https://www.alkadhimiortho.ie/blog-for-clinicians-and-trainees daily 0.75 2024-06-22 https://www.alkadhimiortho.ie/blog-for-clinicians-and-trainees/surgical-management-of-vertical-maxillary-excess monthly 0.5 2024-06-22 https://images.squarespace-cdn.com/content/v1/65da01a813ce881faffc7432/ded42228-6c35-4ac8-bb83-bfbd3ad1bc7f/Untitled+design+%289%29.png Blog for Clinicians and Trainees - Management of vertical maxillary excess with ‘surgery only’ approach - Make it stand out Anterior VME as can be seen radiographically. https://images.squarespace-cdn.com/content/v1/65da01a813ce881faffc7432/7c08c88b-f988-4655-8bf9-1cf70d250f41/Untitled+design+%287%29.png Blog for Clinicians and Trainees - Management of vertical maxillary excess with ‘surgery only’ approach - Make it stand out Immediate post-operative settling with intermaxillary elastics. Class II elastics on the right and box elastics on the left. https://images.squarespace-cdn.com/content/v1/65da01a813ce881faffc7432/750bf616-0b13-4527-9d30-dd5cfbd38fe1/Untitled+design+%288%29.png Blog for Clinicians and Trainees - Management of vertical maxillary excess with ‘surgery only’ approach - Make it stand out Final occlusion. https://images.squarespace-cdn.com/content/v1/65da01a813ce881faffc7432/14520164-dbb0-4605-824c-0bfe2fdfa633/Untitled+design+%285%29.png Blog for Clinicians and Trainees - Management of vertical maxillary excess with ‘surgery only’ approach - Make it stand out Relatively good alignment with the main issue being VME with the associated increased gingival exposure. https://images.squarespace-cdn.com/content/v1/65da01a813ce881faffc7432/f3e262ab-15b2-4be2-a98f-978adc503668/Untitled+design+%282%29.png Blog for Clinicians and Trainees - Management of vertical maxillary excess with ‘surgery only’ approach - Make it stand out Anterior VME associated with 6mm gingival exposure on smiling. https://images.squarespace-cdn.com/content/v1/65da01a813ce881faffc7432/9a3e7e80-6e20-445a-aaa9-bd93ae8434ad/Untitled+design+%286%29.png Blog for Clinicians and Trainees - Management of vertical maxillary excess with ‘surgery only’ approach - Make it stand out Pre-surgical preparation; brackets placed pre-operatively for the purpose of peri-operative intermaxillary fixation. https://images.squarespace-cdn.com/content/v1/65da01a813ce881faffc7432/726ddd3f-e85e-4192-a920-e63b2c3b2cc0/Untitled+design+%283%29.png Blog for Clinicians and Trainees - Management of vertical maxillary excess with ‘surgery only’ approach - Make it stand out Smile enhancement with 60% incisor exposure on smiling post-operatively. https://www.alkadhimiortho.ie/blog-for-clinicians-and-trainees/a-simple-guide-to-orthodontic-miniscrews-part-4-maxillary-incisor-intrusion monthly 0.5 2024-05-14 https://images.squarespace-cdn.com/content/v1/65da01a813ce881faffc7432/adefb66f-2102-4563-999b-61788edbe806/Untitled+design+%282%29.png Blog for Clinicians and Trainees - Maxillary incisor intrusion with miniscrews - Make it stand out TADs of 2x8mm dimension inserted just above the mucogingival margins apical to UR2/3 and UL2/3. Approximately 100g of intrusive force was applied via elastomeric powerchain to the base archwire (19”x25” SS). https://images.squarespace-cdn.com/content/v1/65da01a813ce881faffc7432/563509b5-7de4-4407-98be-034ed8b717c6/Untitled+design+%286%29.png Blog for Clinicians and Trainees - Maxillary incisor intrusion with miniscrews - Make it stand out Near end of treatment radiographs confirming no-little resorption of the incisors. https://images.squarespace-cdn.com/content/v1/65da01a813ce881faffc7432/84ecbb4d-cff3-468e-affb-3e65af4e3edb/Untitled+design+%281%29.png Blog for Clinicians and Trainees - Maxillary incisor intrusion with miniscrews - Make it stand out Deep overbite. Aetiology: combination of accentuated Curve of Spee in the mandibular arch and anterior VME. https://images.squarespace-cdn.com/content/v1/65da01a813ce881faffc7432/1101991c-5be9-4726-8a92-e100736fceea/Untitled+design+%284%29.png Blog for Clinicians and Trainees - Maxillary incisor intrusion with miniscrews - Make it stand out Gingival display was reduced by approximately 3mm by ‘near true’ intrusion of maxillary incisors addressing the anterior VME. https://images.squarespace-cdn.com/content/v1/65da01a813ce881faffc7432/394c1976-cd6f-420c-8da9-2ec5309ba686/Untitled+design+%283%29.png Blog for Clinicians and Trainees - Maxillary incisor intrusion with miniscrews - Make it stand out Full correction of the deep overbite was achieved via intrusion of maxillary incisors and levelling the mandibular Curve of Spee. https://images.squarespace-cdn.com/content/v1/65da01a813ce881faffc7432/4279a8fb-ab00-4f96-82f6-45a90d366086/Untitled+design+%285%29.png Blog for Clinicians and Trainees - Maxillary incisor intrusion with miniscrews - Make it stand out Pre-op radiograph showing normal roots of the anterior teeth. https://www.alkadhimiortho.ie/blog-for-clinicians-and-trainees/a-simple-guide-to-orthodontic-miniscrews-part-3-complications monthly 0.5 2024-05-09 https://images.squarespace-cdn.com/content/v1/65da01a813ce881faffc7432/dfa10a82-50d1-41a4-af6e-b56c0624c899/Untitled+design+%284%29.png Blog for Clinicians and Trainees - A simple guide to orthodontic miniscrews. Part 3: possible complications - Make it stand out Safe zones in the mandible. https://images.squarespace-cdn.com/content/v1/65da01a813ce881faffc7432/c7211faf-4818-43db-82a0-649539eb6c09/Untitled+design+%281%29.png Blog for Clinicians and Trainees - A simple guide to orthodontic miniscrews. Part 3: possible complications - Make it stand out Mucosal overgrowth around the TAD in lower right region. https://images.squarespace-cdn.com/content/v1/65da01a813ce881faffc7432/a8a402c0-147e-4316-9c9f-e162a7656400/Untitled+design+%283%29.png Blog for Clinicians and Trainees - A simple guide to orthodontic miniscrews. Part 3: possible complications - Make it stand out Safe zones in the maxilla. https://images.squarespace-cdn.com/content/v1/65da01a813ce881faffc7432/b737e429-c9a2-4271-9dd5-e85a5397b7ba/Untitled+design+%281%29.png Blog for Clinicians and Trainees - A simple guide to orthodontic miniscrews. Part 3: possible complications - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/65da01a813ce881faffc7432/417e3e40-fec1-430e-9ef4-95102fdc03ef/Untitled+design+%281%29.png Blog for Clinicians and Trainees - A simple guide to orthodontic miniscrews. Part 3: possible complications - Make it stand out The TAD is inserted at 40-45 degrees to the occlusal plane. https://images.squarespace-cdn.com/content/v1/65da01a813ce881faffc7432/b4a3d9df-3961-49c2-bd9c-eff94411b192/Untitled+design+%282%29.png Blog for Clinicians and Trainees - A simple guide to orthodontic miniscrews. Part 3: possible complications - Make it stand out The TAD was placed too coronal in order to keep it within keratinised gingiva. https://images.squarespace-cdn.com/content/v1/65da01a813ce881faffc7432/4d9d94a2-7e15-4202-b9f1-c232c6f52d19/Untitled+design+%282%29.png Blog for Clinicians and Trainees - A simple guide to orthodontic miniscrews. Part 3: possible complications - Make it stand out The TAD is inserted at 5-10 degrees distally. https://www.alkadhimiortho.ie/blog-for-clinicians-and-trainees/a-simple-guide-to-orthodontic-miniscrews-part-2-posterior-inter-radicular-placement monthly 0.5 2024-05-09 https://www.alkadhimiortho.ie/blog-for-clinicians-and-trainees/simple-guide-to-miniscrew-placement monthly 0.5 2024-05-09 https://images.squarespace-cdn.com/content/v1/65da01a813ce881faffc7432/1e3e9847-d216-4f93-82fc-4d3a90c4c6c4/Untitled+design+%282%29.png Blog for Clinicians and Trainees - A simple guide to orthodontic miniscrews. Part 1: history and success rates - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://www.alkadhimiortho.ie/blog-for-clinicians-and-trainees/alignment-of-palatally-displaced-canines monthly 0.5 2024-05-09 https://images.squarespace-cdn.com/content/v1/65da01a813ce881faffc7432/59a87465-1637-487b-a9e2-c0ffd4c3343b/Untitled+design+%281%29.png Blog for Clinicians and Trainees - Alignment of impacted maxillary canines - Make it stand out Buccally impacted UR3 and UL3. The canines are high, mesially angulated and buccal. The incisors have RR pre-treatment. https://images.squarespace-cdn.com/content/v1/65da01a813ce881faffc7432/77bcec68-3b75-41a1-9bfc-8141b4453888/Untitled+design+%286%29.png Blog for Clinicians and Trainees - Alignment of impacted maxillary canines - Make it stand out At this point, orthodontic traction with “TMA fishing rod” was used, applying force vectors in 3 planes. The aim was to “free up” the canine from the lateral incisor root. https://images.squarespace-cdn.com/content/v1/65da01a813ce881faffc7432/c9108d6b-c5c0-49ba-8d53-9848948ad1a5/Untitled+design+%287%29.png Blog for Clinicians and Trainees - Alignment of impacted maxillary canines - Make it stand out The position of UR3 has now been idealised in the 3 planes. https://images.squarespace-cdn.com/content/v1/65da01a813ce881faffc7432/8510ad3b-ecce-493e-8210-3ad520c8240b/Untitled+design+%281%29.png Blog for Clinicians and Trainees - Alignment of impacted maxillary canines - Make it stand out An efficient way for distalising the canines whilst maintaining posterior anchorage. https://images.squarespace-cdn.com/content/v1/65da01a813ce881faffc7432/a3b43fcd-c8a5-451c-a6b1-058c2f37198e/Untitled+design+%286%29.png Blog for Clinicians and Trainees - Alignment of impacted maxillary canines - Make it stand out Treatment should be kept as short as possible while applying very light forces. There is very low to low evidence for supporting positive associations between root resorption and increased force levels, force continuity, intrusive forces, and treatment duration. https://images.squarespace-cdn.com/content/v1/65da01a813ce881faffc7432/2ab27783-98bc-4fa9-9ce9-919bab34f2a2/Untitled+design+%285%29.png Blog for Clinicians and Trainees - Alignment of impacted maxillary canines - Make it stand out The UR1 and UL1 are not included in the set up for as long as possible to reduce any further RR. https://images.squarespace-cdn.com/content/v1/65da01a813ce881faffc7432/fd467144-5f3e-47e7-b6d1-9101d831af83/ted+ca.png Blog for Clinicians and Trainees - Alignment of impacted maxillary canines - Make it stand out It is not uncommon for the canine to be stuck lateral to the root of the lateral incisor. A distal force vector needs to be incorporated to our treatment mechanics to free up the canine before attempting labialising the tooth. https://images.squarespace-cdn.com/content/v1/65da01a813ce881faffc7432/e2b255bf-3faf-4d58-88ef-e3d1f0ec6f8e/ted+ca+%281%29.png Blog for Clinicians and Trainees - Alignment of impacted maxillary canines - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/65da01a813ce881faffc7432/0a10c932-e9ad-4857-a881-f00b6609830f/Untitled+design+%284%29.png Blog for Clinicians and Trainees - Alignment of impacted maxillary canines - Make it stand out Sectional mechanics utilised to reduce the risk of further RR on the central incisors. 17x25” TMA wires were constructed in order to apply vertical as well as rotational force vectors. https://images.squarespace-cdn.com/content/v1/65da01a813ce881faffc7432/d8996c02-17ab-43e9-a0f5-4a816a44b067/Untitled+design+%283%29.png Blog for Clinicians and Trainees - Alignment of impacted maxillary canines - Make it stand out 2 visits later (approx. 12 weeks), the canine has uprighted and erupted vertically. When the TMA fishing rod is in passive state, the head is more distal, coronal and buccal. This is to move the canine distally, vertically down and buccaly. https://images.squarespace-cdn.com/content/v1/65da01a813ce881faffc7432/e2733fae-c31b-46db-bd4d-250b688c2dda/Untitled+design+%281%29.png Blog for Clinicians and Trainees - Alignment of impacted maxillary canines - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/65da01a813ce881faffc7432/97922ac4-bb64-4045-a08b-0b846da673f3/Untitled+design+%282%29.png Blog for Clinicians and Trainees - Alignment of impacted maxillary canines - Make it stand out Once the canines are back to Class I, continuous arch mechanics can be applied. https://images.squarespace-cdn.com/content/v1/65da01a813ce881faffc7432/6becda14-1106-43ee-8041-e48671436823/Untitled+design+%283%29.png Blog for Clinicians and Trainees - Alignment of impacted maxillary canines - Make it stand out It is not uncommon for PDCs to be mesially positioned. Careful mechanical consideration to distalise the canine is crucial before attempting buccal force vectors. https://images.squarespace-cdn.com/content/v1/65da01a813ce881faffc7432/9d694a60-1a70-4db6-955b-b450f5c0a644/Untitled+design+%282%29.png Blog for Clinicians and Trainees - Alignment of impacted maxillary canines - Make it stand out Mechanical eruption had been attempted for 12 months with little-no success. Elastomeric powerchain was used as well as “zing string” to attempt applying vertical and buccal force vectors. https://images.squarespace-cdn.com/content/v1/65da01a813ce881faffc7432/d914884a-30a2-4412-818a-9db72c1c8320/Untitled+design+%283%29.png Blog for Clinicians and Trainees - Alignment of impacted maxillary canines - Make it stand out De-rotation and distalisation of the UR3 whilst maintaining the URC for as long as possible and reducing the duration of fixed orthodontic appliance phase. https://images.squarespace-cdn.com/content/v1/65da01a813ce881faffc7432/966d3c47-7df8-48c3-8d57-b006d7ce58a7/ted+ca+%282%29.png Blog for Clinicians and Trainees - Alignment of impacted maxillary canines - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/65da01a813ce881faffc7432/cbb20281-78c4-412b-a05a-c81978dbfdf4/Untitled+design+%282%29.png Blog for Clinicians and Trainees - Alignment of impacted maxillary canines - Make it stand out The UR3 is ready to be labialised now, piggyback mechanics utilised in this scenario. https://images.squarespace-cdn.com/content/v1/65da01a813ce881faffc7432/b198817e-dbe2-4ab4-91d8-55ddbe188f3f/Untitled+design+%282%29.png Blog for Clinicians and Trainees - Alignment of impacted maxillary canines - Make it stand out The upper lateral incisors (as well as lower E’s) were part of the extraction pattern due to the pre-existing RR and to correct the Class II malocclusion. https://images.squarespace-cdn.com/content/v1/65da01a813ce881faffc7432/14cd754e-2807-4a5c-ba24-ddd454e7530e/Untitled+design+%284%29.png Blog for Clinicians and Trainees - Alignment of impacted maxillary canines - Make it stand out PDC UR3, overlying the root of the UR2. The UR3 should be distalised first before buccal force vector applied. https://images.squarespace-cdn.com/content/v1/65da01a813ce881faffc7432/c086d5b2-34b7-4c1b-acf2-c9da3d95fe1a/Untitled+design+%283%29.png Blog for Clinicians and Trainees - Alignment of impacted maxillary canines - Make it stand out The upper canines were left to “spontaneously” erupt before applying traction, in order to reduce the load on the central incisors. https://images.squarespace-cdn.com/content/v1/65da01a813ce881faffc7432/c14be6e4-cb10-40bf-b1a3-809fff62fa32/Untitled+design+%285%29.png Blog for Clinicians and Trainees - Alignment of impacted maxillary canines - Make it stand out After 20 months of active traction with elastomeric powerchain and zing string, no demonstrable change seen. https://images.squarespace-cdn.com/content/v1/65da01a813ce881faffc7432/d55e57bb-15b2-44f7-b0c9-1f03425cfea5/Untitled+design+%281%29.png Blog for Clinicians and Trainees - Alignment of impacted maxillary canines - Make it stand out Pre-treatment: UR3 impacted palatally, not particularly high. https://images.squarespace-cdn.com/content/v1/65da01a813ce881faffc7432/00d2834d-d9e0-4b91-8be9-6b8f440dd195/Untitled+design+%281%29.png Blog for Clinicians and Trainees - Alignment of impacted maxillary canines - Make it stand out Distal and buccal forces applied via an elastomeric lasso chain. https://www.alkadhimiortho.ie/home daily 1.0 2025-03-09 https://images.squarespace-cdn.com/content/v1/65da01a813ce881faffc7432/dab04ee1-aec9-454f-b811-6dfc3426aaf3/TADODONTICS+LOGO.png https://images.squarespace-cdn.com/content/v1/65da01a813ce881faffc7432/1709740209070-7CF7Y0LIETU26Y40R0WA/A1a.jpg Home https://images.squarespace-cdn.com/content/v1/65da01a813ce881faffc7432/1709740208995-ZNQVD301QHJLTNVFNW35/A1b.jpg Home https://images.squarespace-cdn.com/content/v1/65da01a813ce881faffc7432/1709671680937-C284JPPV5TPDI9NQJH41/c1a.jpg Home 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