Interdistsiplinaarne lähenemine raskestes ortodontilistes juhtudes

Kursuse teemad: Bolton probleemid, „musta kolmnurga“ haigus, igemejoone kõrguse probleemid ja kõvakudede ülesehituse erinevad lahendused
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Lisainfo:
OUTLINE MULTIDISCIPLINARY TREATMENT

"The course focuses on the collaboration between the orthodontist, the periodontist and the prosthodontist. Common issues to these specialties will be discussed.

First common issue: Bolton problems (tooth-size, tooth-fit issues). How does an orthodontist deal with a peg lateral? Is composite build-up always the only solution? How does a prosthodontist deal with a peg lateral? When is a multidisciplinary approach justified?

Second common issue: « black triangle disease ». Black triangles at the end of an orthodontic treatment seem to happen ever so often and provide a frustrating outcome. Can black triangles be avoided? Is there a miracle recipe that makes papilla grow in interproximal areas? If not, how can the clinician predict black triangles at the beginning of treatment?

Third common issues: gingival levels. Gingival levels are directly related to the aesthetic outcome of the orthodontic treatment, especially the smile. Gingival recession, altered passive eruption, tooth supra-eruption are some of the etiological factors that affect gingival levels. How does the orthodontist deal with uneven gingival levels? How does the periodontist, or
the prosthodontist deal with uneven gingival levels? When is a multidisciplinary approach justified?

Fourth common issue: hard tissue engineering. Tissue engineering is a hot topic nowadays. Researchers in labs can grow dentin, enamel, connective tissue, etc. But what about alveolar bone defects? Is grafting the only solution? Can the orthodonist be a tissue engineer?

By the end of the course, the attendees will get a better feel for the limits of orthodontics, periodontics and prosthodontics alone in regards Bolton problems, “black triangle disease”, gingival levels, and hard tissue engineering, The attendees will also understand the benefits of a multidisciplinary approach in certain (not all) clinical situations."