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Phase I Arch Development Part III: The Bonding Process


SUMMARY OF COURSE CONTENTThis 4.5 hour CE course* will review the diagnostic and treatment planning process for pre-adolescent patients, including:

  • The literature regarding the concept of placing braces on primary teeth to assist with “developing the arches” as part of interceptive orthodontic treatment.
  • The effect that placing braces on deciduous teeth has on both the primary tooth and its permanent successor.
  • Effective behavior modification techniques to reliably and comfortably place full braces on 7–9-year-old patients.
  • The types of braces, bracket prescriptions, and wires that can be used to successfully and predictably develop the arches during interceptive treatment.
  • Bonding techniques to improve clinical efficacy, maximize bond strength, minimize bond failure, and greatly decrease the risk of enamel decalcification.
  • The importance of dis-occluding the arches at the initial bonding visit, including strategies for determining the size and location of bite ramps and turbos based upon the presenting malocclusion and treatment objectives.
  • Patient/parent testimonials discussing their experiences with full braces in Phase I will be provided.
*DOC is a Certified CE Provider in the State of Florida

Phase I Arch Development Part II: Diagnosis & Treatment Planning



This 5 hour CE course* will review the diagnostic and treatment planning process for pre-adolescent patients, including:

  • Taking outstanding clinical photographs.
  • The value of low-dose CBCT images in the diagnosis and treatment planning process.
  • Performing a thorough and comprehensive clinical examination.
  • Evaluating hard and soft tissues on CBCT images, including the nasal passageways, sinuses, nasopharynx, oropharynx, adenoids and tonsils.
  • Using the aforementioned diagnostic information to formulate a treatment plan involving arch development with braces and wires.
  • Effectively communicating this diagnosis and treatment plan to the patient and parent(s) during the consultation.
  • Scripting for team members will also be provided to assist them with both understanding the process of Phase I archwire development with braces and effectively communicating it to patients and parents.
*DOC is a Certified CE Provider in the State of Florida

A Unique Approach to the Interceptive Treatment of Cleft Lip and Palate Patients



This 1.5 hour CE course* will investigate the traditional means of using RME during interceptive treatment to expand the palate of patients with CL&P and contrast that to a new and innovative approach that uses just braces and wires.

Traditional treatment of patients with cleft lip and palate (CL&P) involves using rapid maxillary expansion (RME) to expand the maxilla during interceptive treatment in preparation for placement of the alveolar bone graft.  However, many of these patients do not actually have a posterior transverse discrepancy.  Instead, they have a narrow, V-shaped maxillary arch which is narrow in the middle and posterior thirds, and are often premaxillary deficient.  Therefore, traditional RME often over-expands the posterior segments and under-expands the middle and anterior segments of the arch, creating arch coordination issues with the mandibular arch.

In addition, expanders present many challenges such as food impaction, discomfort, speech issues, etc. that can make placement and maintenance challenging both for the practitioner and the patient.  And turning of the hyrax key is not always easy for the parent(s).

*DOC is a Certified CE Provider in the State of Florida

Airway, Malocclusion, and Interceptive Orthodontic Treatment



This 4.25 hour CE course* will review the basic concepts of growth and development of the craniofacial complex and do a deeper dive into the following:

  • The evolution of malocclusion.
  • The relationship between airway and malocclusion.
  • The impact of airway and breathing on systemic health.
  • The various clinical and radiographic (including CBCT) indicators of airway obstruction and mouth breathing.
  • The impact of orthodontic treatment on pediatric airway.
A particular focus will be paid to the importance of diagnosing the etiology of the malocclusion (i.e. a transverse discrepancy caused by the underlying airway compromise) instead of simply treating the symptom (i.e. crowding).

Multiple cases will be presented to demonstrate how minimally invasive, comfortable, efficient and profitable interceptive treatment can improve airway patency, decrease snoring and mouth breathing, and increase patient self-confidence.  Parent/patient testimonials will be provided as well.

*DOC is a Certified CE Provider in the State of Florida
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