In addition, I established both the orthodontic and pediatric dentistry departments at the university.Many patients were being referred to the orthodontic de partment, and there were no qualified faculty members to help me provide care. To rectify the situation, I designed an advanced level, comprehensive curriculum in orthodontics
for undergraduate students, including classroom instruction,laboratory research, and clinical demonstrations. Once the students completed the course, they could work in the clinic,thus temporarily solving the issue of the heavy patient load in the orthodontic clinic. With additional staff now available, I could select patients, mostly children in the primary or mixed dentition, for some interceptive treatment.
Retention is the phase of orthodontic treatment which maintains the teeth in their orthodontically corrected positions following the cessation of active orthodontic tooth movement. Orthodontic retainers resist the tendency of teeth to return to their pre-treatment positions under the influence of periodontal, occlusal and soft tissue forces, and continuing dentofacial growth. In clinical guidelines for retension
very few prospective controlled studies have evaluated the effectiveness of retention. A recent systematic review concluded that there was a need for randomised controlled trials in this area of orthodontic practice.
Despite my difficulties in performing all of the aforementioned duties, this situation had a fortunate outcome. It helped me to understand and discover the advantages of early-age orthodontic treatment, which was not common in those years. During my more than 40 years of practice at St Lukes Dental
and teaching, especially in early orthodontic treatment, I have accumulated a considerable amount of educational data for teaching purposes. I would like to share this experience and information with readers. Increases in lower incisor irregularity occur throughout life in a large proportion of patients following orthodontic treatment and also in untreated subjects. Recent evidence suggests that most change will takeplace by the middle of the third decade.
It has been suggested that prolonged retention of the lower labial segment until the end of facial growth may reduce the severity of lower incisor crowding.
Patients’ expectations of the stability of their lower incisor alignment should be considered on completion of orthodontic treatment. If an individual is unwilling to accept any deterioration in lower incisor alignment following orthodontic treatment then permanent fixed or removable retention may have to be consider
The public’s growing awareness of and desire for dental services, especially at an early age. The therapeutic devices available for this endeavor are not
complex, but deciding which ones to use and when to employ them are important steps. Acceleration of teeth movement
as we make these decisions, we should also remember not to treat the symptom but rather to treat the cause. My goal is to present the basic information necessary to understand the problems, to differentiate among various conditions, and to review different treatment options. Case reports are examined to facilitate clinical application of the theory in a rational way.
Materials are presented in three parts: In Part I, “Clinical and Biologic Principles of Early-Age Orthodontic Treatment,” three chapters introduce and explain the concept of early-age treatment, describe its necessity and advantages, and discuss the controversies surrounding this topic; discuss the basic foundation of occlusal development, empowering the practitioner to detect anomalies and intervene as necessary; and illustrate the procedures, tools, and techniques available for diagnosis,emphasizing differential diagnosis and treatment planning for early-age treatment
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