Dental Focus 2018 ConferenceDr. Richard McLaughlin; Dr. Simonas Grybauskas; Dr. Dalia Latkauskiene; Dr. Kee-Joon Lee; Dr. Enzo Pasciuti
Dr. Richard McLaughlin completed his orthodontic training at the University of Southern California in 1976. Since then he has been in the full time practice of orthodontics in San Diego, California. He has lectured extensively in the United States as well as internationally. He is a member of the Pacific Coast Society of Orthodontists, the American Association of Orthodontists, a Diplomate of the American Board of Orthodontics. He is the Component Director of the Southern California Component of the Edward H. Angle Society. He is the 2009 American Board of Orthodontics recipient of the Dale Wade Award. In addition, Dr. McLaughlin is a clinical professor at the University of Southern California, Department of Orthodontics in Los Angeles, California, and an associate professor at Saint Louis University, Department of Orthodontics.
Dr. Simonas Grybauskas graduated from Kaunas University of Medicine and acquired his Dental degree in 2000. In Vilnius University he completed his training in oral surgery (2003) and maxillofacial surgery (2006). In 2008 he acquired his Medical degree and became a double qualified oral and maxillofacial surgeon.Dr. Grybauskas is a member of Lithuanian Association of Maxillofacial Surgery as of 2002, a member of Baltic Association of Maxillofacial and Plastic Surgery since 2003 and a member of European Association for Cranio–Maxillofacial Surgery starting from 2005. Simonas hosted and directed a major international event – 1st Baltic Sea Conference in Orthodontics and Orthognathic Surgery in Vilnius in 2009. Dr. Grybauskas devotes most of his time to orthognathic and reconstructive surgery, maxillofacial traumatology and implantology. Differences in facial morphology among populations and their influence on planning of facial surgery is the scope of his scientific work.
Dr. Dalia Latkauskienė received her dental degree in 1999, and her post-graduate certificate in orthodontics in 2002 from Kaunas University of Medicine. Since 2002 she has been in full-time private practice. Dalia Latkauskiene continued as lecturer for postgraduate programs in orthodontics 2006-2007 at the same university. She defended her Phd thesis „Herbst- effects on jaws and dental arches in growing Class II patients“ in 2013 and is involved with Riga Stradins University, University of Florence and University of Michigan on this project. Dalia Latkauskienė has presented lectures, seminars and continuing education courses on crowned Herbst appliance, adult orthodontics, multidisciplinary treatment and combined orhodontic-orthognatic treatment (together with maxillo facial surgon S. Grybauskas DDS, MD, Phd) to dental and orthodontic organizations as well as conferences in European Union,Russia and some other Eastern European countries. Current interests focus on orthodontic-orthognatic, non-compliance orthodontic treatment, temporary anchorage devices, adult orthodontics.
Dr. Kee-Joon Lee is professor of the Department of Orthodontics, Yonsei University College of Dentistry, Seoul, Korea. He received DDS and PhD degree from Graduate school, College of Dentistry, Yonsei University. He completed the orthodontics specialty training in Yonsei University. He was a visiting scholar at the Department of Biochemistry, University of Pennsylvania School of Dental Medicine in 2002-2004 and at the Division of Plastic Surgery, the Children’s Hospital of Philadelphia in 2010-2011. He was an adjunct professor at the Department of Orthodontics, Temple University, and at the University of Pennsylvania (2010-2011). He has contributed many book chapters on biomechanics of miniscrew-driven orthodontics, non-extraction treatment in adults, up-to-date lingual orthodontic mechanics and surgery-first approached using TADs. He is the first who demonstrated the miniscrew-assisted rapid palatal expander (MARPE) for adults in AJO-DO, which was cited by many other authors. He has published many articles and case reports regarding the treatment of non-eruption, and total arch movement for hyperdivergent face in orthodontic journals including two cover issues in AJO-DO. His fields in research include clinical biomechanics regarding TADs application and the suture and bone responses to orthodontic stimulus. He has served as a reviewer in major orthodontic journals, including AJO-DO, Angle Orthodontists and European Journal of Orthodontics. He has been invited to many international orthodontic conferences around the world.
Dr. Enzo Pasciuti graduated Dentistry in 2004 at the University of Milan with a thesis “selfligating equipment in the context of orthognatic treatment”. Specialized in “Clinical Orthodontics” at the University of Milan in the academic year 2004/2005. Specialized in “Straight Wire and Self Ligating Methodologies for orthodontic purposes” at the University of Milan in the academic year 2005/2006. Specialized in Orthodontics with honors in 2007 at the University of Milan with a thesis “Comparative Analysis of three methods for the identification of the orthopedic-functional treatment timing”.
Dental Focus celebrates 10 years of existence. We believe that the best gift for the orthodontists on this occasion is a high-level event. The Dental Focus Conference will bring together some of the most well known speakers of the moment. The 2018 Anniversary Conference will focus on “Modern orthodontic concepts and inter-disciplinary treatment”. The interactive and dynamic format allows the participants to always be focused on lectures. We think it will be the best European Orthodontic Conference in 2018! The Conference will bring together doctors from Romania but also from other European countries. We would love having you next to us for this exceptional event!
Dr. Richard McLaughlin
Overview of Systemized & Effective Orthodontic Care with an Emphasis on Borderline Surgical Cases and Surgical Cases
Over the years, Dr. McLaughlin has developed and presented the following topics:
- Orthodontic Treatment Mechanics and the Pre-adjusted Appliance.
- Diagnosis, Treatment Planning and Treatment Mechanics.
- Inter-Arch Treatment Mechanics - Class II Treatment
- Inter-Arch Treatment Mechanics - Class III and Asymmetrical Treatment
- Management of the Dentition
- Occlusion and the TMJ in Orthodontics
- Surgical-Orthodontic Treatment
This Overview course will provide a selection of cases from these seven topics. The versatility of the mechanics and the effectiveness of treatment of malocclusions will be demonstrated. In addition to the presentation of a number of non-surgical cases, there will also be a strong emphasis on surgical orthodontic treatment.
Dr. Simonas Grybauskas
Most common mistakes made in orthodontic preparation for surgery. The protocol.
Correction of skeletal malocclusion by means of orthodontics and orthognathic surgery is a multidisciplinary treatment. That is why it has to be properly coordinated between the surgeon and the orthodontist. The best results are achieved when both players are active in team and communicate throughout the treatment.
It is important to understand that the orthodontist works at the dentoalveolar level whereas the surgeon works at the skeletal level and does not interfere into the teeth setup during the surgery. That is why the teeth should be setup properly within the jaw bones and allow the anticipated repositioning of jaw bones in the necessary vectors and distance. If not, the surgeon may be cornered during planning process and will have to alter it both incurring hesitations whether the surgical outcome is going to be the same as planned.
We are going to discuss the most usual mistakes in orthodontic setup for surgery: dental midlines non-coincident with skeletal midlines, inadequate angulation of front teeth, overzealous expansion or constriction, flaws created by improper closure of extraction spaces, unstable orthodontic mechanics resulting in postoperative orthodontic relapse. Intrinsic coordination of upper and lower dental arch shapes and extrinsic coordination of dental arches to the skeletal bases of the jaws set the protocol of our work: stable orthodontic alignment, minding the midlines and angulation of teeth while aiming to achieve maximal decompensation within physiological limits. Facial aesthetics largely depends on the surgical plan of jaw repositioning, however, the plan may largely depend on the accuracy and quality of preoperative orthodontic setup.
Dr. Dalia Latkauskiene
Asymmetries in growing and non-growing patients: camouflage or surgery?
According to recent literature, every third orthodontic patient is presenting a certain degree of facial symmetry decline. Proffit and Severt (1997) reported that the prevalence of asymmetry was dependent on the type of malocclusion. Asymmetry was found in 28 % of class II subjects, and a prevalence of 40 % was noted in others (class III patients, patients with a long face and class I). Significant facial asymmetry results not only in functional, but also esthetic issues. Subsequent asymmetry treatment depends on patient's age, etiology of condition and on the degree of disharmony as well as patient’s self-perception. Modalities of treatment may be different: from asymmetrical orthodontic mechanics down to orthognathic surgery. The aim of the presentation is to discuss the treatment options of asymmetric patients, find the rationale for camouflage treatment in different age groups. The importance of upper occlusal plane management will be stressed together with the factors influencing the asymmetry detection by the lay people in order to help the corrective orthodontic means. Labial, lingual and aligner treatment mechanics will be discussed together with the intrusive and extrusive mechanical approaches.
Efficient Class II treatment in growing and non-growing individuals
It is well known that the efficacy and the efficiency of a Class II malocclusion treatment are aspects closely related to the severity of the dental anteroposterior discrepancy. A full cusp Class II malocclusion requires more patient compliance in using removable orthodontic devices and more ability and experience of the orthodontist, than a ¼ cusp Class II malocclusion (Janson et al, 2009).
We still use lateral cephalometric x rays to create treatment plans for Class II patients. The use of cephalometric variables is often more common than the occlusal parameters, although suggestion of including additional occlusal details has been stressed by outstanding researchers (Tulloch et al, 1990). The presentation will therefore focus on occlusal characteristics and means of changing Class II from this perspective.
Last, but not the least, patient’s esthetic perception plays important role in treatment decisions. Mandibular retrusion has a strong impact on the perception of facial attractiveness (Ribas et al, 2018). The selection of treatment options and targets has to be careful long-term decision.
The aim of the lecture is to discuss current effective approaches on how Class II should be effectively corrected in growing and non-growing individuals with the protocols demanding least possible patient compliance. The presentation will contain information on Class II corrective composite blocks in mixed dentitions, mixed dentition Herbst appliance, permanent dentition Herbst appliance, lower dentition mesialization cases together with aligner treatment.
Dr. Kee-Joon Lee
Treatment of long face via total arch movement
Vertical excess of the facial dimension can be expressed in various ways-gummy smile, lip incompetency and/or retrusive mandible. Based on the bottom line condition that the vertical relationship affects the anteroposterior relationship, a differential diagnosis between the two dimensions has to be made carefully. Due to the genetic nature of the vertical growth, it has been recognized as very challenging to correct the hyperdivergent face. A latest meta-analysis revealed the lack of clinical evidence in the vertical control using conventional appliances including high pull head gear. Hence a reliable treatment modality is definitely needed.
Instead of the orthopedic correction, a reliable dentoalveolar movement using miniscrews is inspiring. Our recent clinical study revealed the possibility of total arch movement. Now depending on the force direction, magnitude and the timing of the force application, the vertical control of the face can be clinically effective. In this session, the biomechanics, clinical effects and stability of vertical control using total arch intrusion will be explained.
Dr. Enzo Pasciuti
How to increase the predictability of aligners
The correction of tooth malocclusions with esthetically high-quality aligners has become an important part of modern orthodontic therapy, especially in adult treatment. Many orthodontists think that clear aligners could only be used in easy cases and this misunderstanding is related to the fact that the aligner efficiency is strongly related to the planning of the movements that too often are made by technicians and not by the orthodontist. In this lecture, we will describe the limitations of clear aligner treatments and we will also discuss different tips and tricks to improve the aligner therapy predictability and to enhance the efficiency and effectiveness of clear aligners, learning how to plan the right attachments and the stage sequence for difficult movements. This is the only way the orthodontist could really take control of clear aligner treatments.
Control of the dental overbite in MBT technique
Controlling the overbite isn’t always that easy, especially when the vertical dental alteration is also related to a skeletal problem. In this lecture, we will describe some tips and tricks that could help you have control of the overbite
using the MBT technique. We will also discuss methods to help bite opening in deep-bite patients and methods to help closing the bite in open-bite patients.
Course price: The course price includes:
• Required course materials, course manual, supplies and promotional materials
• Three coffee breaks a day and lunch for the first 2 days
• Invitation to the special anniversary Dental Focus Party