ORTHODONTICS
AND ORTHOGNATHIC
SURGERY CONGRESS
MOSCOW 2018

Professor, Saint Joseph University of Beirut, Lebanon
Adjunct Clinical Professor, Boston University, USA
Member, Angle Society of Orthodontists, East Component, USA
Member, Tweed Foundation for Orthodontic Education and Research, USA
Member, Executive Committee of the World Federation of Orthodontists.

Class III malocclusion is considered as one of the most challenging clinical situations to handle and it affects between 5% and 15% of the population. The 2 most common dilemmas surrounding Class III treatment are the timing of treatment and the type of appliance.
Treatment of Class III malocclusions may include growth modification, camouflage with orthodontic tooth movement and orthognathic surgery depending on 2 the etiology, the degree of skeletal discrepancy, the skeletal pattern, and the age of the patient.
The orthopedic approach for growth modification is usually limited to children with growth remaining. Treatment by maxillary protraction is effective in Class III patients with an underdeveloped maxilla and a fairly normal mandible. However, this approach may not be suitable for patients with an overdeveloped mandible or a mandible that continues to grow excessively. Camouflage orthodontic treatment may be performed in patients with a mild skeletal Class III discrepancy and no remaining growth by extracting lower premolars, second molars, incisors, or even using miniimplants.
In this presentation, we will try to highlight on how to manage class III patients by developing the differential diagnosis and showing different treatment options through multiple clinical cases.
LEARNING OBJECTIVES:
1. To learn how to apply a correct differential diagnosis in class III cases.
2. To identify factors to consider during treatment planning in class III malocclusion.
3. To demonstrate diverse treatment options indicated in class III management

Doctor in Dentistry. University of Murcia
Master in Orthodontics and Dentofacial Orthopaedics. University of Murcia
Postgraduate Program in Orthodontics and Orthognathic Surgery with Dr. Quevedo Rojas (Chile)
Diploma in Orthodontics by the FACE/Roth-Williams Center for Functional Occlusion
Diplomate Member of the Spanish Society in Orthodontsist and Dentofacial Orthopaedics (SEDO)
Professor and Coordinator of the Orthodontics Unit. Catholic University of Murcia (UCAM) Spain
Private practice limited to Orthodontics in Murcia
Author of numerous articles and publications
Speaker at national and international courses and conferences

- Pre-orthodontic planning of surgical cases (STO). 7 steps of Arnett.
- Pre-surgical orthodontics. Achievement of the treatment objectives.
- Indication of 3D planning in orthognathic surgery.
- Visualization of planned cases with Dolphin 3D.

Esthetic plastic surgeon. Craniofacial surgeon. Doctor of medicine

Graduated from the First Pavlov State Medical University of St. Petersburg, faculty of dentistry

Undertook an internship in surgical dentistry at the First Pavlov State Medical University of St. Petersburg

Specialization "Orthodontology" in the orthodontology department of Central Research Institute of Dentistry

Primary specialization "Orthodontology" at the children's dentistry department at St. Petersburg Medical Academy of Postgraduate Studies

Specialization in plastic surgery on the base of S. M. Kirov Military Medical Academy

Graduate school degree at the surgical dentistry department and at the craniofacial surgery department at the First Pavlov State Medical University of St. Petersburg

Organizer of numerous conferences with international participance and authors' master classes dedicated to questions of orthognathic surgery, contour plastics, rhinoplasty, rejuvenation surgery

Author of more than 130 publications including 2 monographs, 3 invention patents and more than 20 speeches in various scientific forums

Traditionally we associate difficult cases with an aggregate of a patient’s anatomo-functional features, which complicate treatment or make it hard or impossible to get an optimal final result. These are severe forms of dysgnathy (traditionally called «skeletal forms»), significant tooth form, size and position issues, hard tissue and periodontium issues. This also includes patients with concomitant pathologies, which complicate treatment.

But this is not enough. Due to the complexity and multiple stages of the orthognathic patient rehabilitation, a variety of complications arises as a result of the cooperation of doctors of different specialties during the rehabilitation stages. Precise planning of the order and amount of medical care given at each stage is a necessary condition to achieve stable treatment results.

Complications in orthognathic surgery can be placed into two big categories: medical complications and social-communicative complications. While the first category is well explicable and logical (according to medical notions the percent of complications should fluctuate within 18-20%), the other category is a result of incorrect organisation of the working process and interaction. This problem can be mitigated but unfortunately this is far from true. Severity of these complications and the following consequences are the most traumatic and difficult to manage.

Orthodontist, PhD in Medical Sciences
Member of European and Russian Society of Orthodontists,
Vice-president of Russian Society of Lingual Orthodontists (RSLO),
Speaker of Steinbeis Transfer Institute Biotechnology Interdisciplinary Dentistry (Germany),
Participant of more than 40 enhancement courses in various directions of orthodontics.
Sphere of scientific interests: modern methods of dentofacial anomaly diagnosis and treatment.
Author of more than 40 scientific works; owns 3 invention patents and 5 rationalization proposals.

Fundamental goals of occlusal reconstruction in regards with treatment of Angle Class III have been diversely highlighted in literature with accordance to conceptual aspects of patients' rehabilitation.

However, a deeper analysis shows that orthognatic correction tasks have much in common, irrespective of the diagnostic positions and treatment tactics.

We will introduce a comparative study of achieving the goals set in the rehabilitation of patients with Angle Class III occlusal anomalies depending on the combined therapy method.

Author of a series of monographs and scientific articles
He annualy makes reports at congresses of European Association of Orthodontists, European Association of Lingual Orthodontists, American Association of Orthodontists, Russian Orthodontists
Author of a series of seminars and lectures on lingual technique of class III treatment, orthodontic treatment diagnosis and planning
Author of practical orthodontic training courses

Reasons for instrumental surgical treatment

Differences in class II and class III pathology forming

Orthodontic dentoalveolar compensation: pros and cons

Methods of diagnosis and treatment planning

Definition of a supposed surgical intervention method

Orthodontic occlusion compensation within the frame of preparation for a surgery

Modeling of the final result in instrumental surgical approach

Choosing and preparation of an orthodontic instrument

Individualisation of the instrument (choosing bracket prescription, indirect fixation, installing through set-up modeling)

Using lingual orthodontic instrument in combined treatment

Additional instruments (rapid palatal expanders, palatal and tongue arches, Burstone arches)

Criteria of patient's readiness to surgical treatment

Postoperative period

Purpose and usage of elastics

Retention period as a phase of treatment

Factors influencing on the long-term stability

Possible complications and relapse

Orthodontist, gnatholigst, clinic "The Center of functional orthodontics and prosthetics"

Member of the European Orthodontic Society

Regular participant of international orthodontic congresses in CIS and Europe

Member of the pediatric dentistry department with the course of maxillofacial surgery at the First Pavlov State Medical University of St. Petersburg

Chief editor of the "Orthodontics On-line" internet project

Author of series of seminars in orthodontics

Degree in Dentistry from the University of Barcelona. Master in Orthodontics from the University of Barcelona. Advanced Studies Diploma from the University of Barcelona. Professor of interceptive orthodontics and orthopedics in the Master of Pediatric Dentistry at the International University of Catalonia. Member of the Spanish Society of Orthodontics (SEDO)

1.Introduction to Skeletal Anchorage (SA)
2.How to choose your TAD based on evidence
3.Clasification of anchorage with SA
4.Importance of vertical control
5.Sagital movements with SA
6.Vertical movements with SA
7.Transversal movements with SA