Users Group Meeting 2011

Northeastern Society of Orthodontists 89th Annual Meeting November 11-14, 2010 Hilton Montréal Bonaventure Montréal, Quebec, Canada

14 Lecture Schedule Saturday continued w Doctor Session 3:30pm 5:00pm 1.5 CEUs Integrating Cone Beam 3-D Imaging Into Everyday Orthodontic Practice: Clinical & Technical Considerations Are you ready to take your practice to the next level? The creation of a 3-D virtual patient is now a reality. This presentation will focus on the practical considerations of integrating Cone Beam Volumetric Imaging into a modern orthodontic practice. The technical basics of current Cone Beam scanners (Newtom, Hitachi Mercuray, I-CAT, and others) will be covered, as well as issues of data resolution and data export. The presentation will review the various image products that can be generated from the Cone Beam data, and will discuss several software packages that can be used for further data analysis and rendering. Dr. Carlson installed his CBCT machine in October 2008 and will share his experience from planning to financing. The complete workflow for a patient will be covered, from the clinical factors that indicate the need for a Cone Beam scan, to the generation of custom image products that focus on specific clinical questions. Three-dimensional imaging brings new data to the clinician that was before merely interpolated from multiple two-dimensional views. The advantages of the three-dimensional approach in diagnosis, treatment planning and patient communication will be discussed. Numerous case examples will be shown. In addition, we will discuss some of the issues that may make it difficult for clinicians to change from two-dimensional diagnosis to three-dimensional diagnosis. Learning Objectives: 1. Incorporate 3-D technology into their practices 2. Diagnose and present cases using 3-D software 3. Analyze treatment results using 3-D imaging Sean K. Carlson, DMD, MS Dr. Carlson is a Board Certified orthodontist who received his dental degree from Harvard University in 1994, where he was awarded the American Association of Orthodontists Award. He received his orthodontic specialty training and his Master of Science degree in Oral Biology from the University of California at San Francisco. He is currently an Assistant Professor of Orthodontics at the University of the Pacific School of Dentistry and maintains a private practice in Mill Valley, California. Dr. Carlson is a Senior Investigator in the Craniofacial Research and Instrumentation Laboratory at the University of the Pacific. There he has served as principle investigator for a series of research grants and has published numerous papers and abstracts on a variety of clinical and theoretical subjects. His primary focus is on using computer technology to improve the way we study, teach and practice orthodontics. w Clinical Staff Session 3:30pm 5:00pm 1.5 CEUS TADs and Lasers: The Role of Each Team Member In this presentation we can discuss each team members role for minimally invasive surgery now being performed in many orthodontic offices. Surgical technique, infection control and scheduling for success. Surgical videos narrated will show what to expect, as well as patient interviews, and role playing scenarios. We will also discuss the different locations of TAD placement, and why or how mechanics change. Diode Laser uses will also be discussed. Basic laser safety as well as surgical videos, patient instructions for post operative care will be covered. Learning Objectives: 1. Surgical technique 2. Infection control 3. Scheduling for success Dr. Robert Miller see bio on page 9 Anglican Gothic church interior in Montréal, Canada.

Dr. David Hatcher 3D Technology and Virtual Reality Accuracy, precision, quality and simplicity are goals of diagnostic 3D surface and volumetric imaging of the face, jaws and adjacent anatomic structures. The rewards include improved diagnosis, ability to create a patient specific model, simulate treatment and improve treatment outcomes. The patient specific model can evolve to a 4D model used to evaluate change over time by fusing a timed sequence of 3D images. 4D modeling includes monitoring growth, jaw movement, and treatment outcomes. 5D modeling allows for the fusion of biomechanical attributes into the coordinate system and testing the biomechanical relationships between the structures. Information collected from the 3D, 4D and 5D models can be used for diagnostic evaluation, treatment simulation, outcomes analysis, outcome predictions and therapy. This presentation discusses 3D imaging of the maxillofacial complex, fabrication of patient specific models and selected clinical applications that add value to the image data. Controversies Surrounding CBCT Cone-beam CT (CBCT) could be considered a disruptive technology in dentistry given what it offers for 3-dimensional visualization and therapeutic potential. Its use has risen dramatically over the last five years and has transcended every discipline in dentistry. However, this technology brings controversies that include:1. Real Need for CBCT 2. Radiation Dose 3. Operation of CBCT by Staff and Dentist and Certification 4. Billing for CBCT scan 5. Radiology report Dr. James Mah Dr. Sean Carlson Integrating AnatoModel into Everyday Orthodontic Practice: Clinical and Technical Considerations Are you ready to take your practice to the next level? This presentation will focus on the practical considerations of integrating Anatomodel into a modern orthodontic practice. Some technical basics of current Cone Beam scanners will be covered, as well as issues of data resolution and data export. The presentation will focus on the Anatomodel 3-D model that can be generated from the Cone Beam data, and will discuss the most efficient workflow for use in clinical practice. Dr. Carlson will share his experience in the CBCT world from planning to financing. The complete workflow for a patient will be covered, from the clinical factors that indicate the need for a CBCT scan, to the generation of custom patient presentations that focus on specific clinical questions. The advantages and difficulties of the three-dimensional approach in diagnosis, treatment planning and patient communication will be discussed. Surgical guide: Computer Assisted Implant Operation Throughout the past decade, an interdisciplinary approach has been taken to determine the optimal number, position and angulation of oral implants to be inserted on the basis of clinical and radiographic data. Preoperative planning involves study casts, diagnostic wax-ups, panoramic X-rays and computed tomography (CT) scans. 3-Dimensional planning and simulation in implantology serve as excellent preoperative visualization tools regarding surgical and prosthetical aspects. Pre-surgical imaging can provide important information, and the bucco-lingual images obtained through CT can be used to more accurately plan implant placement. The location, angulations, and depths of implant sites can be determined using CT imaging findings. With further imagination and skillful use of operation technique we can overcome the difficulties that have not allowed the usage of surgical guide on unsuitable cases and broaden our extent of application. Dr. Hyun Ki Roh