Early Orthodontic Treatment: Evidence-Based Science with a Practice Management Twist

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Dr. Peter Ngan, D.M.D.  is Professor and Chairman, Department of Orthodontics, and head of the Division of Pediatric Dentistry, West Virginia University, School of Dentistry. Author of numerous research and clinical papers as well as an international speaker, Dr. Ngan is a Fellow of the American College of Dentists, Diplomate of the American Board of Orthodontics, and Diplomate of the American Board of Pediatric Dentistry.  Dr. Ngan maintains an intramural faculty practice in the West Virginia University School of Dentistry.

Are you a clinician that performs early orthodontic or orthopedic treatment in your office?  Treatment planning for these types of indications can be challenging as there are many options now available.  Some clinicians use a rapid palatal expansion appliance, but then how do you determine how to expand?  Do you expand the maxillary arch for the purpose of arch width only?

This course will help you determine whether to treat Class III patients with protraction facemask in the primary or mixed dentitions and will provide parameters of when to start treatment.  Patient risk assessment, planning, and result expectations are critical in determining whether a patient will be successful with this treatment methodology.

Another indication that will be discussed is those patients who relapse back into an anterior crossbite and eventually require surgical treatment and in this case, do you have a way to predict excessive mandibular growth?

Some practices prefer to use fixed functional appliances for Class II corrections.  How do you determine whether the patients will have any long-lasting effects on the maxilla or the mandible?  Is it worth the effort to have a separate phase of treatment with fixed functional appliance before comprehensive orthodontic treatment?

If you have treated patients with these clinical challenges or answered yes to any of the posed questions, this course will give you possible solutions and tips on how to improve your esthetic outcome.

Learning Objectives

  • Understand options for performing early orthodontic or orthopedic treatments
  • Review the challenges with Class II and Class III patients
  • How to manage patient expectations