Atlas of Complex Orthodontics

Dr. Ravindra Nanda is a professor and Head of the Department of Craniofacial Sciences and Chair of the Division of Orthodontics at the University of Connecticut School of Dental Medicine. He is part of the founding faculty of School of Dental Medicine and has been at the University of Connecticut since 1972 where he also holds an Alumni Chair in the Orthodontics Division. He is an innovator of various appliances in orthodontics. His research and clinical interests include adolescent and adult orthodontics, the biology of tooth mobility, craniofacial orthopedics, biomechanics, and developing efficient mechanics to deliver orthodontic care. Flavio Andres Uribe, DDS, MDentSc, Associate Professor Program Director Division of Orthodontics Department of Craniofacial Sciences School of Dental Medicine University of Connecticut Farmington, CT

• SECTION 1: VERTICAL PROBLEMSChapter 1: Management of Patients with Deep BiteCase 1-1. Incisor intrusion for the excessive gingival display Case 1-2. Intrusion arch for levelling the mandibular Curve of Spee Case 1-3. Increase of the vertical dimension with implants and midline correction with a mini-plate in a patient with a multiple missing teethCase 1-4. Deep bite correction with anterior bite stops Case 1-5. Combined orthognathic surgery, orthodontics, and prosthodontics in a severe brachifacial patternChapter 2: Management of Patients with Open BiteCase 2-1. Targeted mechanics for the correction of an anterior open bite Case 2-2. Anterior open bite correction by mini-implant assisted posterior intrusion Case 2-3. Mini- plate supported posterior intrusion with posterior acrylic plate for open bite correction Case 2-4. Correction of a Class III malocclusion with vertical excess with the Surgery First Approach Chapter 3: Management of Canted Occlusal PlanesCase 3-1: Biomechanical treatment of an asymmetric open bite Chapter 4: Management of Vertical Maxillary ExcessCase 4-1: Orthognathic surgery for significant vertical excess, facial convexity, and large interlabial gap SECTION 2: ANTERO-POSTERIOR PROBLEMSChapter 5: Correction of Class I malocclusions with antero-posterior problems Case 5-1: Intrusion and retraction of the anterior maxillary teeth by means of a three piece intrusion assembly Case 5-2: Correction of bimaxillary protrusion using fiber reinforced composite for space closure Chapter 6: Non-extraction correction of Class II malocclusionsCase 6-1: Anchorage control with a cantilever in an unilateral Class II malocclusion Case 6-2: Tip back-tip forward mechanics for the correction of the Class II subdivision Case 6-3: Use of a fixed functional appliance for Class II correction Case 6-4: Class II treatment with distalizing appliances followed by TADs to maintain anchorage Chapter 7: Correction of Class III malocclusions Case 7-1: Two-phase palatal mini-implant supported Class III correction Case 7-2: Mini-plate supported nonextraction Class III correction Case 7-3: Unilateral mandibular premolar extraction for midline correction and unilateral maxillary canine substitutionCase 7-4: Conventional orthognathic surgery in a severe Class III malocclusion SECTION 3: TRANSVERSE PROBLEMSChapter 8: Correction of Maxillary ConstrictionCase 8-1: Maxillary expansion and stop advance wire for the correction of a mild Class III malocclusion Case 8-2: Bidimensional distraction for maxillary unitlateral crossbite and canine retraction Chapter 9: Correction of Midline DiscrepancyCase 9-1: Correction of a canted maxillary incisal plane with different approaches to a one couple system SECTION 4: IMPACTED TEETHChapter 10: Management of impacted caninesCase 10-1: Maxillary impacted canine and anterior restorations for microdontic lateral incisors Case 10-2: Cantilever based eruption of impacted maxillary canines Case 10-3: Eruption of maxillary impacted canines and mandibular second premolar with cantilever mechanics Case 10-4: Use of lip bumper for severely impacted mandibular canines Chapter 11: Management of Impacted Second MolarsCase 11-1: Molar uprighting of severely mesioangulated mandibular second molars SECTION 5: MULTIDISCIPLINARY TREATMENT Chapter 12: Full Mouth RehabilitationCase 12-1: Restoration of a mutilated dentition with preprosthetic TADs to intrude the mandibular dentition Chapter 13: Management of Missing Maxillary Lateral Incisors Case 13-1: Unilateral canine impaction with maxillary canine substitution Case 13-2: Multidisciplinary approach of multiple missing teeth with bone grafts and endosseous implants Chapter 14: Management of Missing Molars with Orthodontic Space ClosureCase 14-1: Space closure after extraction of a hopeless maxillary molar and build-up of a peg lateral Case 14-2: Mini-implant supported space closure of missing first molars and maxillary premolar extractions Case 14-3: Mandibular second molar protraction into a first molar space with a fixed functional appliance SECTION 6: STRATEGIES TO EXPEDITE ORTHODONTIC TREATMENT Chapter 15: Corticotomy-assisted Orthodontic TreatmentCase 15-1: Maxllary impacted canine and anterior restorations for microdontic lateral incisors Chapter 16: Correction of Dentofacial Deformity with Surgery First ApproachCase 16-1: Virtual 3D plan and Surgery First Approach in Orthognathic Surgery Chapter 17: Correction of Malocclusion Restricted to Anterior Teeth using Targeted Mechanics. Case 17-1: Targeted mechanics for impacted canines SECTION 7: ADJUNCTIVE ORTHODONTIC TREATMENT Chapter 18: Development of Vertical Alveolar Bone for Prosthetic Implant PlacementCase 18-1: Vertical ridge development in severe attachment loss of a maxillary central incisor Chapter 19: Management of Dental TraumaCase 19-1: Autotransplantation of second premolars into the site of extracted maxillary central incisors due to trauma SECTION 8: ESTHETICS Chapter 20: Esthetic and Finishing StrategiesCase 20-1: Orthognathic surgery and reduction of the open gingival embrasures "black triangles" to maximize facial and smile esthetics Case 20-2: Reduction of incisal gingival display with incisor intrusion and gingivectomy Case 20-3: Reduction of the gingival display with an intrusion arch Case 20-4: Incisal cant correction and composite restoration in maxillary anterior teeth Case 20-5: Orthodontic extrusion to match gingival margins and composite veneers on maxillary anterior teeth Case 20-6: Mandibular implants and anterior maxillary veneers for esthetics