Winter IJO Abstract
Hippocrates wrote circa 410 BCE that “The doctor must be able to tell the antecedents, know the present, and foretell the future – must mediate these things, and have two special objects in view with regard to disease, namely to do good or to do no harm. The art consists in three things – the disease, the patient, and the doctor. The doctor is the servant of the art, and the patient must combat the disease along with the doctor.” the teaching, mentoring, and support of general dentist members who choose to provide orthodontic services to their patients. Said support includes access to the IAO Professional Advancement Program and University accreditation with two year Masters of Science Degree in Specialty
Hippocrates wrote circa 410 BCE that “The doctor must be able to tell the antecedents, know the present, and foretell the future – must mediate these things, and have two special objects in view with regard to disease, namely to do good or to do no harm. The art consists in three things – the disease, the patient, and the doctor. The doctor is the servant of the art, and the patient must combat the disease along with the doctor.”
Quite frequently the maxillary second molar has erupted in bucco- version, and there is minimal space to bond the buccal tube. Even if the buccal tube is successfully bonded, the patient may not be able to tolerate it. Therefore, the last resort is bonding an eyelet.
Among all the malocclusions Class II malocclusion is one of the most common problems affecting growing as well as non-growing individuals around the globe. About one-third of the patients coming for orthodontic treatment have this type of malocclusion. Twin block appliance is most commonly used in Class II Div I malocclusion cases as it is less bulky as compared to other monobloc appliances. Twin block appliance is effective for correction of Class II malocclusion as well as mandibular retrognathism. Correction of problems through this appliance is based on various factors such as selection of the case, age of the patient and patients’ compliance. This appliance is indicated in patients having retruded mandible with positive virtual treatment objective (VTO), it will enhance the growth of the mandible and improve the patients’ profile. The profile changes and treatment results were demonstrated. With proper case selection and good co-operation, we can obtain a significant result with the Twin block appliance.
Estie Bav is an active member and senior instructor of IAO. She graduated BDSc from the University of Western Australia, and practises in her own private family dental surgery in Melbourne Australia. In November 2018 she published her first book titled “Growing Beautiful Teeth,” primarily targeting parents, grandparents, teachers or any child health carer to look out for early signs of dental growth issues. It informs the unaware the importance and impact of teeth and jaw on other areas of health such as breathing, sleep, posture, and even behaviour.
Fixed functional appliances (FFAs) in conjunction with Skeletal anchorage devices have been proposed to enhance skeletal effects and reduce dentoalveolar effects like proclination of the lower incisors. In this exemplary review, we have discussed in detail about skeletal, Dentoalveolar, and Soft tissue effects when FFD is used with Skeletal anchorage.
We talk here about beginning with the end in mind and I will tell you I don’t think enough Doctors take it literally enough.
The conventional Twin Block appliance was modified for growth modification and correction of malocclusion in the growing skeletal Class II patients with non-compliant behaviour. The modifications can be easily managed by the clinician at the same time being comfortable for the patient. This modified appliance was fabricated for a skeletal Class II patient and it delivered favourable results in short period of time, proving its efficiency and scope for further use.
