Orthodontic treatment outcome is primarily a result of the mechanotherapy and clinical management of the case. Perhaps, the major key to orthodontic treatment planning is to identify the direction and amount of dental movements required within each quadrant. Without sound objectives and proper planning, anchorage requirements could easily be overlooked. While cephalometric analyses are helpful in providing a rough estimate of skeletal and dental relationships, treatment goals need to be developed accordingly with the face. In this presentation, instead of using the mandibular incisor position as the primary criterion, the aim is to provide a facial esthetics oriented treatment approach using the maxillary incisor position as the starting point while the mandibular arch still serves as the diagnostic arch. In this context, virtual treatment objective (VTO) is a critical tool for anchorage planning and reinforcement together with the use of temporary anchorage devices (TADs) and other conventional mechanics. Secondly, it is aimed to present the importance of strategic TAD placement in their stability and overall efficiency throughout the treatment.
1. Obtain a working knowledge of facial-esthetics oriented treatment objectives
2. Gain an appreciation for planning proper orthodontic tooth movement and anchorage control in each quadrant
3. Apply anchorage reinforcement strategies accordingly with treatment objectives
Dr. Akyalcin received his training from the Orthodontic Program at The University of Texas Health Science Center at Houston. Currently, he serves as the director of the advanced education program of Orthodontics at Tufts University School of Dental Medicine in Boston/MA. In his career as a dental educator and orthodontist, he has published more than 30 peer-reviewed papers, six book chapters, co-authored an orthodontic textbook, and has received many prestigious awards including the American Association of Orthodontists Full-time Faculty and American Association of Orthodontists Foundation Fellowship and Biomedical Research Awards. He serves actively on the editorial review board of American Journal of Orthodontics, Angle Orthodontist, and some other prominent dental journals. Dr. Akyalcin has been honored as an invited speaker at many national and international meetings.