Palazzo della Gran Guardia Piazza Brà - Verona, Italy 6-7-8 October 2011 wioc2011.it 1 3rd WORLD IMPLANT ORTHODONTIC CONFERENCE Clinical applications, advantages and future developments for TADs: World Expert Forum. Possibilità, vantaggi e nuove prospettive dei TADs: Opinioni ed idee da tutto il mondo. in conjunction with: VII National Congress Italian Academy of Orthodontics VII Congresso Nazionale Accademia Italiana di Ortodonzia (AIDOr) VII National Congress Italian Academy of Orthodontic Technicians VII Congresso Nazionale Accademia Italiana di Ortodonzia Tecnica (AIOT) October, 6-7-8 2011 Piazza Brà, Verona (ITALY) Palazzo della Gran Guardia 2 WELCOME LETTER 3rd WIOC ORGANIZING COMMITTEE and AIDOr BOARD: President WIOC: B. G. Maino Chairman Scientific Committee: D. Mirabella Secretary: G. Biondi Treasurer: G. Zanchetta S.C. Committee Consultants: A. Giancotti, A. Gracco, C. Luzi Int. Relationship: A. Caprioglio, L. Moser Webcontent Manager: G. Maino Press Officer: C.Molinari Banquet organizing headgroup: P. Chiaramonte Dear Orthodontic Fellows, I’m very pleased to announce that the ITALIAN ACADEMY OF ORTHODONTICS (AIDOr) at its seventh National Congress, will host the 3rd WORLD IMPLANT ORTHODONTICS CONGRESS (WIOC) in Verona, at “Palazzo della Gran Guardia” on 6-7-8 October 2011. The theme of the WIOC meeting is “Clinical applications, advantages and future developments for TADs: World Expert Forum”. We will have the opportunity to listen to more than 40 international speakers on this topic that play a crucial role in the orthodontic treatment. The official language of the Congress will be English. The program includes the presentation of posters and free communication. While participating at the Congress, you will have the opportunity to visit the city of Verona, also known as the city of Romeo and Juliet. The small Roman - Colosseum, the Arena, will enchant you with a lot of art shows organized every year to great acclaim and which is in front of the Congress Palace. You can easily visit the most beautiful cities of Italy by train (only 40 minutes to Venice) or by airplane (one hour to Rome and 40 minutes to Florence). I’m sure you will enjoy the stunning scenery of Veneto area, with its cuisine, wines and the vibrant hospitality of the members of the Italian Academy of Orthodontics. I therefore would like to invite you to join the Congress WIOC-AIDOr with the hope that this scientific event and Italy as well will take a special place in your memories. A warm welcome. Dr. B. Giuliano MAINO President World Implant Orthodontics Conference President Italian Academy of Orthodontics 5 3rd WIOC ORGANIZING COMMITTEE PRESIDENT Dott. B. Giuliano Maino SECRETARY Dott. Giovanni Biondi SCIENTIFIC COMMITTEE CONSULTANTS Dott. Aldo Giancotti SCIENTIFIC COMMITTEE CONSULTANTS Dott. Antonio Gracco CHAIRMAN SCIENTIFIC COMMITTEE Dott. Davide Mirabella TREASURER Dott. Gabriele Zanchetta SCIENTIFIC COMMITTEE CONSULTANTS Dott. Cesare Luzi WEBCONTENT MANAGER Dott.ssa Giovanna Maino INTERNATIONAL RELATIONSHIP Dott. Alberto Caprioglio INTERNATIONAL RELATIONSHIP Dott. Lorenz Moser PRESS OFFICER Dott.ssa Camilla Molinari BANQUET ORGANIZING HEADGROUP Dott.ssa Paola Chiaramonte 7 Advisory Committee Members of WIOA CHAIRMAN Dr. Young-Chel Park Korea Professor, Orthodontic Department, College of Dentistry, Yonsei University ADVISORY COMMITTEE Dr. Dieter Drescher Germany Professor, Director, Westdeutsche Kieferklinik Heinrich-Heine-University Dusseldorf Dr. Donald J. Ferguson Usa Professor & Dean, Nicolas & Asp Postgraduate Institute, Dubai Healthcare City Dr. Birte Melsen Denmark Professor, Department of Orthodontic, Royal Dental College, Aarhus University Dr. Chia Tze Kao Taiwan Professor, Dental Department, Chung Shan Medical University Dr. Eric J.W. Liou Taiwan Professor and Program Director, Department of Orthodontic, Chang Gung Memorial Hospital Dr. Eugene Roberts USA Professor, Jarabak Professor and Head, Section of Orthodontics, School of Dentistry, Indiana University Dr. Chooryung J. Chung Dr. Cinar Atagun Turkey Professor, Orthodontic Department, School of dentistry, Ege University Dr. Eung Kwon Pae USA Professor, Orthodontic Department, UCLA Dr. Flabio Uribe USA Program Director, Division of Orthodontic, Department of Craniofacial Sciences, University of Connecticut 9 Advisory Committee Members of WIOA Dr. George Anka Japan Private clinic Dr. Glenn Sameshima USA Professor, Division of Craniofacial Therpeutics and Sciences, School of dentistry, University of Southern California Dr. Hideo Suzuki Brasil Professor, Department of Orthodontic, St. Leopold Mandic Research clinic Dr. B. Giuliano Maino Italy Private clinic, Professor, School of Maxillofacial Surgery, University of Parma Dr. Jang Yeol Lee Korea Private clinic Dr. Joong Ki Lim Korea Private clinic Dr. Heinrich Wehrbein Germany Professor, Department of Orthodontic, School of Dentistry, Mainz University Dr. John Jin-Jong Lin Taiwan Private clinic Dr. junji Sugawara Japan Private clinic Dr. Kee Joon Lee Korea Professor, Department of Orthodontic, College of Dentistry, Yonsei University M. Alì Darendeliler Australia Professor and Chair, Department of Orthodontic, School of Dentistry, University of Sydney Dr. Hsin-Chung Cheng Taiwan Professor, Director, Division of Orthodontic department, Taipei Medical University Hospital 11 Advisory Committee Members of WIOA Dr. Mani K. Prakash India Professor, Bombay Hospital & medical research centre Dr. Peter Ngan USA Professor and Chair, Department of Orthodontic, School of Dentistry, West Virginia University Dr. Somchai Satravaha Thailand President, Tai Association of Orthodontic Dr. Robert L. Vanarsdall USA Professor, Department of Orthodontic, School of dentistry, University of Pennsylvania Dr. Seung Hyun Kyung Korea Professor, Department of Orthodontic, Institute of Oral Health Science, Samsung Medical Center, Sungkyunkwan University Dr. Volkan Ozkan Germany Faculty member of Prof. Kopp’s Departmente, Frankfurt University Dr. Ryuzo Kanomi Korea Private clinic Dr. Samar Al-Hayek Arabia Saudita Professor, College of Dentistry, King Saud University Dr. Tae Kyung Kim Korea Private clinic Dr. Bai Yuxing China Professor, China capital Univ, Vice president of Chinese Orthodontic Society Dr. Ching-Huei Horng Taiwan Private clinic 13 Advisory Committee Members of WIOA Dr. Jurandir Antonio Barbosa Brazil Professor, Department of Orthodontic,St. Leopold Mandic Research Center AIDOr BOARD COMMITTEE 2011 PRESIDENT Dott. B. Giuliano Maino SECRETARY Dott. Giovanni Biondi CHAIRMAN SCIENTIFIC COMMITTEE Dott. Davide Mirabella TREASURER Dott. Gabriele Zanchetta SECRETARY OF INTERNATIONAL AFFAIRS Dr. Jung Yul Cha Korea Professor, Department of Orthodontic, College of Dentistry, Yonsei University 15 GENERAL INFORMATION MAP OF VERONA INTELLECTUAL PROPRERTY PROTECTION POLICY Audio/Video-recording or photo-talking during the lectures in the auditorium is prohibited during the conference. The organizing committee has the right to revoke attendee’s registration status after repeated reminders. Please, do respect lectures’ intellectual properties. Registration is required during the conference. The organizing committee will issue each attendee a name badge according to his/her registration status. Attendee will be granted to enter auditorium and or trade exhibition hall with the name badge. Bagdes are colored to according to different registration status. LUNCH/REFRESHMENT Lunch service is available on Thursday from 13:00 to 14:15, Friday from 12:45 to 14:00 to which who has booked it at the Organizing Agency. The lunch will be served in the Loggia area. During the coffee breaks, refreshments will be provided in the trade exhibition area as well as in the Loggia area. SPEAKERS SLIDE CENTER Speaker Center Slide is open to speakers exclusively, and each speaker may use this room within two hours prior to his/her lecture time. The open hour for the preview roon is from 8:30 to 16:30 daily during the conference. ECM ACCREDITATION The organizing committee will issue 3,8 points according to the regulation of the authorized Provider. CERTIFICATE OF ATTENDANCE A certificate of attendance will be issued upon registration if attendee has pre-registered. For any on-site registration attendee, the certificate of attendance will only be available at the end of the conference. No certificate will be issued after the conference. 17 WIOC 2011 - Pianta Generale - Aggiornata al 200911 auditorium platea: 565 posti Easy Aestetika HDC Dental Bio Target PSM RAY platea: 565 posti galleria 120 posti palcoscenico Dolphin auditorium Congresso AIOT in porzione Sala polifunzionale 5a Essenza palcoscenico PALACE OF GRAN GUARDIA Vatech ASIO Bio Mat. Secretariat Zero base Crown Jun Ed. Martina Sala Convegni 214 posti 19 AIDOr - Scientific Program Timetable Thursday, October 6, 2011 AUDITORIUM (Basement) 8:00 9:00 Registration Opening Ceremony COMPARING ORTHODONTIC TECHNIQUES CHAIRPERSON G. Siciliani - E. Barbato 9:20 Frank Weiland (A. Carano Memorial Lecture) 10:00 Antonino Secchi Complete clinical orthodontics. 10:30 Coffee Break CHAIRPERSON C. Chimenti - S. Allegrini 11:00 Mauro Cozzani Bidiself: The evidence based straightwire evolution with selfligating brackets. 11:30 Alberto Caprioglio Non compliance class ii mechanichs: are all equals? 12:00 Giancarlo Cordasco Self-ligating systematic: from reaserch to clinical practice. 12:30 Discussion 13:00 Lunch 20 3D AND CAD-CAM TECHNOLOGIES SALA CONVEGNI (2nd floor) ROOM POLIFUNZIONALE AIOT (1st floor) PRECONGRESS COURSE “SENDAI SURGERY FIRST” INTERCONGRESS COURSE 16:30 16:30 CHAIRPERSON R. Spena - C. Lanteri 14:15 15:00 15:30 16:00 Anne Marie Kuijpers-Jagtman Three-dimensional imaging of the face. Francesco Garino Orthocad ioc: from intraoral scanning to clinical applications. Giampietro Farronato 3D vs 2D cephalometrics. Coffee Break CHAIRPERSON G.Cordasco - A. Crescini 16:30 Roberta Lione Immediate and post-retention dento-skeletal effects of rapid maxillary expansion investigated by computed tomography. 17:00 Luca Lombardo Cone-bean computed tomography (cbct): which are the real benefits in orthodontics? 17:30 Achille Farina Orthodontic treatment with invisible aligners: bias and reality. 17:30 Discussion 18:30 General Assembly ASIO 18:45 General Assembly AIDOr Junji Sugawara - Definition - Background (Skeletal Anchorage System) -Protocol -Diagnosis -Preparation for surgery -Surgery -Postsurgical orthodontic management - Case presentation - Indications and Contraindications - Benefits and Risks Ron Roncone A Checklist Method for Complete Diagnosis and Treatment Planning. In orthodontics there are many variables each patient presents with many differences and sets of circumstances, including facial types, skeletal differences, joint position and tooth positions to name only a few. In order to systemize and be able to truly diagnosis and treat each person individually, we must have some order in our clinical examinations, diagnostic records review, treatment planning and treatment itself. This presentation will show one method using a definitive checklist system with examples for each of the above areas and several cases of systematic treatment. 21 3rd WIOC - Scientific Program Timetable Friday, October 7, 2011 AUDITORIUM (Basement) 8:00 Registration AVAILABLE ANCHORAGE DEVICES CHAIRPERSON P. Ngan - G. Siciliani 9:00 Junji Sugawara Strategic third molar extraction: new extraction category. 9:30 10:00 Won Moon Orthopedic correction of class III high angle cases and novel implant design. Kee Joon Lee Lingual non-surgical treatment for adults with high risks. 10:30 Opening Cerimony 10:45 Coffee Break BIOMECHANICS IN TADs APPLICATION CHAIRPERSON A. Ferro - A. Darendeliler 11:15 Ravindra Nanda Efficacy of TADs in closing extraction and missing teeth spaces: a biomechanics perspective. 11:45 Flavio Uribe Biomechanical applications using one-couple systems and miniscrew splinting. 12:15 Benedict Wilmes Skeletal anchorage in orthodontics: next generation appliances. 12:45 22 Lunch 3D MANAGEMENT OF TOOTH MOVEMENT CHAIRPERSON P. Bantleon - S. Somchai SALA CONVEGNI (2nd floor) 8:00 Registration AVAILABLE ANCHORAGE DEVICES 14:00 Young-Chel Park Correction of the anterior - posterior problems with orthodontic mini-screws. 14:30 Jorge Faber Correction of bialveolar dental protrusion with TADs. A new treatment protocol. 15:00 George Anka The challenges of facial asymmetries correction thru occlusal management with TADs. CHAIRPERSON U. D’Aloja - D. Drescher 9:00 Stefano Velo Priority factors in the skeletal anchorage with miniscrews. 9:30 John K. Kaku The molar distalization mechanics with tad. 10:00 Ryuzo Kanomi New paradigm in orthopedic control using temporary anchorage devices (TADs) 15:30 Coffee Break 10:30 Opening Cerimony NON COMPLIANCE TREATMENT 10:45 Coffee Break CHAIRPERSON S. Hayek - Y.C. Park BIOMECHANICS IN TADs APPLICATION 16:00 CHAIRPERSON C.Savastaro - P. Obach Dejean 11:15 Lorenzo Favero A new methodological and clinical approach for the treatment of upper lateral incisors agenesis: the posterior space opening. 11:45 Aldo Giancotti Ideal applications of TADs in orthodontics: a biomechanical point of view. 16:30 17:00 17:30 18:00 Birte Melsen The advantages of using the tads indirectly. Tamer Buyukylmaz Mini screws and contact damage to the roots. Eric J.W. Liou The alveolar osseous reaction and changes of facial profile in class iii adult patients treated with TADs. A. Alì Darendeliler New advances and orthopaedic applications using TADs. Chairat Charoemratrote Orthodontic mini-implant for short-faced class ii deep bite correction. 12:15 E. Skander - F. Darqué How to optimize lingual mechanics with mini-screw implants! 12:45 Lunch 3D MANAGEMENT OF TOOTH MOVEMENT CHAIRPERSON J. Bouserhal - G. Farronato 14:00 Jung-Yul Cha Efficiency of digital dentistry: from virtual model to indirect bonding system. 14:30 Antonio Gracco Skeletal Anchorage and Customized Orthodontics: is it possible to combine them? 15:00 Jang Yeol Lee Role of miniscrew in surgical orthodontics. Coffee Break 15:30 NON COMPLIANCE TREATMENT CHAIRPERSON V. Ozkan - L. Moser 16:00 16:30 17:00 Hideo Suzuki Compensating orthodonti c treatment: a proposal of skeletal discrepancy diagnosis and orthodontic implant selection. Giuseppe Scuzzo New lingual straight wire method: a look at the future. Cesare Luzi Improving the effects of herbst treatment with miniimplant supported anchorage. 17:30 Om Kharbanda Mechanical and biological factors for the success of miniscrews. * Friday evening at 21.00 “Romeo and Juliet’s party and dinner” 23 3rd WIOC - Oral presentation Program Timetable Friday, October 7, 2011 ROOM POLIFUNZIONALE (1st floor) 14:00 Baswa Gummy Smile: Types and Treatment. 14:10 F. Brugnami - A. Caiazzo Incorporating Periodontally Accelerated Orthodontic Movement and TADS in Multi-Disciplinary Treatment. 14:20 E. Cruz - SS. Liu - SB Blanchard - T. Stewart A. Soto - MR. Allen Effects of the diameter of orthodontic mini-implants on microdamage in the dog maxilla and mandible. 16:10 K. Davarpanah - A. Decker - S. Szmukler-Moncler 3D planning and guided implant placement in the partially edentulous orthodontic patient before starting orthodontic treatment. Mario Greco Fishing for Impacted Second Molars. 16:20 14:50 Ha Na Song - Robert Banh - Ho-Yin Leung Benjamin Wu - Won Moon Assessing the Mechanical Stability of Novel Micro-implant Design upon Simulation of Orthodontic Force. 16:40 15:00 C. Hong - W. Moon Introduction to Novel Orthodontic Mini-Implant Designs. Ian Hutchinson The aim of the study was to evaluate an unusal device, an electronic prosthetic screwdriver,to facilitate the placement of miniscrews. 14:30 14:40 15:10 24 15:20 15:30 16:30 16:50 17:00 M. G. Laursen - B. Melsen Simple mechanics to obtain intrusion and retraction of anterior segments in periodontally compromised dentitions. Coffee Break 17:10 B.G. Maino - L. Mariani - I. Bozzo G. Maino - A. Caprioglio Dentoskeletal effects induced by molar distalization with mgbm system. D. Modoni - M. Modoni - G. Romano Lower molars disinclusion using TADs. 17:20 C. Romanucci - K. Ricciardelli - M. Musilli A. Romanucci Different biomechanical approaches to dental distalization (Part 1). M. Marsico - A. Romanucci - F. Liccardo - M. Musilli Different biomechanical approaches to dental distalization (Part 2). M. Musilli - M. Marsico - F. Grampone - A. Romanucci No bracket head mini screws: are there limitations in use? (Part 1). M. Musilli - F. Liccardo - F. Grampone - M. D’Attilio No bracket head mini screws: are there limitations in use? (Part 2). 17:30 17:40 17:50 J. Ohtani - H. Sunagawa - T. Fujita - T. Kawata M. Kaku - M. Motokawa - H. Koseki - N. Tsubamoto E. Ishikawa - K. Tanne A safety and reliable implantation method established by using a torque controllable hand driver. G. Rolla Orthodontic superimposition of three dimensional volumes obtained from CBCT. S. Manopatanakul Power of power arms. C. Galli - M. Piemontese - F. Ravanetti - G. Passri M. Gandolfini - G.M. Macaluso - B.G. Maino D. Spadoni The effect of surface treatment on cell responses to grade 4 and 5 titanium for orthodontic mini-implants. F. Vurro The impacted maxillary canine: a proposed simple miniscrews technique with no compliance and no adversal reactions. 25 3rd WIOC - Scientific Program Timetable Saturday, October 8, 2011 AUDITORIUM (Basement) SALA CONVEGNI (2nd floor) 8:00 8:00 Registration ORTHOPAEDIC TREATMENT ORTHOPAEDIC TREATMENT CHAIRPERSON U. Moser - B.Melsen 8:45 S. Jay Bowman Miniscrew distalization: i’ve got this feeling of déjà vu lately. 12:30 Nicola Derton O.A.S. (orthodontic anchorage screw): a useful device in adult interdisciplinary treatment. 9:15 John Jin-Jong Lin Tough class iii cases made easy. Peter Ngan Skeletal anchorage for class III orthopedic treatment. 13:00 Toru Deguchi Comparison of orthodontic treatment outcome between labial and lingual appliance and the use of miniscrews as anchorage in extraction cases. 9:15 10:15 Hugo De Clerk Bone anchored maxillary protraction in growing class III patients. 13:30 9:45 10:45 Carriere Price - Honorary Member F. Festa - G. Fiorillo The anthropological concepts in treatment of tmd and its occlusal relationship management through TADs biomechanics. 11:00 Coffee Break 9:45 INTERDISCIPLINARY APPROACH AND TADs CHAIRPERSON E. Liou - J.Sugawara 11:30 W. Eugene Roberts Fundamental principles of bone biology applied to temporary and auxiliary anchorage implants. 12:00 26 Shingo Kuroda TADs facilitate interdisciplinary approach for patients with multiple missing teeth. Registration CLOSING MEETING CHAIRPERSON M. Cozzani - G. Anka 8:45 Moschos A. Papadopoulos Interdisciplinary management of complex dental cases by means of miniscrew implants. 10:15 Ramesh Sabhlok Predictable maxillary molar distalization with micro-implant anchorage in the correction of class II malocclusion. Andreu Puigdollers Primary stability, mechanical performances and properties of different commercially Mini-screws . 10:45 Tae-Woo Kim Orthodontic treatment of skeletal open bite. Carriere Price - Honorary Member 11:00 Coffee Break 12:30 13:00 13:30 Seong-Hun Kim Less hardship, more options with c-tube miniplates. Joong Ki Lim Vertical maxillary excess correction using mini implant. Johnny Joung-Lin Liao total arch distalization with TADs. CLOSING MEETING INTERDISCIPLINARY APPROACH AND TADs CHAIRPERSON G. Scuzzo - A. Caprioglio 11:30 James Cheng-Yi Lin Interdisciplinary and tads approach in short face partly edentulous adults. 12:00 Dror Aizenbud Absolute anchorage using tads for the management of orthodontic-surgical cases. 27 WELCOME LETTER AIOT ORGANIZING COMMITTEE: President: S. Dall’Acqua Secretary: P. Forni Scientific Program: P. Carletti Treasurer : P. Tedesco Dear Colleagues, I’m very pleased to inform you that the Italian Academy of Orthodontic Technicians in cooperation with AIDOr will organize the VII National Congress in Verona at the “Palazzo della Gran Guardia” during the days of October 7-8, 2011. In that occasion, our Academy will host the 3° International Congress of Orthodontic Implants (WIOC) that will take place on October 6-7 and 8 of October 2011. Topics will be: - Indirect Bonding - Free topics The speakers will report on the newest developments on these topics with high professionality and particular didactical contents. I’m sure you will participate with great interest to the sessions’ days; at the same time, you will have the opportunity to enjoy the beauties that a city like Verona can offer. I, together with all the members of the Academy, will very much appreciate your participation to the Congress. Looking forward to the pleasure of seeing you in October, I remain, Sincerely yours. Stefano Dall’Acqua President Italian Academy of Orthodontic Technicians 29 AIOT - Scientific Program Timetable AIOT - Scientific Program Timetable Friday, October 7, 2011 Saturday, October 8, 2011 ROOM POLIFUNZIONALE AIOT (1st floor) ROOM POLIFUNZIONALE AIOT (1st floor) 8:00 8:00 Registration Registration INDIRECT BONDING DAY INDIRECT BONDING DAY 9:00 Riccardo Riatti - Paolo Forni Indirect positioning of a self-ligating equipment for a optimized aesthetically result. 9:00 Mariapaola Guarneri Orthodontic treatment with aligners: the state of the art. 10:45 Coffee Break 10:00 11:15 President’s Welcome AIDOr Dr. Giuliano Maino and President’s AIOT odt. Stefano Dall’Acqua. Francesca Milano - Gianluca Forni Oral appliances in the treatment of obstructive sleep apnea syndrome. 11:00 Coffee Break 10:30 Giuseppe Scuzzo - Luca Lombardo Lingual Straight Wire. 11:30 Daniele Modoni - Marco Valle A new approach of a rapid palatal expander. 14:00 Ron Roncone Placement of Vestibular Brackets by Indirect Bonding. Less Accurate than Lingual? 12:30 Gianluigi Galuppo Woodside activator. 15:30 Coffee Break 13:15 16:00 Silvia Allegrini - Emanuele Paoletto Laboratory and clinical practice in Indirect bonding: a team effort. Maurizio Azzolina - Michele Barile Auxiliaries fixed anchor dental intrusion CLOSING MEETING 17:30 Panel discussion Moderator Emanuele Paoletto 18:00 Assemblea AIOT CLOSING MEETING * Friday evening at 21.00 “Romeo and Juliet’s party and dinner” 30 31 INVITED SPEAKERS DROR AIZENBUD 1987 1990 1990 1991 B.M.S - Hebrew University and Hadassah School of Dental Medicine, Jerusalem, Israel. M.S - Hebrew University and Hadassah School of Dental Medicine, Jerusalem, Israel. D.M.D - Hebrew University and Hadassah School of Dental Medicine, Jerusalem, Israel. Internship – Oral and Maxillofacial Surgery Department, Rambam Medical Center and Technion Faculty of Medicine, Haifa, Israel. Certificate in Orthodontics – Orthodontic Department, Hebrew University and Hadassah School of Dental Medicine, Jerusalem, Israel. Diplomat - Israeli Board of Orthodontics. Fellowship – Craniofacial Center, University of Illinois at Chicago, USA. Visiting Professor – Craniofacial Anomalies Center, Stanford University Hospital, California, USA. Senior Lecturer – Technion, Faculty of Medicine, Haifa, Israel. Department Chairman: Orthodontic and Craiofaci ▪ Dror Aizenbud ▪ Antonio Gracco ▪ W. Eugene Roberts ▪ George Anka ▪ John K. Kaku ▪ Ron Roncone ▪ S. Jay Bowman ▪ Ryuzo Kanomi ▪ Ramesh Sabhlok ▪ Tamer Buyukylmaz ▪ Om Kharbanda ▪ Giuseppe Scuzzo ▪ Alberto Caprioglio ▪ Seong-Hun Kim ▪ Antonino Secchi ▪ Jung-Yul Cha ▪ Tae-Woo Kim ▪ Junji Sugawara ▪ Chairat Charoemratrote ▪ Shingo Kuroda ▪ Hideo Suzuki ▪ Giancarlo Cordasco ▪ Kee Joon Lee ▪ Flavio Uribe ▪ Mauro Cozzani ▪ Jang Yeol Lee ▪ Stefano Velo ▪ M. Alì Darendeliler ▪ Johnny Joung-Lin Liao ▪ Frank Weiland ▪ Francois Darqué ▪ Joong Ki Lim ▪ Benedict Wilmes ▪ Achille Farina ▪ James Cheng-Yi Lin TITLE ABSOLUTE ANCHORAGE USING TADS FOR THE MANAGEMENT OF ORTHODONTIC-SURGICAL CASES. ▪ Felice Festa ▪ John Jin-Jong Lin ▪ Gianluigi Fiorillo ▪ Roberta Lione ABSTRACT ▪ Hugo De Clerk ▪ Eric J.W. Liou ▪ Toru Deguchi ▪ Luca Lombardo ▪ Nicola Derton ▪ Cesare Luzi ▪ Skander Ellouze ▪ Birte Melsen ▪ A.M. Kuijpers - Jagtman ▪ Won Moon ▪ Jorge Faber ▪ Ravindra Nanda ▪ Giampietro Farronato ▪ Peter Ngan ▪ Lorenzo Favero ▪ Moschos A. Papadopoulos ▪ Francesco Garino ▪ Young-Chel Park ▪ Aldo Giancotti ▪ Andrew Puigdollers 1994 1995 1998 2007 2008 2010 Temporary Anchorage Devices (TADs) are immediate loaded mini screws that are placed to control tooth movement during orthodontic treatment and removed when the treatment has been completed. They are a relatively new addition to the dental armament and in some cases they can be used to replace traditional anchorage of orthodontic extra-oral appliances and/or titanium mini-plates with monocortical screws temporarily fixed in the mandible and maxilla for absolute anchorage. TADs have a high success rate and they are strong enough to allow absolute anchorage also in orthodontic-surgical combined cases. This may include skeletal anchorage, facilitating a light eruptive pulling force on the impacted tooth by means of intraoral elastics which are connected from the mini-screw to an orthodontic brace attached to the impacted tooth. It is even extremely important as an alternative option to surgical extraction of a complex positioned wisdom tooth. Extraction of a third molar located in close proximity to the mandibular canal or to the lower mandibular body border may result in neuro-sensation impairment due to inferior alveolar nerve injury or mandibular body fracture caused by loosening of bone mass in the mandibular lower border site. In addition TADs may serve as a skeletal anchorage in 3 dimensional control of bone segment mobilization by means of distraction osteogenesis. Multidirectional orthodontic forces exerted via intraoral elastics and a fixed orthodontic appliance may enable redirection of the distracted bone segmented into an accurate preplanned position. The aim of this presentation is to describe a multidisciplinary approach applying TADs in a series of combined orthodontic surgical cases. A detailed orthodontic and surgical evaluation and biomechanical considerations along with a definitive treatment plan and post treatment follow-up will be presented for each of the cases. 33 GEORGE ANKA S. JAY BOWMAN Presenter was trained in the field of Oral Surgery and Orthodontic. Received a Master Degree in Orthodontic from Northwestern University 1981. Maintaining Private Orthodontic Practice in Tokyo, Japan. Member of Implant Orthodontic Conference Committee of Japan. Advisor Committee of World Implant Orthodontic Conference Diplomate of the American Board of Orthodontics Member of the Edward H. Angle Society of Orthodontists Fellow of the American College of Dentists Fellow of the Pierre Fauchard Academy Adjunct Associate Professor, Saint Louis University Straightwire Instructor, The University of Michigan Clinical Assistant Professor, Case Western Reserve University Regent of the AAOF TITLE THE CHALLENGES OF FACIAL ASYMMETRIES CORRECTION THRU OCCLUSAL MANAGEMENT WITH TADs. TITLE MINISCREW DISTALIZATION: I’VE GOT THIS FEELING OF DÉJÀ VU LATELY. ABSTRACT ABSTRACT With the introduction of TADs in clinical Orthodontics after the AAO meeting 1999 San Diego which is approximately 12 years ago, where we discussed about the name TADs itself and it implementation in Orthodontic science. Since then, we are familiar with the intrusion, extrusion, distalization and mesialization of all teeth in 3D of space where were difficult if not impossible with conventional orthodontic mechanic in the past. In this presentation we like to focus on one area of sagittal section of asymmetry of the face caused by canted occlusal plane.The treatments of asymmetry will involve into two areas, first eliminating of the cause whenever possible such as bad habit, posture etc., and next help by movingg the teeth into an ideal position within their alveolar or sometime with the alveolar housing itself to give a camouflage effect to please the face after the treatment. This presentation will introduce one of the system involve in 3D correction of canted occlusal plane with TADS. The presentation will oriented on its bio mechanic and of how far we can do with the skeletal camouflage with orthodontic alone and its limitation. This presentation was chosen in this opportunity as in many times in daily orthodontic practice we are dealing with patients with skeletal problems but who hesitate to receive surgical intervention correction. This presentation will give an example treatment of the grey zone (orthodontic or surgery); a way of how we can do dental alveolar compensation and dental alveolar orthopedic with TADs, eliminating the surgical procedure. Moving’ molars back is but one strategy to outsmart the dentoalveolar compensation mechanism for growing individuals. As a consequence, a montage of molar pushers have certainly gained market share over the past quarter century. Various gadgets and gizmos have been proposed and promoted to produce predictable Class I molars; often making unsupported claims of efficacy. Problems especially arise at the cessation of facial growth as attendant anterior anchorage loss becomes problematic for dentally-anchored distalizing devices. Research investigations of a series of more than 700 “distalized” patients have directed the continued evolution and improvements of techniques, devices, and more than a couple of papers. We return again to pose the problem: if prevention of anchorage loss is an issue for a particular patient, then a device dependent upon pure skeletal anchorage, (specifically, the Horseshoe Jet with mini-screw support) may provide the solution. 34 ▪ Examination of the evidence regarding the evolution of molar distalization mechanisms. ▪ Discussion of the development of a distalization appliance (Horseshoe Jet), supported by pure skeletal anchorage; eliminating the concerns of anchorage loss. 35 TAMER BÜYÜKYILMAZ ALBERTO CAPRIOGLIO Attended the postgraduate program at the Department of Orthodontics, University of Oslo where he got his master degree in 1993 and PhD in 2003. He is currently in private practice in Adana, Turkey. He is an active member of the Angle Society of Europe and has lectured in national and international orthodontic programs. Dental degree and the title of Specialist in Orthodontics at the University of Pavia. Associate professor at the school of dentistry of the University of Insubria in Varese. Chairman of the post-graduate course of orthodontics. Member of S.I.D.O., E.O.S., A.A.O., W.F.O. and IBO certified. TITLE MINI SCREWS AND CONTACT DAMAGE TO THE ROOTS. TITLE ABSTRACT ABSTRACT The aim of this presentation is to show the clinical consequences of injured root surfaces when mini screws intentionally had been moved into contact with premolar roots or premolar roots accidentally touched by the mini screw or the pilot drill. The SEM findings on the surface morphology and histological findings of the damaged and repaired root surfaces will be presented. Long-term outcome of teeth with possible iatrogenic damage following mini screw application will be discussed. Objectives: To compare dento-alveolar and skeletal effects resulting from the use of 3 different molar distalization devices in treatment of Class II dental malocclusion: Pendulum, Fast-Back and MGBM-System. MATERIAL AND METHOD: 103 patients were selected and analyzed with a retrospective study. Lateral cephalograms and model cast were analyzed before, post-distalization and at the end of the treatment. RESULTS: The length of time for obtaining molar distalization was on average 8 months for Pendulum and MGBM-System and 9 months for Fast-Back. All the 3 systems were effective to obtain molar distalization. A greater inclination of the occlusal plane and a greater mandibular post-rotation was observed in all 3 groups. All the appliances were effective in obtaining a satisfactory Class I relation. CONCLUSION: The results, in relation to different dento-alveolar effects found, lead us to use Pendulum or Fast-Back and MGBM System with specific indications for the treatment of class II malocclusion compared to dento-alveolar and skeletal pattern or aesthetic characteristics of orthodontic patients. 36 NON COMPLIANCE CLASS II MECHANICHS: ARE ALL EQUALS? 37 JUNG-YUL CHA CHAIRAT CHAROEMRATROTE 1999 2002 2007 DDS, MSc(Orthodontics), Cert. in Advanced Graduate Study in Orthodontics and Dentofacial Orthopedics, DScD (Orthodontics),Thai Board of Orthodontics, American Board of Orthodontics. Dr. Chairat Charoemratrote is the President-elect of Thai Association of Orthodontists and an organizing chair of the 5th World Implant Orthodontic Conference which will be held in Thailand in 2013. He is a head of Orthodontic section and Vice Dean for Administration at Prince of Songkla University, Thailand. He is an associate professor in Orthodontics. Dr. Charoemratrote graduated his Dentistry and master degree in Orthodontics from Chulalongkorn University, Bangkok, Thailand. He continued another orthodontic training at Boston University and received Doctorate degree in Orthodontics from the same university. He is a diplomate of the Thai board of Orthodontics as well as a diplomate of the American board of Orthodontics. Dr. Charoemratrote conducts many research projects including Class II treatment, mini-screw implant, orthodontic materials and innovative clinical research. He is currently practicing in both university dental clinic and his own private clinic. Doctor of Dental Science DDS College of Dentistry Yonsei University, Seoul, Korea Master of Science Dept. of Orthodontics, College of Dentistry Yonsei University, Seoul, Korea PhD Degree Dept. of Orthodontics, College of Dentistry Yonsei University, Seoul, Korea Thesis: Influence of implant conical structure on the stability of orthodontic mini-screw 2004 - 2005 2005 2006 - Present 2008 - 2010 2008 - Present Visiting Professor, Dept of Orthodontics University of Southern California National Institute of Health, Clinical Research Course (United State) Editor of Scientific Affairs, Korean Journal of Orthodontics Assistant Directo r, Korean Association of orthodontist Assistant Professor TITLE EFFICIENCY OF DIGITAL DENTISTRY: FROM VIRTUAL MODEL TO INDIRECT BONDING SYSTEM. TITLE ABSTRACT ABSTRACT Maxillary molar distalization is a useful approach for the resolution of Class II malocclusion. In deep bite with short facial height cases, Computerized 3D virtual dental models are currently available, and their use has started to improve treatment outcomes. The accuracy of digital models has been demonstrated by many studies and this system is now being applied to assess the American Board of Orthodontics objective grading system (ABO OGS). Recently, a digital model was combined with a high technology computer-driven system, which was developed for the application of a digital set-up and indirect bonding of lingual attachments. In this presentation, virtual treatment planning using a virtual set-up program will be introduced, and the clinical application and accuracy of computer-generated indirect bonding will be discussed. In addition, surgical guide system as a new implantation method of orthodontic miniscrew will be presented. Maxillary molar distalization is a useful approach for the resolution of Class II malocclusion. In deep bite with short facial height cases, molars need to be extruded to reduce the over bite and to increase the facial height simultaneously. Cervical-pulled headgear is an appliance of choice but the outcome is often compromised by patients’ compliance. In this presentation, interdental mini-implants are introduced between upper molars and second premolars together with trans-palatal arch on the upper molars. Right and left heavy buccal wires are placed in the head gear tubes for transferring force from the mini-implants to the upper molars. After achieving the molars in Class I relationship together with extrusion, the appliances are maintained to support the anchorage during premolar and canine retraction. From cephalometric superimposition, the upper molars are both distalized and extruded while the facial height is increased. Case selection, rationale of their function, the protocol of their use and clinical cases will be presented. 38 ORTHODONTIC MINI-IMPLANT FOR SHORT-FACED CLASS II DEEP BITE CORRECTION. 39 GIANCARLO CORDASCO MAURO COZZANI Born in Cosenza on 05/08/1949, degree in Medicine at the University of Messina on 30/07/1976. Research fellow in the Department of Dentistry of the University of Messina since 01/08/1980. Full professor of Orthodontic at the Dental School of the University of Messina. Head of Oral Hygene School from 1997 to 2004. Head of Dental Schoolof the University of Messina since 2004. Head of Dental Clinic since 1997. Director of National Interest Research Project Years 2005-2006 (Minestry of University and Research and Department of Health) “Anatomo-Topographic evaluation of splancnocranio structures after rapid and slow maxillary expansion: a clinical randomized and controlled trial”. Scientific Member of National Interest Research Project Years 2007-2008 (Minestry of University and Research and Department of Health) “From 2D Cephalometry to Low dose 3D CT. A clinical trial about cephalometric standards in growing patients with normal occlusion”. Director of of the Master in “Orthodontic Science and Orthognatic Surgery”, Dental School, University of Messina (2006-07). Director of of the Master in “Orthodontic and Pediatric Dentistry”, Dental School, University of Messina (2008-09). Director of of the Master in “Clinical Orthodontic”, Dental School, University of Messina (2010-11). Dr. Cozzani is active member of the Angle Society of Europe, Diplomate of the ABO, of the EBO (Chairman of the Examiners 2009-11) and former president of Accademia Italiana di Ortodonzia (2007-09), Italian Board of Orthodontics (2006-07) and ASIO (Italian Society of Specialists in Orthodontics 2005), co-editor of Progress in Orthodontics (2004-2007). He has published more than 50 papers in specialized italian and foreign journals, and has given over 100 speeches, communications and courses in Italy and abroad. His research activity focuses on: molecular biology and bone regeneration, while his clinical interest is focused on early treatment, arch form, non compliance appliances, temporary anchorage devices, selfligating brackets, clear aligners. TITLE SELF-LIGATING SYSTEMATIC: FROM REASERCH TO CLINICAL PRACTICE. TITLE ABSTRACT ABSTRACT Computerized 3D virtual dental models are currently available, and their use has started to improve treatment outcomes. The accuracy of digital models has been demonstrated by many studies and this system is now being applied to assess the American Board of Orthodontics objective grading system (ABO OGS). Recently, a digital model was combined with a high technology computer-driven system, which was developed for the application of a digital set-up and indirect bonding of lingual attachments. In this presentation, virtual treatment planning using a virtual set-up program will be introduced, and the clinical application and accuracy of computer-generated indirect bonding will be discussed. In addition, surgical guide system as a new implantation method of orthodontic miniscrew will be presented. This presentation will outline and clinically demonstrate the importance of: ▪ a correct diagnosis and treatment plan; ▪ using, in the same patient, brackets with different slot dimensions; ▪ using, in the same patient, active and passive selfligating brackets; ▪ a logical wire sequence; ▪ filling some slots horizontally and vertically; in order to enhance the effect of selfligating appliances. 40 BIDISELF: THE EVIDENCE BASED STRAIGHTWIRE EVOLUTION WITH SELFLIGATING BRACKETS. 41 M. ALI DARENDELILER FRANCOIS DARQUE Dr Darendeliler is Professor and Chair of Orthodontic, Discipline of Orthodontics, at the University of Sydney and Head of Department, Sydney Dental Hospital, Sydney South West Area Health Service. He received his dentistry training from the University of Istanbul and his PhD from the University of Gazi, in Turkey and his first specialist training in orthodontics from the University of Geneva, Switzerland and his second specialist training from the High Education Counsil, Turkey. During the course of his career he has undertaken duties as a clinical instructor, research and postgraduate coordinator (Maître d’Assisstant et de Recherche) at the University of Geneva, Assistant Professor at the University of North Carolina, Research Professor at the University of Southern California. His research interests include orthodontic tooth movement, root resorption, obstructive sleep apnoea, temporary anchorage devices, sequential aligners, self-ligating brackets, orthopaedic treatment modalities, magnetic fields and forces and dentofacial orthopedics. He lectured in North and South America, Europe, Asia, Africa and Australia Associate Professor Department of Orthodontics University of Bordeaux France. Private Practice in Bordeaux France. Vice president College Européen d’Orthodontie. TITLE NEW ADVANCES AND ORTHOPAEDIC APPLICATIONS USING TADs. TITLE ABSTRACT ABSTRACT Following the introduction of the Temporary Anchorage Devices laboratory and clinical research focused on simplifying direct and indirect anchorage methods and mechanics as well as in improving the primary and secondary stability of mini-screws. Different ways of using TADs in orthopaedic corrections and a new screw design to increase stability have been tested at the University of Sydney. Bone supported Anchorage have certainly changed the face Of Orthodontics in the recent years allowing orthodontists to propose NEW Treatment Options that have not been available before. Today, after more than 10 years of clinical use of Micro Implants, the enhanced understanding of their Impact on Biomechanics, Diagnosis, and Treatment Strategies, makes these new treatment Modalities still more efficient. During this presentation, the Speaker will focus on updated treatment approach of various malocclusions combining Micro Implants with lingual technique. 42 HOW TO OPTIMIZE LINGUAL MECHANICS WITH MINI-SCREW IMPLANTS! 43 ACHILLE FARINA FELICE FESTA Professor Felice Festa is the Director of Department of Orthodontics and Orofacial Pain and Specialty in Orthodontics at University “G. d’Annunzio” Chieti-Pescara, Italy. He focuses research and clinical approach on orthodontic treatment for TMJ patients, 3D diagnosis in orthodontics and orthognatic surgery and genomic applications for orthodontics. Dr. Farina, holds scientific degree from A.Calini, Brescia (Italy); Doctorate of Dental Surgery from Università degli Studi at Milano (Italy); “Diplome d’Université d’Orthodontie et Orthopédie Dento et Maxillo-Faciale” from Université de Bourgogne at Dijon (France); MS in Dentistry in Orthodontics from Università degli Studi at Cagliari (Italy). He holds a private practice limited to orthodontics in Brescia (Italy). Dr. Farina was among the first doctors in Italy using invisible aligners treatments and he is at present one of the most skilled doctors in the country. He published several scientific papers and gave more than 90 lectures on orthodontic treatmets with invisible aligners in Europe in the last ten years. Dr. Farina is Honorary Member of the Italian Society of General Dentistry, Member of the Italian Society of Orthodontics, Founder Member of the Italian Academy of Orthodontists, International Member of the American Association of Orthodontists and Fellow of the World Federation of Orthodontists. He has written over 200 international papers with Impact factor on cranio-spine correlation in healthy and TMJ population, the splint and low-friction therapy on TMJ patients, 3D volumetric reconstruction of face before and after orthognatic surgery therapy, anthropologic studies on remodeling velocity of maxillomandibular complex during evolution of Homo sapiens, the applications of stem cells in orthodontics. Professor Festa is President Elect of SIDO (Italian Orthodontic Society) for 2013. He takes courses on Orthodontics for TMJ in many countries. TITLE TITLE ORTHODONTIC TREATMENT WITH INVISIBLE ALIGNERS: BIAS AND REALITY. THE ANTHROPOLOGICAL CONCEPTS IN TREATMENT OF TMD AND ITS OCCLUSAL RELATIONSHIP MANAGEMENT THROUGH TADS BIOMECHANICS. ABSTRACT In the last years the number of patients requiring orthodontic treatment with invisible aligners is considerably increased and it probably will in the next future. What are the challenges and the possibilities of this treatment modality at present? Is inter-proximal enamel reduction necessary with aligners? Is it still possible and fair to refuse aligners’ treatment by an orthodontic professional? Are there malocclusions where this could be the treatment modality of choice? This questions and others will be answered during the presentation. 44 ABSTRACT The changes of shape and spatial position of the jaws induced by evolution are the core of the etiopathogenetic theory of craniomandibular disorders proposed by the authors. The predisposition to the development of the disease lies in the anatomy of the maxillary and in the occlusal relationship and only Orthodontics can obtain a stable results of therapy. Orthodontics may be associated with orthognatic surgery, exclusive or associated with the use of TAD. The TADs biomechanics can achieve results not obtainable by other traditional orthodontic means or without orthognatic surgery, and gives results unthinkable a few years ago for every orthodontist. In addition, the authors emphasize the importance of Cone Beam 3D technology for refined diagnosis and treatment planning of cases with DCM. 45 GIANLUIGI FIORILLO HUGO DE CLERCK Laurea in Odontoiatria con lode nel 1992 presso l’Università La Sapienza di Roma; Specializzazione in Ortognatodonzia con lode presso l’Università di Ferrara nel 2000. Perfezionamento in Odontoiatria Pediatrica a Roma La Sapienza nel 1995 e in Ortodonzia –Tecnica dell’arco segmentato a Napoli Federico II nel 1996. E’ dal 2003 Professore a Contratto presso la Scuola di Specializzazione dell’Università G.D’Annunzio di Chieti Pescara. Vive e lavora a Roma dove si occupa esclusivamente di Ortodonzia. E’ Socio Attivo SIDO, società della quale è stato Revisore dei Conti negli anni 2006/2007 e Presidente della Commissione Model Display negli anni 2008/2009. Coordina i gruppi di studio MBTeam delle città di Roma e Chieti. Ha disegnato per conto di una azienda di materiali per implantologia una minivite per ancoraggio ortodontico. E’ autore di pubblicazioni su riviste italiane e internazionali ed è stato relatore a numerosi Corsi e Congressi in Italia. Hugo De Clerck is a graduate of the Rijksuniversiteit Gent’s orthodontic program, he received his PhD in 1986 and he maintained a private practice in Brussels since more than 20 years. He received the European Research Essay Award in 1988. He has been Professor and Chairperson of the Department of Orthodontics at the Université Catholique de Louvain from 1989 to 2006. Currently he’s Adjunct Professor at the University of North Carolina at Chapel Hill. He’s a former President of the Belgian Orthodontic Society and Fellow of the Royal College of Surgeons of England. His main research interests are in skeletal anchorage, biomechanics and orthopedics. He lectured extensively on these topics throughout the world. TITLE TITLE THE ANTHROPOLOGICAL CONCEPTS IN TREATMENT OF TMD AND ITS OCCLUSAL RELATIONSHIP MANAGEMENT THROUGH TADS BIOMECHANICS. BONE ANCHORED MAXILLARY PROTRACTION IN GROWING CLASS III PATIENTS. ABSTRACT ABSTRACT Miniplates resist better to high discontinuous forces than miniscrews do. Therefore they can be used for intermaxillary orthopedic traction. Class III elastics can be fixed between Bollard anchors on the skeletal base of the maxilla and mandible of young growing patients. Can the growth of the maxilla and/or mandible be stimulated, restricted or redirected? Which biomechanical approach should be used? What’s the best loading protocol? The results of this continuous pure orthopedic traction will be discussed based on a Cone-beam CT at T1 and T2 registered on the anterior cranial base. The outcome will be compared to a control group and face mask orthopedics. The changes of shape and spatial position of the jaws induced by evolution are the core of the etiopathogenetic theory of craniomandibular disorders proposed by the authors. The predisposition to the development of the disease lies in the anatomy of the maxillary and in the occlusal relationship and only Orthodontics can obtain a stable results of therapy. Orthodontics may be associated with orthognatic surgery, exclusive or associated with the use of TAD. The TADs biomechanics can achieve results not obtainable by other traditional orthodontic means or without orthognatic surgery, and gives results unthinkable a few years ago for every orthodontist. In addition, the authors emphasize the importance of Cone Beam 3D technology for refined diagnosis and treatment planning of cases with DCM. 46 47 TORU DEGUCHI NICOLA DERTON 1992 1996 1998 2001 2001 2002 2005 2008 2010 DDS, MD. Postgraduate in Orthodontics. Active Member of European College of Orthodontics (CEO), Regular Member Tweed, Intructor at Tweed Foundation(Tucson, Arizona), Accademia Italiana di Ortodonzia, Provisional Member IBO, gruppo Gaslini ortodonzia, RedOI, SIDO. Speaker in national and international congresses and courses. Update courses in many Italian and European Universityes. Author of scientific publications on national and international reviews dealing with miniscrew. Many years long miniscrew clinical experience. Private practitioner. Graduated Aichi-Gakuin University School of Dentistry Graduated PhD course in Orthodontics in Okayama University Research fellow in Indiana University Graduated Master’s course in Orthodontics in Indiana University Clinical instructor in Department of Orthodontics in Indiana University Assistant professor in Department of Orthodontics and Dentofacial Orthopedics in Okayama University Lecturer in Department of Orthodontics and Dentofacial Orthopedics in Okayama University Lecturer in Division of Orthodontics and Dentofacial Orthopedics in Tohoku University Associate professor in Division of Orthodontics and Dentofacial Orthopedics in Tohoku University TITLE COMPARISON OF ORTHODONTIC TREATMENT OUTCOME BETWEEN LABIAL AND LINGUAL APPLIANCE AND THE USE OF MINISCREWS AS ANCHORAGE IN EXTRACTION CASES. ABSTRACT The use of miniscrew as orthodontic anchorage has been widely accepted in the field of orthodontics during recent years. In the past we have reported the effective use of miniscrews as orthodontic anchorage by comparing the clinical outcome with conventional orthodontic treatment in various malocclusions. In this presentation, I would like to compare the clinical outcome between labial and lingual appliance and with or without the use of miniscrews. The need of lingual appliances still has been increasing especially among Asian populations because of aesthetic reason. However, compared with labial appliance, lingual appliance is known to have different clinical outcome such as the “bite opening effect” and decreased axial inclination of maxillary incisors. Therefore, we have evaluated the occlusion by objective grading system (OGS), skeletal aspect by cephalometric analysis and functional problem by Gnathohexagraph. We have compared cases treated with labial appliance with the use of miniscrew, labial appliance without the use of miniscrew, lingual appliance with the use of miniscrew, and lingual appliance without the use of miniscrew in 50 patients. From results of the present study, superior anchorage and incisor control was observed by the cephalometric analysis. Better torque control is possible in lingual appliance, however, root paralleling is difficult in lingual compared to labial appliance. In addition, there was no significant functional problem in lingual cases. Therefore, from our quantitative clinical evaluation, we have precisely indicated the problems in finishing lingual cases that would be valuable from clinical point of view. 48 TITLE O.A.S. (ORTHODONTIC ANCHORAGE SCREW): A USEFUL DEVICE IN ADULT INTERDISCIPLINARY TREATMENT. ABSTRACT Nowadays orthodontics is not only for children and adalescents. For the past three decades increasing numbers of adults have been referred to orthodontists to correct their malocclusion; often interdisciplinary approach seems to be the suitable way to make prudent treatment decision for these patients. A team or orthodontist, oral surgeon, periodontist and restorative dentist must interact to achieve the best goals in adult complex cases. In the last years, miniscrews have become the most used device to provide absolute anchorage without patient compliance; their utilize can be critically advantageous for interdisciplinary adult treatment. Emploing case reports, some clinical application in whome the use of miniscrew contributes to reach better outcomes will be described (upper molar distalization in nocompliance patient without loss of anchorage, orthodontic extrusion and lower molar uprighting without bonding any tooth). 49 ELLOUZE SKANDER ANNE MARIE KUIJPERS-JAGTMAN Dr. Ellouze has received his Degree in Dental Surgery from the Faculty of Monastir (TUNISIA) and completed his Post-Graduate Certificate in Orthodontics at the University of Bordeaux (France) and Post-Graduate Certificate in Lingual Orthodontics at University of Paris V. He is an Associate Professor in the Department of Orthodontics at the University of Bordeaux (France). He is a Member of European Orthodontic College (CEO) and was the Chairman of the Congress of the CEO in 2010. An internationally renowned lecturer in Orthodontics, Dr. Ellouze has written several articles, and is achieving a book titled: Mini-Implants, the future of Orthodontics (Quintescence International). Dr. Ellouze maintains a private practice in Tunis, which is limited to Orthodontics for Children and Adults, and lingual Orthodontics. Anne Marie Kuijpers-Jagtman has been Professor and Chairperson of the Department of Orthodontics and Craniofacial Biology at the Radboud University Nijmegen, The Netherlands, since 1995. TITLE HOW TO OPTIMIZE LINGUAL MECHANICS WITH MINI-SCREW IMPLANTS! ABSTRACT Bone supported Anchorage have certainly changed the face Of Orthodontics in the recent years allowing orthodontists to propose NEW Treatment Options that have not been available before. Today, after more than 10 years of clinical use of Micro Implants, the enhanced understanding of their Impact on Biomechanics, Diagnosis, and Treatment Strategies, makes these new treatment Modalities still more efficient. During this presentation, the Speaker will focus on updated treatment approach of various malocclusions combining Micro Implants with lingual technique. Professor Kuijpers-Jagtman is a Past-President of the European Orthodontic Society, a former President of the Dutch Society for the Study of Orthodontics and also of the Dutch Cleft Palate Craniofacial Association. At present she is Councillor of the World Federation of Orthodontists (WFO). She is the chairing the European Orthodontic Teachers Forum and she serves as the co-chairperson of the Network for Erasmus Based European Orthodontic Programmes (NEBEOP). In 2002 she was honoured with the Fellowship in Dental Surgery by Election of the Royal College of Surgeons of England, in 2004 she received the Cesare Luzi Memorial Award of SIDO in Italy, and in 2011 the Swiss Paul Herren Award. She was awarded Knight in the Order of Orange-Nassau (Royal Honour of Her Majesty the Queen) for services to cleft lip and palate in 2007. In 2009 and 2011 her group received the Samuel Berkowitz Award of the American Cleft Palate Craniofacial Association for the best publication on long-term results of cleft lip and palate treatment. In 2010 she was awarded the title of Principal Lecturer of the UMC St Radboud. Professor Kuijpers-Jagtman is Editor-in-Chief of Orthodontics and Craniofacial Research, which is the journal with the highest impact factor in orthodontics. She is serving on the Editorial Board of several other international journals. She has (co)authored over 260 publications in Medline on her main topics of interest, which are now 3D-imaging in orthodontics, the biological background of orthodontics, evidence based orthodontic therapy, and cleft lip and palate. She has lectured extensively on these topics in 36 countries around the globe. TITLE THREE-DIMENSIONAL IMAGING OF THE FACE. ABSTRACT Digital technology is becoming an ever more important procedure in most of our clinical activities and thus orthodontists and maxillofacial surgeons are increasingly adding digital technology to their clinical records. The technology to produce three dimensional images of the face has been improved and refined over the last decade and fulfills now our diagnostic purposes. Radiation based techniques, laser surface scanning, structured light techniques, stereophotogrammetry, MRI and ultrasound are three-dimensional facial imaging techniques that are available now. The next step on the horizon is 4D motion analysis. The purpose of this lecture is to explore the latest developments in surface imaging of the face and to expose the audience to the question: is it time for me to go three-dimensional? 50 51 JORGE FABER GIAMPIETRO FARRONATO Dr. Faber is Professor of Orthodontics of University of Brasília. He holds a Master degree in Orthodontics and PhD degree in Biology-Morphology. He reviews biostatistics for AJODO and other journals. He is currently the Editor-in-Chief of Dental Press Journal of Orthodontics, the main South American orthodontic publication. He received the 2010 Best Case Report of the Year Award for the best case report published in 2009 in AJODO. In 1975/76 he took the Medical and Surgical degree at the University of Padova. In 1978 he obtained the postgraduate degree in Oral Pathology and Clinical Dentistry. In. 1979/80 he obtained the postgraduate degree in Orthodontics. Fom 1/11/2000 he is Full Professor in the scientific line MED/28 Oral Pathology. From 2002 he is the coordinator of Dental Hygienist degree. From 2008-2009 is the director of the postgraduate course in Orthodontics. TITLE TITLE CORRECTION OF BIALVEOLAR DENTAL PROTRUSION WITH TADS. A NEW TREATMENT PROTOCOL. 3D VS 2D CEPHALOMETRICS. ABSTRACT ABSTRACT Traditional orthodontic therapy of bialveolar dental protrusion (BDP) in adults is frequently associated with extractions along the visible spectrum of the smile. This is performed in order to attain the sufficient space required to solve the problem through teeth retraction. Although this may well be considered the best treatment option in some cases, it is actually a paradox. A considerable number of patients undergo this therapy in the pursue of aesthetic improvements, while extractions end up jeopardizing the beauty of the smile and the face, regardless of the presence of an orthodontic appliance. Extractions aesthetic side effects keep many patients away from orthodontic treatments, especially those people whose aesthetic demands are not compatible with pre-molars or first molars extractions. Nevertheless, a new way of avoiding extractions and correcting BDP is the use of miniplates to retract both upper and lower teeth simultaneously. Dr. Faber has been employing this treatment alternative for many years in his private practice and this conference is going to address its execution. 52 The cephalometric analyses play an important role in the diagnosis and treatment planning. The traditional cephalometric analyses are based on three different x-ray projections: the latero-lateral tele-radiography, the postero-anterior tele-radiography and the axial projection. Nevertheless, conventional radiographs are limited, because they provide a 2-dimensional representation of 3-dimensional structures. The traditional system, analysing separately the three dimensions, shows a weak point because often the dentofacial alterations take place in a three dimensional space. CBCT properly represents the 3-dimensional morphology of the cranium skeletal structures. In the Orthodontic Department of the University of Milan, the cephalometric analysis is performed through a new 3-dimensional methodology. This new methodology allows an easy, effective and repeatable way to decrease the operator-driven errors. This new 3-dimensional methodology is based on the identification of 18 points, of which 10 median points and 8 lateral points, all of them identified on a hard tissues TC section and verified on the two remaining TC sections.The introduction of 3D imaging technique is definitely revolutionizing the planning phase of the combined orthodontic-surgical treatment. The use of the computer, together with a dedicated software, allow for a fast, precise and standardized procedure. 53 LORENZO FAVERO FRANCESCO GARINO Il Prof. Lorenzo Favero si è laureato in Medicina e Chirurgia presso l’Università degli Studi di Padova. Si è specializzato in Odontostomatologia, in Ortognatodonzia e in Otorinolaringoiatria e Patologia Cervico Facciale presso l’Università degli Studi di Padova. E’ titolare della cattedra di Gnatologia Clinica nel Corso di Laurea in Odontoiatria e Protesi Dentaria e nel Corso di Laurea in Igiene Dentale dell’Università di Padova. E’ inoltre titolare dell’insegnamento di Malattie Odontostomatologiche al Corso di Laurea in Medicina e Chiurgia. E’ Vice Direttore della Scuola di Specializzazione in Ortognatodonzia dell’Università degli Studi di Padova. Ha conseguito il Diploma Italiano ed Europeo di Eccellenza in Ortodonzia (European Board of Orthodontists). Membro attivo di diverse Società Scientifiche di Ortodonzia, Autore di oltre 200 pubblicazioni su riviste internazionali e di diversi Libri e Monografie Graduated as MD University of Torino, Italy Orthodontic specialization Department of Orthodontics, University of Padova, Italy Diplomate European Board of Orthodontics (EBO) Active member SIDO (Italian Society of Orthodontics) International Member American Association of Orthodontics (AAO) Member European Society of Orthodontics (EOS) Active Member European Society of Lingual Orthodontics (ESLO) Fellow World Federation of Orthodontics (WFO) Chief dental officer Winter Olympic Games Turin 2006 Author and co-author of orthodontic of more than 70 papers both on Italian journals (Mondo Ortodontico and Progress in Orthodontics) and American (World Journal of Orthodontics) Speaker in Congress and Meetings in Italy, Switzerland, France, Netherlands, , East europe, Iran, Algeria Spain, Austria, Belgium, Canada, USA ABSTRACT TITLE A NEW METHODOLOGICAL AND CLINICAL APPROACH FOR THE TREATMENT OF UPPER LATERAL INCISORS AGENESIS: THE POSTERIOR SPACE OPENING. ORTHOCAD IOC: FROM INTRAORAL SCANNING TO CLINICAL APPLICATIONS. ABSTRACT Introduction: Excluding the third molars, the agenesis of the upper lateral incisors is unfortunately second only to the agenesis of the second bicuspids, with a prevalence of around 1-1,5%(1-2). Each of the current treatments in the scientific literature (anterior space closure with canine substitution, or anterior space opening with implant placement) presents its own peculiar advantages and disadvantages(3-4-5). Objective: the purpose of this study is to conceive and apply a new methodological approach for the treatment of upper lateral incisors agenesis. Materials and Methods: a new approach has been conceived by means of the anterior space closure, with the mesialization of the canine and the bicuspids aided by mini-implants(6-7), combined with a posterior space opening to create adequate room for the placement of an implant in the second premolar area(8-9-10). The reshaping of the canine is necessary(11-12). Results and Discussion: the final results are a correct tooth alignment with class I molar relationship; the presence of natural teeth in the frontal group; an excellent dental and periodontal aesthetic right after the orthodontic treatment; the eventual implant is located in the nonaesthetically-so relevant posterior area; the occlusal integrity is preserved. Clinical cases demonstrate the above. Conclusions: a critical analysis of posterior space opening shows how is possible to gather the advantages from the previous techniques, excluding at the same time the majority of their drawbacks. Intraoral scanning is one of the newest IT applications in orthodontics which became reality in the last years. This new technology will allow the orthodontist to bypass some traditional procedures as impression taking which represent sometime a not pleasant experience for the patient. During the lecture it will be explained in detail all processes involved in the implementation in an orthodontic practice, not only in terms of use but also in terms of clinical applications which can be generated from intra oral scanning. Digital models in real time, virtual set up and indirect bonding procedures based on the virtual set up are some of the clinical applications which are related to intraoral scanning. It will be explained the difference with the previous traditional procedures and the speaker will introduce the newest integrations of intraoral scanning with invisible appliances. During the lectures some clinical cases will be presented to highlight the importance on the use of this new technology. 54 55 ALDO GIANCOTTI ANTONIO GRACCO EDUCATION: 1984 University of Rome “La Sapienza” School of Dentistry: Rome - Italy DDS 1996 University of Ferrara - Italy Orthodontics Certificate Degree in Dentistry and Dental Prosthetics from the University of Padova. Post-graduate specialisation in Orthognathodontics. Awarded research grant in 2005-2010 for the project ‘Three-dimensional Diagnosis in Orthodontics’ at the University of Ferrara Department of Medical and Surgical Disciplines. Lecturer and Researcher at the University of Ferrara Department of Orthognathodontics, responsible for teaching techniques such as skeletal anchorage, 3D technologies and the Insignia system. President of ASIO (Italian Association of Orthodontic Specialists)in 2010. Speaker at various national and international scientific conferences and author of numerous articles published in international journals. CURRENT APPOINTMENTS: Clinical Assistant Professor, Dept. of Orthodontics, University of Rome “Tor Vergata” TEACHING RESPONSIBILITIES: Orthodontics and Craniofacial Development Orthodontic Diagnosis and Treatment Planning Oral Pathology Graduate Orthodontic Clinic TITLE TITLE IDEAL APPLICATIONS OF TADs IN ORTHODONTICS: A BIOMECHANICAL POINT OF VIEW. SKELETAL ANCHORAGE AND CUSTOMIZED ORTHODONTICS: IS IT POSSIBLE TO COMBINE THEM? ABSTRACT ABSTRACT The use of TADs in Orthodontics can be considered a useful and sometimes unavoidable auxiliary device in several clinical conditions. Through orthodontic literature their use has been widely documented in several scientific and above all clinical papers, but it’s not so common to find a rational and logical application of TADs from a biomechanical point of view. In some clinical reports, orthodontic mechanics is not highly defined, therefore lacking logical ratio. Other clinical cases show that patient consideration regarding the number of miniscrews really necessary to obtain the desired outcome is missing. The aim of this lecture is to illustrate the ideal biomechanical indications for using Tads, according to biomechanical principles. We can simplify Tads applications into two different categories: Alternative Applications; (deepbite, arch leveling, Class II with extraction, Class II without extraction). Elective Applications; (insufficient dental anchorage, asymmetric anchorage conditions, hostile biomechanical conditions). The Alternative applications are indicated in cases in which the use of TADs could optimize and simplify the whole treatment, in order to perform orthodontic movement avoiding the adverse effects of the anchorage forces. They represent the most common orthodontic malocclusion such as Class II treatment and deepbite. 56 Nowadays, the most recent technological developments permit us to provide our patients with totally individualized appliances. Dental movements can be planned and managed directly by the clinician using a digital set-up. In this phase, it is possible to plan the use of auxiliaries such as orthodontic mini-screws to aid more complex movements. Planned developments in this technology include the integration of intra-oral scanners and DVT. In this presentation, the Insignia system and several cases treated by means of customized appliances together with mini-screws will be described. 57 JOHN K. KAKU RYUZO KANOMI EDUCATION: 1989 DDS degree - Tokyo Dental College 1990 Residency University of California, San Francisco 1993 Certificate of Orthodontics - Boston University 1993 MSD degree - Boston University 1977 Graduated from Osaka Dental University, received the degree of Doctor of Dental Surgery (D.D.S.). 1980 Kanomi Orthodontic Office, Started in Himeji City Received the degree of Doctor of Dental Science (D.D.Sc.) from Osaka Dental University 1997 Received the Diploma of Membership in Orthodontics (M.Orth.) from The Royal College of Surgeons of Edinburgh. 2002 Received the degree of Ph.D. from Osaka University. 2003 Membership of the European Board of Orthodontists. 2007 The Affiliate Member of the Midwest Component of the Edward H. Angle Society of Orthodontists . 2009 President of Kinki-Tokai Orthodontic Society. CURRENT TITLE & CREDENTIALS: Private Practice (SuperSmile International Orthodontic Office) (1994-present) Instructor, Japanese Academy of Non-Extraction Orthodontics (1994-present) Fellow, American Association of Orthodontists (1990-present) Fellow, Japan Orthodontic Society (1989-present) Fellow, Japan Association of Adult Orthodontics (1994-present) ADJUNCT CLINICAL PROFESSOR: Department of Orthodontics at Osaka University AWARDS: Joseph E. Johnson Table Clinic Awards by A.A.O. (1994, 1997, 1998, 2000, 2001) TITLE TITLE THE MOLAR DISTALIZATION MECHANICS WITH TAD. NEW PARADIGM IN ORTHOPEDIC CONTROL USING TEMPORARY ANCHORAGE DEVICES (TADs) ABSTRACT ABSTRACT If nonextraction treatment is indicated and the molar distalization mechanics are used, there are some of side effect each clinicians need to overcome such as 1) Anterior Mesialization of incisors during molar distalization. 2) Anterior Mesialization of posterior segment during incisor retraction. 3) incresing total treatment time. 4) patient cooperation. These four factors can be reduced or eliminated when the TAD is applied into mechanics. The presentation will illustrate direct application of TAD as well as indirect application of TAD for the cases in the mixed dentition and permanent dentition. The class II and III cases will be shown. 58 Recently, orthodontic treatment is radically changed since absolute anchorage system has been developed. Orthodontists can move not only teeth but also jaws using temporary anchorage devices (TADs). If the TADs were inserted in the target bone, an orthodontist could only move teeth using TADS, however, if the TADs were inserted in another bone beyond the sutures, we could move the target bone itself using TADs. The orthopedic controls, bone absorption and apposition at sutures, has been able to manipulate using TADs with this theory. This novel orthopedic control provides radical skeletal changes in growing children such as surgical corrections in adults. The maxilla can be distalized and intruded when orthodontists use the TADs inserted into the zygomatic arch for traction; bone absorption would occur at the zygomaticomaxillary suture by orthopedic force (Koyama, 2009). In addition, the maxilla can be moved forward when we use the TADs inserted into infrazygomatic crests and the canine in the mandible for traction; bone apposition would occur at the zygomaticomaxillary suture by orthopedic force (De Clerck, 2009). These orthopedic controls using TADs must change orthodontic treatments, and they would save many growing children who have skeletal deformities. I hope to advance this innovative treatment in the future. 59 OM P KHARBANDA Dr. Om P Kharbanda is Professor and Head, Department of Orthodontics and Dentofacial Orthopaedics, All India Institute of Medical Sciences, New Delhi. Dr. Kharbanda earned his BDS (1976) with several awards and honours from King George’s Medical College Lucknow followed by MDS Orthodontics (1978). Later he completed his M OrthRCS (Edinburgh) and Masters in Medical Education (M MEd) from University of Dundee. Dr. Kharbanda is a postgraduate teacher since 1986 and has supervised more than 60 theses at AIIMS and at University of Sydney where he served from 2000-2003. His book entitled ‘Orthodontics: Diagnosis and Management of Malocclusion and Dentofacial Deformities’ (Elsevier 2009) has become popular in a short time. Dr. Kharbanda has authored/co-authored more than 110 papers/case reports/ book chapters in peer reviewed international and national journals. He has lectured in India, Australia, Middle East and USA. Dr. Kharbanda is a former Chief Editor of Journal of Indian Orthodontic Society and served/es International Editorial Board of American Journal of Orthodontics and Dentofacial Orthopaedics, British J of Orthodontics, Australian Orthodontic Journal and Journal of Clinical Paediatric Dentistry besides several other Dental speciality journals in India. His main research interests are: Non-extraction treatment, long-term outcome of Functional Appliances, ORR and treatment outcome in Cleft Patients. Since 2004 he has been aggressively involved in collaborative clinical and fundamental research on implants. Dr. Kharbanda is Past President of Indian Orthodontic Society and Indian Cleft lip Palate and Craniofacial Association. Currently he is Chair International relations 8th Asian Pacific Orthodontic Conference 2012. TITLE MECHANICAL AND BIOLOGICAL FACTORS FOR THE SUCCESS OF MINISCREWS. ABSTRACT This presentation will deliberate research findings on implant related factors for diameter, length and shape of the miniscrew and how they differentiate in the stress pattern with cortical and cancellous bone with varying force levels at two angulations of force direction. The effect of screw length, diameter and shape was also investigated for insertion and removal torque and insertion and removal thrust. Findings of Finite Element Analysis relating to different miniscrew design with stress pattern on bone architecture will be corroborated to propose alternate design of the miniscrew. Research related to biological factors on bone density measured with CT scan, implant location in gingiva and bone and laboratory studies on inflammatory markers in peri-implant fluid will be presented. 60 SEONG-HUN KIM Director, Kyung Hee International Facial Orthodontic Research Institute (KIFORI) Associate Professor of the Department of Orthodontics School of Dentistry, Kyung Hee University. Seong-Hun Kim, DMD, MSD, PhD is an Associate Professor of the Department of Orthodontics School of Dentistry, Kyung Hee University. He is also a visiting assistant professor of the Division of Orthodontics, Department of Orofacial Sciences at University of California, San Francisco (UCSF). Dr. Kim obtained an Orthodontic certificate and MS in Department of Orthodontics, School of Dentistry at the Kyung Hee University, Seoul, Korea, and PhD in Department of Orthodontics, School of Dentistry at the Seoul National University, Seoul, Korea. He was an Assistant professor of the Orthodontics Division at The Catholic University of Korea, Uijongbu St. Mary’s Hospital and Graduate School of Clinical Dental Science. He is currently the Editor of Clinical Affair in the Korean Journal of Orthodontics (SCIE journal) in Seoul, Korea and also the editorial reviewer board in the American Journal of Orthodontics and Dentofacial Orthopedics, The Angle Orthodontist, Orthodontics and Craniofacial Research, Saudi Medical Journal, International Journal of Oral and Maxillofacial Implants (SCI journal), and World Journal of Orthodontics. He is a member of World Federation of Orthodontists (WFO) and Korean Society of Speedy Orthodontics (KSSO). Dr. Kim lectures and presents seminars in the United States and internationally about this topic. He also teaches and lectures at UCSF School of Dentistry about implant orthodontics, and he is the author of five international text books and over 100 international and domestic scientific articles about this topic. TITLE LESS HARDSHIP, MORE OPTIONS WITH C-TUBE MINIPLATES. ABSTRACT A new treatment system called ‘Biocreative Orthodontics’ developed by Dr Kyu-Rhim Chung is to implement independent target teeth movement while avoiding extending unnecessary orthodontic appliances to posterior segments during the orthodontic treatment period. This concept developed from the fact that specially designed temporary skeletal anchorage devices (TSADs) such as partially osseointegrated C-implants or miniplates with tube can easily endure multidirectional heavy forces even when they support orthodontic arch wires with high success rate. A recently introduced type of orthodontic miniplate/tube device called “C-tube” was used for patients where the conventional mini-screw was not suitable. Some examples would be a narrow interradicular spaces, extended maxillary sinuses, dilacerated roots, and severe alveolar bone loss. Since the miniplate fixation screws are very short, there is adequate retention in the alveolar plate, and the clinician can avoid the increased morbidity of anchoring to the zygomatic buttress. This makes placement quite easy with superficial anesthesia and small incision only. However, in some cases of pneumatization patients or systemic disease patients such as diabetes malletus and heavy smoker, T-type C-tubes with longer miniscrews are recommend for better stability. In this presentation, I will introduce the new type of TSADs, treatment concept, simple and easy application way through update scientific researches and excellent case reports. 61 TAE-WOO KIM SHINGO KURODA PROFESSOR Department of Orthodontics School of Dentistry, Seoul National University 28 Yunkeun-Dong, Chongno-Ku Seoul 110-768, KOREA 1996 Graduate school, Faculty of Dentistry, Osaka University, Japan (D.D.S.) 2000 Graduate school, Graduate School of Dentistry, Osaka University, Japan (Ph.D). 2000-2008 Assistant Professor, Department of Orthodontics and Dentofacial Orthopedics, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Japan. 2007-present: International review board member, American Journal of Orthodontics and Dentofacial Orthopedics. 2008-present: Associate Professor, Department of Orthodontics and Dentofacial Orthopedics, Institute of Health Biosciences, The University of Tokushima Graduate School, Japan 2009-2011: Visiting researcher, Laboratory for the Study of Calcified Tissues and Biomaterials, Department of Stomatology, Faculty of Dentistry, Université de Montréal, Canada. 2009-2011: Clinical instructor, Section of Orthodontics, Department of Oral Health, Faculty of Dentistry, Université de Montréal, Canada. 2010: Diplomate, Japanese orthodontic board VICE PRESIDENT OF KOREAN ASSOCIATION OF ORTHODONTISTS TITLE TITLE ORTHODONTIC TREATMENT OF SKELETAL OPEN BITE. TADs FACILITATE INTERDISCIPLINARY APPROACH FOR PATIENTS WITH MULTIPLE MISSING TEETH. ABSTRACT ABSTRACT There are three treatment methods for skeletal open bite cases, 1) orthognathic surgery, 2) orthodontic treatment with extrusion of anterior teeth, and 3) orthodontic treatment with intrusion of posterior teeth. Some skeletal open bite cases were treated successfully without orthognathic surgery, by extruding the anterior teeth or by intruding the posterior teeth. In this lecture covers 1) Methods to intrude posterior teeth with mini-implants., 2) Guidelines to select the ‘segmental’ or ‘en masse’ intrusion mechanics, 3) Comparing cases; one treated with extrusion of anterior teeth (MEAW technique) and the other treated with intrusion of posterior teeth (Mini-implant technique), 4) Clinical tips of Method 5 (Method of choice to intrude the upper posterior teeth), and 5) Summary. 62 Missing tooth is one of the most common dental problems in adult patients. There is variety of reasons to loss their teeth, i.e. periodontal disease, caries, trauma, genetic abnormality and so on. To treat the defect, orthodontic treatment is often required prior to prosthetic restorations, because the proximal teeth easily move to the defect region. In addition, the tooth defect left for a long period of time induces not only partial but also complete malocclusions. However, orthodontic treatment had been occasionally difficult in patients with multiple missing teeth because they do not have enough anchorage teeth for required tooth movement. In the past decade, temporary anchorage devices (TADs) have evolved as a main stream orthodontic technique since they can provide absolute anchorage without patient cooperation. Particularly, they are extremely useful in the cases with missing molars. In my lecture, I would like to show the effective usage of TADs in interdisciplinary approach for the patients with severe periodontal disease or oligodontia. Conclusively, TADs facilitate interdisciplinary treatment for the patients with missing teeth, and this new strategy can dramatically change its diagnosis and treatment result. 63 KEE-JOON LEE JANG YEOL LEE Dr. Kee-Joon Lee received DDS and PhD degree from Graduate school, College of Dentistry, Yonsei University, Seoul, Korea. He is currently an associate professor at Department of Orthodontics, Yonsei University, also an adjunct professor at University of Pennsylvania, Temple University and a visiting scholar at the Children’s Hospital of Philadelphia. He contributed book chapters on biomechanics of miniscrewdriven orthodontics and related non-extraction treatment in adults. He has published many articles and case reports regarding miniscrew implants in orthodontic journals including two cover issues in AJO-DO. His fields in research include clinical biomechanics regarding TADs application and the suture biology in normal growth and in FGFR2-related congenital deformity. Dr. Lee is currently co-director of the Smileagain orthodontic center in Seoul, Korea. He is Clinical Professor in Department of Orthodontics, Yonsei University, Seoul, Korea and also Clinical Professor in Department of Orthodontics, Samsung Medical Center, Sungkunkwan University, Seoul, Korea and Associate Fellow in the Department of Orthodontics, University of Warwick, UK. He received his dental and orthodontic education at Yonsei University, Seoul, Korea and completed his master and Ph. D degrees in the same school. Dr. Lee is also a visiting scholar in the department of orthodontics, school of dentistry at the University of North Carolina, USA. Dr. Lee has given many lectures on various topics about mini-screw orthodontics and lingual orthodontics over the last few years in many countries. Dr Lee was the Secretary General of the organizing committee in the 4th AIOC in Seoul, 2005 and the 1st WIOC in Seoul, 2008. Currently he holds a position of Secretary General of World Implant Orthodontic Association. TITLE TITLE LINGUAL NON-SURGICAL TREATMENT FOR ADULTS WITH HIGH RISKS. ROLE OF MINISCREW IN SURGICAL ORTHODONTICS. ABSTRACT ABSTRACT Adult patients with various skeletal discrepancies tend to express their specific concerns such as the appliance show, cost and invasiveness of treatment. However, the treatment may be limited by normal and/or pathologic conditions including periodontal breakdown, missing teeth and arch shrinkage. Thereby comprehensive information on the up-to-date biology as well as biomechanics needs to be recruited, integrated and applied to individual patients, with the TADs playing a central role. This presentation will cover how to set individual treatment goals using TADs in the following issues. 1. High demand for lingual treatment 2. High risk factors including periodontal breakdown 3. Limitation of bone formation Obviously the orthodontists nowadays take advantage of various new technologies, but those could only be appreciated by showing the benefit from the patients’ side. The overall presentation will hopefully induce an affirmative answer for this question. 64 Miniscrew is now a daily-based routine procedure of our orthodontic treatment and many attempts of applying miniscrews have been tried and introduced in the case of patients who require orthopedic treatment and orthognathic surgery also. The primary aim of pre-surgical orthodontics is correction of tooth movements which is termed as dental compensation for skeletal discrepancy, which shows not in the anterio-posterior relationship but can be expressed in the vertical ways. In conventional ways, presurgical orthodontics was mostly focused on the tooth movement which is for a decompensation in horizontal aspect. But it is obvious that most skeletal deformities affect vertical growth as well and they will be compensated in the alveolar bones and teeth vertically. These compensatory adaptations mostly have been corrected surgically throughout decades. It seems that this is time to look closer into the aspects of our conventional pre-surgical orthodontics and try to find out a more efficient way of pre-surgical orthodontic movement combined along with miniscrews. In this presentation, various situations will be shown in our pre-surgical orthodontic movements and possible applications of miniscrews which can be added to the conventional pre-surgical orthodontic movement or post-surgical orthodontic movement will be suggested. ss 65 JOHNNY JOUNG-LIN, LIAO JOONG-KI LIM DDS, dental department, National Taiwan University MS, Graduate institute of dental and craniofacial science, Chang Gung University Director, Beauty Forever Orthodontic Clinic 1992 Graduate from Dental College, Yonsei University, (Diploma D.D.S.) 1992 - 1995 Certificate in Orthodontics, Yonsei University Dental Hospital 1993 - 2006 Post Graduated Course, Graduate School, Yonsei University (M.S.D., Ph.D.) 2003 - present Clinical assistant professor Dept. of Orthodontics Johnny Joung-Lin, Liaw completed his orthodontic training at National Taiwan University Hospital in 1994 and received his master degree in Chang Gung University. He is now in private practice since 2002 after 8-year visiting staff in Shin-Kong Memorial Hospital. He keeps on lecturing a clinical orthodontic course over 15 years and he is also a clinical director in National Taiwan University Hospital. And he is now the vice president and the chairman of the academic committee of the Taiwan Association of Orthodontists. School of Medicine Sungkyunkwan University Seoul, KOREA Clinical assistant professor Dept. of Orthodontics College of Dentistry Yonsei University Seoul, KOREA Consulting professor Dept. of Orthodontics Catholic medical college, Seoul, KOREA Yon orthodontic clinic, Seoul, KOREA TITLE TITLE TOTAL ARCH DISTALIZATION WITH TADS. VERTICAL MAXILLARY EXCESS CORRECTION USING MINI IMPLANT. ABSTRACT ABSTRACT Mini-implant anchorage has been applied widely in orthodontic treatment for anchorage control in recent years. Maximal retraction without anchorage loss is the primary objective while utilizing mini-implants. Total arch distalization after maximal retraction was noticed in some protrusion cases, which exceeds the original expectation. If total arch distalization is feasible, flared incisors can then be repositioned to an ideal position without extraction. Non-extraction approach with miniscrew anchorage can not only be successfully applied in upper arch distalization for Class II correction, but its application in lower arch distalization for Class III correction has also produced satisfactory results. Severe Class I crowding cases are also good candidates for total arch distalization. Nevertheless, proper diagnosis should be carefully performed prior to proceeding with treatment modalities incorporating mini-implants. Various anchorage setups in various malocclusions for total arch distalization and the key to the successful total arch distalization- exodentitional position of the miniscrews will be demonstrated in the presentation. The limiting factors of this treatment approach will be also discussed in the end. 66 Long face syndrome (vertical maxillary excess) caused by congenital intermaxillary disharmony has maxillary horizontal and vertical overgrowth. The size of mandible is within a normal range or undergrown, the mandible rotated backward and downward with increased lower anterior facial height. Depending on eruption levels of anterior teeth, it could be accompanied by open bite, gummy smile or normal overbite. It is difficult to close one’s mouth completely, along with hypertonus mentalis muscle, aggravates symptoms of mandibular retrognathism, and lip protrusion. There are two options to treat VME (vertical maxillary excess). One is orthognathic surgery to enhance maxillo-mandibular correlation. The other is camouflage treatment only to improve dental relationships. In case of orthodontic treatment excluding an orthognathic surgery, retraction of anterior teeth through extracting premolar is the objective of the treatment. It’s because the conventional treatment has difficulties to correct vertical relationships. In this presentation I’ll deal with VME correction using mini implant. Not only conventional anterior-posterior improvement, but also methods and possibilities to improve vertical appearance will be explained. I’ll lead this presentation in this order below. 67 JAMES CHENG-YI LIN JOHN JIN - JONG LIN Clinical Assistant Professor, School of Dentistry, National Defense Medical University, Taipei, Taiwan Consultant Orthodontist, Dept. of Orthodontic & Craniofacial Dentistry, Chang-Gung Memorial Hospital, Taipei, Taiwan Secretary General, Taiwan Academy of Aesthetic Dentistry Director, Dr. James Lin & Associates’ Orthodontic & Implant Center. Dr. Lin is a clinical professor in the Department of Orthodontics at Taipei Medical University, is a past president of the Taiwan Association of Orthodontists, and maintains a private orthodontic practice. Dr. Lin has published “Creative Orthodontics, Blending the Damon System and TADs to Manage Difficult Malocclusions.”, 1st edition 2007, 2nd edition 2010. TITLE TITLE INTERDISCIPLINARY AND TADS APPROACH IN SHORT FACE PARTLY EDENTULOUS ADULTS. TOUGH CLASS III CASES MADE EASY. ABSTRACT ABSTRACT For short face adult patients, they usually present with square facial type, short lower anterior facial height (LAFH), adequate/insufficient smile and intact/partial edentulous dentition. Due to current lay person’s expectation for orthodontic therapy is more than just straighten teeth, we, as professional orthodontists, what services can we provide for those short face patients to fit their desires? This presentation will encompass orthodontics, periodontics, restorative and implant dentistry plus TADs focusing on current interdisciplinary treatment philosophies and methodologies for management of short face patients who lost their teeth and /or have insufficient smile problems. Equal emphasis will be placed on the correct ratio of upper anterior clinical crown length/width, causes & treatment strategies of insufficient smile as well as esthetic crown lengthening procedure to achieve optimal facial, smile and pink/white esthetics. Recently due to the current development of the self-ligating brackets and Temporary Anchorage Devices (TADs), it makes the treatment of difficult Class III cases much easier. In Asian countries, Young Kim’s MEAW technique (Multiple Loop Edgewise Archwire) was very popular for correcting difficult Class III malocclusions. With the more play of the archwire in the slot of the passive self-ligating bracket, many difficult Class III can be treated much easier without using the MEAW. With the advancement of TADs, treating of difficult Class III cases become easier too. In this presentation, differentiation of above two types of Class III treatment will be explained with many difficult Class III cases. Many traditional extraction treatment even orthognathic surgery can be avoided. 68 69 ROBERTA LIONE ERIC J.W. LIOU Born in Salerno on 06/21/1983. 1980 - 1986 School of Dentistry, Taipei Medical University, Taipei, Taiwan 1991 - 1993 Orthodontic program, Department of Orthodontics and Craniofacial Dentistry, Chang Gung Memorial Hospital, Taipei, Taiwan 1995 - 1997 Graduate program in Surgery (Degree: MS) Graduate School, University of Illinois at Chicago, Chicago, IL, USA EMPLOYMENT: Current: Associate professor and Deputy chairman, Faculty of Dentistry, Chang Gung Memorial Hospital, Taipei, Taiwan 1999 - 2006 Director and assistant professor, Department of Orthodontics and Craniofacial Dentistry, Chang Gung Memorial Hospital, Taipei, Taiwan 1993 - Present attending staff, Department of Orthodontics and Craniofacial Dentistry, and Craniofacial Center, Chang Gung Memorial Hospital, Taipei, Taiwan 2007- Present President, Taiwan Association of Cleft Lip and Palate She graduated with honors in Dentistry at the University of Rome “Tor Vergata” with the thesis “Dentoskeletal effects of rapid maxillary expansion evaluated by low-dose Computed Tomography”. She graduated with Master’s Degree in Orthodontics at the University of Rome “Tor Vergata” in the academic year 2008/2009. Enrolled in the third year of the School of Specialization in Orthodontics, she is attending the specialized area of activity of Orthodontics at the University Hospital of Rome “Tor Vergata”. Professor of Orthodontics at the School of Science in Dentistry and lecturer for the Master’s Degree at the University of “Nostra Signora del Buon Consiglio” in Tirana. Author of publications on national and international magazines, posters and reports at the conferences mainly devoted to orthodontics. TITLE TITLE IMMEDIATE AND POST-RETENTION DENTO-SKELETAL EFFECTS OF RAPID MAXILLARY EXPANSION INVESTIGATED BY COMPUTED TOMOGRAPHY. THE ALVEOLAR OSSEOUS REACTION AND CHANGES OF FACIAL PROFILE IN CLASS III ADULT PATIENTS TREATED WITH TADs. ABSTRACT ABSTRACT Objective: To determine by low-dose CT protocol the dental, periodontal and skeletal effects of Rapid Maxillary Expansion (RME) as assessed by low-dose CT protocol. Subjects and Methods: The study sample comprised 17 subjects (7M,10F; mean age 11.2 years). Multi-slices CT scans were taken before treatment (T0), at the end of the active expansion phase (T1), and after a retention period of 6 months (T2). On scanned images measurements were performed at the dental, periodontal and skeletal levels. The mean differences in measurements at T0, T1, and T2 were examined with ANOVA for repeated measures with post-hoc tests (P<0.05). Results: In all subjects the opening of midpalatal suture was observed. All intermolar transverse measurements resulted significantly increased at both T1 and T2 with respect to T0. The evaluation of T0-T1 changes showed a significant reduction in alveolar vestibular bone thickness while in the evaluation of the overall T0-T2 changes, the lingual bone plate thickness of both first anchorage molars resulted significantly increased. Conclusions: RME therapy induces a significant enlargement of the transverse dimension of the maxillary arch in growing subjects without permanent injuries to the periodontal bony support of anchoring teeth discernible at CT imaging. 70 The treatment goal of using TADs to treat Class III adult patients is to retract the lower incisors for the correction of anterior crossbite and improvement of the lower lip posture. However, this could accentuate chin prominence and root dehiscence in some cases as well. This presentation will address on the clinical methods of individual assessments of the alveolar osseous reaction based on the bone physiology, and to illustrate what kind of case would have a favorable change on the facial profile through a simple pre-treatment cephalometric measurement. 71 LUCA LOMBARDO CESARE LUZI M.D. 2004 University of Palermo School of Dentistry D.M.D. 2007 University of Ferrara Postgraduate school of orthodontics of Ferrara Dental degree at the University of Rome “La Sapienza”. Postgraduate in Orthodontics at the University of Aarhus, Denmark, where he obtained the Speciality in Orthodontics and the Master of Science Degrees. Founder and first President of the European Postgraduate Students Orthodontic Society (EPSOS). Active member of SIDO (Italian Society of Orthodontics). Member of the EOS (European Orthodontic Society) and ASIO (Italian Association of Specialists in Orthodontics). Provisional member of AIO (Accademia Italiana di Ortodonzia). Winner of the Houston Research Award of the European Orthodontic Society 2006 and of the First Prize Award for Clinical Research of the Italian Orthodontic Society 2006. Winner of the Beni Solow Award 2010 for the best paper in the European Journal of Orthodontics. Private practice in Rome, Italy, limited to orthodontics. ACADEMIC APPOINTMENTS: 2007-2011 Research Fellow in Orthodontics Postgraduate school of Orthodontics of Ferrara 2010-2011 Adjunct Professor Postgraduate school of orthodontics of Ferrara PROFESSIONAL ORGANIZATIONS: 2011 Vice President Associazione Italiana Specialisti in Ortodonzia 2005-2011 Member of Società Italiana Di Ortodonzia 2007-2011 Member of Italian Accademy of Orthodontics 2008-2011 Treasurer Associazione Italiana Di Ortodonzia Linguale TITLE TITLE CONE-BEAN COMPUTED TOMOGRAPHY (CBCT): WHICH ARE THE REAL BENEFITS IN ORTHODONTICS? IMPROVING THE EFFECTS OF HERBST TREATMENT WITH MINI-IMPLANT SUPPORTED ANCHORAGE. ABSTRACT ABSTRACT The imaging technology is quickly swinging toward 3d CBCT. The 3d images are impressive in their details and their ability to show spatial relationships in 3 dimension helps us to diagnose the relative location of the anatomic parts of the craniofacial complex. The superiority of cone-beam computed tomography (CBCT) with respect to traditional two-dimensional radiographic techniques is well known throughout the scientific community that should openly welcome these new imaging techniques as a step forward in the treatment of our patients. However, the radiation dose to the patient with CBCT are higher respect to traditional x-ray and orthodontic assessment with imaging technology should follow the “as low as reasonably achievable” (ALARA) principle. . The aim of this presentation is to discuss the role of CBCT in the daily orthodontic practise in order to understand the real improvements in diagnosis, the risks and the costs. The main indications, advantages and disadvantages will be discussed by the clinical cases presentation. Class II treatment has greatly evolved with the introduction of no-compliance systems. The possibility of eliminating the variable of patient collaboration together with the use of fixed devices opens to more predictable results with shorter treatment times. To date, with a history of over 100 years, the Herbst appliance is still a state of the art solution and the most used device for solving class II malocclusions. Repositioning forward the mandible with the Herbst appliance has proven to be greatly efficient but determines as the main side effect the proclination of lower incisors, which can minimize the skeletal effects of such type of treatment. The recent introduction of skeletal anchorage devices, especially mini-implants, have revolutioned daily clinical practice allowing absolute anchorage control. This benefit can be extended to class II no-compliance devices which can be used in association with skeletal anchorage devices eliminating any possible anchorage loss, opening a new frontier in class II treatment protocols allowing more efficient results with shorter treatment times. The combination of a mini-implant-supported modified Herbst appliance will be presented discussing the rational association of these devices for the optimization of orthopedic class II treatment. 72 73 BIRTE MELSEN WON MOON Professor Melsen was born in Aabenraa, Denmark 9 June 1939. Since 1975 she has held the title of Professor and Head of the Department of Orthodontics at The School of Dentistry, Aarhus University, Denmark. Since 1986, she has been working part-time in a private practice in Lübeck, Germany (Adult Orthodontics only). Professor Melsen has authored more than 350 publications in the fields of growth and development based on research of human autopsy material, bone biology and clinical implant studies. In recent years her professional interests have focused primarily on the fields of Skeletal Anchorage, Virtual Imaging and Adult Orthodontic Treatment. In 2000 she received the Knighthood of Dannebrog 1st degree. EDUCATION 1991 UCLA School of Dentistry, Section of Orthodontics, Certificate in Orthodontics 1991 UCLA School of Dentistry, Section of Oral Biology MS 1989 Harvard School of Dental Medicine, D.M.D. 1984 University of California, Irvine, BS in Mathematics TITLE - Assistant Professor, UCLA School of Dentistry, Section of Orthodontics. - Visiting Professor, Samsung Medical Center, Seoul, Korea - Clinic Director, Post-Doctoral Orthodontic Program, UCLA School of Dentistry, Section of Orthodontics, Since 2007 - Director, International Affairs, UCLA School of Dentistry, Section of Orthodontics, since 2003 - Diplomate of American Board of Orthodontics (ABO), since 2002 - Program Director for Southern Region, Pacific Coast Society of Orthodontics (PCSO), 2005-2007 - Assistant Program Director for Southern Region, Pacific Coast Society of Orthodontics (PCSO), 2004-2005 TITLE TITLE THE ADVANTAGES OF USING THE TADS INDIRECTLY. ORTHOPEDIC CORRECTION OF CLASS III HIGH ANGLE CASES AND NOVEL IMPLANT DESIGN. ABSTRACT ABSTRACT Birte Melsen, DDS Dr.Odont. Department of Orthodontics ,School of Dentistry, Aarhus University When an orthodontic force is added to a tooth or a group of teeth the displacement will be identical to the vector of the force, but the type of tooth movement will be determined by the localization of the line of action of the force in relation to the center of resistance of the tooth/teeth. Depending on the design TADs are can offer one, two or three dimensional control. With a one dimensional control the TAD has to be placed along the line of action of the desired force vector. TADs that have 3-D control can on the other hand be used as indirect anchorage and develop many points of application of the forces. This will widen the applicability of the TADs and reduce the number of TADs necessary for the solution of particular problems. The lecture will focus on treatment planning when using TADs as indirect anchorage. The primary aim of this presentation is to explore and to expand the application of Micro-Implant Technology in orthopedic correction of Class III high angle cases rather than limit the use only as an anchorage device. The Class III high angle cases are considered to be the most difficult problem in modern orthodontics. Clinical and mechanical obstacles associated with orthopedic correction utilizing conventional orthodontic treatment modalities will be explored, and several new approaches eliminating these problems by the use of Micro-Implants will be presented. Several clinical cases involving significant changes in maxillofacial complexes through growth modification will be examined in detail. The secondary aim is to demonstrate new concepts in Micro-Implant design. The conventional Micro-Implant design had inherent problems in dealing with physiologic obstacles such as roots, neurovascular bundles, sinuses, etc., and it has not been possible to apply orthopedic force directly. The novel Micro-Implant design developed recently may be an answer for the above mentioned problems, and the recently published results demonstrating its convenience and stability will be illustrated. Utilizing the novel design may play a key role in developing treatment protocols for orthopedic corrections through growth modification by allowing us to select convenient locations for implant placements and apply orthopedic force directly. The use of growth modification techniques in conjunction with this new device opens doors to many new possibilities. 74 75 RAVINDRA NANDA PETER WING HONG NGAN Dr. Ravindra Nanda is at present UConn Alumni Endowed Chair, and Professor and Head of the Department of Craniofacial Sciences and Chair of division of Orthodontics, University of Connecticut, Farmington, Connecticut, U.S.A. He received his dental training from Lucknow University, India in 1964. He received his orthodontic training first at Lucknow, India and then from Nymegen, The Netherlands and the University of Connecticut. He also received a Ph.D. for the University of Nymegen in 1969. He was an Assistant Professor of Orthodontics at Loyola University, Illinois from 1970 to 1972 and since 1972 he has been associated with the University of Connecticut. Dr. Nanda has done extensive research during the last forty years in the areas of cleft lip and palate, orthopedic forces and on long-term growth with orthognathic surgery in adolescents. In recent years, his major thrust has been in development of orthodontic wires, clinical orthodontic trials and application of biomechanics in a busy orthodontic practice. Dr. Peter Ngan is Professor and Chairman, Department of Orthodontics, West Virginia University, School of Dentistry since July, 1994. Dr. Ngan has published over 130 original articles and 160 abstracts. He has been invited to lecture at professional organization in 25 countries. Dr. Ngan’s focus is in the early treatment of dental and skeletal malocclusion. Dr. Ngan’s research includes growth and development, biology of tooth movement, dentofacial orthopedics, orthodontic appliance therapy and implantology. 5Dr. Nanda has been author and co-author of five orthodontic books and more than one hundred scientific and clinical articles in major journals. He is on the editorial board of ten different national and international orthodontic journals. He is an associate editor of Journal of Clinical Orthodontics. He is an active member of various organizations, including the American Association of Orthodontists, European Orthodontic Society and Edward H. Angle Society. Dr. Nanda is a Diplomate of the American Board of Orthodontics. He has given numerous named lectures at national and international societies including Mershon Lecture at American Association of Orthodontics and Sheldon Friel Lecture at 2011 EOS Congress. TITLE EFFICACY OF TADs IN CLOSING EXTRACTION AND MISSING TEETH SPACES: A BIOMECHANICS PERSPECTIVE. TITLE SKELETAL ANCHORAGE FOR CLASS III ORTHOPEDIC TREATMENT. ABSTRACT Most of us who use protraction facemasks in treating developing Class III malocclusions with deficient maxilla will encounter anchorage loss such as mesial movement of maxillary molars and incisors. The speaker will address whether this anchorage loss can be prevented with the help of TAD or miniplates. ABSTRACT This presentation will discuss speed and quality of tooth movement in closing extraction and missing spaces with TADs and biomechanics designed appliances. Results of comparative ongoing prospective studies will be presented. Emphasis will be placed on role of biomechanics in TADs supported orthodontic mechanics. 76 77 MOSCHOS A. PAPADOPOULOS YOUNG-CHEL PARK Dr. Moschos A. Papadopoulos is Associate Professor and Postgraduate Program Coordinator at the Department of Orthodontics, School of Dentistry, Aristotle University of Thessaloniki, Greece. Dr. Papadopoulos is Editor of the “Hellenic Orthodontic Review”, Assoc. Editor of “Stoma” and served as Asst. Editor of the “World Journal of Orthodontics”. He is or served as Member of the Editorial Board of 11 peer-reviewed journals, and as Referee of 24 journals. He received the “A. Tsoukanelis Award” of the Aristotle University of Thessaloniki (1993), the “Annual Scientific Award” of the German Association of Plastic Surgeons (2004), as well as the “Joseph E. Johnson Clinical Award” of the American Association of Orthodontists (2009). The main clinical and research interests of Dr. M. A. Papadopoulos include the subjects of “noncompliance orthodontic treatment”, “use of miniscrew implants as temporary anchorage devices in orthodontic treatment”, and “evidence based orthodontics”. He has written the book entitled “Orthodontic treatment for the Class II non-compliant patient: Current principles and techniques”, has published more than 140 scientific publications, and has presented more than 220 lectures, courses and papers in many countries around the world. Dr. Young Chel Park is a professor of the departmentt of orthodontics, at Yonsei university, college of dentistry, in Seoul , Korea. He is a president of the world implant orthodontic society and also he was a past president of the Korean association of orthodontists. Dr. Park was a visiting professor at the university of connecticut in United States and the university of british columbia in Canada. His primary focus is the implant orthodontics and the development of adult orthodontic treatment. Additionally Dr. Park has published multiple journal articles, book chapters and textbooks. TITLE TITLE INTERDISCIPLINARY MANAGEMENT OF COMPLEX DENTAL CASES BY MEANS OF MINISCREW IMPLANTS. CORRECTION OF THE ANTERIOR- POSTERIOR PROBLEMS WITH ORTHODONTIC MINI-SCREWS. ABSTRACT The mini-screws brought a revolution in orthodontic paradigm, especially, anchorage and biomechanics. This presentation will present the rationale and biomechanics for the correction of the anterior-posterior problems with mini screws. By using mini-screw implants as anchorage, it is possible, to produce three dimensional movements of the teeth without patient’s compliance and side effects. Furthermore, the range of orthodontic tooth movement is significantly broadened and treatment time is also shortened. Many modifications can be made in the appliance design and clinical tips will be introduced according to the required situations. And also, with the combined use of mini-screws and biomechanical concepts, we can get excellent results and the tooth movement in anteriorposterior direction can be controlled as desired. With the proper use of mini-screws, we have come closer to the faster, efficient and esthetic orthodontic treatment. Clinical cases, treated with the anterior-posterior movement of the teeth for the correction of the anterior-posterior problems by using miniscrews will be presented and also biomechanical considerations will be described. Orthodontic management of adult patients with complex problems is very challenging. Miniscrew implants are a very useful tool, since they can be efficiently used to reinforce orthodontic anchorage, especially in cases where the support of dental units is quantitatively or qualitatively compromised, such as in partial edentulous patients or periodontally involved teeth. This allows orthodontists to treat these patients, who otherwise would be not possible to receive treatment, enabling the dentists to conduct more conservative treatment plans. The aim of this lecture is to discuss several aspects of the clinical application of miniscrew implants through case presentations of complex dental patients with different orthodontic problems, such as deep or open bite, Class II or Class III malocclusion, missing or impacted teeth, etc. 78 ABSTRACT 79 ANDREU PUIGDOLLERS Director Orthodontic Department. Universitat Internacional de Catalunya. Barcelona, Spain. Board of the Spanish Orthodontic Society. Active Member of The Angle Society of Europe. TITLE PRIMARY STABILITY, MECHANICAL PERFORMANCES AND PROPERTIES OF DIFFERENT COMMERCIALLY MINI-SCREWS. ABSTRACT Mini-screws have served as anchor to support orthodontic tooth movement in animal models and in humans, and has been used for orthodontic anchorage in the last decade 1,2 . Mini-screw implants (MSIs) belong to the category of temporary anchorage devices (TAD). The different physical factors of MSIs as the shape, length, diameter, threads and size are extremely related to primary stability. Two different studies concerning primary stability are presented: 1) The primary stability of microscrews inserted in lamb maxillae using Periotest. In this study, 72 titanium mini-screws of four different commercially available brands were inserted in 6 lamb maxillae. Primary stability of different lengths, diameters and shapes were compared. 2) Comparison of 11 mini screws in terms of pullout strength, torque resistance, torsional fracture strength and stability by finite elements analysis and periotest. In this second study, 220 mini-screws of seven different commercially available brands were inserted at 8mm depth in an artificial bone to evaluate the primary stability. In the first study length of the MSIs (8 vs. 10 mm) did not affect the primary stability of the microscrews. Diameter (1.6 vs. 2 mm), also, did not affect the primary stability of the microscrews. On the contrary, conical microscrews showed greater primary stability than cylindrical ones. In the second study the mechanical properties of the different MSIs showed different mechanical behaviors. The length of the MSIs are more sensible in the stability than the diameter. Torque resistance behavior is greater in conical MSIs than in cylindrical shape MSIs. More insertional torque is related to diameter, but number and size of treads has a deep impact in stability. For the MSIs with the same diameter, more number of threads or bigger threads increase the pullout strength. In general terms, higher pullout strengths is strongly diameter dependent but less in small diameters . Torque is more dependent of diameter and shape of the threads of MSIs. Stability of the MSIs is more dependent on the large size than in diameter with periotest and FEA, with similar correlations values. Periotest can be a proper instrument method for measuring MSIs stability. 80 W. EUGENE ROBERTS Dr. Roberts received a DDS from Creighton University, a PhD in Anatomy from the University of Utah, and Clinical Certification in Orthodontics from the University of Connecticut. Docteur Honoris Causa (honorary doctorate in medicine) was awarded by the Faculty of Medicine, University of Lille II, Lille, France. He is a Fellow of the American College of Dentists, a Fellow of the International College of Dentists, a Diplomate of the American Board of Orthodontics (ABO), and an active member of the Midwest Component of the Angle Society. Dr. Roberts is Professor Emeritus of Orthodontics at Indiana University, Adjunct Professor of Mechanical Engineering at Purdue University School of Engineering and Technology, and Associate Professor of Maxillofacial Implantology in the Faculty of Medicine at the University of Lille in France. Dr. Roberts is active in the American Association of Orthodontists (AAO) as the Chairman of the Council on Orthodontic Education; he serves as a delegate and member of the Board of Directors of the Great Lakes Association of Orthodontists. He practices orthodontics with his son Jeffery in southeast Indianapolis at Roberts Orthodontics.com. Honors include US Navy Commendation Medal with Combat V, Isaiah Lew Memorial Research Award - American Academy of Implant Dentistry Foundation, Jarabak Award for Orthodontic Education and Research - AAO Foundation, Salzmann Lecture – AAO Foundation, and the Dr. Dale Wade Award for Excellence in Orthodontics – ABO. Dr. Roberts has presented multiple endowed lectures and served as a visiting professor both nationally and internationally. TITLE FUNDAMENTAL PRINCIPLES OF BONE BIOLOGY APPLIED TO TEMPORARY AND AUXILIARY ANCHORAGE IMPLANTS. ABSTRACT The success or failure of a temporary anchorage device (TAD) depends on the: 1. biocompatibility of the implant material, 2. surface geometry of the device, 3. load-transfer characteristics of the TAD-bone interface, 4. Osseous tissue density, 5. Geometric distribution of supporting bone, 6. Viability of adjacent bone, 7. Micromotion at the interface, 8. Wound healing response, and 9. the intensity of the regional acceleratory phenonomon (RAP). TADs placed in the oral cavity are rarely designed to achieve osseointegration. Micromotion at the TAD/bone interface may result in a nonunion, that is manifest as mobility and fibrous connective tissue interface. On the other hand, nonintegrated TADs may remain “rigid” but move by a differential modeling process, relative to basilar bone when loaded. Osseointegrated endosseous implants provide rigid dentofacial orthopedic anchorage, and remain stable relatively to basilar bone. Both TADs and permanent prosthetic implants, with an auxiliary function, can provide effective anchorage for dentofacial orthopedics in three dimensions. 81 RON RONCONE RAMESH SABHLOK After receiving his undergraduate degree from Marquette University, Dr. Roncone pursued graduate study in physiology and neuroanatomy at the Medical College of Wisconsin (Marquette School of Medicine) while simultaneously earning his dental degree from the same university. His CV includes postdoctoral certificates from the Harvard School of Dental Medicine and the Forsyth Dental Center, a Teaching Fellow at Harvard School of Dental Medicine, and Assistant Professor of Orthodontics at The University of Maryland School of Dentistry, Alpha Sigma Nu National Jesuit Honorary Fraternity, and Omicron Kappa Upsilon National Dental Honorary Fraternity. Dr. Roncone’s practice is in San Diego County, California specializing in adult treatment (aesthetics, surgical and TMD) as well as “early” treatment for children. He is a respected and frequent lecturer, having taught more than a thousand seminars around the globe. His impressive list of technical innovations include long (8-12 week) intervals between patient appointments, which he introduced in 1989 through the use of titanium wires, and the development of a unique prescription for bands and brackets. Dr. Roncone is President and CEO of Roncone Orthodontics InternationalÒ. ROI offers practice management courses, as well as in-office consulting and marketing services. Dr Ramesh Sabhlok obtained his BDS(Honors) and MDS in Orthodontics from the Faculty of Dental Sciences, King George’s Medical College, University of Lucknow, India. He is a Diplomate of the Royal College of Surgeons; Edinburgh (M.ORTH RCSEd) and also a Diplomate of the Indian Board of Orthodontics. He was awarded WHO fellowship to USA for Advanced Training in Orthodontics at the School of Dentistry, University of Louisiana, New Orleans, School of Dentistry University of Michigan, Ann Arbor and College of Dentistry, University of Illinois, Chicago. ABSTRACT In orthodontics there are many variables. Each patient presents with many differences and sets of circumstances, including facial types, skeletal differences, joint position and tooth positions to name only a few. In order to systemize and be able to truly diagnosis and treat each person individually, we must have some order in our clinical examinations, diagnostic records review, treatment planning and treatment itself. This presentation will show one method using a definitive checklist system with examples for each of the above areas and several cases of systematic treatment. He held senior teaching and clinical positions in India, Libya and United Arab Emirates for last three decades. Dr. Sabhlok worked as Consultant Orthodontist with the Dubai Health Authority, Government of Dubai, United Arab Emirates for last two decades. Presently, he is in exclusive Orthodontic Practice in Dubai. Dr. Sabhlok has special interest in efficient and effective utilization of Contemporary Orthodontic appliances, Growth modulation with Functional appliances and Non-Extraction treatment. He has presented several seminars and Continuing Educational Courses in various International, National Orthodontic and Dental conferences and has many publications to his credit. He is an active member of many International Orthodontic and Dental Organizations, including the American Association of Orthodontists, Fellow of the American College Of Dentists, Fellow of the International College of Dentists and Fellow of the Academy of Dentistry International. TITLE PREDICTABLE MAXILLARY MOLAR DISTALIZATION WITH MICRO-IMPLANT ANCHORAGE IN THE CORRECTION OF CLASS II MALOCCLUSION. ABSTRACT Distalization of maxillary molars is a viable option for the correction of class II malocclusion. However, Anchorage loss and patient compliance are the major problems when using conventional molar-distalizing appliances. The advent of temporary anchorage devices has revitalized orthodontic biomechanics and made it possible to achieve predicable results without any side effects. This presentation will include temporary anchorage devices using buccal and palatal micro-implants as well as micro-implant supported conventional appliances like Distal Jet and pendulum for the distalization of molars using the concept of absolute anchorage. The focus will be on biomechanical and diagnostic considerations and countering strategies to combat the unwanted side effects. The effect on second and third molars, appropriate timings, force levels, anchorage requirements and post-distalization mechanics will be also addressed. 82 83 GIUSEPPE SCUZZO ANTONINO G. SECCHI Dr. Giuseppe Scuzzo, graduated in medicine in 1983 (Rome University) and specialized in dentistry in 1987 (Rome University) and orthodontics at Ferrara University. Dr. Secchi is Assistant Professor of Orthodontics-Clinician Educator and Clinical Director of the Department of Orthodontics at the University of Pennsylvania, USA. Dr. Secchi is a Diplomate of the American Board of Orthodontics and member of the Edward H. Angle Society of Orthodontists. Among others, he has received the 2005 David C. Hamilton Orthodontic Research Award from the Pennsylvania Association of Orthodontists and the 2007 Subtelny, Baker, Eastman Teaching Fellowship Award from the AAOF. In addition, he maintains an active orthodontic practice in Philadelphia. He has always worked exclusively in orthodontics, with a special interest in lingual orthodontics since 1983 . Author of numerous publications (40) regarding this technique, Dr. Scuzzo has spoken and published extensively in Italy and abroad on lingual orthodontics. He collaborates ( as a teacher) with the major European Universities, and is a professor in the lingual technique at Ferrara University and adjunct Professor at New York University. He is also director of the First International Master in Lingual orthodontics at Ferrara University and Director of the PG Program in Lingual Orthodontics at the Complutense University of Madrid. Together with Dr Takemoto he gives many lectures and courses all over the world. Dr. Scuzzo has a private practice limited to lingual orthodontics in Rome, Italy. TITLE TITLE NEW LINGUAL STRAIGHT WIRE METHOD: A LOOK AT THE FUTURE. COMPLETE CLINICAL ORTHODONTICS. ABSTRACT ABSTRACT The lingual orthodontic technique introduced by Dr. Fujita in the 1970s used a mushroom arch-form. Due to the morphology of the lingual surface of the teeth, the mushroom arch-wire is still used today for lingual orthodontic treatment. However the complicated wire bending and difficulty of mechanics affects both the treatment results and increases the length of chair time. In order to improve traditional lingual orthodontic mushroom arch-form , which involves complicated handling, arch-wire bending, difficulty in mechanics and upper/lower arch-coordination, we developed the lingual straight arch-wire (LSW) method in 1995. New LSW method with new bracket design has been improved to compensate these faults. This technique using plane arch-form, can make arch coordination easy and simple mechanics such as sliding mechanics can also be used. Less wire bending will give doctors an easy technical approach and reduce chair time, therefore patient’s comfort will also be improved. Learning Objectives: ▪ Lingual Straight Wire concept ▪ Biomechanical and mechanical advantages of LSW ▪ Protocol setup for LSW and new bonding procedure ▪ Case Report This presentation will introduce the participants with the concepts of Complete Clinical Orthodontics and its biomechanics. Complete Clinical Orthodontics is a comprehensive orthodontic system that integrates the best principles of classic orthodontics with new technologies, such as self-ligating appliances, to provide practical solutions. Although self-ligation doesn’t change the basics of orthodontics, it represents an improvement of bracket design and facilitates treatment delivery. The orthodontist should understand what can be expected and how to manage these appliances to be efficient and consistent. Several cases with different malocclusions will be reviewed throughout the presentation. 84 85 JUNJI SUGAWARA HIDEO SUZUKI Dr. Junji Sugawara is currently a Director at the SAS Orthodontic Centre, Ichiban-cho Dental Office, Sendai, Japan, and a Visiting Clinical Professor at the Division of Orthodontics, School of Dental Medicine, University of Connecticut, Farmington, He graduated from Tohoku University, Sendai, Japan in 1973 and worked there over 30 years. He is an active member of the Edward H. Angle Society (North Atlantic Component) since 2004. The Skeletal Anchorage System (SAS) utilizing the titanium miniplates as temporary anchorage devices and Sendai Surgery First are recent key interests and he has given many lectures on these subjects in the United States, Europe, South America, Australia, Middle East and Asia. Professor in the Department of Orthodontics, Brazilian Dental Association,– Sao Luis – Maranhao. Professor in the Department of Orthodontics, Sao Leopoldo Mandic Research Center, Campinas/Sao Paulo. TITLE TITLE STRATEGIC THIRD MOLAR EXTRACTION: NEW EXTRACTION CATEGORY. COMPENSATING ORTHODONTI C TREATMENT: A PROPOSAL OF SKELETAL DISCREPANCY DIAGNOSIS AND ORTHODONTIC IMPLANT SELECTION. ABSTRACT ABSTRACT In traditional orthodontics, the case which third molars were solely extracted has not been considered as an extraction case, but been categorized as a non-extraction case. However, it has now become possible to predictably distalize the molars using the skeletal anchorage system (SAS) following third molar extraction and to improve anterior crossbite, upper protrusion, crowding, and asymmetric dentition without having to extract the bicuspids. Therefore, it may not be appropriate to classify those cases into the non-extraction case, because extraction spaces of the third molars were intentionally used for correction of such orthodontic problems. From a realistic point of view, those cases should be defined as “a strategic third molar extraction case”, and should be differentiated from a non-extraction case or an extraction case. In this symposium, I will introduce various types of the strategic third molar extraction cases, and refer to its diagnosis and treatment planning. 86 The selection of an insertion site is determined by some factors, such as the biomechanics of the chosen appliance, mini-implant dimensions, local anatomy (tooth and bone), facial type and skeletal discrepancy. Essentially, there are three cephalometric methods to study skeletal problems: by using intracranial reference, extracranial reference and natural head position and centroid reference derived mathematically. This new proposal for orthodontic diagnosis aims to estimate the natural head position through a mathematical model for centroid construction (facial centroid and center of equilibrium). In this presentation, it will be shown a simple method for diagnosing skeletal discrepancies (vertical and sagittal) to allow the clinician to select a proper biomechanics using orthodontic implant illustrated by clinical cases. 87 FLAVIO URIBE STEFANO VELO Dr. Uribe received his Master‘s degree and Certificate in Orthodontics from the University of Connecticut after receiving the DDS degree from CES University in Medellin, Colombia. He also completed a 3- year residency and fellowship in General Dentistry at the University of Connecticut. Dr. Uribe is a full-time associate professor and program director in the Division of Orthodontics at the University of Connecticut and has authored and co-authored numerous chapters and articles in peer- reviewed journals. Dr. Uribe is a Diplomate of the American Board of Orthodontics and active member of the Angle Society of Orthodontics. Dr Stefano Velo received : His degree in Medicine ( 1983 ) from the University of Padova, Italy. His Specialty in Dentistry ( 1987 ) from the University of Verona, Italy. His Specialty in Orthodontics ( 1999 ) from the University of Ferrara, Italy. He has attended post-graduated courses in: Tweed bhiomecanic course (1987 ) Tucson , USA. Workshop in Tweed biomechanic in Class II ( 1990 ) Tucson, USA. Lingual Orthodontics ( 1993-94 )at the University of Cagliari, Italy. Interceptive Treatment ( 1995 ) at the University of Pavia, Italy. Orthodontics for Adult Patients ( 1996 )at the University of Ferrara, Italy Presently. Dr. Velo was visiting Professor at the Department of Orthodontics ( from 1999 to 2005 ) at the University of Ferrara, Italy. He his Visiting Professor in Ecole D’orthodontie dentaire University Paris 5, Paris France. BIOMECHANICAL APPLICATIONS USING ONE-COUPLE SYSTEMS AND MINISCREW SPLINTING. He was Past-President ( 1996-1998 )of the Italian Association of Lingual Orthodontics (A.I.O.L.). He his Past-President of ESLO ( European Society of Lingual Orthodontics ) ( 2004-2006 ). He is member of the AAO, EOS and SIDO. His interest in clinical orthodontics has focused on Lingual Orthodontics since 1987, on No Compliance Treatment since 1996 and on Skeletal anchorage since 1999. and as demonstrated by several publications and international presentations in this field of interest. ABSTRACT TITLE Orthodontic tooth movement often requires an understanding of the biomechanical systems used. As forces are being applied, moments are being generated. These moments may be conveniently applied to teeth; however, reactive forces and moments may be transferred to the miniscrews. Single miniscrews are not very good at resisting torsional moments and may fail when these force systems are applied. Splinting miniscrews is an alternative to counteract the moments generated during orthodontic tooth movement while preserving miniscrew stability. This lecture will present different applications and technical options available to splint miniscrews. Clinical cases will highlight the advantages and uses of this technique. Finally, one couple systems are very versatile force systems to be applied from miniscrews. Examples of one-couple systems used to conform to a specific line of action of force will be presented. PRIORITY FACTORS IN THE SKELETAL ANCHORAGE WITH MINISCREWS. ABSTRACT TITLE 88 Among the many aspects of the skeletal anchorage with TADs , one which is taken into particular analysis in clinical practice is the method of inserting the miniscrew in the interradicular bone spaces ( safe zone ), and in particular what is the ideal angle of insertion and the optimal position for desired force vectors. If the use of the surgical guides are certainly of great help to avoid harming anatomical structures , often the insertion of miniscrew is affected by factors that are beyond the capabilities of the operator as well as the precision of the surgical guides. These factors influence and determine substantially both the angle of insertion of miniscrews and the choice of safe zone . We are going to analyse these factors which we will call Priority Factors (P.F.) The Orthodontist will carefully consider the P.F. and, thus, will find the location and angle that best suit his needs for skeletal anchorage and biomechanics. 89 FRANK WEILAND BENEDICT WILMES Frank Weiland was born in the Netherlands. He studies dentistry in Amsterdam and received his postgraduate orthodontic education in Germany and Austria. Among his special areas of interest are biomechanics, long term results of orthodontic treatment, time-efficient orthodontic treatment and iatrogenic effects of orthodontic treatment, topics on which he has published and lectured extensively. He holds a DDS from the University of Amsterdam, a Dr.med.dent. from the University of Bern (Switzerland) and a PhD from the University of Graz (Austria). He is a President of the European Board of Orthodontics and member of the Angle Society of Europe. He is a member of the editorial board of 3 international orthodontic journals. Among other awards, he received the Beni Solow Award for the best article published in the European Journal of Orthodontics in the year 2003. He maintains a private practice in Deutschlandsberg (Austria), acts as a part-time associate professor at the Medical University Vienna and regularly lectures internationally. Dr. Wilmes did a postgraduate training in oral surgery at the Department of Maxillofacial Surgery at University of Muenster, Germany. He received a M.S. and a postgraduate degree in orthodontics and dentofacial orthopedics at the University of the Duesseldorf, Germany. In 2004 he became Assistant Professor, in 2006 Associate Professor at the Department of Orthodontics at the University of Duesseldorf. Dr. Wilmes is reviewer and consultant of the Angle Orthodontist, the World Journal of Orthodontics, the Journal of Dental Research, Orthodontics and Craniofacial Research, the European Journal of Orthodontics and the German Board (DIN) for orthodontic products. He has held more than 200 national and international lectures and courses on skeletal anchorage in orthodontics. Dr. Wilmes is a Visiting Associate Professor at the University of Alabama at Birmingham, USA. Dr. Wilmes was awarded the First Prize of the German Orthodontic Society in 2007 and the First Prize of the European Orthodontic Society in 2009. TITLE TITLE FROM HARD FACTS TO TOTAL NONSENSE: WHAT COMPANIES TELL YOU ABOUT SLBs. SKELETAL ANCHORAGE IN ORTHODONTICS: NEXT GENERATION APPLIANCES. ABSTRACT ABSTRACT The first ligature free brackets were introduced in 1935. During the following decades numerous designs were patented but hardly ever reached production status. In recent years, however, self-ligating brackets are in the focus of interest. All major orthodontic companies market their own designs. According to the sales promotional material, each company has the bracket system that may solve all clinical difficulties. This lecture will present a critical overview, based on clinical cases and scientific analyses, of the most frequently used selfligating bracket systems on the market and point out the discrepancy between companies’ promises and scientific proof. 90 Their small size allows mini-implants to be inserted in a variety of sites. Currently, the alveolar process is the most preferred insertion site. However, due to the varying bone quality and the risk of root contact, the survival rate of implants inserted in the alveolar ridge still needs improvement. Other regions, such as the anterior palate and the mental region provide much better conditions for TAD insertion, since the amount and quality of the available bone is far superior. In order to utilize mini-implants inserted in the anterior palate, the Benefit mini-implant system is presented. Different types of abutments and connectors (Beneplates) allow the construction of versatile and cost efficient appliances for a large variety of clinical applications. The Mentoplate is a titanium plate that is fixed in the mental region especially for early class III corrections und lower molar mesialization. Utilizing TAD´s in the anterior palate and the mental region eliminates the risk of root injury and takes the implants out of the path of tooth movement. 91 EVENT SPONSOR BRONZE SPONSOR SILVER SPONSOR A.I.O.T. SPONSOR GOLD SPONSOR EXHIBITOR & SPONSOR 94