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Early Diagnosis & Emerging Technologies in Orthodontics
Dave Defay DDS, MS
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About Me• Family:
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About Me
• Bachelors in Business Administration - USU
• DDS - Ohio State• Student Govt. President
• MS Orthodontics –University of Iowa
• Diplomate of the ABO
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About MeOwner, Defay Orthodontics – Kaysville, Utah
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About MeOwner, Defay Orthodontics – Kaysville, Utah
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AAO• Member of the
Council of New and Younger Members of the American Association of Orthodontists
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Early Diagnosis• The AAO recommends that a child is
seen by an orthodontist at the age of 7
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Early Diagnosis• An orthodontist will be evaluating for
bite problems in the:• Vertical • Transverse• and Antero-posterior Dimensions
• As well as for eruption issues, i.e.• Ectopic Eruption• Ankylosis of Primary Teeth• Missing teeth or transposed teeth
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Vertical Dimension
• 8 yoa
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Vertical Dimension• Adult Worn Dentition: Result of Deep
Bite
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Vertical Dimension• Adult Worn Dentition: Result of Deep
Bite
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Vertical Dimension• Adult Worn Dentition: Result of Deep
Bite
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Transverse Dimension• Posterior Crossbite causing altered
growth due to lateral shifting of Mandible: 13 yoa
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Transverse Dimension
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Antero-posterior (A-P) Dimension• Class II
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Antero-posterior (A-P) Dimension• Class II
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Antero-posterior (A-P) Dimension
• Class III
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Antero-posterior (A-P) Dimension• Class III
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Ectopically Erupting Teeth• Ectopic Canine – 9 yoa
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Ectopically Erupting Teeth• Ectopic Canine – 13 yoa
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Ectopically Erupting Teeth• Ectopic Canine – 10 yoa
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Ectopically Erupting Teeth• Ectopic Canine – 12 yoa
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Ectopically Erupting Teeth• Ectopic Canine – After Treatment 13
yoa
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Ectopically Erupting Teeth• Ectopic Maxillary Molars
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Ectopically Erupting Teeth• Ectopic Maxillary Molars
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Early Diagnosis Conclusion• Few GP’s in my area continue to do their
own orthodontics. If you do, provide the same level of care as a certified orthodontist
• Refer at age 7 to avoid the liability of missing orthodontic problems in your young patients
• Early treatment or observation/guidance is a rewarding part of orthodontic practice
• Be aware of bite issues in all three dimensions
• Be aware of issues resulting from Ectopic Eruptions
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Emerging Technologies
• Conebeam CT Technology• Intraoral Scanners for impressionless
practice (iTero) – Particularly for Clear Aligner Therapy
• Indirect Bonding• TADs or Miniscrews for orthodontic
anchorage in bone• BAMP (Bone Anchored Maxillary
Protraction)
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Emerging Technologies• Conebeam CT Technology – 9yoa
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Emerging Technologies• Conebeam CT Technology
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Emerging Technologies• Conebeam CT Technology
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Emerging Technologies• Intraoral scanner with Clear Aligner
Therapy
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Emerging Technologies• Indirect Bonding
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Emerging Technologies• TAD’s
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Emerging Technologies• TAD’s
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Emerging Technologies• TAD’s with Clear Aligner Therapy
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Emerging Technologies• TAD’s with Invisalign
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Emerging Technologies• TAD’s with Clear Aligner Therapy
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Emerging Technologies• TAD’s with Clear Aligner Therapy
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Emerging Technologies• BAMP – Phase II after RPHG relapse in Phase
1
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Emerging Technologies• BAMP
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Emerging Technologies• BAMP
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Emerging Technologies• BAMP
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Emerging Technologies• BAMP
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Emerging Technologies• BAMP
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Any Questions?
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THANK YOU!
