| 미소교정; 아름다운 미소 만들기 |
| New Concepts for Creating an Attractive Display
of the Teeth and Beautiful Smiles in Orthodontic Patients |
치아만 가지런하게 되었다고 교정이 된 것은 아니다. 많은 환자들은 매력적인
스마일을 얻기 위해 교정을 원하고 있으므로, 스마일시 치아의 노출에 대한 고려가 반드시 필요하다. 아름답고 매력적인
미소를 만들기 위한 최신교정지견을 전형적 증례와 함께 제시하고자 한다 (3 hrs)
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During orthodontic treatment, it is easy to make several mistakes
when it comes to the patient's display of the dentition in rest
position, normal conversation, and full smile.This will undoubtedly
reduce the benefits from an otherwise successful orthodontic treatment
result. This lecture will discuss some new concepts and provide
guidelines on how to evaluate tooth display and orthodontic smiles
from the front, and with the patient sitting in the dental chair.
The lecture on the vertical dimension will emphasize the
most attractive relationship between the upper incisal curve and
the inner contour of the lower lip, and how to achieve that clinically.
It will also discuss the optimal vertical display of maxillary and
mandibular incisors in different age groups. The normal age changes
in vertical incisor display in adult and elderly male and female
patients will be analyzed. Such changes are caused by drooping of
facial soft tissues due to gravitation. The treatment implications
will be discussed with regard to vertical incisor exposure in different
facial types. Particularly the unesthetic sequel associated with
intrusion of maxillary incisors in patients with normal and low
smile types will be illustrated so that "hiding the maxillary incisors
behind the upper lip" will be avoided during orthodontic treatment.
For the transverse dimension, new information will be provided
on the need for individual cuspid/bicuspid/molar torque variations
in different facial types, so as to create fullness of smiles without
lateral expansion. Diagnosis and handling of pretreatment asymmetries
in crown torque between teeth on the right and left sides of the
mouth will be discussed. The importance of treating to relatively
straight crown torque of the most terminal maxillary bicuspid shown
on smiling for achieving an attractive smile will be demonstrated.
The most desirable crown torque of mandibular cuspids, bicuspids
and molars from esthetic and functional perspectives will be analyzed.
Optimal crown torque variations of the posterior teeth will be related
to different sizes of the apical base in individual patients.
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| 심미적 마무리 기술; 성인에서의 고려 |
| Esthetics in Orthodontic Finishing |
교정치료 후 최선의 심미를 얻기 위해서는 치아의 위치 뿐 아니라 치아형태, 나아가 치은형태에 대한 고려도 반드시
필요하다. 마무리 과정 중 치아삭제를 통한 recontouring 기법과 보철 및 치주술식을 동반한 심미적 마무리에
대한 임상적 가이드라인을 소개하고자 한다 (3 hrs)
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Based on the research evidence from different experimental models
to be presented, this section will provide many clinical tips on
making intentional changes in tooth morphology and marginal gingivae.
This is required in order to perfect orthodontic treatment results
in adolescent and, particularly, in adult cases. The goal for each
patient is a beautiful alignment of beautiful teeth, surrounded
by intact gingival papillae.
Topics will include:
- grinding with diamond instruments to change tooth form for
esthetic, functional, and stability reasons.
- mesiodistal enamel reduction (stripping) to reshape teeth to
ideal morphology, and treat or prevent the development of interdental
gingival recession ("black triangles").
- routine and more difficult incisal edge contourings.
- the use of porcelain laminate veneers and veneer crowns in
adult orthodontic patients and in difficult/complicated adolescent
cases involving autotransplantation of developing bicuspids to
the maxillary anterior region.
- different techniques for crown lengthening procedures associated
with orthodontic treatment (gingivectomy, intrusion, extrusion,
surgery including ostectomy).
Detailed how-to-do-it advice on the various procedures will be
given to illustrate optimal performance and common mistakes for
each, and many clinical examples will be provided for each item
in this lecture.
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| 새로운 패러다임; 노인교정 |
| Orthodontic Treatment for Elderly Adults -
Possibilities and Patient Reactions |
인구의 노령화와 함께 사회경제적 여건이 향상되면서 교정치료를 원하는 연령층도 점점 높아지고 있다. 최근에 치료된
65세 이상 노인 30여명의 치료 경험을 통하여 "노인교정"의 가능성과 함께 성공을 위한 임상지침을 소개하고자
한다 (1 1/2 hr)
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This lecture discusses the possibilities for orthodontic treatment
in a large pool of elderly adults. All patients in the sample (n=36)
were over 65 years of age, and the oldest was 84 years old, at the
start of treatment.
Surprisingly positive reactions were experienced. Despite somewhat
slow movements of the teeth in a few persons, treatment outcome
generally was successful.
Discussions will include when to make compromise treatments, pathologic
reactions in patients with psychologic problems, special problems
in bonding and debonding adults with large fillings and many artificial
teeth, and retention of the achieved results in elderly orthodontic
patients.
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| 하전치 일치 발치; 체계적 심층분석 |
| Extraction of One Single Incisor in Orthodontics |
성인에서 간단히 치료할 수 있는 교정술식으로 하전치 일치 발치가 있다. 이 경우 나타날 수 있는 문제점과 아울러
올바른 증례선택 방법을 제시하고자 한다. 특히 interdental gingiva 소실로 인한 심미적 문제와 함께
그 해결책을 논의하고자 한다 (1 1/2 hr)
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This section will discuss the indications, contraindications, and
clinical experiences for the extraction of one lower mandibular
incisor in orthodontic treatment. One particular indication to be
discussed is cases with a combined tendency for Class III malocclusion
plus open bite. The advantages and disadvantages of such treatment
will be evaluated, and clinical guidelines will be provided on the
outcome of such extractions in different malocclusions treated at
different ages. Special attention will be directed towards avoiding
loss of the interdental gingival papillae in the mandibular anterior
region.
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| 심미치과의 미래; 치주, 보철, 교정, 임프란트의 협진! |
| Esthetic Dentistry for the Future - Cooperation
between Specialists |
교정학의 미래는 타 분야 전문의와의 협진체제 성공 여부에 달려있다. 보철교정 뿐 아니라 치주, 임프란트와의 협진을
최신지견과 함께 소개하고자 한다. 아울러 여러 형태의 implant와 microscrew의 장단점에 대하여 논의하는
한편, 치주가 좋지 않은 성인환자에서의 치료 가이드라인을 제시하고자 한다 (3 hrs)
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This topic will cover and demonstrate in detail the clinical results
achieved in interdisciplinary cooperation between contemporary orthodontics
and excellent prosthodontics. It will be shown that the outcome
is equally dependent on both specialists, and that the final result
will be better than each of the specialists can achieve alone.
Also the cooperation between orthodontist and periodontist/implantologist
will be covered. Recent advances in basic science related to periodontal
biology, and clinical trials on prevention and treatment of periodontal
disease, have changed many treatment concepts in periodontics. This
information is important to clinical orthodontists who treat more
and more complex adult cases. Interdisciplinary treatment regimes
for adults with more or less reduced periodontal support will be
covered, as will the advantages, disadvantages, and clinical problems
for orthodontists of different types of implants and microscrews.
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