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Learning Neuromuscular Orthodontics

ORTHODONTICS/Orthopedics with Dr. Chan

NM Orthodontic & Orthopedics Programs are for both the Beginners and Advanced Level Clinicians

Dr. Chan has been approached by many clinicians to continue his teaching in orthodontics. His teachings on verticalization transitioning, from NM orthosis to the natural dentition finishing stage has gain the attention of many to learn these practical techniques. Expanding the awareness and knowledge base of both the advanced general dentist and orthodontic specialist has changed treatment paradigms as to how occlusion plays a signifiance role in muscle stability and retention.

His team of experts will bring together techniques that are logical and makes clinical sense that can be easily applied by any trained clinician who is dedicated and disclplined to learn these skills and techniques. A foundational awareness of tooth movements and osseous bone development along with anchorage systems are required to appreciate the techniques and methods used to finish the Neuromuscular esthetic case conservatively.

The following curriculum is to give the student an brief outline as to what we are planning to teach for future courses.

Ortho 1 – Fundamentals of Orthodontics & Dentofacial Orthopedics Orthodontic

This is the foundational course that orients the dentist to realize the goals of dental orthopedics. Orthodontic tools and records will be sequenced to support the bigger perspective of this style of treatment to begin treatment. The physiologic bite record sets the stage to establish a corrected orthopedic position prior to any implemention of fixed and or removable orthodontic procedures. Cephalometric analysis and measurements are presented to orient the clinician to a foundational understanding. An introduction to bracket placement and wire mechanics will be introduced along with case selection of the when and where to use the brackets and appliances.
  • Introduce the clinician to comprehensive objective orthodontic and "orthopedic" diagnostics and treatment planning.
  • Refining the principles of growth, development, form and function.
  • Learning the orthodontic record process
  • Distinguishing between, skeletal, dental and facial using key cephalometric measurements.
  • The keys to normal occlusion relating to the orthodontic perspective of occlusion.
  • Recognizing and addressing the chief complaint in diagnosing and treatment planning
  •  Identifying the case and classification in patient assessment.
  • Selecting brackets that work towards solving your patient’s problems for the Phase I and Phase 2 using transverse expansion, transverse withprotraction (skeletal) and jaw repositioning.
  • Choosing appliances that work for you.
  • Distinguishing between orthodontic versus orthopedic treatment.
  • Learn how to apply what you learned with the simple phase I child, moderate child, complex child, simple adult (class I crowding), moderate adult (class II with some expansion) and complex adult (class III with possible surgery).
  • Communicating principles, systems and techniques in the dental practice.
Ortho 2 – Initiation of Orthopedic/Orthodontic Treatment
This second level course objective is for graduates of Occlusion Connections Ortho I curriculum with previous orthodontic experience to further their understanding and clinical skills of diagnosis, treatment planning and effective management of the neuromuscular orthodontic/orthopedic case. Distinguishing the simple tooth movement case from the moderate arch development case will be emphasized. Recognizing the complex cases for and informed referral will be encouraged.

This course is designed to mentor and assist the participants by encouraging them along their journey of orthodontic treatment with their patients.
  • Apply the principles of cephalometrics assessment as a diagnostic tool.
  • How to identify the landmarks, trace and apply the diagnostic principles of cephalometric measurements.
  • What is the function of the removable (functional) and fixed (banded and bonded) appliances to address the Class II, Class III and deep bite and open bite cases using AP, vertical and transverse correctors.
  • How to correctly place the arch of brackets for effective fixed therapy and mechanics.
  • How to recognize the indications and contraindications of arch wires systems.
  • How to select the arch forms to treat within the neutral zone.
  • How to choose the wires for the indicated task.
  • The difference between wire progression and chosing the wire as needed.
  • How to level and align using low force for patient comfort.
  • Learn to know when is leveling an aligning is complete.
  • How to reposition brackets.
  • Why is detailing is important in straight wire appliance therapy.
  • How to Start a Patient.
  • How to properly place brackets on your Class I and Class II crowded patient.
  • How to use the Nola.
  • How to directly and indirectly place brackets.
Ortho 3 - Orthopedic/Orthodontic Mechanics I

The Optimized K7/Myobite is an underlying theme to further the understanding of diagnosis and treatment planning. The importance of the lower anatomical orthosis as an orthopedic matrix for effective diagnosis and treatment transitioning.  Verticalization transitioning mechanics of the posterior matrix will be presented and discussed.
  • Diagnosing moderate cases and discussing treatment plans
  • Narrow arch form mechanics
  • Palatal expansions-myth and truth
  • Deep bite cases
  • Anterior open bites
  • Verticalization transitioning mechanics of the anterior matrix
  • Managing the "Orthopedic Matrix" on the neuromuscular trajectory
  • Case evaluation for case sequencing.  
Ortho 4 - Orthopedic/Orthodontic Management II

Advanced principles of maxillary arch development and tooth alignment along with the mechanics of verticalizing sequencing of molars, bicuspids and the anterior segments. Root alignment and upright sequencing to establish proper arch form and development as you are transitioning out the orthotic maxtrix.
  • Diagnosing complex cases and discussing treatment plans
  • Verticalization mechanics and sequencing – Stage 2
  • Managing the Orthotic as a tripod
  • Tripodizing Anterior management
  • Tripodizing Posterior management
  • Case selection Surgical vs. non surgical considerations
Ortho 5 - Case Finishing Mechanics I

Refining the case finishing protocols, methods and techniques to bring the dentition into alignment from the orthopedic position.  Verticalization mechanics and sequencing of the posterior and anterior tooth leveling and aligning of the arches further discussed to perfect the methodology of orthopedic treatment. Review and support the orthopedic process toward implementing the finishing steps to complete arch and tooth alignment.

Diagnosing complex cases and discussing treatment plans
  • How to finish the case
  • Confirming and proving the orthodontic/orthopedic finish
  • How stable is the occlusion
  • How stable is the head posture and cervical neck posture
  • Diagnostic scans to prove the orthodontic finish
  • Interpretation of finishing data records
  • Retention or no retention pros and cons
  • Finishing and retention
  • When to coronoplasty and when not to coronoplasty
  • How do you know when you are finished.

Ortho 6 - Case Finishing Mechanics II

This will be the highest level of training offered. General practicioners will be given advanced training in neuromuscular orthodontic/orthopedics. They must have completed Level Ortho1-5. 
    • Trouble shooting the finishing process
    • Problem solving
    • Advanced case reviews
    • Re-evaluating the Class III finishing protocols
    • Re-evaluating the Class II finishing protocols
    • TMD pain and joint dysfunction problems in the Orthodontic practice
    • Transition from orthdontics to full mouth reconstruction
    • Communicating the GP restorative needs in an orthopedic case to the orthodontist
    • How much can you close vertical
    • Gummy smiles
    • How to finish the orthodontic/orthopedic case Neuromuscularly.
    • Objectively documenting your case to Neuromuscular standards of health.

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