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Impacted and Transposed Teeth- Benefits vrs Risks of correction, Diagnosis and How to correct

Dr Andrew Chang of Smiles & Faces Orthodontics, Blacktown shares his presentation.

How you taken an OPG of your child or teenager patients and saw a developing impacted permanent tooth. What do you do? Have you thought if you should ask the patient to wait until all adult teeth are through, then refer to an orthodontist for orthodontic treatment then?

Dr Andrew Chang shares his insights and experience on this highly niched topic yet for general dentists can have profound implications on the patient outcome.

It would challenge the common thinking among some general dentists and many in the community that orthodontic treatment is best left till when all adult teeth have erupted.

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Enamel Defects and Orthodontic Implications- A clinical decision making flowchart

Does your patient have chalky teeth? What factors would you need to consider? How can you provide the best quality care for your patients. This flowchart will help to make your treatment planning clearer.

This is an excerpt that many dentists find helpful when undertaking treatment planning for their patients.

1-Page-HANDOUT.pdf

 

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Molar-Incisor Hypomineralization: The Pediatric-Orthodontic Interface

Dr Diane Tay, Pediatric Dentist and Fellow at Westmead Children's Hospital shares her insights on the features, clinical presentation, and management of Molar-Incisor  Hypomineralization. This is an excerpt of her combined presentation, with Dr Andrew Chang of Smiles & Faces Orthodontics into Enamel Defects and the pedodontic-orthodontic implications. 

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Enamel Defects- The Pedodontic-Orthodontic Interface

This webinar is an adaptation of the presentation given by Dr Andrew Chang to a large group of dentists. This is part 2 where he discusses the role of the orthodontic implications that arise from enamel defects. When managed well and timed right, extractions in certain instances of teeth with marked enamel defects can simplify or reduce future orthodontic treatment of treatment needs. Topics that are covered in depth are:

  1. Chronological enamel hypoplasia and MIH.
  2. MIH- progressive and non progressive forms
  3. Compensating and Balancing extractions- when and why?
  4. Role of Occlusal relationships
  5. 3rd molars- how does this affect treatment planning
  6. Case studies

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Invisalign - Is there a Place for This. A Practitioner's Reflection

This in depth discussion focuses on case selection: How to identify the level of difficulty of the orthodontic treatment case? It also goes through numerous clinical cases to illustrate and apply this.

This is particularly suited to those practititioner's with a basic level of orthodontic awareness, who has had some early exposure to clear removable aligners.

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Timing of orthodontic treatment- when and why

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Early Orthodontic Treatment-When and why

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Facial Injectables In Dentistry

In this webinar, Dr Myles Holt, head of AADFA, runs through the use of Botux and Dermal Fillers in Dentistry. 

 

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Clear Aligners in General Dental Practice

This webinar is suited for general dentists who would like to obtain a working knowledge about clear removable aligners.

 

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Try in and cementation of a horseshoe space maintainer

In this video, we cover 

1. Try-in
2. Insertion 

of a simple Horse-shoe space maintainer 

 

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Placing and Removing Elastic Separators

In this section, we go through the technique of placing elastic separators. This can be useful for correcting mild teeth impactions ie: ectopically erupting 6's or 7's with mesio-angular impactions

1. Using 2 mosquito forceps

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OR

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Impacted teeth in children- Should I treat or refer for an orthodontic assessment?

Have you encountered impacted molar teeth in kids in their mixed dentition stages. 

Have you been feeling a bit unsure of when to refer these patients to an orthodontist?

If so, I hope this flowchart below would help to clarify the questions you may have thought of during today.

b2ap3_thumbnail_Treatment_Planning_Flowchart-Treat-or-Refer-Impacted_tooth.png

 

 

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Early Orthodontic Treatment- What makes it work?

Early Orthodontic Treatment- What makes it work?

Have you ever listened to the pamplets and brochures you may receive in the mail, of this new orthodontic appliance, used in early treatment in children, that claims to be groundbreaking?

Have you attended an orthodontic seminar or course and have been confused by the whole range of orthodontic appliances used in the primary or mixed dentition. Because I had, when I first finished dental school, and for quite a few years after, while practising as a general dentist.

For reasons of extended treatment duration, overall cost-effectiveness to the patient/parents and therefore overall disruption or inconvenience to their daily activities, I very rarely recommend treatment in the deciduous dentition. I feel in this information age, it is more important than it has ever been to involve the patient and parent in the overall treatment planning decision, to ensure the greatest treatment success. I have created an easy to follow overview of the decision factors that I look at when deciding the optimum orthodontic care for children in the deciduous or mixed dentition. I hope this makes it easier for you as it did for me in clarifying decision making. 

 

Early-Orthodontic-Treatment-Overview.pdf

 

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Space maintainers- A simple flowchart to select the right appliance for your patient

Has your patient lost a deciduous tooth early? 

Have you removed a deciduous molar ie: say a D or an E early, due to caries or a toothache and wondered how to do a space maintainer? 

It has been my observation, after seeing thousands of children and teenagers, that space loss can occur with either loss of a D or an E. This was contrary to what I was taught in dental school, that it would only occur with loss of a deciduous 2nd molar ie: an E and a space maintainer was not needed, if a D was lost. I felt the need for a easy to follow flow-chart that would make selection of a simple retainer appliance easy to follow. I hope this helps you, as it has helped me.

Space-Maintainers.pdf

b2ap3_thumbnail_Space_maintainer_Flowchart_2.png

 

 

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10 Things I must know before getting started with Invisalign

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Anterior open bite correction-A new standard of care?

 

 

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This is an adaptation of a talk Dr Andrew Chang, principal orthodontist of Smiles & Faces Orthodontics, gave to a group of dentists. We present the case for a safer, predictable treatment alternative to Anterior Open Bite Correction in adults and teenagers, incorporating orthodontic treatment principles and temporary orthodontic micro-implants
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Quick Treatment Braces

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Examining the boundaries of non extraction orthodontic treatment

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Examining the boundaries of non extraction orthodontic treatment from Smiles & Faces Orthodontics

Dr Andrew Chang,of Smiles & Faces orthodontics, explores the increasing prevalence of non extraction orthodontic treatment. 
 
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The Impacted Tooth- What, when and how to manage

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Space maintainers and orthodontic treatment- when, why, how.

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Contact us

If you have any questions, please feel free to contact us on 02 8814 9941
or our team at Smiles & Faces Orthodontics Blacktown via email to [email protected]

 

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