Pacific Coast Society of Orthodontists Bulletin Winter 2017 - 53
Presentation Summary
approach, show us the conditions of dentoalveolar boundaries, and reveal the precise location of
invisible structures. Finally, virtual 3-D treatment
planning simulation may help with more efficient treatment of complex cases. We may be
able to prioritize the management of the most
challenging component(s) of malocclusions initially in treatment, minimize round tripping-
which can increase treatment time and may have
certain periodontal and anchorage ramifications- in all three planes of space, and plan an
optimized anchorage through traditional means
or newer ones (such as TADs).
Innovations
There are emerging innovations associated with
biomedical approaches to expedited orthodontics, which incorporate a triad of humans, animal
models, and basic research. In an animal model
experiment, RANKL gene therapy was found to
Doctors
increase tooth movement by approximately 50%.
Local delivery of OPG protein in low single doses
reduces orthodontic relapse. Clinicians may find
it challenging to determine the therapeutic
doses for maximal efficiency and minimal systemic effects. "Smart drug" delivery with nanotechnology and microchips may also have a
future in sustained, localized, and controlled
delivery of drugs to modulate orthodontics tooth
movement.
The application of strategies for optimal 3-D
diagnosis, treatment planning, and implementing biomechanics in 3-D will contribute to success in the fourth dimension by delivering
efficient treatment and in the fifth dimension
with improved treatment outcomes for us and
our patients. Biologically targeted approaches for
modulating tooth movement hold great promise
for the future.
Clinical Applications of 3-D Imaging in Orthodontics, continued from page 51
a separate consent for the delivery of oral appliances; these patients should be seen annually.
Follow-up sessions with a physician should track
the improvement of airway obstruction.
Viewing 3-D in 3-D
Holograms can provide a 3-D view of the structures that are to be treated along with a better
visualization of the landmarks.
Winter 2017 PCSO Bulletin
A panoramic image is an arc that is straightened,
and therefore, it is prone to distortion. Using
CBCT, the same view of the dentition can provide
more information as compared to the panoramic
image.
The takeaway point is that 3-D CBCT is about
having more information. 3-D imaging can help
our specialty grow.
53
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