family were satisfied.

Dr. Adeil Mageet 

Program is subject to changes

SUNDAY 24 FEBRUARY 2019-JEDDAH

DAY 3

TIME

TOPIC

SPEAKER

09:00AM-09:40AM

Facial Asymmetry: What are the Limits?

Facial asymmetry can be caused by various factors, and according to its etiology, severity may vary, and therefore treatment can be orthodontic only, or evolve to a surgical treatment. Investigators have tried to classify, characterize and measure asymmetry, but subjective aspects of its perception render the assessment more difficult. The relationship between facial attractiveness and slight facial asymmetries seems relevant for clinicians dealing with dental-facial problems. Nonetheless, the point where facial asymmetry becomes more clearly noticeable is not well defined, proving to be difficult to tell when an asymmetry really starts to become socially apparent. The purpose of this presentation is to describe how facial assymmetry can be currently treated, and to discuss the current knowledge on perception of facial asymmetry and how this should be approached in daily practice. Learning Objectives 1. Understand the psychological importance of facial symmetry. 2. Recognize different modalities of treatments for facial asymmetries according to its etiology. 3. Discuss patients perception of minor facial asymmetry and its impact on daily practice.

Dr. Flavia Artese

09:40AM-10:20AM

Sleep Apnea in the Orthodontic Office

This presentation will show how the orthodontist can help identify and manage OSA in pediatric and adult patients, from using oral appliances, to surgical movement of the jaws, and newest hypoglossal stimulation methods. Breathing difficulties are closely related to the etiology of the malocclusion, and managing the airway not only insures a more stable result, but also provides additional benefits to the orthodontic patient. Dr. Palomo will show recent guidelines and protocols on what the orthodontist needs to do when encountering a patient with sleep disturbances.

Dr. Juan Martin Palomo

10:20AM-10:30AM

COFFEE BREAK

10:30AM-11:10AM

Treatment of Class II Malocclusion with Contemporary Fixed Functional Appliances

Lecture Description:  This presentation will address the indications and timing for orthopedic treatment of Class II malocclusions. The age factor, growth pattern, and the severity of the malocclusion affect the treatment outcome when using a fixed functional appliance. Long-term treatment records will be presented to illustrate the stability after early orthopedic treatment.

Learning Objectives; After this lecture, the attendees of this lecture will be able to: Recognize the importance of indications and timing for Class II orthopedic treatment Determine how the age factor, growth pattern and the severity of the malocclusion can affect the treatment outcome when using a fixed functional appliance Identify the factors that affect the stability of early Class II orthopedic treatment

Dr.Peter Ngan 

11:10AM-11:50AM

Predictable Class II Correction and its Positive Effect on Facial Esthetics

he correction of a Class II malocclusion involves treatment decisions for the both the maxilla and the mandible. In this presentation, Dr. Alvetro will explain treatment decisions and demonstrate a predictable method to achieve optimal clinical results when treating Class II malocclusions. This effective and reliable system will focus on incisor position and control as well as stability.

Objectives: Provide clinical cases demonstrating a predictable method of Class II correction Demonstrate the effect of incisor position on treatment outcomes and facial esthetics Learn key factors to decide the extent that maxillary distalization and mandibular advancement are to be used to achieve optimal results

Dr. Lisa Alvetro

11:50AM-12:30PM

Criteria for Stability in Open Bite Treatment

Anterior open bite is considered one of the malocclusions of most difficult treatment, especially regarding stability. The literature presents many researches on this subject, but with controversial information. There are disagreements on the definition of open bite, its etiology and types of treatment. Possibly, the lack of consensus on the etiology of the anterior open bite may have led to different types of treatment and can be the explanation for the high level of relapse of this malocclusion. The purpose of this presentation is to review the concepts of anterior open bite focusing on etiology, treatment methods and their stability and present criteria for the diagnosis and treatment of this malocclusion, based in its etiology, with examples of treated cases, stable for over 10 years.

Learning Objectives: 1. Attendees of this lecture will be able to identify the etiological factors for anterior open bite. 2. Attendees of this lecture will be able to compare the frequency open bite relapse according to different treatment modalities. 3. Attendees of this lecture will be able to analyze different tongue positions at rest and its implication on open bite treatment stability.

Dr. Flavia Artese

12:30PM-01:30PM

LUNCH BREAK AND PRAYER TIME

01:30PM-02:10PM

Growth potential and stability of early Class III treatment

Lecture Description: This presentation will address the stability of early Class III treatment. The age factor, growth pattern, excessive mandibular and asymmetric mandibular growth that affects the stability of treatment will be discussed. Long-term treatment records will be presented to illustrate the importance of growth after early orthopedic treatment.

Learning Objectives: Attendees of this lecture will be able to: Identify the factors that affect the stability of early Class III treatment Determine the type of Class III malocclusion that will warrant early treatment Determine if retention is necessary for early Class III treatment

Dr. Peter Ngan

02:10PM-02:50PM

Non-Surgical approach for Class III malocclusion

Orthodontic management of the Class III malocclusion has been a constant challenge to the orthodontic profession and remains a controversial issue among clinicians and researchers. The controversy is real and questions are still to be answered: How much can orthodontics really do? To treat orthodontically or refer to surgery? How to approach it non-surgically? The literature provides enough support that appropriate interventions, at the adequate time, accompanied by a family growth study may very well minimize the Class III to acceptable and stable results without a surgical intervention. When the decision to proceed without a surgical intervention is taken many extraction patterns are commonly employed to help with the camouflaging of the Class III. This lecture will focus on Class III early intervention as well as non-extraction and extraction treatments analyzing pros and cons related to this clinical management of the Class III.

Dr. Eustaquio Araujo

02:50PM-03:30PM

Botox and gummy smile
 
A complete guide to gummy smile, with information on the causes of excessive gingival display and the various treatment options available.

Dr. Alaa Aref

03:30 PM-03:45PM

COFFEE BREAK

03:45PM-04:25PM

Modern Methods in Ortho-Perio Multidisciplinary Treatment

This presentation will show sophisticated situations where periodontics enhance and optimize orthodontic outcomes. Cases and literature review focus on periodontally accelerated orthodontics, regeneration, and esthetic surgery for dento-facial harmony.

Dr. Leena Palomo

04:25PM-04:45PM

Skeletal Class II treatment; are we on the right track?

Abstract: Aim To detect the 3 dimensional skeletal, dental and soft tissue effects of the miniplates and mini-implants anchored Forsus Fatigue Resistant Device (FFRD). Methods: A sample of 62 skeletal Class II growing females with deficient mandibles were randomly allocated into 4 groups; 15 subjects received miniplates with FFRD (FMP group), 15 received FFRD & mini-screws (FMI group), 16 subjects received FFRD (F group) & 16 untreated controls. CBCT images were taken before appliance insertion &after removal. Results and Conclusions: overjet correction occurred in all cases. Significant mandibular lengthening and a slight headgear effect were found in the FMP group. Maxillary dento-alveolar retrusion was most evident in the FMI group. Unfavorable lower incisors proclination &intrusion, which were mostly expressed in the conventional FFRD group, were effectively reduced with the mini implants and eliminated with the miniplates.
Dr. Sherif Elkordy
Program is subject to changes

POST-CONFERENCE COURSE

SATURDAY 23 FEBRUARY 2019-JEDDAH

TIME

TOPIC

SPEAKER

02:00PM-06:00PM Orthodontic Mini-Implants: Advanced Concepts for Great Results

Synopsis: In this detailed lecture Dr. Baumgaertel will present advanced concepts for successful mini-implant use that are based on the most current evidence and years of clinical experience.During the first part of this course you will learn Dr. Baumgaertel Target Sites which are the sites he uses exclusively to achieve some of the highest success rates in the industry. Subsequently you will learn the evidence based secrets to mini-implant loading that will provide an additional edge and increase your success rates further.The second part of this course will teach you the advanced biomechanical concepts that perfectly complement the Target Sites You will learn everything you need to know about direct and indirect anchorage, including Dr. Baumgaertels well known' Strut and Tie Concept' that was recently published in the AJODO.

Course objectives:

- Identify and use Target Sites successfully

- Properly load mini-implants

- Advantages/disadvantages/indications of different biomechanics

Dr.Sabastian Baumgaertel

Program is subject to changes

 

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