Introduction to Orthodontics

Dr. Munizeh Khan

BDS, FCPS (Orthodontics)

Welcome!

Introduction!

Class Guidelines
1.

Scoring:
Attendance Class Participation Quizzes End of year evaluation

Class Guidelines
2. Course Outline:
a. b. c. d. e.

Introduction to Orthodontics Prenatal growth of CF complex Postnatal growth of CF complex Development of Dentition Occlusion in Orthodontics

Class Guidelines

Punctuality appreciated
Cell phones = silent please Discussions/participation encouraged

Class presentations/ assignments

Introduction to Orthodontics

Orthodontics?

Orthodontics
Branch of science and art of dentistry

which deals with the development and

positional anomalies of the teeth and

jaws,
as they affect oral health and the physical, esthetic and mental well being

Orthodontics

Deals with:

Study & supervision of growth & development of craniofacial complex, specifically jaws and teeth

Preventive & corrective procedures of dental and

jaw irregularities requiring repositioning to establish normal occlusion and pleasing facial contours (ABO)

Ever since Eve flashed Adam

her first grin, We have been concerned about our smiles.

Wahl N. Orthodontics in 3 millennia. Chapter 1:Antiquity to the mid-19th century. Am J Orthod Dentofac Orthop 2005; 127:255-9.

Long before braces, Long before the term orthodontics

It was known that teeth moved in response to pressure

History of Orthodontics
Hippocrates (460-377 BC)

Showed association of teeth to jaw structures

History of Orthodontics
If a second tooth should happen to grow the new one daily pushed by means of the finger until it arrives at its just proportion.

Celsius (25 BC- AD 50)

History of Orthodontics

1728: Pierre Fauchard

1880: Norman Kingsley, J.N Farrar 1880s: Recognized as a separate science 1900s: Edward H. Angle

History of Orthodontics

1900: Edward H. Angle

1917: Calvin S. Case 1930s: P.R Begg

1970s: Lawrence Andrews

Orthodontics Today

Malocclusion why is it so prevalent?

Evolutionary changes Disease of civilization Refined food, softer diet Caries Periodontal disease

Need & Demand of Orthodontic Tx

Psychosocial problems
Handicapping malocclusion Quality of life

Oral function
Chewing Speech

Risk of trauma / oral disease

Injury Periodontal problems

Branches of Orthodontics

Preventive Orthodontics:

Preserve normal occlusion Recognize deviations from normal Elimination of deleterious habits Correction of posture and malnutrition Restoration of carious teeth Space maintenance Timely removal of retained deciduous teeth

Branches of Orthodontics

Interceptive Orthodontics:

Recognize developing abnormality Eliminate irregularities Space regaining Supervision of deciduous teeth Space supervision Habit breaking devices

Branches of Orthodontics

Corrective Orthodontics:

Recognizes existence of malocclusion Need for reducing or eliminating abnormality Corrective procedures may be:

Mechanical Functional surgical

Branches of Orthodontics

Postural Orthodontics:
Related to abnormalities of TMJ Functional irregularity affecting teeth, jaws or muscles

Includes:

Splint therapy Orthodontic therapy Combination surgical & orthodontic approach

Scope of Orthodontics

Moving teeth

Orthopaedic response
Altering soft tissue envelope

Goals of Orthodontics
1.

Functional
efficiency

2. 3. 4. 5.

Structural balance Esthetic harmony Stability Optimal oral health

Orthodontics A new beginning!