BiO Comprehensive Modular Orthodontics Program – Deposit

RM6,000.00

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Biomechanics Institution for Orthodontics intends to equip and empower dentists to make sound and objective decisions in treating their adult patients with skeleto-dental maloclussions. The program is run continously over 10 Modules over a period of 1 1/2 years of training and workshops covering the topics from the basics to the current trends.

Biomechanic is based on the two main paradigms: Hard tissue paradigm(Conventional brackets & Growth Modifying Appliance) and soft tissue Paradigm (Self Ligating & Myotrainers).

Curriculum

Module 1 : Introduction To Orthodontics & Diagnosis

Orthodontics is a discipline in dentistry that focuses primarily on the alignment of teeth in the bone. But orthodontics’ role is just part of something even bigger in the patients welfare. Malocclusions, which hamper the quality of life, present itself in four different aspects namely the teeth, bone, muscles, and joint; the symptoms of which are usually approached in multiple ways such as surgery, splint therapy, occlusal rehabilitation, occlusal equilibration, or orthodontic treatment. In this module, we would be able to understand the full implications of malocclusion in the whole welfare of the patient; see the range of signs and symptoms of malocclusion, its causes, and how to detect even the slightest of signs.

  • Malocclusions and its general treatment modalities
  • Hard tissue paradigm versus Soft tissue paradigm
  • Chewing organ: Oral physiology
  • Photo Analysis
  • Occlusal Analysis
  • Functional Analysis
  • Radiograph Analysis
  • Chief complaint & History
  • Occlusal development versus Occlusal deterioration
  • Interelation and consistency of records
  • Student output on case analyses and evaluations
  • Wire bending exercises
  • Workbook activities

Module 2 : Treatment Objectives & Planning

Going into the details and manifestations of malocclusion is just the beginning; a differential diagnosis must be met thru means of critical thinking for the reason that a simple manifestation of a malocclusion can represent a complex diagnosis and treatment plan. In this module, the complex connections of diagnosis and treatment planning, the role of orthodontics in the restoration of functional stability, and the treatment planning for maximal esthetic benefits will be discussed along with critical thinking exercises and wire bending will be conducted in order to sharpen the clinical aptitude of the operator.

  • 3m’s of diagnosis:
    • Marco Esthetics
    • Mini Esthetics
    • Micro Esthetics
  • 3m’s of treatment planning:
    • Macro Esthetics
    • Mini Esthetics
    • Micro Esthetic
  • Treatment possibilities:
    • Sagittal space gaining
    • Transverse space gaining
  • Growth modification versus camouflage
  • Comprehensive orthodontic treatment planning
  • Case forums
  • Wire bending exercises
  • Workbook activities

Module 3 – Biomechanical Principles

Like a sharp shooter, it would be worth to articulate your ability to pinpoint your diagnosis and treatment plan with your ability to pull the trigger efficiently in delivering the treatment. In this module, the technical definitions and behavior of forces in accordance to the biological responses of the bone and the controlled delivery of forces thru different appliances will be discussed.

  • Force systems & Sequencing
  • Force levels
  • Force’s line of action
  • Anchorage
  • Generation of space
  • Mandibular position in relation to movements
  • Appliance selection
  • Tissue reaction according to appliance placed
  • Active forces versus passive forces
  • Tooth with bone movements
  • Tooth thru bone movements
  • Case forums
  • Wire bending exercise
  • Workbook activities

Module 4 – Treatment Delivery

After the appliance selection and initiation of orthodontic treatment, the installation of the appliance ensues which should coincide with the decided treatment plan. It would be imperative for the initial movements to include the anchorage preparation, the leveling of the teeth onto the occlusal plane, and the alignment along the occlusal line. Inclusively, it would be essential to affix the position of the teeth onto the functionally optimum position of the maxilla and mandible.

  • Basics of bracket bonding and banding
  • Classification of anchorages:
    • Intraoral anchorages
    • Extraoral anchorages
    • Skeletal anchorages
  • Leveling teeth on to the occlusal plane
  • Aligining teeth on to the occlusal line
  • Leveling and aligning on to the functionally optimum skeletal position.
  • Arch development principles
  • Case forums
  • Typodont exercises:
    • Direct bracket placement
    • Banding
    • Anchorage preparation

Module 5 – Space Consolidation & Seminars

After positioning the teeth into its optimum position for function, the teeth may be in its initial positions where space might have been generated or needed. The second phase of orthodontic delivery comprises the consolidation of the teeth towards its individual final functional and esthetic positions. It primarily entails the anchorage selection and sagittal movement of teeth into its objective positions. In this module, along with classroom discussions, the hands on workshop on typodonts will be conducted along with short interdisciplinary seminars.

  • Anchorage
  • Biomechanics of tooth movement
  • Mechanotherpay of tooth movement
  • Friction mechanics
  • Friction-free mechanics
  • Factors for force application
  • Orthodontic auxiliaries for aiding in tooth movement
  • Malocclusion and periodontal disease
  • Treatment protocols on horizontal and vertical bone loss
  • Periodontal limits
  • Growth and development
  • Timing of commencing orthodontic treatment
  • Preventive and interceptive orthodontics
  • Typodont exercises on leveling and alignment and preparation for space consolidation
    • Force delivery
    • Wire bending and force activation
    • Molar uprighting
    • Crowding management
    • Arch development
  • Case forums

Module 6 – Finishing & Seminars

The third phase of orthodontic treatment delivery is finishing which necessitates the fine-tuning of the teeth into the optimum position ideal for function and esthetics, and for retention and stability. In this module, an emphasis on the hands-on workshop is given to enhance the operator’s skills on the 3 orders of bends and troubleshooting. Short interdisciplinary seminars will also take in place.

  • Andrew’s 6 keys to occlusion:
    • Molar relations
    • Crown angulations
    • Crown inclinations
    • Rotations
    • Tight contacts
    • Curve of spee
  • Canine guidance, anterior guidance, absence of premature contacts,
  • Defining tooth position to provide optimal esthetics
  • Prevention of relapse
  • Maximizing stability
  • Optimization of final tooth position to increase the coincidence of the maximum intercuspation position and functional tooth contact position
  • Achieving surgical objectives thru orthodontic means
  • Timing of force application on endodontically rehabilitated teeth
  • Typodont exercises:
    • Wire bending exercises
    • Space consolidation
      • Space generation
      • Space closure
      • Canine retraction
      • Anterior retraction
      • En masse retraction
    • Preparation for finishing
  • Case forums

Module 7 – Retention, Stability, & Seminars

When the ideal final tooth positions have been achieved, the appliance is removed and the lifelong maintenance of a restored occlusion begins. There are several ways by which this can be attained to augment the retention and stability objectives, and provide for maximal benefits on the quality of life. This will be discussed in this module along with short interdisciplinary seminars.

  • Biological maintenance
  • Mechanical maintenance:
    • fixed retainers
    • removable retainers
    • intermaxillary retainers
  • The orthodontic role in the management of temporo-mandibular disorders
  • Timing and maximizing prosthetic restorations in relation to the orthodontic treatment
  • Typodont exercises: placement of forces to achieve final tooth positions and preparation for appliance removal.
    • Wire bending
    • Tips and angulations
    • Offsets
    • Torques
    • Troubleshooting minor erroneous bracket placements
  • Case forums

Module 8 – Advanced Case Management

By this time, the students would have a broader knowledge and experience on orthodontics and integrating that with multiple actual cases would be optimum to the clinical competence of the student. Actual cases on sagittal, vertical, and transverse cases will be presented along with their corresponding treatments. Critical thinking exercises on diagnosis and treatment planning will be conducted to enhance the operators’ vocabulary of case management.

  • Class II case management
  • Class III case management
  • Open bite case management
  • Deep bite case management
  • Constricted arch management
  • Broad arch management
  • Case forums

Module 9 – Temporary Anchorage Device Workshop

A sufficient knowledge on malocclusion management has been obtained by this time and a wider array of treatment modalities should be available at the disposal of the operator. Temporary anchorage plays a larger role in the correction of malocclusion nowadays and is encouraged to be used on a routine basis to achieve maximized results with the least amount of possible round tripping. In this part of the program, the use of miniscrews as a source of anchorage and an instrument to achieve results exclusive to orthognathic surgical means would be discussed in detail. Biomechanics that would aid the use of miniscrews will also be taught in the manner of hands-on wire bending exercises on skeleto-dental models.

  • Miniscrew information
  • Preparation and insertion
  • Case presentations on vertical and horizontal tooth displacements
  • Miniscrew auxiliaries that would aid the delivery of force
  • Miniscrew failure and troubleshooting
  • Implant placement exercises
  • Segmental technique wire bending exercises
  • Case forums

Module 10 – Finale

A newly trained practitioner on the discipline of orthodontics would present a flurry of challenges but is yet the most promising of all potentials. Business approaches and practice management will be discussed to help aid the dentist start his own cases and or practice and to ultimately make it profitable and satisfying.

  • Practice management
    • Appointment intervals
    • Pre-treatment, on-going treatment, and post treatment patient care
    • Financial management and charging
    • Marketing and profiting
    • Legalities
    • Ethics
  • Material choice and maximizing
  • Patient exclusivity and rights
  • Individual student case presentations

Course Coordinator

Dr. Paolo Manzano

Dr. Manzano was an Associate Professor at the University of the East for 5 Years in the undergraduate and post graduate levels until he focused on pursuing his passion for orthodontics through the Biomechanical Institute of Orthodontics study club. He conducts workshops and lectures specifically on orthodontics and also on Temporary Anchorage Devices workshops, the first of its kind. He authored and co-authored in published studies such as the Novel Technique for Segmental Distalisation – TAD aided Segmental Mechanics, Compariosnof Corrosion of TADs in Salt Spray Test, &
Comparison of two Bracket Recycling Techniques.