Orthodontic treatment in the transverse and sagittal planes

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课程名称:横向和矢状面正畸治疗 课程概述: 本课程将带您从零基础掌握以下正畸主题:横向差异与矢状差异的治疗。课程内容主要涵盖以下几个方面: 一、横向差异 1. 交叉咬合的发展与分类 2. 后牙交叉咬合的病因 - 遗传因素 - 习惯(如张口呼吸、吸吮手指、婴儿吞咽、舌位异常) - 干扰和咬合因素(如创伤等) 3. 后牙交叉咬合的类型及诊断 - 功能性、牙槽性、骨骼交叉咬合 4. 后牙交叉咬合的矫正影响因素及治疗时机 5. 分离术的效果、适应症与禁忌症 6. 后牙交叉咬合的治疗方法 二、矢状差异 1. 矢状问题的发展与诊断 2. 二类错牙合 - 临床检查与功能评估 - 形态特征 - 治疗规划(包括固定与可拆卸的远端器具及非拔牙治疗) 3. 三类错牙合 - 治疗问题和前牙交叉咬合的评估与治疗方法(包括拔牙与面具治疗) - 矫形外科治疗适应症 通过本课程,您将能够深入理解和应用横向及矢状面正畸治疗的关键概念和技巧,提升您的正畸治疗能力。

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This course will take you from zero to hero of the following orthodontic topics: Transverse discrepancies and Treatment of sagittal discrepanciesHere are the main headlines that this course covers:Transverse discrepancies1. Development of crossbite1.1 Classification2. Posterior crossbite2.1 Etiology of posterior crossbites2.1.1Genetic factors2.1.2 HabitsMouth breathingFinger suckingInfantile deglutitionLingual interposition2.1.3 Interferences and occlusal factorsTraumaOther causes2.2 Types of posterior crossbitesFunctional crossbiteDentoalveolar crossbiteSkeletal crossbiteScissors bite2.3 Diagnosis for posterior crossbite2.4 Variables that can have influence in the correction of posterior crossbitesTeeth inclinationLateral functional displacement during mandible closureEstimation of the necessary expansionAge of the patientVertical changes2.5 Reasons and timing of treatment of posterior crossbites3 Disjunction3.1 Effects of disjunction3.2 Effects on the maxillary complex3.3 Effects on the alveolar process3.4 Dental effects3.5 Effects on the mandible3.6 Effects on the adjacent facial structures3.7 Disjunction indications and Counter indications4. Treatment for posterior crossbiteQuad HelixTranspalatal arch with an extension armInverted NiTi archOverlayCrossed elastics or "Z" elasticsHassHyraxSurgical disjunctionTreatment of sagittal discrepancies1. Development of a sagittal problem2. Diagnosis of sagittal discrepancies3. Class II malocclusion3.1 Clinical examination and functional assessment3.2 Morphologic characteristics3.3 Treatment planning3.3.1 Dentoalveolar Class II malocclusionsMaxillary distalization:Fixed distalizers - open coil spring, elastic NiTi wires or Dr Richard Vlock's technique, sliding hooks, Pendulum appliance, Distal jetRemovable distalizers - Cetlin plate, Veltri distalizer, Belussi DistalizerNon extraction headgear treatment3.3.2 Functional Class II with distally forced bite3.3.3 Skeletal Class II with maxillary prognathismExtraction treatmentManagement of the extraction spaceIndications and contraindicationsExtraction pattern in class II casesExtraction space closure biomechanics by:1. Elastics,2. Coils,3. Loops:• The open ''I'' loop.• The closed ''I'' loop.• The closed helicoid ''I'' loop,• Ricketts loop.• Bull or Keyhole loop,• The "T" loop,• The segmented "T" loop,• The utility retraction loop.• The DKL (Double Key Loops).4. Retroligature3.3.4 Skeletal Class II with prognathism and anteinclination of maxilla3.3.5. Skeletal Class II with retrognathic mandible4. Class III malocclusion4.1Treatment Problems4.2 Anterior crossbiteEtiologyClinical evaluationClassification - Dental anterior crossbite, Functional anterior crossbite, skeletal anterior crossbiteDifferential diagnosis between true and Pseudo Class III malocclusionTreatments for anterior crossbites1. Dentoalveolar Class IIIExtraction treatmentForward archBite blockLingually placed bracket2. Functional Class III malocclusion (with pseudo-forced bite or anterior displacement)3. Class III malocclusion with retruded maxillaFace mask treatmentOrthognathic surgery4. Class III malocclusion with mandibular prognathismOrthognathic surgery5. Class III malocclusion with a combination of maxillary retrognathism and mandibular prognathism

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