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Index
Cover
Title page
Copyright page
Dedication
List of Contributors
Introduction: More than a Century of Progress in Adult Orthodontic Treatment
1 Potential Adult Orthodontic Patients – Who Are They?
Introduction
Who are the patients?
How do the patients express their needs?
The first visit
Communicating with the patient
Summary
2 Diagnosis: Chief Complaint and Problem List
Introduction
Work-up of a problem list – the interview – chief complaint
General health
Clinical examination
Extraoral examination
Extraoral photographs
Function of the masticatory system
Intraoral analysis – oral health
Evaluation of dental casts – arch form
Occlusal analysis
Space analysis
Cephalometric analysis
Final problem list
Indication for treatment
The presentation of the problem list – the tip of the iceberg
Concluding remarks
3 Aetiology
Introduction
Biological background
Aetiology of malocclusions in adults
Age-related changes in the skeleton
Age-related changes in the craniofacial skeleton
Age-related changes in the local environment
Consequences of deterioration of the dentition
Case reports
Conclusion
4 Interdisciplinary Versus Multidisciplinary Treatments
Interdisciplinary or multidisciplinary treatments
Establishment of an interdisciplinary team
Treatment sequence
Essential and optional treatment procedures
Interaction during treatment
Post-orthodontic treatment
Patient satisfaction
Examples of interdisciplinary cases
5 Treatment Planning: The 3D VTO
Determining the treatment goal
Producing an occlusogram
Combining the occlusogram with the head film
The computerized occlusogram
Responding to patients’ needs
Orthodontic treatment: Art or science?
6 Tissue Reaction
Orthopaedic effects
Orthodontic effects in adult patients
7 Appliance Design
Introduction
Definition of the necessary force system
Anchorage evaluation
Sequencing the treatment into phases
Appliance selection and design
Sliding mechanics
Segmented mechanics
Conclusion
8 Anchorage Problems
Introduction
Definition
Classification of anchorage
Intramaxillary anchorage
Soft tissue anchorage
Free anchorage
Intermaxillary anchorage
Occlusion
Differential timing of force application
Extraoral anchorage
Skeletal anchorage
9 Bonding Problems Related to Adult Rehabilitated Dentitions
Introduction
Brackets
Basics of bonding
Bonding to crowns and restorations
Debonding
Reconditioning of stainless steel attachments
Banding
Auxiliary attachments
10 Material-related Adverse Reactions in Orthodontics
Introduction
Fixed appliances
Bonding and banding materials
Removable appliances
Miscellaneous materials
Concluding remarks
11 Patients with Periodontal Problems
Prevalence of periodontal disease
Malocclusion and periodontal disease
Orthodontics and periodontal disease
Indications for orthodontic treatment in periodontally involved patients
Treatment of patients with flared and extruded upper incisors
Tissue reaction to intrusion of teeth with horizontal bone loss
Treatment of patients with vertical bone defects
What are the periodontal limits for orthodontic tooth movement?
Sequence of treatment in periodontally involved patients
Conclusion regarding Influence of orthodontic treatment on periodontal status
12 A Systematic Approach to the Orthodontic Treatment of Periodontally Involved Anterior Teeth
Single tooth gingival recession
Progressive spacing of incisors
Case reports
Management of periodontally involved teeth
13 Interdisciplinary Collaboration Between Orthodontics and Periodontics
Introduction
Periodontal diagnosis
History taking, clinical and radiographic examination
Screening for periodontal disease
Local factors predisposing to periodontal therapy
Timing of ortho-perio treatment
Periodontal therapy
Surgical therapy
Mucogingival and aesthetic surgery
Regenerative surgical therapy
Supportive periodontal treatment
Ortho-perio and multidisciplinary clinical cases
Conclusion
Acknowledgements
14 The Link Between Orthodontics and Prosthetics
Introduction
Edentulousness and space management: the mesiodistal dimension
The vertical dimension
Orthodontics, periodontal disease and prosthetic splinting
Conclusion
Acknowledgements
15 Patients with Temporomandibular Joint (TMJ) Problems
Orthodontics and dysfunction
Controversy in the literature regarding TMD and occlusion
Treatment and TMD
Treatment of clicking joints
Orthodontic treatment of patients with TMD
Organization of the treatment
Conclusion
16 Patients with Temporomandibular Disorders
Introduction
Classification and epidemiology
Diagnostic procedures
Risk factors and etiology
Pathophysiology
Management
Summary
17 Invisalign®: as Many Answers as Questions
Is Invisalign® new?
How does Invisalign work?
What are the pre-treatment considerations?
How does the Invisalign System differ from conventional orthodontics?
What characterizes patients seeking Invisalign treatment?
What is the most favourable approach to resolving crowding in Invisalign patients?
How can the alternatives to IER be evaluated?
What are the problems related to resolution of crowding?
When are extractions indicated?
Does an Invisalign treatment plan differ from a regular orthodontic treatment plan?
How does one take an adequate impression for the Invisalign System?
What is required to be evaluated in ClinCheck®?
What material are aligners made of?
What are aligner attachments?
How are attachments fabricated on the teeth?
What has to be controlled after insertion of aligners?
What are the consequences of good or poor aligner fit?
What if an aligner is lost?
What can be done if a severe discrepancy between ClinCheck® and the clinical situation becomes evident during treatment?
What can be done if a slight discrepancy between ClinCheck® and the clinical situation becomes evident at the end of treatment?
How can complications during treatment with the Invisalign system be avoided?
18 Progressive Slenderizing Technique
Definition and objectives
Anthropological justification of slenderizing
Influence of slenderizing on dental plaque, caries and periodontal disease
Indications
Contraindications
Advantages of slenderizing
How much enamel can be stripped?
Special considerations
Instrumentation for slenderizing
Progressive slenderizing technique
Case reports
19 Post-treatment Maintenance
Stability?
Biological maintenance
Mechanical maintenance – retention
Intermaxillary retention
Active retention plates
Conclusion
20 What are the Limits of Orthodontic Treatment?
What determines the limits?
Index
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