Interceptive Orthodontics. a Practical Guide to Occlusal Management

Description

Interceptive Orthodontics: A Practical Guide to Occlusal Management aims to guide the practitioner in the art of interceptive management of the developing dentition. The goal is to guide the permanent dentition into the line of the dental arches, avoiding complex orthodontic treatment for teeth displaced far from their ideal position, and thereby reducing orthodontic treatment time. This book covers growth of the jaws and tooth development, and explains the correct timing of interceptive management. It also discusses orthodontic assessment, special investigations and comprehensive management of the mixed dentition, taking in the issues of early crowding, impaction, supernumerary and supplemental teeth, dental arch expansion, space maintenance and space management. In line with best available evidence, it provides clear treatment objectives and detailed treatment planning advice.

Practical, accessible and illustrated with a wealth of colour images, this is an ideal clinical companion for general dental practitioners, oral surgeons, paediatric dentists and orthodontists. It is also a valuable reference for all training grades.

Table of contents

Preface

1 Introduction 1

• What do we know about growth? 1
• Growth and development of the jaws 2

2 Recognising the problem 9

• Is an attractive smile important? 9

3 Investigations 15

• Radiographs 15
• Cone-beam computed tomography 17
• Study models 23
• Photographs 24
• What is the scope of orthodontic change? 24

4 Managing the developing occlusion 29

• Thumb/finger sucking 29
• Crowding of the permanent lateral incisors 32
• Serial extraction: a modern approach 39
• The unerupted central incisor 42
• Submerging deciduous second molars 45
• Fusion, gemination and morphology issues 47
• Upper labial fraenum 48
• Leeway space and the use of intraoral anchorage arches 50
• Sagittal problems: Class II 51
• Sagittal problems: Class III 59
• Ectopic and impacted teeth 62
• Missing teeth 65

Index 75