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Atlas of Complex Orthodontics - E-Book

Atlas of Complex Orthodontics - E-Book

Ravindra Nanda | Flavio Andres Uribe

(2016)

Additional Information

Book Details

Abstract

Introducing the Atlas of Complex Orthodontics, a revolutionary new text with step-by-step instructions for treating today’s toughest orthodontic cases. Over 1,500 full-color clinical photographs, radiographs, and illustrations present each phase of treatment in this atlas-style guide, starting with the pre-treatment work-up, continuing through the treatment sequence, and ending with the final results. Drs. Ravindra Nanda and Flavio Uribe cover the latest techniques for managing moderate to severe orthodontic problems, including the use of temporary anchorage devices and the "surgery-first" orthognathic approach, to ensure you stay ahead of the curve in the ever-changing field of orthodontics.

  • A standardized, atlas-style presentation for each case takes you through the pre-treatment intraoral, extraoral, and smile analysis; the diagnosis and case summary (including the problem list and treatment plan); a brief discussion of the treatment options; the treatment sequence and biomechanical plan; and the final results.
  • UNIQUE! Over 1,500 high-quality photographs, radiographs, and line drawings illustrate the stages of treatment for a wide range of complex orthodontic problems to help improve understanding.
  • Discusses moderate to severe orthodontic problems, including: vertical problems; anterior-posterior problems; transverse problem; missing maxillary lateral incisors; impacted teeth; and surgical correction of dentofacial deformity.
  • Multidisciplinary approach to treatment helps you draw appropriately from multiple disciplines, redefine problems outside of normal boundaries, and reach solutions based on a new understanding of complex situations.
  • Coverage includes the "surgery-first" orthognathic approach (SFOA), a timesaving procedure in the combined orthodontic-surgical approach to selected cases of prognathism.
  • Highly regarded lead author, Dr. Ravindra Nanda, is Chair, Department of Orthodontics at University of Connecticut and widely known in the field of orthodontics.
  • Addresses the use of temporary anchorage devices (TADs) in correcting different types of malocclusion.

Table of Contents

Section Title Page Action Price
Front Cover cover
Atlas of Complex Orthodontics i
Copyright Page iv
Dedication v
Preface vi
Key Features vi
Acknowledgments vii
Table Of Contents viii
Second half title page xi
1 Vertical Problems 1
1 Management of Patients with Deep Bite 2
Case 1-1 Incisor Intrusion for the Excessive Gingival Display 2
Pretreatment 2
Extraoral Analysis (Fig. 1-1-1) 2
Smile Analysis (Fig. 1-1-2) 3
Intraoral Analysis (see Fig. 1-1-2) 3
Functional Analysis 3
Diagnosis and Case Summary 4
Treatment Options 5
Treatment Sequence 6
Final Results 8
Case 1-2 Intrusion Arch for Leveling the Mandibular Curve of Spee 10
Pretreatment 10
Extraoral Analysis (Fig. 1-2-1) 10
Smile Analysis (Fig. 1-2-2) 11
Intraoral Analysis (see Fig. 1-2-2) 11
Functional Analysis 11
Diagnosis and Case Summary 12
Treatment Options 13
Treatment Sequence 14
Final Results 16
Case 1-3 Increase of the Vertical Dimension with Implants and Midline Correction with a Miniplate in a Patient with Multiple Missing Teeth* 18
Pretreatment 18
Extraoral Analysis (Fig. 1-3-1) 18
Smile Analysis (Fig. 1-3-2) 19
Intraoral Analysis (see Fig. 1-3-2) 19
Functional Analysis 19
Diagnosis and Case Summary 20
Treatment Options 21
Treatment Sequence 22
Final Results 24
Case 1-4 Deep Bite Correction with Anterior Bite Stops 26
Pretreatment 26
Extraoral Analysis (Fig. 1-4-1) 26
Smile Analysis (Fig. 1-4-2) 27
Intraoral Analysis (see Fig. 1-4-2) 27
Functional Analysis 27
Diagnosis and Case Summary 28
Treatment Options 29
Treatment Sequence 30
Final Results 32
Case 1-5 Combined Orthognathic Surgery, Orthodontics, and Prosthodontics in a Severe Brachiofacial Pattern 34
Pretreatment 34
Extraoral Analysis (Fig. 1-5-1) 34
Smile Analysis (Fig. 1-5-2) 35
Intraoral Analysis (see Fig. 1-5-2) 35
Functional Analysis 35
Diagnosis and Case Summary 36
Treatment Options 37
Treatment Sequence 38
Final Results 42
2 Management of Patients with Open Bite 44
Case 2-1 Targeted Mechanics for the Correction of an Anterior Open Bite* 44
Pretreatment 44
Extraoral Analysis (Fig. 2-1-1) 44
Smile Analysis (Fig. 2-1-2) 45
Intraoral Analysis (see Fig. 2-1-2) 45
Functional Analysis 45
Diagnosis and Case Summary 46
Treatment Options 47
Treatment Sequence 48
Final Results 50
Case 2-2 Anterior Open Bite Correction by Mini-Implant–Assisted Posterior Intrusion 52
Pretreatment 52
Extraoral Analysis (Fig. 2-2-1) 52
Smile Analysis (Fig. 2-2-2) 53
Intraoral Analysis (see Fig. 2-2-2) 53
Functional Analysis 53
Diagnosis and Case Summary 54
Treatment Options 55
Treatment Sequence 56
Final Results 58
Case 2-3 Miniplate-Supported Posterior Intrusion with Posterior Acrylic Plate for Open Bite Correction 60
Pretreatment 60
Extraoral Analysis (Fig. 2-3-1) 60
Smile Analysis (Fig. 2-3-2) 61
Intraoral Analysis (see Fig. 2-3-2) 61
Functional Analysis 61
Diagnosis and Case Summary 62
Treatment Options 63
Treatment Sequence 64
Final Results 68
Case 2-4 Correction of a Class III Malocclusion with Vertical Excess with the Surgery-First Approach 70
Pretreatment 70
Extraoral Analysis (Fig. 2-4-1) 70
Smile Analysis (Fig. 2-4-2) 71
Intraoral Analysis (see Fig. 2-4-2) 71
Functional Analysis 71
Diagnosis and Case Summary 72
Treatment Options 73
Treatment Sequence 74
Final Results 76
3 Management of Canted Occlusal Planes 78
Case 3-1 Biomechanical Treatment of an Asymmetric Open Bite 78
Pretreatment 78
Extraoral Analysis (Fig. 3-1-1) 78
Smile Analysis (Fig. 3-1-2) 79
Intraoral Analysis (see Fig. 3-1-2) 79
Functional Analysis 79
Diagnosis and Case Summary 80
Treatment Options 81
Treatment Sequence 82
Final Results 84
4 Management of Vertical Maxillary Excess 86
Case 4-1 Orthognathic Surgery for Significant Vertical Excess, Facial Convexity, and Large Interlabial Gap 86
Pretreatment 86
Extraoral Analysis (Fig. 4-1-1) 86
Smile Analysis (Fig. 4-1-2) 87
Intraoral Analysis (see Fig. 4-1-2) 87
Functional Analysis 87
Diagnosis and Case Summary 88
Treatment Options 89
Treatment Sequence 90
Final Results 92
2 Anteroposterior Problems 95
5 Correction of Class I Malocclusions with Anteroposterior Problems 96
Case 5-1 Intrusion and Retraction of the Anterior Maxillary Teeth by Means of a Three-Piece Intrusion Assembly 96
Pretreatment 96
Extraoral Analysis (Fig. 5-1-1) 96
Smile Analysis (Fig. 5-1-2) 97
Intraoral Analysis (see Fig. 5-1-2) 97
Functional Analysis 97
Diagnosis and Case Summary 98
Treatment Options 99
Treatment Sequence 100
Final Results 104
Case 5-2 Correction of Bimaxillary Protrusion Using Fiber Reinforced Composite for Space Closure* 106
Pretreatment 106
Extraoral Analysis (Fig. 5-2-1) 106
Smile Analysis (Fig. 5-2-2) 107
Intraoral Analysis (see Fig. 5-2-2) 107
Functional Analysis 107
Diagnosis and Case Summary 108
Treatment Options 109
Treatment Sequence 110
Final Results 112
6 Nonextraction Correction of Class II Malocclusions 114
Case 6-1 Anchorage Control with a Cantilever in a Unilateral Class II Malocclusion 114
Pretreatment 114
Extraoral Analysis (Fig. 6-1-1) 114
Smile Analysis (Fig. 6-1-2) 115
Intraoral Analysis (see Fig. 6-1-2) 115
Functional Analysis 115
Diagnosis and Case Summary 116
Treatment Options 117
Treatment Sequence 118
Final Results 122
Case 6-2 Tip Back–Tip Forward Mechanics for the Correction of the Class II Subdivision 124
Pretreatment 124
Extraoral Analysis (Fig. 6-2-1) 124
Smile Analysis (Fig. 6-2-2) 125
Intraoral Analysis (see Fig. 6-2-2) 125
Functional Analysis 125
Diagnosis and Case Summary 126
Treatment Options 127
Treatment Sequence 128
Final Results 130
Case 6-3 Use of a Fixed Functional Appliance for Class II Correction 132
Pretreatment 132
Extraoral Analysis (Fig. 6-3-1) 132
Smile Analysis (Fig. 6-3-2) 133
Intraoral Analysis (see Fig. 6-3-2) 133
Functional Analysis 133
Diagnosis and Case Summary 134
Treatment Options 135
Treatment Sequence 136
Final Results 138
Case 6-4 Class II Treatment with Distalizing Appliances Followed by TADs to Maintain Anchorage 140
Pretreatment 140
Extraoral Analysis (Fig. 6-4-1) 140
Smile Analysis (Fig. 6-4-2) 141
Intraoral Analysis (see Fig. 6-4-2) 141
Functional Analysis 141
Diagnosis and Case Summary 142
Treatment Options 143
Treatment Sequence 144
Final Results 148
7 Correction of Class III Malocclusions 150
Case 7-1 Two-Phase Palatal Mini-Implant–Supported Class III Correction 150
Pretreatment 150
Extraoral Analysis (Fig. 7-1-1) 150
Smile Analysis (Fig. 7-1-2) 151
Intraoral Analysis (see Fig. 7-1-2) 151
Functional Analysis 151
Diagnosis and Case Summary 152
Treatment Options 153
Treatment Sequence 154
Final Results 156
Case 7-2 Miniplate-Supported Nonextraction Class III Correction 158
Pretreatment 158
Extraoral Analysis (Fig. 7-2-1) 158
Smile Analysis (Fig. 7-2-2) 159
Intraoral Analysis (see Fig. 7-2-2) 159
Functional Analysis 159
Diagnosis and Case Summary 160
Treatment Options 161
Treatment Sequence 162
Final Results 164
Case 7-3 Unilateral Mandibular Premolar Extraction for Midline Correction and Unilateral Maxillary Canine Substitution 166
Pretreatment 166
Extraoral Analysis (Fig. 7-3-1) 166
Smile Analysis 167
Intraoral Analysis 167
Functional Analysis 167
Diagnosis and Case Summary 168
Treatment Options 169
Treatment Sequence 170
Final Results 172
Case 7-4 Conventional Orthognathic Surgery in a Severe Class III Malocclusion 174
Pretreatment 174
Extraoral Analysis (Fig. 7-4-1) 174
Smile Analysis (Fig. 7-4-2) 175
Intraoral Analysis (see Fig. 7-4-2) 175
Functional Analysis 175
Diagnosis and Case Summary 176
Treatment Options 177
Treatment Sequence 178
Final Results 180
3 Transverse Problems 183
8 Correction of Maxillary Constriction 184
Case 8-1 Maxillary Expansion and Stop Advance Wire for the Correction of a Mild Class III Malocclusion 184
Pretreatment 184
Extraoral Analysis (Fig. 8-1-1) 184
Smile Analysis (Fig. 8-1-2) 185
Intraoral Analysis (see Fig. 8-1-2) 185
Functional Analysis 185
Diagnosis and Case Summary 186
Treatment Options 187
Treatment Sequence 188
Final Results 190
Case 8-2 Bidimensional Distraction for Maxillary Unilateral Crossbite and Canine Retraction* 192
Pretreatment 192
Extraoral Analysis (Fig. 8-2-1) 192
Smile Analysis (Fig. 8-2-2) 193
Intraoral Analysis (see Fig. 8-2-2) 193
Functional Analysis 193
Diagnosis and Case Summary 194
Treatment Options 195
Treatment Sequence 196
Final Results 200
9 Correction of Midline Discrepancy 204
Case 9-1 Correction of a Canted Maxillary Incisal Plane with Different Approaches to a One-Couple System 204
Pretreatment 204
Extraoral Analysis (Fig. 9-1-1) 204
Smile Analysis (Fig. 9-1-2) 205
Intraoral Analysis (see Fig. 9-1-2) 205
Functional Analysis 205
Diagnosis and Case Summary 206
Treatment Options 207
Treatment Sequence 208
Final Results 210
4 Impacted Teeth 213
10 Management of Impacted Canines 214
Case 10-1 Maxillary Impacted Canine and Anterior Restorations for Microdontic Lateral Incisors 214
Pretreatment 214
Extraoral Analysis (Fig. 10-1-1) 214
Smile Analysis (Fig. 10-1-2) 215
Intraoral Analysis (see Fig. 10-1-2) 215
Functional Analysis 215
Diagnosis and Case Summary 216
Treatment Options 217
Treatment Sequence 218
Final Results 220
Case 10-2 Cantilever-Based Eruption of Impacted Maxillary Canines 222
Pretreatment 222
Extraoral Analysis (Fig. 10-2-1) 222
Smile Analysis (Fig. 10-2-2) 223
Intraoral Analysis (see Fig. 10-2-2) 223
Functional Analysis 223
Diagnosis and Case Summary 224
Treatment Options 225
Treatment Sequence 226
Final Results 228
Case 10-3 Eruption of Maxillary Impacted Canines and Mandibular Second Premolar with Cantilever Mechanics 230
Pretreatment 230
Extraoral Analysis (Fig. 10-3-1) 230
Smile Analysis (Fig. 10-3-2) 231
Intraoral Analysis (see Fig. 10-3-2) 231
Functional Analysis 231
Diagnosis and Case Summary 232
Treatment Options 233
Treatment Sequence 234
Final Results 236
Case 10-4 Use of Lip Bumper for Severely Impacted Mandibular Canines* 238
Pretreatment 238
Extraoral Analysis (Fig. 10-4-1) 238
Smile Analysis (Fig. 10-4-2) 239
Intraoral Analysis (see Fig. 10-4-2) 239
Functional Analysis 239
Diagnosis and Case Summary 240
Treatment Options 241
Treatment Sequence 242
Final Results 246
11 Management of Impacted Second Molars 250
Case 11-1 Molar Uprighting of Severely Mesioangulated Mandibular Second Molars 250
Pretreatment 250
Extraoral Analysis (Fig. 11-1-1) 250
Smile Analysis (Fig. 11-1-2) 251
Intraoral Analysis (see Fig. 11-1-2) 251
Functional Analysis 251
Diagnosis and Case Summary 252
Treatment Options 253
Treatment Sequence 254
Final Results 256
5 Multidisciplinary Treatment 259
12 Full-Mouth Rehabilitation 260
Case 12-1 Restoration of a Mutilated Dentition with Preprosthetic TADs to Intrude the Mandibular Dentition* 260
Pretreatment 260
Extraoral Analysis (Fig. 12-1-1) 260
Smile Analysis (Fig. 12-1-2) 261
Intraoral Analysis (see Fig. 12-1-2) 261
Functional Analysis 261
Diagnosis and Case Summary 262
Treatment Options 263
Treatment Sequence 264
Final Results 268
13 Management of Missing Maxillary Lateral Incisors 272
Case 13-1 Unilateral Canine Impaction with Maxillary Canine Substitution 272
Pretreatment 272
Extraoral Analysis (Fig. 13-1-1) 272
Smile Analysis (Fig. 13-1-2) 273
Intraoral Analysis (see Fig. 13-1-2) 273
Functional Analysis 273
Diagnosis and Case Summary 274
Treatment Options 275
Treatment Sequence 276
Final Results 278
Case 13-2 Multidisciplinary Approach of Multiple Missing Teeth with Bone Grafts and Endosseous Implants 280
Pretreatment 280
Extraoral Analysis (Fig. 13-2-1) 280
Smile Analysis (Fig. 13-2-2) 281
Intraoral Analysis (see Fig. 13-2-2) 281
Functional Analysis 281
Diagnosis and Case Summary 282
Treatment Options 283
Treatment Sequence 284
Final Results 288
14 Management of Missing Molars with Orthodontic Space Closure 290
Case 14-1 Space Closure after Extraction of a Hopeless Maxillary Molar and Buildup of a Peg Lateral 290
Pretreatment 290
Extraoral Analysis (Fig. 14-1-1) 290
Smile Analysis (Fig. 14-1-2) 291
Intraoral Analysis (see Fig. 14-1-2) 291
Functional Analysis 291
Diagnosis and Case Summary 292
Treatment Options 293
Treatment Sequence 294
Final Results 298
Case 14-2 Mini-Implant–Supported Space Closure of Missing Left First Molar and Extracted Maxillary Premolars 300
Pretreatment 300
Extraoral Analysis (Fig. 14-2-1) 300
Smile Analysis (Fig. 14-2-2) 301
Intraoral Analysis (see Fig. 14-2-2) 301
Functional Analysis 301
Diagnosis and Case Summary 302
Treatment Options 303
Treatment Sequence 304
Final Results 308
Case 14-3 Mandibular Second Molar Protraction into a First Molar Space with a Fixed Functional Appliance* 310
Pretreatment 310
Extraoral Analysis (Fig. 14-3-1) 310
Smile Analysis (Fig. 14-3-2) 311
Intraoral Analysis (see Fig. 14-3-2) 311
Functional Analysis 311
Diagnosis and Case Summary 312
Treatment Options 313
Treatment Sequence 314
Final Results 316
6 Strategies to Expedite Orthodontic Treatment 319
15 Corticotomy-Assisted Orthodontic Treatment 320
Case 15-1 Corticotomy-Assisted and TAD-Supported Mandibular Molar Protraction with TAD-Based Intrusion of Maxillary Molars* 320
Pretreatment 320
Extraoral Analysis (Fig. 15-1-1) 320
Smile Analysis (Fig. 15-1-2) 321
Intraoral Analysis (see Fig. 15-1-2) 321
Functional Analysis 321
Diagnosis and Case Summary 322
Treatment Options 323
Treatment Sequence 324
Final Results 328
16 Correction of Dentofacial Deformity with Surgery-First Approach 330
Case 16-1 Virtual Three-Dimensional Plan and Surgery-First Approach in Orthognathic Surgery 330
Pretreatment 330
Extraoral Analysis (Fig. 16-1-1) 330
Smile Analysis (Fig. 16-1-2) 331
Intraoral Analysis (see Fig. 16-1-2) 331
Functional Analysis 331
Diagnosis and Case Summary 332
Treatment Options 333
Treatment Sequence 334
Final Results 340
17 Correction of Malocclusion Restricted to Anterior Teeth with Targeted Mechanics 342
Case 17-1 Targeted Mechanics for Impacted Canines 342
Pretreatment 342
Extraoral Analysis (Fig. 17-1-1) 342
Smile Analysis (Fig. 17-1-2) 343
Intraoral Analysis (see Fig. 17-1-2) 343
Functional Analysis 343
Diagnosis and Case Summary 344
Treatment Options 345
Treatment Sequence 346
Final Results 348
7 Adjunctive Orthodontic Treatment 351
18 Development of Vertical Alveolar Bone for Prosthetic Implant Placement 352
Case 18-1 Vertical Ridge Development in Severe Attachment Loss of a Maxillary Central Incisor* 352
Pretreatment 352
Extraoral Analysis (Fig. 18-1-1) 352
Smile Analysis (Fig. 18-1-2) 353
Intraoral Analysis (see Fig. 18-1-2) 353
Functional Analysis 353
Diagnosis and Case Summary 354
Treatment Options 355
Treatment Sequence 356
Final Results 360
19 Management of Dental Trauma 364
Case 19-1 Autotransplantation of Second Premolars into the Site of Extracted Maxillary Central Incisors Due to Trauma 364
Pretreatment 364
Extraoral Analysis (Fig. 19-1-1) 364
Smile Analysis (Fig. 19-1-2) 365
Intraoral Analysis (see Fig. 19-1-2) 365
Functional Analysis 365
Diagnosis and Case Summary 366
Treatment Options 367
Treatment Sequence 368
Final Results 370
8 Aesthetics 373
20 Aesthetic and Finishing Strategies 374
Case 20-1 Orthognathic Surgery and Reduction of the Open Gingival Embrasures “Black Triangles” to Maximize Facial and Smile Aesthetics 374
Pretreatment 374
Treatment Sequence 375
Final Results 379
Case 20-2 Reduction of Incisal Gingival Display with Incisor Intrusion and Gingivectomy 380
Pretreatment 380
Final Results 381
Case 20-3 Reduction of the Gingival Display and Midline Correction with an Intrusion Arch 382
Pretreatment 382
Treatment Sequence 383
Final Results 384
Case 20-4 Incisal Cant Correction and Composite Restoration in Maxillary Anterior Teeth 386
Pretreatment 386
Treatment Sequence 387
Final Results 388
Case 20-5 Orthodontic Extrusion to Match Gingival Margins and Composite Veneers on Maxillary Anterior Teeth 390
Pretreatment 390
Treatment Sequence 392
Final Results 393
Case 20-6 Mandibular Implants and Anterior Maxillary Veneers for Aesthetics 394
Pretreatment 394
Treatment Sequence 395
Final Results 399
Index 401
A 401
B 401
C 402
D 403
E 403
F 403
G 403
I 403
L 404
M 404
O 406
P 407
R 407
S 407
T 408
U 408
V 408
W 409