Adult Orthodontics

This is a major new work dedicated to the increasingly prominent
area of adult orthodontics. Written by renowned contributors from
the orthodontic community and beyond, and compiled by a world-class
editor, it provides an authoritative resource on the subject,
marrying together clinical guidance with a thorough evaluation of
the evidence base. The opening chapters provide the context for
adult orthodontics, including patient demographics and aetiology,
and the book goes on to detail treatment planning considerations,
including patient case profiles, suggesting initial outcomes and
longer term expectations. Interdisciplinary and multidisciplinary
approaches are discussed, including the links between adult
orthodontics and periodontics, prosthetics and temporomandibular
disorders. The book is accompanied by a website containing further
examples of case studies and a wealth of clinical images.

Set to become the gold standard resource on the subject, this
book will be invaluable to all those providing orthodontic
treatment to adults and those dealing with orthodontics as part of
the inter-disciplinary management of the adult dentition.

KEY FEATURES

• A major new work on an expanding area of orthodontic
  treatment

• Covers patient demographics, aetiology, treatment planning
  and maintenance issues

• Includes case studies, suggesting realistic and optimal
  short and long term outcomes

• Highly illustrated with full colour clinical photos

• Accompanied by a website with further material:
  www.wiley.com/go/melsen

Auteur
Birte Melsen is Professor and Head of the Department of Orthodontics; School of Dentistry, Aarhus University in Aarhus, Denmark. She has authored more than 360 publications in the fields of growth, with her recent professional interests focusing primarily on the fields of skeletal anchorage, virtual imaging and adult orthodontic treatment.

Résumé
This is a major new work dedicated to the increasingly prominent area of adult orthodontics. Written by renowned contributors from the orthodontic community and beyond, and compiled by a world-class editor, it provides an authoritative resource on the subject, marrying together clinical guidance with a thorough evaluation of the evidence base. The opening chapters provide the context for adult orthodontics, including patient demographics and aetiology, and the book goes on to detail treatment planning considerations, including patient case profiles, suggesting initial outcomes and longer term expectations. Interdisciplinary and multidisciplinary approaches are discussed, including the links between adult orthodontics and periodontics, prosthetics and temporomandibular disorders. The book is accompanied by a website containing further examples of case studies and a wealth of clinical images.

Set to become the gold standard resource on the subject, this book will be invaluable to all those providing orthodontic treatment to adults and those dealing with orthodontics as part of the inter-disciplinary management of the adult dentition.

KEY FEATURES
• A major new work on an expanding area of orthodontic treatment
• Covers patient demographics, aetiology, treatment planning and maintenance issues
• Includes case studies, suggesting realistic and optimal short and long term outcomes
• Highly illustrated with full colour clinical photos
• Accompanied by a website with further material: www.wiley.com/go/melsen

Contenu

List of Contributors xi

Introduction: More than a Century of Progress in Adult Orthodontic Treatment xiii

1 Potential Adult Orthodontic Patients Who Are They? 1
Birte Melsen

Introduction 1

Who are the patients? 1

How do the patients express their needs? 6

The first visit 7

Communicating with the patient 9

Summary 10

References 10

2 Diagnosis: Chief Complaint and Problem List 12
Birte Melsen, Marco A Masioli

Introduction 12

Work-up of a problem list the interview chief complaint 12

General health 14

Clinical examination 16

Extraoral examination 16

Extraoral photographs 19

Function of the masticatory system 23

Intraoral analysis oral health 23

Evaluation of dental casts arch form 24

Occlusal analysis 24

Space analysis 26

Cephalometric analysis 26

Final problem list 27

Indication for treatment 28

The presentation of the problem list the tip of the iceberg 29

Concluding remarks 33

References 33

3 Aetiology 35
Birte Melsen

Introduction 35

Biological background 35

Aetiology of malocclusions in adults 41

Age-related changes in the skeleton 42

Age-related changes in the craniofacial skeleton 46

Age-related changes in the local environment 46

Consequences of deterioration of the dentition 48

Case reports 49

Conclusion 50

References 52

4 Interdisciplinary Versus Multidisciplinary Treatments 54
Birte Melsen

Interdisciplinary or multidisciplinary treatments 54

Establishment of an interdisciplinary team 56

Treatment sequence 58

Essential and optional treatment procedures 59

Interaction during treatment 61

Post-orthodontic treatment 62

Patient satisfaction 62

Examples of interdisciplinary cases 63

References 63

5 Treatment Planning: The 3D VTO 64
Birte Melsen, Giorgio Fiorelli

Determining the treatment goal 64

Producing an occlusogram 64

Combining the occlusogram with the head fi lm 69

The computerized occlusogram 72

Responding to patients' needs 73

Orthodontic treatment: Art or science? 73

References 76

6 Tissue Reaction 77
Carlalberta Verna, Birte Melsen

Orthopaedic effects 77

Orthodontic effects in adult patients 78

References 95

7 Appliance Design 99
Birte Melsen, Giorgio Fiorelli, Delfi no Allais, Dimitrios Mavreas

Introduction 99

Defi nition of the necessary force system 100

Anchorage evaluation 101

Sequencing the treatment into phases 103

Appliance selection and design 105

Sliding mechanics 108

Segmented mechanics 112

Conclusion 128

References 129

8 Anchorage Problems 132
Birte Melsen, Carlalberta Verna

Introduction 132

Definition 132

Classification of anchorage 132

Intramaxillary anchorage 133

Soft tissue anchorage 136

Free anchorage 137

Intermaxillary anchorage 142

Occlusion 143

Differential timing of force application 144

Extraoral anchorage 144

Skeletal anchorage 145

References 160

9 Bonding Problems Related to Adult Rehabilitated Dentitions 163
Vittorio Cacciafesta, M Francesca Sfondrini, Carmen Giudice

Introduction 163

Brackets 163 <p&gt...