Congress - Universitatea de Medicina si Farmacie "Grigore T Popa

Transcription

Congress - Universitatea de Medicina si Farmacie "Grigore T Popa
in collaboraon with
Romanian
Straight‐Wire Association
ANRO ‐ Iaşi Branch
University of
Medicine and Pharmacy
„Grigore T.Popa“ Iasi
Faculty of Dental Medicine
Department of Orthodontics
Municipality of Iași
ARSW
Modern approach in orthodontic treatment
IV
International
Congress
Iasi, Romania
6 ‐ 8 June 2013
Congress Hall Palas Iaşi
Main Topics
Orthodonc Funconal Treatment
Biomechanics in Orthodoncs
Interdisciplinary Approach in
Contemporary Orthodonc Therapy
Free topics
FINAL PROGRAMME & ABSTRACTS
Dear Colleagues,
On behalf of the Congress Committee , I am pleased to welcome you to Iasi, to the
fourth Romanian Orthodontic Association Congress. We guarantee you one of the best
scientific and intercultural experiences, as you will have the chance to meet
internationally reknowned speakers from all over the world. Our younger colleagues
will also share their work, bringing a breath of fresh air with their presentations and
posters.
The 4th edition of the Romanian Orthodontic Association Congress is an excellent
opportunity for all of you to discover Iasi, a very important city in the Romanian
history, also known as "city of great love stories", "city of new beginnings", "cultural
center of Moldavia", "an open air museum", a place where every corner evokes a
personality, a unique event, a legend, a part of a myth, where every stone talks about
the past.
Your response to this fourth edition of the congress is overwhelming: a total of 65
abstracts for oral and posters presentation were submitted. The conference
programme is dense and rich, offering a considerable variety of topics covered. As in
previous years, the great Romanian hospitality will make this a congress to remember,
including social and networking activities that are aimed at forging collaboration and
exploring ideas though multidisciplinary approaches. But it will be the presentation of
research that will again be the star of this congress.
The associated exhibition runs in parallel with the congress and offers you the chance
to get up-to-date information from companies active in your area of interests. I am
grateful to our exhibitors for their interest and support for the congress!
I hope you find this congress both interesting and stimulating and that you enjoy
meeting up with old friends and making new contacts. I look forward to receive your
feedback on this congress and to see you again at the next one, in 2014!
With kindest regards,
Irina Zetu
President of the Congress
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Contents
Welcome 01
Honour Committee 03
Committees & Important addresses 04
Scientific Programme 09
Abstract Book | Scientific Session 16
Social Programme 63
Information / Useful Information 64
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Honour Committee
Presidents
Hans Pancherz (Germania)
Professor Emeritus EOS
Valentina Dorobăţ (Romania)
Professor Department of Orthodontics, Faculty of Dental Medicine,
Grigore T. Popa University of Medicine and Pharmacy
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Committees & Important addresses
Organised by:
ARSW—Romanian Straight-Wire Association
University of Medicine and Pharmacy „Grigore T.Popa“ Iasi
Faculty of Dental Medicine
Department of Orthodontics
ANRO—Iaşi Branch
in collaboration with Municipality Iasi
President of the Congress
Irina Nicoleta Zetu
Vice-President of the Congress
Georgeta Zegan
General Secretary
Cristian Romanec
SCIENTIFIC COMMITTEE
Chairman of Scientific Committee
Mariana Pacurar
Secretary
Daniela Gologan
Irina Zetu
Eugenia Popescu
Adam Maxim
Alin Serbanescu
Mihaela Mesaros
Georgeta Zegan
Ligia Vaida
Adriana Balan
Lucica Birlean
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Liliana Foia
Carmen Hanganu
Marcel Costuleanu
Danisia Haba
Marinela Pasareanu
Dana Festila
Liviu Zetu
Loredana Golovcencu
Committees & Important addresses
Chairman of Organizing Committee
Mihnea Iacob
Secretaries of Organizing Committee
Alina Sodor
Andreea Ionescu
Beatrice Velicu
Local Organizing Committee
Daniela Anistoroaie
Ioana Vata
Vasilica Toma
Carmen Savin
Veronica Serban
Dana Maxim
Mioara Decuseara
Madalina Stan
Lidia Zediu
Otilia Moscaliuc
Ana Cumpata
Andrei Iovu
Gabriela Lupu
Radu Cernei
Laura Gavrila
Georgiana Macovei
Teodora Barnea
Georgiana Pascaru
Silvia Ciocirlea
Cristian Daniluc
Ana Bamboi
Abbass Abbou Abbass
Alina Pinau
Alexandra Hartan
Laura Armencea
Elena Ene
Andreea Dodi
Raluca Robu
Laura Munteanu
Carina Balcoș
Dumitrela Iosub
Teona Matei
Ina Morogai
Roxana Anitei
Vasilica Buzdugan
Iulian Petruta
Andrei Maftei
Constantin Grijincu
Andrei Silimon
and
Zighi Zilberman (Israel)
Elena Black (USA)
Technical Secretariat. Information, Exhibition and Travel
Bogdan Dragomir
Raluca Maria Mocanu
Tom Munteanu
ADDITIONAL INFORMATION
[email protected]
www.facebook.com/congres.arsw
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Scientific Program
KEYNOTE SPEAKERS
Dr. Hans Pancherz (Germany)
Dr. Mariana Pacurar (Romania)
Dr. Leslie Will (SUA)
Dr. Mihaela Mesaros (Romania)
Professor Emeritus EOS and former chairmen, Department of
Orthodontics, University of Giessen
Professor Chief of Dento-Facial Orthopedics DepartmentBoston University
Dr. Krister Bjerklin (Sweden)
Professor Head of Orthodontic Department, Faculty of
Odontology, University of Malmö, SeniorConsultant for the
Department of Orthodontics of the Institute for Postgraduate
Dental Studies in Jönköping
Dr. David Suarez Quintanilla (Spain)
Professor, Chairmen of Department of Orthodontics,
University of Santiago de Compostela
Dr. Jorge Faber (Brazil)
Professor of Orthodontics and Evidence-Based Dentistry,
University of University of Brasília, Editor-in-chief of the
Journal of the World Federation of Orthodontists and former
editor of the Dental Press Journal of Orthodontics.
Dr. Yves Trin (France)
President of European Straight Wire Association, Secretary
General Of French Federation of Orthodontics
Dr. Abbas Zaher (Egypt)
Professor of Department of Orthodontics, University of
Alexandria
Dr. Stella Chaushu (Israel)
Professor Department of Orthodontics, School of Dental
Medicine Jerusalem
Dr. Mario Berengo (Italy)
Director of Oral Surgery Department, University of Padova
Dr. Stefano Sivolella (Italy)
Professor of Oral Surgery Department, University of Padova
Dr. Frederic Jochim (France)
Periodontology and Implant Surgery, Lille
Professor of Orthodontic Department, Dean of Faculty of
Dentistry, University of Târgu Mureş
Professor, Department of Paediatric Dentistry and
Orthodontics, Faculty of Dental Medicine, University of ClujNapoca
Dr. Lidia Boboc (Romania)
ex Professor, Private Orthodontics
Dr. Liviu Oprea (Romania)
Grigore T. Popa University of Medicine and Pharmacy
Dr. Mihaela Baciut (Romania)
Professor, Department of Maxillofacial Surgery and
Implantology, Faculty of Dental Medicine, University of ClujNapoca
Dr. Liviu Zetu (Romania)
Department of Periodontolgy, Faculty of Dental Medicine,
Grigore T. Popa University of Medicine and Pharmacy
Dr. Lucia Barlean (Romania)
Department of Orthodontics, Faculty of Dental Medicine,
Grigore T. Popa University of Medicine and Pharmacy
Dr. Zegan Georgeta (Romania)
Department of Orthodontics, Faculty of Dental Medicine,
Grigore T. Popa University of Medicine and Pharmacy
Dr. Ligia Vaida (Romania)
Department of Dentistry, Faculty of Dental Medicine,
University of Oradea
Dr. Irina Zetu (Romania)
Chief Department of Orthodontics, Faculty of Dental
Medicine, Grigore T. Popa University of Medicine and
Pharmacy
Dr. Valentina Trifan (Rep. Moldova)
Department of Pediatric Surgery, Paedodontics and
Member of Italian Society of Periodontology, Italian Society of Orthodontics, University of Chisinau
Oral Pathology
Speech therapist Georgeta Burlea (Romania)
Dr. Alessandro Perini (Italy)
Dr. Anissia Kadrine Hammoumi (Algeria)
Ex Assistant Professor, Member of The SFODF
Grigore T. Popa University of Medicine and Pharmacy
Dr. Niels Hulsink (Netherlands)
Orthodontist, Researcher at Australian Research
Myofunctional
Dr. Adi Rachmiel (Israel)
Department of Oral and Maxillo Facial Surgery, Rambam
Medical Center, Faculty of Medicine Haifa
CONGRESS TOPICS
ORTHODONTIC FUNCTIONAL TREATMENT
BIOMECHANICS IN ORTHODONTICS
INTERDISCIPLINARY APPROACH IN CONTEMPORARY
ORTHODONTIC THERAPY
FREE TOPICS
PRECONGRESS
COURSE
th
Thursday, June 6 2013 (Mozart hall) 9.00-16.30
ERUPTION DISORDERS THAT MAKE ORTHODONTIST’S LIFE DIFFICULT
prof. dr. Krister Bjerklin (Sweden)
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Palas multifunctional urban ensemble – the cosmopolitan “heart” of Iaşi
Set in the historical center of Iaşi, in the proximity of the Palace of Culture, the Palas urban
ensemble introduces the “lifestyle center” concept on the Romanian “mixed-use
developments” market. The project represents the greatest real estate investment outside
Bucharest, adding up a total investment of over 265 million Euros made by the Iulius Group
Company.
The urban ensemble spreads over a 320,000 sqm area and accommodates: over 190 stores in
Palas Mall and on Palas Shopping Street, cafés, restaurants, over 20,000 sqm worth of A-class
office area, 4 star hotel, the largest underground parking area in Romania with circa 2,500
parking spots, five event halls, a park and green areas adding up to over 50,000 sqm.
International and national brands: Auchan, H&M, Massimo Dutti, Zara, Pull&Bear, Bershka,
Stradivarius, Oysho, Camaïeu, Tommy Hilfiger, Subway, C&A, Stefanel, Swarovski, New Look,
CCC, Tom Tailor, Douglas, Humanic, LC Waikiki, Hervis Sports, Motivi, Oodji, L’Occitane,
Sephora, Intersport, Ecco, Il Passo, Staccato, Deichmann, Sony Center etc.
Palas pursued and achieved the social, economic, urban and environmental revitalization of the
central area of Iaşi. The value of the Palas project was recognized internationally in 2007, when
it was awarded at the annual MAPIC retail fair in Cannes, the largest fair of this kind in Europe.
The jury appreciated how Palas managed to rehabilitate the historic area of Iaşi, which aspect
enhances the urban development.
Congress Hall Palas is the best location in Iași for accommodating events. Reputed companies
choose the Palas ensemble for holding their conferences, while many young people are
convinced this is the perfect location for celebrating the unique moments in their lives. The five
distinctively elegant halls, with a capacity of up to 600 guests, are very spacious and elaborately
decorated, and they are the ideal option for holding business meetings, medical conferences,
corporate events and symposiums of reputed companies. Counting on the sophistication
provided here, many of the people of Iași choose to organize their private events in the Palas
ensemble halls. The location adds a special atmosphere to the ceremonies, completing the
entire experience with the splendid panoramic view of the public garden.
The exceptional ambience is completed by top quality services and a professional team offering
their full support to ensure that the events organized here are flawless.
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Scientific Programme
PRECONGRESS COURSE
Mozart Hall Palas
Thursday, June 6th 2013
ERUPTION DISORDERS THAT MAKE ORTHODONTIST’S LIFE DIFFICULT
Dr. Krister Bjerklin (Sweden)
09.00—10.15
10.15—10.30
10.30—12.00
12.00-13.00
Course
Coffee break
Course
Launch
13.00—14.15
14.15—14.30
14.30—16.30
Course
Coffee break
Course
Thursday, June 6th 2013
08.30—17.30
REGISTRATION
09.00—18.00
TRADE EXHIBITION
Session in colaboration with
Dental Technicians Order Iasi
and with Order of Nurses Iasi
Vivaldi Hall Palas
10.30-11.30
Ioan Danila, Lucia Barlean, Iulia Saveanu, Carina
Balcos
WORKSHOP: GENERAL CONSIDERATIONS
REGARDING THE IMPLEMENTATION OF THE POSDRU
PROJECT 55651 "ERGONOMICS, PREVENTION AND
PERFORMANCE MANAGEMENT IN DENTAL
MEDICINE"
SESSION I
11.30-12.00 Coffee break
9.00-9.30
Loredana Golovcencu
ORTHODONTIC LABORATORY WORK AND ITS
CONTRIBUTION FOR THE SUCCESSFUL COMPLETION
OF ORTHODONTIC THERAPY
SESSION II
Chair: Ligia Vaida, Loredana Golovcencu
9.30-9.45
Anca Gorgos
THE REMOVABLE ORTHODONTIC APPLIANCE –
PRINCIPLES HIDDEN WITHIN THE ROUTINE
9.45-10.00
Cosmin Polefka,Cosmin Ana
THE TWIN BLOCK IS A REMOVABLE, FUNCTIONAL
APPLIANCE
10.00-10.15
Dorina Turcu
IS CANCER IN THE ORO MAXILLO FACIAL TERRITORY
A FATAL DISEASE?
10.15-10.30
Rodica Ciobanu, Gabriela Văleanu, Maria Voroneanu
NURSE‘S ROLE IN PREPARING OF SMALL PATIENT
FOR DENTAL THERAPY
Chair: Vasilica Toma, Anissia Kadrine
12.00-12.30
Anissia Kadrine Hammoumi (Algeria)
ORAL SURGERY AND ORTHODONTICS
12.30-12.50
Liviu Oprea, Vasile Astarastoae
DENTISTRY- ETHICS AND PROFESSIONALISM
12.50-13.00
Mihaela Chis
FUNCTIONAL TREATMENT POSSIBILITIES IN CLASS III
MALOCCLUSIONS
13.00-13.10
Chibelean (Cires-Marginean) Manuela,
Jurcă Anamaria, Păcurar Mariana
AESTHETIC CRITERIA TO EVALUATE FACIAL PROFILE
IN A POPULATION OF CENTRAL ROMANIA REGION
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Scientific Programme
13.10-13.20
Dana Feştilă, Mircea Ghergie, Alexandrina Muntean,
Alin Şerbănescu
FUNCTIONAL THERAPY INFLUENCE ON FACIAL
PROFILE. CEPHALOMETRIC STUDY
13.20-13.30
Alexandrina Muntean, Michaela Mesaros, Dana
Feştilă, Anca Mesaros
ASSESSMENT OF FUNCTIONAL THERAPY EFFECTS ON
FACIAL AESTHETICS
13.30-13.40
Andreea Jianu, Victor Boboc, Maria Popa
DIGITAL PHOTOGRAPHY IN ORTHODONTICS
13.40-13.50
Anca Georgescu , Mircea Georgescu
ORTHODONTIC THERAPY OF ATYPICAL CASES
13.50-14.00
Alina Dalban Gamulescu
THE POSSIBILITIES OF CORRECTION FOR IMPACTED
TEETH
SESSION III
Chair: Alin Serbanescu, Stefania Dinu
14.00-14.10
Adriana Monea, Mariana Păcurar, Doru Roman
THE EFFECT OF LOW LEVEL LASER THERAPY ON
ORTHODONTIC CANINE RETRACTION RATE
14.10-14.20
Alin Serbanescu, Mircea Ghergie, Dana Feştilă, Adina
Tufană
REVIEW OF THE DIAGNOSIS AND THE MANAGEMENT
OF MAXILLARY IMPACTED CANINES
14.20-14.30
Silvia Izabella Pop, Mariana Pacurar, Mircea
Dudescu, Dana Cristina Bratu
TENSILE STRENGTH OF AS-RECEIVED AND RETRIEVED
STAINLESS STEEL ORTHODONTIC ARCH WIRES
14.30-14.40
Victor Costan, Irina Nicoleta Zetu
THE MINIMAL INVASIVE HARVEST OF THE ILIAC
BONE GRAFT IN TREATMENT OF THE CLEFT PALATES
14.40-14.50
Ursut Anamaria, Mihaela Chis, Maria Harceaga,
Daniela Cornea
PERIODONTAL IMPLICATIONS IN THE ORTHODONTIC
DIAGNOSIS DURING TREATMENT OF
MALOCCLUSIONS
10
14.50-15.00
Monica-Cristina Muică (Nagy-Bota), Zsuzsana Pap, A
Ghizdavăț, L Denes, Adina-Simona Coșarcă, Klara
Brinzaniuc, Z Pavai, Mariana Păcurar
THE EVALUATION OF THE EXPRESSION OF KI 67 AND
OF AQUAPORINE1 IN HUMAN DENTAL GERMS
15.00-15.15
Georgeta Burlea
THE NECESSITY OF INTERDISCIPLINARY
COLLABORATION BETWEEN SPEECH THERAPIST,
PSYCHOLOGIST AND ORTHODONTIST
15.15 -15.30
Valentina Trifan (Rep. Moldova)
ORTHODONTIC APPROACHIN TREATMENT OF
SAGITTAL MALOCCLUSIONS DEPENDING ON
DENTITION
15.30-15.45
Sponsor’s presentation-ORTHOSHOP
15:45-16:15 COFFEE BREAK
SESSION IV
Chair: Georgeta Zegan, Alina Gamulescu
16.15-16.30
Georgeta Zegan
THE VARIABLE EXPRESSION OF HYPODONTIA ON A
GROUP OF YOUNG PATIENTS
16.30-16.40
Carmen Savin, Irina Zetu, Adam Maxim, Adriana
Balan
THE STUDY OF OPG BY LEWANDOWSKI METHOD IN
A GROUP OF CHILDREN FROM IASI COUNTRY
16.40-17.00
Liviu Zetu, Cornelia Oanta, Alina Andronovici
POST-ORTHODONTIC GINGIVAL RECESSIONS’
PREVALENCE AND ETIOLOGY
17.00-17.10
Cristian Romanec, Valentina Dorobat
CLASS II MALOCCLUSIONS SKELETAL PATTERNS
VARIABILITY
17.10-17.20
Mihnea Iacob, Irina Zetu, Danut Cozma Valentina
Dorobat
A COMPARATIVE STUDY ON THE REPEATABILITY
AND RELIABILITY BETWEEN THE MANUAL AND
COMPUTER-ASSISTED CEPHALOMETRIC
MEASUREMENTS
17.20-18.00 QUESTIONS
Scientific Programme
JURY FOR ORAL PRESENTATIONS
Stella Chaushu, Adriana Balan, Viviana Tesinschi
19.30
OPENING CEREMONY
“VIVALDI” HALL PALAS
Welcome
Irina Zetu, Congress President
18.00
Informal meeting between the scientific board of the
Roumanian Journal of Physicians and Naturalists and
the Editor-in-chief of the Journal of the World
Federation of Orthodontists, Prof dr Jorge Faber;
Associate Editor of the American Journal uf
Orthodontics and Dentofacial Orthopedics , Prof dr
Leslie Will
Professor Gheorghe Boboc Memorial lecture
Valentina Dorobat, Congress Honorary President
Artistic programme
OPENNING TRADE EXIBITION
-“CHOPIN” HALL PALAS
GET TOGETHER COCKTAIL
“VIVALDI” HALL PALAS
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Scientific Programme
Friday, June 7th 2013
08.30—17.30
09.00—18.00
REGISTRATION
TRADE EXHIBITION
SESSION V
Chair: Irina Zetu, Leslie Will
8:30-9:30
Hans Pancerz (Germany)
WHEN IS THE BEST PERIOD FOR HERBST APPLIANCE
THERAPY?
09:30-10.45
David Suarez Quintanilla (Spain)
NEW CLINICAL CONCEPTS IN THE TREATMENT OF
CLASS II MALOCCLUSION: IS THE FUNCTIONAL
STIMULATION OF MANDIBULAR GROWTH A MYTH?
13.00-14.00 LUNCH
SESSION VII
Chair: Valentina Dorobat, Dana Festila
14.00-15.30
Leslie A. Will (USA)
ACCELERATED TOOTH MOVEMENT
15.30-16.30
Stella Chaushu (Israel)
MULTIDISCIPLINARY ADULT ORTHODONTICS - IN
SEARCH OF OPTIMAL TREATMENT
SESSION VIII
Chair: Mihaela Baciut, Uliana Sturza
10.45-11.00
Lidia Boboc
THE COMBINED ORTHODONTIC AND SURGICAL
TREATMENT IN HYPER DIVERGENT CLASS III
MALOCCLUSIONS
16.30-17.15
Yves Trin (France)
ALIGNERS: POSSIBILITIES AND LIMITATIONS
11:00-11:30 COFFEE BREAK
17.30-18.00
Gr. Bǎciuţ, S. Bran, I. Barbur, L. Hurubeanu, R.
Câmpian, C. Dinu, H. Rotar, I. Moldovan, S. Vǎcǎras,
M. Bǎciuţ
EASY MANAGEMENT OF DIFFICULT CASES: THE
STRAIGHTFORWARD COMBINED TREATMENT
SESSION VI
Chair: Yves Trin, Dragos Epistatu
11.30-12.00
Jorge Faber (Brazil)
COMPLEX SPACE CLOSURE OF MISSING TEETH
12.00-13.00
Niels Hulsink (Netherlands)
MYOFUNCTIONAL INFLUENCE ON THE FACIAL
GROWTH IN THE FIRST, THE MIXED AND PERMANENT
DENTITION
12.00-13.00
POSTER SESSION
JURY FOR POSTERS
Jorge Faber ,Lidia Boboc, Daniela Gologan
13.00-13.30
ARSW BUSINESS MEETING
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Vivaldi Hall Palas
17.15-17.30
SPONSOR’S PRESENTATION – DENTAL FOCUS
18.00-19.00
Krister Bjerklin (Sweden)
IMPACTED MAXILLARY CANINES
20.30
GALA DINNERCHAMBER OF COMMERCE AND INDUSTRY IASI
23.00
PARTY DENTAL FOCUS (INVITATION ONLY)
Scientific Programme
Saturday, June 8th 2013
08.30—17.30
REGISTRATION
09.00—18.00
TRADE EXHIBITION
SESSION IX
Vivaldi Hall Palas
13.00-13.15
ANNOUNCEMENT OF AWARD WINNERS
13.00-14.00 Lunch
Chair: Eugenia Popescu, Abbas Zaher
SESSION XI
8.30-9.00
Adi Rachmiel (Israel)
ORTHOGNATIC SURGERY – OUR EXPERIENCE
14.00-15.00
9.00-9.45
Mario Berengo (Italy)
MODERN ORIENTATION IN DENTAL TRAUMATOLOGY
9.45-10.00
SPONSOR’S PRESENTATION – ORTOFORUMIMPORTANTA CALITATII DE EXECUTIE A
BRACKETILOR SI A CLESTILOR IN TRATAMENTUL
ORTHODONTIC
10.00-10.30
Jorge Faber (Brazil)
ANTICIPATED BENEFIT – ELIMINATION
CONVENTIONAL ORTHODONTIC PREPARATION FOR
ORTHOGNATHIC SURGERY
10.30-11.00
Stefano Sivolella (Italy)
EXTRACTION OF IMPACTED THIRD MOLARS
11.00-11.15
SPONSOR’S PRESENTATION-ORTHOBRACKETS
11.15-11.30 Coffee break
SESSION X
Chair: Mihaela Mesaros, Mioara Decuseara
11.30-12.30
Fredric Joachim (France)
SEVERE PERIODONTAL DISEASE AND
ORTHODONTICS. THE ESSENTIAL FOR OUR DAILY
PRACTICE IN 2013
12.30-13.00
Alessandro Perini (Italy)
MINI IMPLANTS
Chair: Jorge Faber, Victor Costan
Abbas Zaher (Egypt)
THE ORTHODONTIST’S CONTRIBUTION IN AESTHETIC
DENTISTRY
15.00-15.30
Adi Rachmiel (Israel)
MANAGEMENT OF MAXILLOFACIAL DEFORMITIES
USING DISTRACTION OSTEOGENESIS METHODS
15.30-15.45
SPONSOR’S PRESENTATION-DENTAL SCAN- APLICATII
ALE COMPUTERULUI TOMOGRAF CU FASCICUL CONIC
(CBCT) IN PRACTICA ORTODONTICA
SESSION XII
Chair: Mariana Pacurar, Beatrice Velicu
15.45-16.00
Mihaela Mesaros
ASSESSING THE AESTHETIC FUNCTION IN CHILDREN
AND YOUNG ADULTS
16.00-16.15
Ligia Vaida
THE RESPONSIBILITY OF THE ORTHODONTIST IN
CASE OF CANINE ANOMALIES
16.15-16.30
Mariana Pacurar
NEW APPROACHES IN THE ORTHODONTIC
MANAGEMENT OF DENTAL TRAUMA
16.30-17.00
Irina Zetu
THE INTERRELATION ORTHODONTICS –
PERIODONTICS
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Social Programme
Sunday, June 9th 2013
7.30—20.00
EXCURSION NORTH OF MOLDAVIA
14
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Abstract Book
Thursday, June 6th 2013
9.00-17.00
PRECONGRESS COURSE
Mozart Hall Palas
ERUPTION DISORDERS THAT MAKE ORTHODONTIST’S LIFE DIFFICULT
Krister Bjerklin (Sweden)
Resorption of the incisor roots is almost impossible to diagnose clinically because of lack of symptoms. A
further complication is that it is often difficult to detect the condition on conventional radiographs, such as
intraoral and panoramic films, because of superimposition of the malpositioned canine. Especially when the
canine is buccal or palatal to the incisor root, the injury may be obscured. Even in cases without overlapping
teeth, resorption on the palatal side of the incisor root may be difficult to detect on intraoral radiographs.
In cases of ectopic, impacted canines, associated root resorption of the adjacent maxillary incisors is a serious
complication which may lead to extraction of incisors, or time-consuming and expensive treatment, including
surgical exposure of the canine and orthodontic repositioning of the maxillary teeth, or both.
When root resorption occurs, various factors determine the choice of therapy for the particular child, not
least of which is the severity and site of the resorptive lesion on the incisor root. Thus, orthodontic treatment
planning should include detailed examination to determine the presence of resorption of incisor roots and if
so, the site and severity of the resorption.
Impacted maxillary canines
Diagnostics, treatment planning, treatments, follow-up of incisor root resorptions caused by impacted canines
Ectopic eruption of maxillary first permanent molars.
Diagnostics, treatment suggestions, follow-up of the resorbed second primary molars
Agenesis of mandibular second premolars.
Frequencies, diagnostics, treatment suggestions, long-term follow-up of the second primary molars
Dr. KRISTER BJERKLIN is a well-known voice for the anomalies of eruption.
He received his dental degree at Malmö University (Sweden) and his PhDat
Göteborg University. He was Head of Orthodontics Department and Director of
the Institute for Postgraduate Dental Studies in Jönköping. Currently, Prof.
Bjerklin is Senior Consultant for the Department of Orthodontics of the Institute
for Postgraduate Dental Studies in Jönköping, but also Head of Orthodontic
Department Head of the Orthodontic Department, Faculty of Odontology,
Malmö University.
Prof.Bjerklin received the Beni Solowaward in 2008 for the best paper published
in the European Journal of Orthodontics.
He lectures since 1984 in several national and international courses
andcongresses, as well as regular speaker for the postgraduate students at the
Institute for Postgraduate Dental Education, Jönköping. He is an external
examiner at all the other Postgraduate Dental Education Institutes and
Universities in Sweden as well as Nicolas & Asp University College, Dubai.
Prof. Bjerklin is a referee for The Angle Orthodontist (USA) European Journal of
Orthodontics (Great Britain), Swedish Dental Journal (Sweden), International
Journal of Paediatric Dentistry, Orthodontics and Craniofacial World Journal of
Orthodontics, Journal of Orthodontics.
He is a member of the Angle Society of Europe, European Board of
Orthodontists, World Federation of Orthodontists, European Orthodontic
Society, Swedish Orthodontic Society.
Prof. Bjerklin published over 45 articles international scientific journals.
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Krister Bjerklin
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Abstract Book
ORTHODONTIC LABORATORY WORK AND ITS CONTRIBUTION FOR THE SUCCESSFUL COMPLETION OF
ORTHODONTIC THERAPY
Loredana Golovcencu
Department of Orthodontics, Faculty of Dental Medicine, University of Medicine and Pharmacy Iasi, Romania
Abstract. Orthodontic therapy became a common therapy in the 21st century. More and more people ,
different ages , are seeking for orthodontic treatment in order to get a better dental and facial appearance.
The orthodontic treatment involves not only the clinician, but also the orthodontic technician. The
orthodontic laboratory is a continuous presence from the first visit of the patient , when study casts are
taken, up to the end of the active treatment, when retainers are delivered. Depending on the orthodontic
strategy, the laboratory is asked to provide different types of appliances, both removable and fixed. In order
to obtain the maximum benefit for the patient, the orthodontic team should promote the highest standards
of practice and advance the knowledge of orthodontic laboratory and clinical techniques.
Loredana Golovcencu is lecturer at the Department of Orthodontics, University
of Medicine and Pharmacy "Gr.T.Popa" Iasi. She graduated in 1993 from
Faculty of Dentistry, University of Medicine and Pharmacy of Iasi and she
became specialist in Orthodontics in 1998. Dr Golovcencu completed her PhD
studies in 2008 at the University of Medicine and Pharmacy "Gr.T.Popa" Iasi,
Romania.
Dr Golovcencu has numerous papers related to her main research interests ,
the third molar, dento-facial orthopaedics and orthodontic appliances. She
attended many courses and internships in Romania, UK, Germany and USA and
she had oral presentations in over 50 national and international conferences.
Loredana Golovcencu
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Abstract Book
THE REMOVABLE ORTHODONTIC APPLIANCE
– PRINCIPLES HIDDEN WITHIN THE ROUTINE –
Anca Gorgos—Dental technicien
Department of Orthodontics, Faculty of Dental Medicine, University of Medicine and Pharmacy Iasi, Romania
The basics in creating an orthodontic appliance has at its core the efficient communication between
orthodontist and specialized dental technician. Creating a specific design (a treatment plan) that is perfectly
adapted to the case, combined with the accuracy of the technical execution, guarantee the finality of a proper
orthodontic appliance.
The presentation that is to take place during the 2013 ARSW Congress is directed primarily at dental
technicians. Its main purpose is underlining the common fundamental principles that have to be applied
rigorously and constantly during the technical steps taken while creating orthodontic appliances. These
principles are “small secrets with great results”, known by everybody, but that are exposed to the risk of
being treated superficially or even omitted. The consistency of applying these principles makes the difference
between “acceptable” and “impeccable”.
Within the context of the technical execution algorithm we have defined aspects that are related to the
accuracy of each step, starting with the correct plaster model, continuing with the understanding and
visualizing of the treatment plan, up to the finished product that has to offer a special value to the aesthetics
of the orthodontic appliance.
Deciding upon the retention areas, identifying and taking advantage of the already existent retentive
elements, appreciating the forces that are prone to destabilize the acrylic base„plate, precisely defining the
teeth upon which the active elements are applied and the direction of the orthodontic forces; all must be
treated as vital actions towards successfully finalizing an orthodontic appliance.
Starting from the fact that each orthodontic appliance is a unique product or, as we say, “for each patient, the
right appliance”, this presentation promotes the idea that, by correctly and consistently applying the basic
principles, together with the experience of the dental technician, all classic elements can be adapted to the
specific requirements of each case. This also means innovation and the willingness to put it into practice.
THE TWIN BLOCK IS A REMOVABLE, FUNCTIONAL APPLIANCE.
Dr. Cosmin Polefka, Cosmin Ana—Dental technicien
It is made up of two components, an upper and lower plate, which works together to posture the lower jaw
forward. This frees up the “locked-in” lower jaw and encourages it to grow to its fullest potential. The upper
(and sometimes lower) plate may also have an expansion screw to widen the arch.
The Twin Block appliance can be used on people of all ages, but it is usually used in children who are in their
growth phase, to treat an underdeveloped lower jaw. It is usually a “phase 1” appliance and is followed by
braces (phase 2) or a retainer.
Our presentation will help you to understand how is made and how it works.
NURSE‘S ROLE IN PREPARING OF SMALL PATIENT FOR DENTAL THERAPY
1
2
3
Medical nurse Rodica Ciobanu , Medical nurse Gabriela Văleanu , Dr. Maria Voroneanu
1.2
Emergency Clinical Hospital "St. Spiridon ", Iaşi; 3University of Medicine and Pharmacy Iasi, Romania
ABSTRACT: A solitary therapy is not enough for 100% in pediatric dentistry practice, but a combination of
several factors has a positive cumulative effect: mental preparation, pharmaco-therapeutic sedation and
locally analgesia. Psychological and drug preparation (pre-anesthetic - premedication) have as main objective
intraoperative pain control (it is done by locally analgesia) but mainly psychological reaction to pain control.
Under these conditions, preventing and combating pain as a primary source of fear which banish the child
from the dental office, is a very important objective for the dental team. Although, at the time of 2013 the
role of nursing-as member of dental team is not well defined nor properly legislated, it is and should be the
first contact for the small patient with dental area. It’s ability to identify "problem patient", anguish, and it’s
professional attitude regarding these patients may increase the efficiency of therapeutic act, providing to the
dentist a patient which is already familiar with therapy, calm and cooperative.
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Abstract Book
IS CANCER IN THE ORO MAXILLO FACIAL TERRITORY A FATAL DISEASE?
Turcu Dorina - Medical nurse
Emergency Clinical Hospital "St. Spiridon ", Iaşi
Summary
At the end of the 19th century William Osler said that the mouth represents a real mirror of the human
body, a fact admitted by the whole medical world and not only by it. This is to say, that a great number of
diseases affecting various organs and systems in the human body can be suspected or diagnosed by the mere
clinical check up of the oral cavity.
But this entrance door, that is the oral cavity, has its own various and extremely severe diseases. One of these
is the terrifying disease – cancer. At this level cancer can occur on the lips, tongue, mouth floor, gums, the
inner lining of cheeks and on the soft palate.
It is assumed that there are a number of factors and cofactors that induce cancer which have their origin in
the environment which lead to local and general modifications favoring cancer with different localizations.
Smoking and alcohol intake are the causes of cancer in more than 90% of cancer in the oral cavity.
Can oro-maxillo facial cancer be cured?
Yes, it can, provided it should be correctly treated in an early phase or in its less advanced stages. The known
methods of treatment, so far, are: surgery, irradiation, cytostatic medication. The survival rate over a period
of 5 years is 80%.
In advanced stages surgical treatment associated with irradiation and chemotherapy can cure the patient
giving him acceptable living conditions.
What can we learn from this brief presentation?
First, one should act upon the causing factors, the most common ones being: smoking, alcohol, absence of
oral hygiene.
“Smoking can kill”, but also ignorance and negligence.
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ORAL SURGERY AND ORTHODONTICS.
Anssia Kadrine Hammoumi (Algeria)
Ex Assistant Professor, Member of The SFODF
In our daily practice we are faced with specific clinical situations that lead us to a multidisciplinary treatment
plan. Among these situations we have the cases of delayed eruption that require surgery in order to expose
the teeth.
We also have treatments for adults with periodontal disease, where we can not intervene without the
previous help of a periodontist who must clean the periodontium.
Last but not least, we have the case of distal kktooth loss where there is loss of anchorage and where mini
screws for anchoring are needed. All these situations make us grateful to our fellow surgeons, because
without them many cases would not be accessible for us.
Dr Anssia Kadrine Hammoumi graduated in 1979 the Faculty of Dental Surgery
ORAN (Algeria)
In 1983 DEMS ODF in the Faculty of Dental Surgery ORAN.
Between 1983-1991 he was Assistant Professor in Tlemcen (Algeria) and
member of the National Teaching Committee between 1985-1991.
In June 1991, Dr Anssia Kadrine Hammoumi began his private practice.
In 2001 he began his training in lingual orthodontics with Dr. Fillion, Vittorio
Cacciafesta, Elisabeth Falque and Ronald Benoit. Dr Anssia Kadrine Hammoumi
trained in architectural analyses and cephalometry with Dr. Salagnac and Dr.
Delaire.
Member of SFODF, OSA (Arab Orthodontic Society), W.F.O
Anssia Kadrine Hammoumi
Board member of the regional order and President of the Discipline and
Scientific Committee.
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DENTISTRY – ETHICS AND PROFESSIONALISM
Liviu Oprea, Vasile Astarastoae
University of Medicine and Pharmacy Iasi, Romania
This paper explores the relationship between ethics and professionalism in dentistry. First, we present what
does it mean a profession as compared with an ordinary job, and apply this understanding to dentistry. We
analyze the relationship between professionalism in dentistry and the four ethical principles: respect for
patient autonomy, beneficence, non-maleficence and justice. Finally we explore and find solutions for the
tensions between dental professionalism and dental ethics.
Mr. Oprea's disciplinary area is bioethics. He has PhD degree from University
of Adelaide, South Australia and a Master of Art in Bioethics from Case Western
Reserve University in Cleveland, USA. Liviu Oprea is experienced in the
qualitative research of doctor-patient relationship and of self-management
technologies. He has a special research interest for ethical issues in primary
chronic care and public health ethics. He is also experienced in interdisciplinary
teaching in clinical ethics and public health ethics. Liviu Oprea published his
research in 10 papers in peer reviewed ISI journals and two books.
Liviu Oprea
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FUNCTIONAL TREATMENT POSSIBILITIES IN CLASS III MALOCCLUSIONS
Mihaela Chiş
Department of Orthodontics, Faculty of Dental Medicine, University of Medicine and Pharmacy Cluj-Napoca, Romania
The difficulty of the orthodontic treatment and prognostic in class III malocclusions is generated by their
heterogeneity, the skeletal pattern’s gravity, both anteroposteriorely and vertically; also they are the result of
the unknown evolution of the dentomaxillary system through growth period. The orthopedic treatment can
be taken into consideration as a solution in early detected cases, while the surgical- orthodontic approach is
suitable in the end of the bone growth. Improving the intermaxillary skeletal discrepancy in a sagittal
direction depends on the possibility of influencing the bone and muscle growth process. The achievement of
the dentoalveolar compensation of the bone discrepancy, or the improvement of the existing one offer the
possibility of orthodontic correction of class III incisal relationship. This implies the protrusion of the upper
incisors, or the protrusion of the upper incisors and the retrusion of the lower incisors, or only the retrusion of
the lower incisors. Choosing one type of appliance depends mainly on the age, skeletal pattern, presence of
the transverse maxillary deficiency, degree of the overbite and associated disfunctions. For the treatment
planning, an useful instrument is the cervical vertebrae maturation method; the purpose is to synchronize
both growth period and functional therapy.
In this study I investigated the orthodontic and orthopedic treatment solutions of 25 patients with class III
malocclusions by using different functional appliances ( trainer I.3, cemented lower front tray, Frankel III
appliance, Balters III appliance, lingual arch shield Quadhelix), as well as mento- cephalic traction or Delaire
facial mask. Thorough investigation of the clinical case, choosing the optimal solution to obtain psalidodontic
incisal relationship and stabile molar relationship, correction of the tongue position, as well as monitoring the
evolution of the dento- maxillary system till the end of the bone growth are important steps in functional
therapy of class III malocclusions.
AESTHETIC CRITERIA TO EVALUATE FACIAL PROFILE IN A POPULATION OF CENTRAL ROMANIA REGION
Chibelean ( Cires-Marginean) Manuela, Jurcă Anamaria, Păcurar Mariana
Department of Paedodontics and Orthodontics, Faculty of Dental Medicine, University of Medicine and Pharmacy TgMures, Romania
Objectives. The aim of the study was to measure the linear parameters that define the soft facial profile of a
sample of the population in the centre of Romania and to compare the differences between males and
females. These values could be useful in elaborating the aesthetic treatment goals for the population in this
area.
Material and methods. 50 subjects were included in the study – patients and students of UMF Tg-Mures (29
females and 21 males) between 18 to 28 years of age, having dental class I and well-balanced profile. The
facial profile photographs were taken in the natural head position (NHP). The anthropometric points were
located and seven horizontal linear variables that characterize a harmonious profile were traced and
measured, distance between: true vertical line-Glabella (TVL-G), true vertical line-nasal tip (TVL-NT), true
vertical line- point A (TVL-A), true vertical line-upper lip (TVL-UL), true vertical line-lower lip (TVL-LL), true
vertical line-point B (TVL-B), true vertical line-Pogonion (TVL-Pg).
Results. The values measured for the males and the females were compared. To compare the genders the tstudent test was used. Two soft tissue profile parameters were significant different between genders: TVLnasal tip (NT) and TVL-point B (p<0,005). This indicates that males had, on average, a slightly greater nasal
prominence and a deeper labial sulci compared to the females. The frontal segment (TVL-G), the upper lip
segment (TVL-point A, TVL-upper lip) had, on average, same values in both genders (1,28 mm).The lower lip
(TVL-lower lip) had bigger values (+ 0,99 mm) in females.
Conclusions. Differences between the two genders were noticed, two measurements were statistically
significant different showing that the male had greater nasal prominence and deeper labial sulci while the
female had a lower lip more prominent. The upper lip had similar values. These results show that for the
population in the centre of Romania the treatment objectives are different for females and males.
Key words: facial profile, photographic examination, linear parameters.
ACKNOWLEDGEMENT: This paper is partly supported by the Sectorial Operational Programme Human
Resources Development (SOP HRD), financed from the European Social Fund and by the Romanian
Government under the contract number POSDRU 80641.
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FUNCTIONAL THERAPY INFLUENCE ON FACIAL PROFILE. CEPHALOMETRIC STUDY
Dana Feştilă, Mircea Ghergie, Alexandrina Muntean 1, Alin Şerbănescu
Department of Orthodontics, Faculty of Dental Medicine, University of Medicine and Pharmacy Cluj-Napoca, Romania;
1 Department of Pediatric Dentistry, Faculty of Dental Medicine, University of Medicine and Pharmacy Cluj-Napoca,
Romania
Subjects and method: 30 patients with class II/1, 13 boys, 17 girls between 8-12.5 years of age, mean age
10.4±1.3, treated with functional therapy for 2.3±0.7 years long. Two lateral cephalograms, initial and final,
were traced, compared and overlaped on cranial base with sella point registered, for each patient. The
interpretation was made with Onyx Ceph. TM.2.7 program, using Burstone, McNamara, Rickets, Tweed, Wits,
Holdaway and soft tissue facial analises and comparing the values of the variables.
Results: Soft tissue facial profile depth changed statistically insignificant. Soft tissue facial profile angle
increased with a mean value of 8.630 (p<0.001) because of mandibular advancement. Nasal-labial angle
decreased from 1180 to 113.630, with a mean value of 4.370 (p<0.01) which is close to normal. Upper lip
thickness increased from 10.68 mm to 12.08 mm, with a mean value of 1.18 mm (p<0.01). Lower lip and soft
chin thickness changed statistically insignificant. The length of the lips increased with a mean of 1.63 mm for
the upper lip and 3.63 for the lower one (p<0.001). Lips position regarding the esthetic line changed as
follows: the upper lip moved in the back of the line with a mean value of 1.33 mm (p<0.001) and the lower lip
moved backward with 0.60 mm (p<0.05), but remains in front of the esthetic line. Labial-mental fold depth
decreased slightly, with 0.97 mm (p<0.05) and nasal-labial fold changed statistically insignificant.
Conclusions: The convexity of the soft tissue facial profile was diminished at the end of functional treatment
mainly because of changes in lips position and thickness, especially of the upper lip and less because of soft
chin advancement. Although the sagittal discrepancy was importantly reduced through skeletal and dentoalveolar changes, soft tissue profile does not follow them in the same manner.
ASSESSMENT OF FUNCTIONAL THERAPY EFFECTS ON FACIAL AESTHETICS
1
Alexandrina
Muntean1, Michaela Mesaros
, Dana Feştilă2, Anca
Mesaros3
1
2
3
Department of Paediatric Dentistry, Department of Orthodontics, Department of Dental Propaedeutic and Aesthetics,
Faculty of Dental Medicine, University of Medicine and Pharmacy Cluj-Napoca, Romania
Aim. Facial aesthetics is perceived in our days by children and adolescents as synonymous with social
acceptance and success. In this study we want to evaluate facial aesthetics, for patient undergoing
orthodontic treatment with functional appliances, correlated withratios indicated in literature.
Material and methods. We selected 60 patients aged between 6 and 12 years treated with functional
appliances in class II malocclusion. Facial aesthetics wasassessed in relation with the nose, lips and the chin on
standard photography. We evaluate facial proportions at the beginning and during the treatment using
specific index: upper face-face height, lower face-face height, mandibulo-face height, mandibulo-upper face
height, mandibulo-lower face height, nose-face height. We monitoredalso patient compliance related with
facial changes.
Results. Attractive face and straight teeth are essentials for positive attitude and confidence, but there
is not direct connection between individual perception and the malocclusion. Facial attractiveness is a
major concern for our patients, especially for girls (69.6%). Verticalfacial balance reveals to be an important
element observed by our patient and turn in a key factor for treatment compliance. Patients approached in
early mixed dentition perceived only a small amount of facial aesthetics improvement. Because at this age the
correlation between personal observation and the anomaly severity is not a linear one, abandon or partial
success were observe in a great majority of cases treated in this period (28.9%).
Conclusions. The main goal of orthodontic treatment is to achieve a well-balanced and proportional face in
abest possibleocclusalrelationship.Functional treatment success necessitates positive attitude and intrinsic
motivation in order to accomplish a perfect balance between aesthetics and functionality.
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DIGITAL PHOTOGRAPHY IN ORTHODONTICS
Andreea Jianu, Victor Boboc, Maria Popa;
Faculty of Medicine Sibiu, Romania
Aim, material and methods: We all know the importance and benefits of dental photography as a clinical
examination for orthodontic practice, but times have certainly changed.Now,with more emphasis on the
achievement of balanced facial harmony and smile esthetics for our patients, in additon to the traditional
orthodontic goals, the need for proper clinical photographic records of the orthodontic patient has become
essential for adequate tratment planning and follow-up.
Clinical requirements for photographic records:
 Digital Camera: a compact one or a DSLR
 Flash: Point Flash or a Ring Flash
 Macro Lens or Macro Function
 Special Cheek Retractors
 Dental Photography Mirrors
For a maximum benefit or information, there should be a minimum of nine photographs: four extra-oral, five
intra-oral.
Extra-oral: face-frontal; face-frontal; profile; 45° profile
Intra-oral: frontal – in occlusion; right buccal – in occlusion; left buccal – in occlusion; upper oclussal; lower
occlusal
Results: A good quality of an investigation method in orthodontics, beyond study models and radiographs
records, that studies the patient in a „social” setting and reveals the start point of treatment.
Conclusions: Why going digital? Because we live in this digital age, because the ease of use of such cameras,
no need to develop photos, early checking of the records, and cost-effectiveness
ORTHODONTIC THERAPY OF ATYPICAL CASES
Anca Georgescu - Constanta, Romania, Mircea Georgescu - Brasov, Romania
Private practice
The purpose. In daily practice are common clinical situations requiring therapeutic solutions not fall into the
classics of treatment.
In children and especially in adults, therapeutic decision is influenced radically by advanced dental injuries,
their complications, extraction and prosthetic work background.
Material and methods. This paper presents six clinical cases treated with fixed appliances in standard
edgewise technique using asymmetric mechanics.
Results. Treatments were completed to obtain an optimum aesthetic and functional.
Conclusions. Resolving complete and correct cases requiring interdisciplinary collaboration and cooperation
of the patient during treatment.
THE POSSIBILITIES OF CORRECTION FOR IMPACTED TEETH
Alina Dalban Gamulescu
Private practice, Brasov, Romania
The presentation is focused more on the practical side of the subject, presenting clinical cases with special
situations encountered in the practice , presenting also the way the cases where corrected especially in the
cases in which the impacted teeth are associated with maxillary cyst,dental transposition or other particular
situations. The presentation will also describe the appliances that were used from mobile to lingual fixed
appliance.
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Abstract Book
EVALUAREA EXPRESIEI KI 67 șI A AQUAPORINEI 1 ÎN GERMENII DENTARI UMANI
Monica-Cristina Muică (Nagy-Bota)1 , Zsuzsana Pap1, A Ghizdavăț 1, L Denes1, Adina-Simona Coșarcă 2, Klara
1
Brinzaniuc
, Z Pavai1, Mariana Păcurar3 2
1
3
Department of Anatomy and Embryology, Department of Oral and Maxillofacial Surgery, Department of Paedodontics
and Orthodontics, Faculty of dental Medicine, University of University of Medicine and Pharmacy Tg.Mureş, Romania
Introduction. Tooth eruption is a genetically regulated growth process, being the last stage of odontogenesis.
[1] Based on the changes occurring in the tooth bud, odontogenesis comprises 4 stages: dental lamina, the
bud stage, the cap stage and the bell stage.[2] There are only a few studies dealing with Ki67 and Aquaporin1
(AQP1) expression of human tooth buds. AQP1 is a membrane protein, a water channel, occurring especially
in renal cells and erythrocytes. Ki67 is a non-histonic protein discovered in 1991.[3,4,5] The aim of the study:
to describe the proliferation occurring in tooth buds of different stages of ontogenic development using Ki67
and AQP1.
Material and method. For the purpose of this study: tissue samples containing tooth buds were removed from
the incisor, canine and molar areas of human fetuses in different stages of development (weeks 9-10, 12-13,
13-16, 21-24). The samples were formalin fixed and paraffin embedded, then sectioned using a microtome.
Antigen retrieval was performed using moist heat. Primary antibodies were applied: Ki67 (Diagnostic
Biosystem, Pleasanton, USA, clone SP6), conc. 1/100; AQP1: Anti-AQP1, Histophatology Ltd., Hungary, clone
1/22, conc. 1/600). The following secondary system was used: UltraVision LP Large Volume Detection System
HRP Polymer (Ready-To-Use) (Thermo Scientific, Fremont, CA), according to the manufacturer's instructions.
The resulting slides were photographed and quantitatively evaluated.
Results . Ki67 expression decreases with the developmental stage of the tooth bud. This aspect has been
observed in all layers, in the inner enamel epithelium (IEE), preameloblast (PB) and ameloblast (AB) layer, the
outer enamel epithelium (OEE), the stratum intermedium (SI), the stellate reticulum (SR), and the dental
papilla (DP), outer cells of dental papilla (DP1), the odontoblast layer (O), central cells of dental papilla (DP2)
and in dental pulp (P). (Table 1)(Figure 1,2,3). Comparing teeth of similar developmental stages, but different
areas (weeks 21-24, incisor, canine, molar), the most intense proliferation is in the molars, followed by
proliferation in the canines, and the weakest proliferation is seen in the incisors. (Figure 4,) We detected
AQP1 expression in all layers of the tooth bud. (Table 2) In case of incisors, AQP1 expression decreased in
dental papilla, outer cells of dental papilla, odontoblasts, in inner cells of dental papilla and in the dental pulp
from weeks 9-10 to weeks 21-24 of intrauterine development. In case of other relationships we did not find
any significant differences.( Figure 5)
Discussions. A study on human fetuses has been performed by Guven et al. who compared weeks 13, 16, 21
and 30 of intrauterine development, and obtained similar results. They described a decrease of Ki67
expression in the papilla and the outer and inner enamel epithelium as the developmental stages were more
and more advanced. In case of the stellate reticulum and outer enamel epithelium they did not see any
proliferation after week 21.[6] In a study performed by Wang et al. on 18 week old fetuses AQP1 expression
has been demonstrated in the tooth buds.[7]
Conclusions. Ki67 expression decreases with advancement of the developmental stage of the tooth bud.
AQP1 is present in all layers of the tooth bud.
REVIEW OF THE DIAGNOSIS AND THE MANAGEMENT OF MAXILLARY IMPACTED CANINES
Alin Serbanescu, Mircea Ghergie, Dana Feştilă, Adina Tufană
Faculty of Dental Medicine, University of Medicine and Pharmacy Cluj-Napoca, Romania
Aim: Using different publications and studies, the authors made a review of the clinical and radiological
diagnosis of the maxillary impacted canines, of the interceptive therapy used for preventing and treating
impacted canines and the surgical and orthodontic management.
Methods: The authors examined multiple clinical and radiological studies and selected those related to the
prevalence, etiology and diagnosis of maxillary impacted canines, as well as those regarding a good
orthodontic and surgical management.
Results: The possible impaction of maxillary canines could be diagnosed at an early age and clinicians can
prevent it through a good clinical and radiological diagnosis, and an appropriate interceptive treatment. The
surgical techniques depend on the labial or palatal impaction and the orthodontic management varies on
every clinician’s experience.
Conclusion: Maxillary canines’ impaction is quite frequent and clinicians should be ready to manage it. With
an early diagnosis, interceptive treatment and appropriate surgical and orthodontic treatment, impacted
maxillary canines can erupt and can be guided in their right position on the dental arch.
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Abstract Book
THE EFFECT OF LOW LEVEL LASER THERAPY ON ORTHODONTIC CANINE RETRACTION RATE
Adriana
Monea1, Mariana Păcurar2 , Doru Roman2
1
Department of Odontology and Periodontology, Faculty of Dental Medicine, University of Medicine and Pharmacy
Tg.Mureş,
Romania
2
Department of Paedodontics and Orthodontics, Faculty of dental Medicine, University of University of Medicine and
Pharmacy Tg.Mureş, Romania
Background. Modern orthodontic therapy continues to advance, leading to improvements in the quality of
care. The use of low level laser therapy in addition to orthodontic treatment was studies by several
researchers, but the result remains controversial.
Objective. The aim of the study was to investigate if low level laser therapy (LLLT) associated to mechanical
forces stimulates the rate of orthodontic tooth movement.
Material and methods
The study was conducted on 10 young adult subjects who required retraction of maxillary canines into first
premolar extraction spaces using tension elastic chain with fixed appliance. LLLT vas applied buccaly to the
canine on the test side and using a pseudoaplication on the placebo site. Dental impressions, casts and profile
teleradiographs were taken at the beginning of the trial and 10 days post LLLT treatment. Data of the
biometrical progress on both sites (study and control) were statistically compared.
Results. All patients showed significant higher acceleration of the retraction of canines on the side treated
with LLLT when compared to the control.
Conclusions. Our findings suggest that LLLT does accelerate human teeth movement and could therefore
shorten the whole treatment duration.
Key words: low level laser therapy, orthodontic tooth movement
THE MINIMAL INVASIVE HARVEST OF THE ILIAC BONE GRAFT IN TREATMENT OF THE CLEFT PALATES
Victor Costan, Irina Nicoleta Zetu
Department of Orthodontics, Faculty of Dental Medicine, University of Medicine and Pharmacy Iasi, Romania
The bone grafting in cleft palate is a very important step in treatment of the cleft palate. Usually, the
harvesting of the iliac bone is a traumatizing procedure, with approximately 2 weeks period of healing. Special
devices permit minimal invasive collecting of the iliac bone, with minimal consequence on recovering of the
patient. These new approaches permit, in our experience, an easiest recommendation of bone grafting.
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Abstract Book
PERIODONTAL IMPLICATIONS IN THE ORTHODONTIC DIAGNOSIS AND DURING TREATMENT OF
MALOCCLUSIONS
Ursut Anamaria, Mihaela Chis, Maria Harceaga, Daniela Cornea
Department of Orthodontics, Faculty of Dental Medicine, University of Medicine and Pharmacy Cluj-Napoca, Romania.
Aim of investigation: Discovering the periodontal lesions in the initial orthodontic evaluation as well the
causes that may lead to these changes during the treatment. The solution to these problems is the
multidisciplinary approach.
Subjects and methods: Three clinical cases are presented in order to highlight the periodontal correlations
with orthodontic treatment.
Case 1: 7-year-old male patient with anterior crossbite ( 1.1-4.1) and vestibular gingival retraction localized in
the inferior central incisors area. The orthodontic treatment managed to remove the anterior crossbite and
also the oclusal trauma of 4.1.
Case 2: 21-year-old female patient with severe maxillary compression, class II/1 malocclusion and vestibular
gingival retraction (3 mm) in the 4.1 area, high insertion of inferior labial frenum and poor oral hygiene. The
extraction decision of 4.1 was determined by the severe periodontal suffering of this tooth, in order to obtain
the necessary space.
Case 3: 14-year-old female patient with severe crowding and functional right mandibular deviation. The
patient developed, during orthodontic treatment, a gingival hypertrophy that could have been caused by poor
oral hygiene, the fixed appliance and insuficient dosed forces, along with the pubertal hormonal imbalance.
Results: The orthodontic evaluation of the patient must be done after a complex protocol, with the active
involvement of the periodontist, not only for the periodontal certainty diagnosis, but also for the choice of
therapeutic solutions and surveillance of malocclusion evolution.
TENSILE STRENGHT OF AS-RECEIVED AND RETRIEVED STAINLESS STEEL ORTHODONTIC ARCHWIRES
Silvia
Izabella Pop1, Mariana Pacurar1, Mircea Dudescu2, Dana Critina Bratu3
1
Department of Paedodontics and Orthodontics, Faculty of Dentistry, University of Medicine and Pharmacy Târgu-Mureș,
Romania
2
Department of Mechanical Engineering, Technical University of Cluj-Napoca, Romania
3
Department of Paedodontics and Orthodontics, Faculty of Dentistry, University of Medicine and Pharmacy Timișoara,
Romania
ABSTRACT. Aim. This study was undertaken to evaluate the tensile strength of the new (as received) and used
(as retrieved) stainless steel orthodontic archwires.
Material and methods. A total number of 24 stainless steel orthodontic archwires with two different crosssection (0.016 inch and 0.016x0.022 inches) were subjected to tensile tests. An Instron Universal Testing
Machine type 3366, was used to perform the tests on 12 (6 of each cross-sectional dimension) as receveid
stainless steel archwires (group I) and 12 retrieved archwires (group II). The retrieved archwires were used in
vivo, for a mean period of 2 month. Tensile stress at yield (0,2%), tensile stress at break and modulus of
elasticity were determined. Mann-Whitney test, level of significance p<0.05 was used to statistically analyzed
the results. Statistical analysis was performed using GraphPad Prism 5.0 for Windows.
Results. The values obtained through tensile testing of the 2 archwire groups showed statistically insignificant
differences. Group I and II exhibit similar values of tensile stress at yield, at break and modulus of elasticity.
The cross sectional dimension does not modify these properties.
Conclusions. Mechanical properties such as tensile strenghth of the stainless steel archwires are not
influenced by a mean period of 2 months intraoral use.
Key words: orthodontic archwire, stainless steel, modulus of elasticity
28
Abstract Book
ORTHODONTIC APPROACHIN TREATMENT OF SAGITTAL MALOCCLUSIONS DEPENDING ON DENTITION
ValentinaTrifan, Sabina Calfa, Daniela Trifan
Department of Pediatric Surgery, Paedodontics and Orthodontics, University of Medicine and Pharmacy Chisinau
Summary. This work reflects orthodontic approach of sagittal malocclusions depending on patient
age.Sagittal malocclusion are the commonest anomalies of occlusion with aesthetic, periodontal, and TMJ
consequences.( ValentinaDorobăț, 2001).
The purpose of the study: to improve the efficiency of orthodontic treatment in sagittal malocclusions
according to the dentition with the development of diagnostic and treatment goals.
Material and methods: the study was conducted based on clinical examination,paraclinical(cephalometric
analysis,biometric study,fotostatic exam) and used orthodontic therapy of sagittal malocclusions according to
the dentition of 36 orthodontic patients.Orthodontic approach was carried out through orthodontic
appliances,removabale and fixed.Interceptive treatmentconsists in detecting dento-maxillary anomalies of
the first signs or stopping the development can be performed using the removabale appliances with
combined action or function. Functional equipmentis considered by the most authors primary impact on the
the facial skeleton on the child's growing, exerting influence on the mandibular condyle,suture zones,and the
dentoalveolar area.
Results:in the study conducted it shows, that the incidence of severe forms of sagittal malocclusions,will
decrease in case of early orthodontic treatment.Application of preventive methods will reduce the morbidity
of sagittal malocclusions, will contributeto reduce the need for late orthodontic treatment and enhance the
changes in facial aesthetics,characteristic sagittal malocclusions.
Dr Trifan Valentina graduated in 1990 at USMF " Nicolae Testemitanu" Faculty
of Dentistry, Chisinau, Moldova. In 1992 she became specialist in Pediatric
Dentistry and Orthodontics. Between 2002 and 2006 dr Trifan was involved in
several orthodontic internships at the University of Medicine and Pharmacy
"Gr.T.Popa" Iasi, Department of Orthodontics, University of North Carolina
School of Dentistry at Chapel Hill, Department of Pediatric Dentistry and Penn
Dental Medicine, Philadelphia , USA.
Currently, she is Associate Professor, Department of Pediatric Surgery,
Paedodontics and Orthodontics, USMF "Nicolae Testemitanu", Chisinau,
Moldova since 2003 and Chief of Course since 2007. Dr Trifan has many
international participations and numerous publications in the field of
Orthodontics
ValentinaTrifan
29
Abstract Book
THE VARIABLE EXPRESSION OF HYPODONTIA ON A GROUP OF YOUNG PATIENTS
Georgeta Zegan, Mavru Radu Bogdan, Cernei Radu Eduard
Department of Orthodontics, Faculty of Dental Medicine, University of Medicine and Pharmacy Iasi, Romania
Aim: Hypodontia is evaluated by the parameters which define the number of congenitally missing teeth, the
affected dental groups, the clinical forms and the topography on groups of patients and also on sexes.
Materials (or subjects) and methods: The experimental group was composed of 111 patients with ages
between 5 and 28 years (mean value: 11.09±4.289 years), 51 boys (mean value; 10.41±2.954 years) and 60
girls (mean value 11.67±5.115 years), diagnosed with hypodontia (except third molars) at the Ambulatory of
the "Sf. Spiridon" Universitary Emergency Hospital of Iasi, between 1990–2012. The hypodontia diagnosis was
established by interview method, clinical examination and by ortopantomographic evaluation. The statistical
analyses were performed using the SPSS 17.0 program for Windows.
Results: Four categories of hypodontia were revealed of the congenitally missing teeth, a high prevalence of
the premolar (mandibular and maxillary) and maxillary incisor groups, as well as the predominant presence of
the mono and unidental clinical forms of hypodontia. Hypodontia was located both unilaterally and
bilaterally, on the four dental quadrants. The differences between sexes were insignificant. Statistically
significant correlations have been established among the number of teeth, the dental groups with agenesis
and the clinical forms of hypodontia (p=0.000).
Conclusions: The prejudices of congenitally absence of teeth upon the maxillary arches and also upon the
dental and facial aesthetics call for an early tracing of hypodontia by dentists, for achieving an as cheap as
possible therapeutical management for the patients. Even if the distribution of the congenitally missing teeth
and the clinical forms are not serious in the group of population investigated here, the therapeutical
implications are quite severe – according to the IOTN and the intervention of a team of specialists is expected
to solve the subsequent complications brought about by hypodontia.
Dr. Georgeta Zegan, Associate Professor, DMD, PhD, Orthodontist, received her
dental medicine, orthodontic education and thesis of doctorate at the “Grigore
T. Popa” University of Medicine and Pharmacy Iassy, Romania.
From 2005 she is Associate Professor at the Discipline of Orthodontics and
Dentofacial Orthopedics, Department of Surgery, Faculty of Dental Medicine,
“Grigore T. Popa” University of Medicine and Pharmacy Iassy, Romania.
Assoc. Prof. Georgeta Zegan is particularly interested in clinical-experimental
research. Her main contribution has been in the field of biosignal processing,
medical records, clinical and epidemiological data bases, medical imaging and
analyzing effects of treatment of removable and fixed appliances, dental
biomaterials and craniofacial morphological changes.
She is an internationally and nationally recognized lecturer and has published
167 papers, nine books and a number of book chapters. She is a member of 21
internationally and nationally societies, and member of the advisory board
of "International Journal of Medical Dentistry" (Academy of Romania
30
Georgeta Zegan
Abstract Book
NEED FOR INTERDISCIPLINARY COLLABORATION IN THE ORTHODONTIC PATHOLOGY
Georgeta Burlea, Anamaria, Stefan Lucian Burlea
University of Medicine and Pharmacy Iasi, Romania
Summary. Spelling disorders caused by abnormal peripheral device fonoarticulator require different
specialists working within an interdisciplinary team.
Need for such a team is a modern and holistic approach in treating the case. Each team member is involved in
the medical-rehabilitation under its area of competence.
Speech therapist who specializes in many cases finds its place in this team, along with your dentist /
orthopedic surgery, etc.. Within this team, the primary diagnoses and schedule, and the recovery approach,
each specialist comes in a well-defined time. Speech therapist intervention can take place, given the
particular case at any time of the journey terapeutic. Not all organic malformations deteriorate in the same
way and degree phonemes linguistic system. There is a close connection between the device fonoarticulator
malformed body and point of articulation of a phoneme.
Therefore, some phonemes will be performed correctly, while others may be distorted or replaced.
Georgeta Burlea is speech therapist at Medical Clinic for Children " Sf. Maria"
and at Interschool Science Center of Iasi, Romania. She is also lecturer at the
"Grigor T. Popa" University of Medicine and Pharmacy of Iasi. Mrs. Burlea
graduated in 1973 at " Alexandru Ioan Cuza " University, Iasi, Romania, Faculty
of Letters, specialization linguistics, psycholinguistics and language and she was
highschool teacher until 1988. She became PhD in 2004 at Faculty of
Psychology and Communication Sciences, University of Bucharest, Romania.
Georgeta Burlea is the author and co-author of nine books, has numerous
papers published in prestigious national and international journals, five patents
and many scientific awards.
Georgeta Burlea
31
Abstract Book
THE STUDY OF OPG BY LEWANDOWSKI METHOD IN A GROUP OF CHILDREN FROM IASI COUNTRY
Carmen Savin, Irina Zetu, Adam Maxim, Adriana Balan
Department of Orthodontics, Faculty of Dental Medicine, University of Medicine and Pharmacy Iasi, Romania
Abstract. Dento-maxillo-facial asymmetries are complex abnormalities with wide clinical variability, diagnosis
of these stringent imposing the corroboration of clinical examination data with laboratory test results. Aim.
The purpose of this study was assess and quantification of dento-maxillar asymmetries in a population of
children from Iasi. Material and methods. The study was carried on a number of 75 OPG from patients who
presented to the Iași Paediatric Dentistry Clinic for various dental diseases. Chronological age limits for
children whose panoramic radiographs were analyzed were 8-12 years. All panoramic radiographs were
analyzed by Levandoski method. Results and discussions. The results of this study confirm that light dentomaxillo-facial asymmetries are encountered quite frequently in the population investigated. In patients
experiencing increases in the length of a condyle, it has been often found association with increases of
coronoid size on the same part, fact of particular relevance in diagnose of asymmetry. Measurement of the
maxillary length has shown a significantly increased percentage for the right side in comparison to the left
one. Conclusions. Levandoski analysis method of OPG represents an effective screening method for analyzing
and early detection of dento-maxillar asymmetries.
Key words: panoramic radiography, Levandoski analysis, children, dento-maxillary asymmetries.
SKELETAL PATTERNS IN CLASS II MALOCCLUSION. TELECEPHALOMETRIC STUDY.
Cristian Romanec, Valentina Dorobat
Department of Orthodontics, Faculty of Dental Medicine, University of Medicine and Pharmacy Iasi, Romania
Abstract. Class 2 malocclusion is an abnormality with high frequency, it recognizes a pluri-causal etiology,
worsens with the age, presents a great diversity of clinical forms, which imposes an extensive exploration of
the clinical case in order to elaborate the diagnostic and the treatment strategy.
The research develops identification of the skeletal patterns in class 2 malocclusion, telecephalometric study
on 52 clinical cases. The goal was to identify the skeletal patterns, their form and gravity, but also the dentoalveolar compensation phenomena in class 2 anomalies. The dento-alveolar skeletal patterns in class 2
malocclusion have been identified in our population and the pathognomonic dental, dento-alveolar and
occlusal characteristics in class 2, respectively subdivisions 2/1, 2/2 have been highlighted.
Key words: class II Angle malocclusion, skeletal patterns
A COMPARATIVE STUDY ON THE REPEATABILITY AND RELIABILITY BETWEEN THE MANUAL AND COMPUTER
-ASSISTED CEPHALOMETRIC MEASUREMENTS
Mihnea
Iacob1,Danut Cozma2, Irina Zetu1, Valentina Dorobat1
1
Department of Orthodontics, Faculty of Dental Medicine, University of Medicine and Pharmacy Iasi, Romania
2 ”Alexandru Ioan Cuza” University, Iasi, Romania
Abstract: Objectives The aim of the present study was to comparatively evaluate the repeatability and
reliability of the results obtained by manual and computer assisted tracing of a group of cephalometric
radiographs. Materials and Methods A group of 60 initial cephalometric radiographs from 60 orthodontic
patients, undertaken with the same radiological machine, was selected. The cephalometric radiographs were
traced and measured using the classic (manual) method and the Orthalis cephalometric software, using the
parameters of the Steiner and Tweed analysis. The measurements were repeated after a 30 days interval by
the same examiner. Results The manual and cephalometric tracings presented a high degree of repeatability
and accuracy. Conclusions The cephalometric software represents a useful tool for the orthodontic diagnosis
and treatment planning.
32
Abstract Book
POST-ORTHODONTIC GINGIVAL RECESSIONS - PREVALENCE AND ETIOLOGY
Liviu Zetu, Cornelia Oanta, Alina Andronovici
Department of Periodontolgy , Faculty of Dental Medicine, University of Medicine and Pharmacy Iasi, Romania
The gingival recession is defined as the migration of the gingival margin apically from de enamel-cement
junction. It is a common problem in adults, as approximately 8 of 10 people around the age of 50 have at least
one gingival recession. The sites affected most often are the inferior central incisors, the inferior canines and
the upper molars.
Although the orthodontic treatment has numerous advantages for the patient (esthetic, functional), in some
cases it is said to have caused gingival recessions.
The aim of our study was to determine if the orthodontic movements, during the orthodontic treatment, can
cause gingival recessions and what is the incidence of those recessions.
Member of the European Federation of Periodontology and other professional
societies from Romania, France and Greece. Numerous published articles in
professional journals such as: International Journal of Dental Hygiene, Journal
of Periodontology, Romanian Journal of Oral Rehabilitation, etc. Co-Author of
many chapters of professional books published at international publishing
houses, such as Nova Science Publishers, Inc., New York, USA. Adjunct Professor
at the Department of Periodontology, Faculty of Dental Medicine, University of
Medicine and Pharmacy “Grigore T. Popa” Iasi.
Liviu Zetu
33
34
Abstract Book
WHEN IS THE BEST PERIOD FOR HERBST APPLIANCE THERAPY
Hans Pancherz (Germany)
Professor Emeritus EOS
The lecture is based on 35 years of scientific and clinical work with removable (mainly activator) and fixed
(mainly Herbst) functional appliances in the treatment of Class II, Division 1 and Division 2 malocclusions. In
comparison to removable functional appliances, fixed functional appliances have several advantages: (1)
extremely efficient in post-adolescent and young adult patients, (2) stimulate mandibular growth, (3)
independent of patient cooperation, (4) short treatment period, and (5) can be an alternative to orthognathic
surgery in borderline adult Class II cases.
In evidence based orthodontics the role of both the removable and fixed functional appliances will be
addressed. However, emphasis will be placed on the Herbst appliance.
Lecture topics:

Historical and scientific background of functional appliances

Appliance design and construction

Short- and long-term treatment effects on:
(a) tooth position and occlusion
(b) mandibular growth
(c) maxillary growth
(d) masticatory muscle function
(e) TMJ
(f) facial profile
(g) parodontium

Anchorage problems

Complications

Treatment indications

Early vs. late treatment

Treatment of adults

Stability and relapse

Retention after treatment
Hans Pancherz , DDS, Odont. Dr. received his dental and orthodontic education
at the University of Lund, Sweden. From 1975 to 1985 he was Associate
Professor at the Orthodontic Department in Malmö, Sweden. From 1985 to
2005 he was Professor and Chairman of Orthodontics at the University of
Giessen, Germany. From April 2008 to October 2009 he has been Acting
Professor and Chairman of Orthodontics at the University of Marburg, Germany
He is honorary member of the Orthodontic Societies of Hong-Kong, South Africa
and Columbia and has served as Visiting Professor in Sydney 1997 and in Hong
Kong 1996 and 2007.
Professor Hans Pancherz is particularly interested in clinical-experimental
research. His main contribution has been in the field of electromyography,
cephalometric roentgenography and magnetic resonance imaging, analysing
the short- and long-term effects of removable and fixed functional appliances
on the skeletofacial structures.
He is an internationally recognized lecturer and has published more than 147
papers, two books and a number of book chapters. Furthermore, he has been
Supervisor of 60 Dr.med.dent. theses and 3 PhD theses.
Hans Pancherz
35
Abstract Book
NEW CLINICAL CONCEPTS IN THE TREATMENT OF CLASS II MALOCCLUSION: IS THE FUNCTIONAL
STIMULATION OF MANDIBULAR GROWTH A MYTH?
David Suarez Quintanilla (Spain)
Chairmen of Orthodontics-University of Santiago de Compostela
In our area Class II Malocclusion may be caused by deficient mandible (60%), dentoalveolar excess
(10%)or a combination of these (40%). Most of the patients present rotation and mesialization of the first
upper molars, a narrow upper arch, inadequate anterior guide and muscular imbalance in the Tomes Corridor.
Correction often is obtained by dental distalization with or without growth modification using
functional or direct orthopaedics. Our philosophy in the Class II treatment with the SWLF (Straight Wire Low
Friction) technique is maximum efficiency with the minimum amount of appliances. For us is very important a
new ecological vision of our treatments, using the Propioception Concept (PC) and the natural forces of the
stomatognatic system of the patient (muscular forces, eruption forces, neuromuscular stimulus, etc.). The
choice concerning the selection of appliances is not easy nor always clear, but we suggest (according to
Johnston, 2006) that our functional appliances act by holding the teeth out of occlusion and preventing dental
compensations from happening. In the Class II facial analysis is very important the evaluation of the soft
tissues, the facial profile and the lower part of the nasolabial angle. We use the classical
Class II diagnostic tools (2D cephalometric analysis, cast study ,etc.) but we have to be
open to new technologies
incorporating
new diagnostic devices
(intraoral scanner, electronic
articulator, new virtual reality software to analyse the occlusion and to predict the result of treatment,
etc.) and also new techniques/ systems/ appliances for the treatment (new functional appliances, new
tools for stimulate the OTM, etc.). We have to start the treatment on time, according with the Evidence
Based Treatment, and have an eclectic mind, combining functional and fixed appliances in the same phase of
treatment. The use of fixed and functional appliances at the same time is used to align and distal driving of
the teeth, to expand the arches, to increase the overjet ( creating enough space for the advancement of the
lower incisors) and to modify dentofacial growth in Class II patients. A favourable response includes both
restraint
of
maxillary
growth
and
differential
mandibular
growth. In skeletally immature
patients during permanent dentition, there is nothing wrong with a first phase of functional appliance
treatment ( Bionator, Orthoflex II, FR Frankel, C-Modeler, etc.) . Using SWLF fixed appliances we don´t use the
Class II elastic in the early treatment nor in the first phase. Many clinicians would like to believe that Class II
elastics can influence growth as well as it can move teeth. According with W. Proffitt, the evidence indicates
that growth modification in adolescents is unlikely with elastics or flexible spring devices as Forzus ©.
Noncompliance approaches provide an important treatment alternative for the orthodontic management
of patients with molar / dentoalveolar Class II in the maxillary (Pendulum Appliance, NiTiCoil Spring
Appliances, Herbs Appliance, Jasper Jumper, Biele ©, etc.) We use different systems and techniques for
the Class II treatment incorporating TADS. The use of miniimpnats simplifies the molar and
incisor control in the three planes of the space. It is an excellent option for the dolicocephal patients with
Class II and vertical maxilla and mandibular growth. For the second phase of treatment when we are using
fixed appliances, our philosophy comprehend the use of brackets with FSC ( friction selection control) and
superwires ( NiTi thermal wires, Beta III Titanium,etc.). We have a lot of specific protocols for each Class II
patients according to the : age and estimate growth, severity of malocclusion, facial biotype, dental and
skeletal discrepancy, compliance, etc.
Graduate in Medicine. Faculty of Medicine. University of Santiago de
Compostela, 1983. Graduate in Dental Medicine (Stomatology), University of
Oviedo (Spain), 1985. PhD in Medicine, University of Santiago de Compostela,
1985, Degree of Master in Orthodontics from University of Valencia, Spain.
Chairman of Orthodontics, Department of Stomatology since 1994 and Director
of the Masters Programme of Orthodontics since 1996 at the University of
Santiago de Compostela. Grants: 12 awards and professional honours.
Awards: ‘Rodriguez Abaitua’ of the Royal Medicine Academy of Spain. Research
award of the Spanish Dental Council (Consejo General de Odontólogos y
Estomatólogos de España). Scientific and/or clinical adviser of the: Spain and
Galicia Government, Spanish Dental Council, Spanish Dental Foundation, etc.
Member of the EOS, SEDO, WFO, International College of Dentists, the Pierre
Fauchard Academy, and founding Member of different Spanish orthodontic
societies (ONO, AESOR, etc) and on the editorial board of five dental/
orthodontic journals. Author or co-author of 14 dental and orthodontic
textbooks, 110 orthodontic articles and 145 Congress papers and posters.
36
David Suarez Quintanilla
Abstract Book
THE COMBINED ORTHODONTIC AND SURGICAL TREATMENT IN HYPERDIVERGENT CLASS LLL
MALOCCLUSIONS
Lidia Boboc, Ion Nicolescu, Simona Veronica Popa
ex Professor, University of Medicine and Pharmacy Iasi, Private Orthodontics
Hyperdivergent class lll malocclusions represent a major challenge for the orthodontist, because it seldom
offers the possibility of dentoalveolar compensations. The unpredictability of the cessation of AP and more
important vertical growth, the low tongue position which cannot be effectively changed by orthodontic
appliances, the mostly narrow lower alveolar crests with little bone around the lower roots which impedes
proper tooth positioning, the mostly narrow maxilla, the tendency for labial gingival recessions, the lack of
sufficient overbite which could eventually promise some stability for the end result of the orthodontic
treatment, are all factors which often make dentoalveolar compensations a failure.
This is why, more often than not, there is an indication for combined orthodontic and surgical treatment. This
has to be foreseen even before growth finishing, if there are therapeutical decisions to be taken for
transverse intermaxillary discrepancies or dental malpositions like ectopic canines or lower crowding.
Dr. Lidia Boboc, PhD, senior specialist in orthodontics, specialist in general
dentistry, competence in maxillodental radiology; untill 2005 senior lecturer at
the Orthodontic Clinic of the Dental Faculty Bucharest, IMF Carol Davila; after
that exclusive orthodontic private practice; membership in ANRO, AAO, EOS,
SFODF, WFO; Author of: Tratamentul anomaliilor dentomaxilare prin tehnica
Edgewise – Lidia Boboc – Editura Medicală, Bucureşti 1997; Ortodonţie practică
- Aparatele ortodontice – Dragoş Stanciu, Lidia Boboc – Editura Medicală,
Bucureşti, 1999; new edition 2001; Caiet de lucrări practice de ortodonţie–
Lidia Boboc, Dragoş Stanciu – Editura Medicală, Bucureşti, –2000; Ortodonţie
practică - Aparatele ortodontice – Lidia Boboc, Dragoş Stanciu, Anca Temelcea,
Radu Stanciu – Editura Medicală, Bucureşti, 2011.
Lidia Boboc
37
Abstract Book
COMPLEX SPACE CLOSURE OF MISSING TEETH
Jorge Faber (Brazil)
Orthodontics and Evidence-Based Dentistry- University of Brasil
A missing tooth can offer bold challenges to orthodontic treatment. The treatment plan can include the
maintenance of space for rehabilitation by an implant-supported prosthesis. However, in many cases, it might
be advantageous to close the space, especially when the gap closure provides superior esthetic results, or
when the patient simply does not want to receive implant rehabilitation. Commonly, the use of TADs as
anchorage is beneficial to the latter form of treatment. In some cases the TAD is - be it a miniplate or a miniscrew - crucial to achieve excellent treatment results, and then, the applied orthodontic mechanics has
several specificities. This conference will tackle the treatment protocol used to close the space of missing
teeth with miniplates, as well as the advantages and limitations of this treatment modality.
ANTICIPATED BENEFIT– ELIMINATION CONVENTIONAL ORTHODONTIC PREPARATION FOR ORTHOGNATHIC
SURGERY
Conventional orthodontic-surgical treatments for the correction of dentofacial deformities comprise - after
diagnosis and treatment plan - a presurgical orthodontic stage, the orthognathic surgery per se and the
orthodontic finishing stage. This treatment method has also been tested by time. It has been used for decades
and proved very effective. However, it has limitations because when patients decide to undergo the
treatment they have to wait for almost a year and a half for the surgery. This is somewhat paradoxical
since many patients who seek treatment do so motivated by the promise of aesthetic enhancement, despite
the treatment's primarily functional nature. On account of this limitation, among others, since 2004 Dr. Faber
has been using in his private practice a treatment methodology that anticipates surgery. After diagnosis, this
protocol consists in extensively planning all treatment phases, installing the orthodontic appliance, operating
on the patient and only then performing the actual orthodontic treatment. This methodology anticipates the
benefits of surgery and has, therefore, been appropriately named Anticipated Benefit Method. Although the
orthodontic plan is more complex than conventional treatment, surgical plans are not. Surgeons, however,
should be aware of all orthodontic steps taken throughout the treatment. The purpose of this lecture is to
present the rationale of this protocol.
Dr. Faber is the editor-in-chief of the Journal of the World Federation of
Orthodontists. He is an Adjunct Professor of Orthodontics and EvidenceBased Dentistry at the University of Brasilia. He was the winner of CDABO
Case Report of the Year, for the best case report published during 2009 in
the AJO-DO, and has published over than 70 scientific articles.
Jorge Faber
38
Abstract Book
MYOFUNCTIONAL INFLUENCE ON THE FACIAL GROWTH IN THE FIRST, THE MIXED AND PERMANENT
DENTITION.
Niels Hulsink (Netherlands)
Orthodontist, Researcher at Australian Research Myofunctional
Incorrect Myofunctional habits like tongue position, tongue thrust, incorrect swallowing, mouth breathing
and bad lip support, are often the cause of a malocclusion. Because of this, we have to try to correct as well
the cause and not only the dental problem. If we are not able to correct the cause in this kind of cases, than
the results won’t be as stable and good as we want.
In this presentation most of the incorrect Myo- functional habits will be showed. We are also going to look
how to recognize these habits and to find the relationship between the incorrect habit (function) and the
malocclusion (form).
Myofunctional therapy gives the best result if we can start as young as possible, between 4 and 12 years of
age. It’s very important to correct the incorrect function first before we are willing to start any orthodontic
treatment after.
If we are able to start more early, the rest of the (orthodontic) treatment that will follow, will be much more
easier, and the result more stable.
The Myofunctional therapy gives a positive result on the function, the posture and the form in the growing
child, and is therefore not an orthodontic treatment but an early treatment.
Dr. Chris Farrell designs the Myofunctional Trainers. He is the owner of the Australian Myofunctional
Research Company. These Trainers can have many benefits by young children in the first, mixed and
permanent dentition. The design of the trainers is focussed on retraining of tongue position, tongue thrust,
incorrect swallowing, mouth breathing and bad lip support. You will also see that the trainers re position the
mandible and guiding the erupting teeth in some cases.
My presentation will also teach you how to find the right indications and how to motivate patient and parent.
In 1999 NielsHulsink started working in the orthodontic market. In the first 4
years he was involved in the innovation of a new indirect bonding system, this
in cooperation with several dentists and orthodontists. During these 4 years
he worked in many dental practices and laboratories while applying this
system to orthodontic patients. For one year he also worked fulltime as an
orthodontic assistant, bonding braces directly as well as indirectly.
Since 2004 NielsHuksink has been­­ working for Myofunctional Research
Company. This company innovates and produces appliances for (early)
treatments to prevent and correct the incorrect myofunctional habits that
cause the malocclusion and many other problems concerning function and
form. Early myofunctional treatment is essential to avoid aberrant facial
growth in children.
Niels Hulsink
39
Abstract Book
ACCELERATED TOOTH MOVEMENT
Leslie A. Will (USA)
Chief of Dento-Facial Orthopedics Department- Boston University
Speeding up tooth movement has always been a goal of orthodontists and researchers in order to attract
more patients to orthodontic treatment. A great deal of research has been carried out to investigate how this
can be accomplished. Recently, several commercial devices and procedures have been introduced. How do
they work? Are they effective? What may be in the future? This presentation will review what attempts
have been made, what methods are available now, and the biologic basis for increasing the speed of tooth
movement.
Dr Leslie Anne Will is a graduate of University of Wisconsin(1976) and received
her DMD from Harvard SChool of Dental Medicine (1980). She completed her
speciality training in Orthodontics at the University of Washington in 1982. Dr
Will is board certified in Orthodontics.
Dr. Will began her academic career as an Assistant Professor at Loyola University
at both the Dental School and the Stritch School of Medicine. She then served as
Clinical Associate at the Pritzker School of Medicine at the University of Chicago
and then Clinical Associate Professor at the College of Dentistry at the University
of Illinois. At Harvard University School of Dental Medicine she served as
Associate Professor, Program Director of Orthodontics, Chair of the Department
of Growth and Development, and finally, as Associate Chair of the Department
of Developmental Biology. She served as Professor and Graduate Program
Director at Tufts University School of Dental Medicine (2007-2009). Since 2009
Dr Will is the Anthony A. Gianelly Professor and Chair, Department of
Orthodontics, Boston University Henry M. Goldman School of Dental Medicine
and since 2012 she is Adjunct Professor, University of Pennsylvania Department
of Orthodontics . In addition, she holds an appointment at Massachusetts
General Hospital.
Dr. Will is a member of the American Cleft Palate-Craniofacial Association, the
International Association of Dental Research, the American Association of
Orthodontists, the Northeast Society of Orthodontists and is an American Board
of Orthodontists Examiner. Dr. Will is Associate Editor of the American Journal
of Orthodontics and Dentofacial Orthopedics and she currently serves in several
editorail boards.
Dr Will has many research interests which include the use of cone beam CT
scans to investigate diagnostic factors and treatment outcomes, normal and
abnormal craniofacial growth and predictors of resident performance. Dr Will is
the author of 31 articles and book chapters. She lectures nationally and
internationally.
40
Leslie A. Will
Abstract Book
MULTIDISCIPLINARY ADULT ORTHODONTICS - IN SEARCH OF OPTIMAL TREATMENT
Stella Chaushu (Israel)
Department of Orthodontics- School of Dental Medicine Jerusalem
Orthodontic treatment is generally performed in healthy young patients with normally erupting teeth.
However, in the last decade or two, the demand for adult orthodontics has increased tremendously.
Orthodontic treatment in adults poses additional and, sometimes, apparently insurmountable difficulties to
the clinician. There are greater challenges in planning the appropriate treatment due to restorative and
periodontal limitations. Planning adequate anchorage can be extremely difficult when several teeth are
missing or periodontally involved. Tooth movement in the absence of proper periodontal control may
accelerate an irreversible breakdown of the periodontal support apparatus. Treatment also poses an
increased social challenge and a demand for inconspicuous appliances.
The presentation will review various challenging scenarios in the above-mentioned areas, and will underscore
the importance of teamwork between restorative dentist, periodontist and orthodontist when planning
treatment for these patients. It will offer original step-by-step solutions, employing the latest imaging
modalities, “invisible” (e.g. lingual) appliances and absolute anchorage systems to make treatment feasible,
simpler and more efficient, leading to predictable and rewarding results.
Dr. Stella Chaushu is Associate Professor and Chairperson of Department of
Orthodontics in Jerusalem, Israel. She is the coordinator of three different fields
in the department: adult orthodontics, orthodontic treatment for impacted
teeth and treatment of special needs children.
Dr. Chaushu has a PhD degree in immunology. The results of her clinical and
research activities have been published in over 70 articles in international
refereed journals and in 6 chapters in books.
Dr. Chaushu is a member of the Editorial Board of American Journal of
Orthodontics and Dentofacial Orthopedics and of Orthodontics and of The Art
and Practice of Dentofacial Enhancement and reviews manuscripts for many
international journals. Invited speaker at the national orthodontic congresses of
U.S.A., Ireland, Belgium, Netherlands, Denmark, Greece, Australia, Austria,
Cyprus, Switzerland, Germany, Poland, Turkey. She presents lectures and
courses internationally on the various aspects related to impacted teeth, the
orthodontic-periodontic interface and the delivery of orthodontic treatment to
special needs children.
Stella Chaushu
41
Abstract Book
ALIGNERS: POSSIBILITIES AND LIMITATIONS
Yves Trin ( France)
President of European Straight Wire Association, Secretary General Of French Federation of Orthodontics
The aligners technology is old, it was first used by J. Sheridan and Keith Hilliard in the 90s. The real
development has emerged a decade ago with the use of modeling and stereo lithography.
Initially, treatments were limited to a simple realignment of the incisors with or without inter-proximal
reduction.
With experience and improved technique and indications have evolved from lower incisor extraction, re-open
space, back molar correction and more.
Each technique has strengths and limitations we will review the information at present and especially the
limits. Invisalign orthocaps systems and will be compared.This review will consider periodontics and
occlusodontics. Scale of the difficulties of cases to be treated will be based on technology.
DCD,DSO,DUO,CES MD,CES ODF
Dr Yves Trin is in private orthodontic practice in Paris since 1978. Precursor
of the use of data processing in Orthodontic practice since the Eighties. He
integrated in his daily practice the contribution of data processing.
He was one of the first who used the aligners at the beginning of 2001.
Dr Yves Trin is a president of the European Straight Wire Society, Secretary
general of French Federation of Orthodontic, member of WFO and AAO.
Numerous courses and participations in prestigious national and
international conferences and meetings.
Yves Trin
42
Abstract Book
EASY MANAGEMENT OF DIFFICULT CASES: THE STRAIGHTFORWARD COMBINED TREATMENT
Surgery group: Gr. Bǎciuţ, S. Bran, I. Barbur, L. Hurubeanu, R. Câmpian, C. Dinu, H. Rotar, I. Moldovan, S.
Vǎcǎras, M. Bǎciuţ
Clinic of Cranio-Maxillofacial Surgery, University of Medicine and Pharmacy Cluj-Napoca
Orthodontists group: I. Zetu1, C. Corega, A. Serbǎnescu, M. Mesaros, V. Tǎrmure, D. Festilǎ, A. Munteanu, T.
Cocârlǎ, M. Ghergie, C. Olteanu
1
Department of Orthodontics, Faculty of Dental Medicine, University of Medicine and Pharmacy Iasi;
Clinic of Orthodontics, “Iuliu Haţieganu” University of Medicine and Pharmacy Cluj-Napoca
B. Rednik, L. Birsan, L. Vaida, D. Totolici, A. Sirbu, J. Blaga
Aim. Dentofacial deformities are deviations from the normal relations between the various dento-maxillary
segments and the facial skeleton. The study presents results of the various orthognathic surgical procedures
used for 3 D correction of dentofacial discrepancies and asymmetry. It emphasizes the favorable outcome of
the combined trreatment protocols and the importance of planning.
Material and methods. The treatment protcol was age-related and included a first stage for diagnosis of the
type and location of the deformity with various methods ranging from the classic to the modern ones (CBCT,
axiography, virtual and real 3D planning). At this stage, the orthodontic treatment was performed in order to
align the dental arches. It was followed by at least one surgical intervention for multiple bimaxillary
osteotomies.
Results. The discrepancy, the antero-posterior-, vertical,- or transverse excess or deficit were thus corrected
after adequate repositioning of the dento-osseous fragments. The last stage comprised the orthodontic or
prosthetic occlusal refining.
Cases of dentofacial deformities and complex malformation syndromes as well as their treatment using
guided callus distraction (3D „bone distraction”, with orthodontic and dentofacial orthopaedic stages
alternatively) are presented.
Conclusion. The modern, combined interdisciplinary treatment of dentofacial deformities is the only one
offering optimum and stable morphologic and functional results in time.
Dr Mihaela Baciut graduated Faculty of Dental Medicine and Faculty of Medicine,
„Iuliu Hatieganu” University of Medicine and Pharmacy Cluj-Napoca. She
completed her postgraduate specialization in Oral and Maxillofacial Surgery and
several postgraduate trainings in oral implantology, microsurgery,
ultrasonography,
maxillo-dental
radiodiagnostic,
cancer
management,
orthognathic surgery and lasertherapy. In 2003 Dr. Mihaela Baciut became PhD at
the University of Medicine and Pharmacy Cluj Napoca.
The main research interests are in the field of craniofacial surgery of complex
congenital malformations, orthognathic surgery of facial deformities and
asymmetry, oral implantology, biomaterials, craniofacial bone reconstruction and
regeneration, osteogenesis using callus distraction, Lasertherapy, craniofacial
ultrasonography.
Currently she is Professor, Department of Maxillofacial Surgery and Implantology,
Faculty of Dental Medicine at the University of Medicine and Pharmacy Cluj
Napoca. She is founding member of the Romanian Society of Reconstructive
Microsurgery, Vice president of the Romanian Society of Oral and Maxillofacial
Surgery, member of Romanian Society of Angiology and Vascular Surgery 1991,
International Association of Oral and Maxillofacial Surgeons (IAOMS), European
Association of Cranio-Maxillofacial Surgery (EACMFS), Romanian Society of Plastic
and Esthetic Surgery, Romanian Society of Ultrasonography in Medicine and
Biology, Romanian Society of Oral Implantology and Biomaterials, Romanian
Society of Lasers in Dentistry. Dr Baciut is member of the Editorial Board of Journal
of Cranio-Maxillofacial Surgery.
She has 10 books and textbooks, over 70 participations in national and
international conferences and 190 scientific articles and studies.
Mihaela Bǎciuţ
43
Abstract Book
IMPACTED MAXILLARY CANINES
Krister Bjerklin (Sweden)
Head of Department- Jonkὂping University
The maxillary canine is after the maxillary first permanent molar the most important tooth for the occlusion,
because of its anatomy and its position in the dental arch where the “cuspid protection” is fundamental for
the function. It is also important to keep an individualized and good intercanine distance with a view to have
good aesthetics.
After the third molar, the maxillary permanent canine is the most frequently impacted tooth. The prevalence
of impacted maxillary canines is about 2 per cent, more common in females than in males.
The impaction of maxillary permanent canine is a frequently encountered clinical problem and often lead to
time consuming and expensive orthodontic treatments.
The most impacted maxillary canines are ectopically positioned, palatally or bucally to the dental arch. In
European samples most impacted canines are palatally displaced.
In about fifty per cent of the impacted maxillary canines they cause resorption on the adjacent incisor roots.
It is essential that make an early diagnosis of impacted maxillary canines. At the age 9 – 11 years the position
of the maxillary canines must be settled. In most cases by clinical supervision including digital palpation. In
about 10 per cent of the children in these ages the clinical investigation must be supplemented with intraoral
radiographic investigation.
When suspicion to resorption on incisor roots the intraoral radiographs could be supplemented by
computerized tomography (CT) investigation.
Children with ectopic eruption of maxillary first permanent molars, diagnosed in 6-7 years of age, are
considered risk patients for having impacted maxillary canines some years later.
Enlarged dental follicles of the maxillary canines tell us that these canines are out of their normal position.
Dr. KRISTER BJERKLIN is a well-known voice for the anomalies of eruption.
He received his dental degree at Malmö University (Sweden) and his PhD at
Göteborg University. He was Head of Orthodontics Department and Director of
the Institute for Postgraduate Dental Studies in Jönköping. Currently, Prof.
Bjerklin is Senior Consultant for the Department of Orthodontics of the Institute
for Postgraduate Dental Studies in Jönköping, but also Head of Orthodontic
Department Head of the Orthodontic Department, Faculty of Odontology,
Malmö University.
Prof. Bjerklin received the Beni Solow award in 2008 for the best paper
published in the European Journal of Orthodontics.
He lectures since 1984 in several national and international courses and
congresses, as well as regular speaker for the postgraduate students at the
Institute for Postgraduate Dental Education, Jönköping. He is an external
examiner at all the other Postgraduate Dental Education Institutes and
Universities in Sweden as well as Nicolas & Asp University College, Dubai.
Prof. Bjerklin is a referee for The Angle Orthodontist (USA), European Journal of
Orthodontics (Great Britain), Swedish Dental Journal (Sweden), International
Journal of Paediatric Dentistry, Orthodontics and Craniofacial World Journal of
Orthodontics, Journal of Orthodontics.
He is a member of the Angle Society of Europe, European Board of
Orthodontists, World Federation of Orthodontists, European Orthodontic
Society, Swedish Orthodontic Society.
Prof.Bjerklin published over 45 articles international scientific journals.
44
Krister Bjerklin
45
Abstract Book
ORTHOGNATIC SURGERY – OUR EXPERIENCE
MANAGEMENT OF MAXILLOFACIAL DEFORMITIES BY ORTHOGNATHIC SURGERY
Adi Rachmiel (Israel)
Department of Oral and Maxillo Facial Surgery- Rambam Medical Center, Faculty of Medicine Haifa
In this presenation we will present our experience in planning and treatment by orthognathic surgery of the
following deformities:
 Mandibular and Maxillary prognathism and retrognathism
 Vertical Maxillary excess
 Open bite
 Facial asymmetries
 Deformities associated with cleft palate
MANAGEMENT OF MAXILLOFACIAL DEFORMITIES USING DISTRACTION OSTEOGENESIS METHODS
In the last century –a new technique of bone generation, term distraction osteogenesis was introduced by
Ilizarov in orthopedics and expands to oral and maxillofacial region.
Similar to limb lengthening the evolution of craniofacial distraction was based on development and
improvement of dento facial tractions, craniofacial osteotomies and skeletal fixation methods.
Ilizarov described four stages:
1. Corticotomy or osteotomy
2. Latency period for primary callus organization
3. Gradual distraction
4. Retention or consolidation period – for callus maturation and mineralization
In the lecture it will be presented our experience in:
1. Maxillary cleft deficiency using extraoral and intraoral distraction devices -Long-term results.
2. Mangement of Pediatric Obstructive sleep apnea by Distraction Osteogenesis
3. Treatment of facial asymmetries.
The use of TAD (Temporary Ancorage Devices-Orthodontic Implants) to control the distraction vector will be
also presented.
Clinical Assistant Professor at the Technion Faculty of medicine, Haifa, Israel.
Deputy Head - Department of Oral & Maxillofacial Surgery, Rambam Medical
Center, Haifa, Israel.
Dr. Adi Rachmiel graduated the dental school in 1984 at Iasi University,
Romania, and did the specialization in Oral & Maxillofacial Surgery at Rambam
Medical Center, Haifa, Israel between 1985 till 1991.
The PhD thesis title: “Characterization of membranous bone regeneration
following osteotomy and gradual distraction. Effect of TGF-β on the
osteogenesis process”.
Main clinical interests - management of oral and maxillofacial deformities,
orthognathic surgery, cleft palate surgery, facial Trauma, obstructive sleep
apnea, alveolar ridge reconstruction, distraction osteogenesis, and the
influence of growth factors to improve the osteogenesis.
Main research interests - bone formation during distraction osteogenesis, and
application of growth factors to improve the osteogenesis.
Dr. Adi Rachmiel is between the pioneers to investigate the use of distraction
osteogenesis in cranio maxillofacial both experimentally and clinically.
He has published more than 85 papers and chapters in books and proceedings.
In addition, he is an invited speaker in many national and international
conferences.
46
Adi Rachmiel
Abstract Book
MODERN ORIENTATION IN DENTAL TRAUMATOLOGY
Mario Berengo (Italy)
Director of Oral Surgery Department, University of Padova
Traumatic dental injuries of permanent teeth occur frequently in children and young adults. Crown fractures
and luxations are the most common.
Proper diagnosis and treatment planning are important for improving a favorable outcome. Professionals
should follow updated Dental Traumatology Guidelines for decision making, in order to provide the most
effective and efficient care.
This presentation aims to present Dental Traumatology Guidelines which represent the best current evidence,
based on literature search and professionals opinions.
Graduated in 1970 at the Faculty of Medicine and Surgery of University of Padua
Since graduation he worked in the same university , specializing in general
surgery and pediatry
In 1978 he’s transferred to the dental clinic of the University of Padova being
employed as a university researcher and subsequently obtained his
undergraduate degree in dentistry
Since 1994, associate professor in the Department of Dental Special Surgery
teaching specialized courses for students of Dentistry and Dental Prosthetics at
the University of Padova
Director of the Department of Oral Surgery and coordinates the specilalized
course in dental surgery for residents at the same university
Author of numerous articles on oral pathology, oral surgery and traumatology.
He held several presentations at international and national congresses and
about the same theme
Mario Berengo
47
Abstract Book
EXTRACTION OF IMPACTED THIRD MOLARS
Stefano Sivolella (Italy)
Oral Surgery Department, University of Padova
The key points in the proper management of surgical extraction of impacted third molars are scrupulous
observance of the indications Proper surgical technique and careful management of post operatory period
and complications.
Indications for extraction, in particular those correlated to orthodontics and also the implications
Surgical techniques, described in detail.
Graduated in 1994 at the Faculty of Dentistry of the University of Padua
He obtained in 1999 diploma of specialization in Oral Surgery and Oral
Pathology at the University of Florence
Since 1998 he is Professor at the Department of Oral Surgery at the University
of Padua
Doctor Whoa coordinator since 1999 for maxillo-facial surgery in Castelfranco
Veneto (TV)
Phd coordinator since 2000 of dental clinic at the University of Padua
Stefano Sivolella
48
Abstract Book
SEVERE PERIDONTAL DISEASE AND ORTHODONTICS.THE ESSENTIAL FOR OUR DAILY PRACTICE IN 2013
Fredric Joachim (France)
Periodontology and Implant Surgery- Lille
In 2013, it is established that periodontal diseases are infectious diseases initiated and/or maintained by
dental biofilms not compatible with health. These model of diseases is nowadays clearly accepted by scientific
groups all over the world. One of the clinical features of these diseases are migrations which may cause
aesthetic complains from patients but can be solved by orthodontics.
The aims of this clinical lecture is to show the following most important points, essential to be known for our
daily practice:
1. The understanding of this infectious disease and its progression.
2. The importance to stabilized the disease before to start any orthodontic treatment.
3. Orthodontics is a precious partner for the periodontist but periodontics is also a precious partner
for the orthodontits!
4. The importance of a very strict protocol in order to maximize the long-term clinical succes rate
regarding these periodontal compromised patients.
«long-term» clinical cases (up to more than 25 years follow-up) will illustrate this lecture.
Dr Frédéric JOACHIM got his D.D.S. degree from the University of Lille
(France) in 1984 and a M.Sc. degree in Periodontology at the Eastman Dental
Hospital (University of London, U.K.) in 1989.
Since 1989 he is working in Lille in private practice limited to periodontology
and implant surgery. The main field and reputation of his practice is the
treatment of severe periodontal diseases associated with orthodontic and /
or implants therapies when needed. He is still active in clinical research.
Dr JOACHIM has published several chapters in French and international
books and also many papers in French and in English. He enjoys to share his
experience with colleagues during lectures about these subjects, in France or
in foreign countries.
Fredric Joachim
49
Abstract Book
MINI-IMPLANTS
Alessandro Perini (Italy)
Member of Italian Society of Periodontology, Italian Society of Oral Pathology
One of the most profound innovations in the field of orthodontics has come with the use of mini screws.
Some authors have previously tested other systems for bone anchorage but only with these devices they
reached a simplicity of use and effectiveness that allow also an extensive clinical use.
The miniscrew in fact allows a bone anchoring with the advantage of canceling (in some cases) the use of
clasic dental braces and the need to use extraoral anchorage which is quite difficult for the patient. This
system offers bigger comfort for the patient, greater efficacy and reduction of compliance required.
From the clinical point of view, this means shorter treatment period with better final results and with the
ability to perform extremely difficult movements once made with traditional techniques.
In this presentation we will brieffly discuss the historical part, introduction and merchandise, studying all
aspects in which the use of miniscrews is within the field of oral surgery, as well as the recovery of impacted
third molars, impacted canines and the usage for orthodontic-surgical extraction, a technique performed
generally for wisdom theeth in proximity to the inferior alveolar nerve.
Graduated in 1995 at the Faculty of Dentistry of the University of Medicine
and Surgery of Padua with magna cum laude
Followed in 1996 the program "One year internship in Oral and maxillofacial
Surgery Program" at the University of Texas – Houston
In 1997 he obtained the diploma of specialization in periodontics and
intravenous sedation, and in 2002 the diploma in surgical emergencies
Since 1998 he is professor at the department of oral surgery and since 2004 at
the Department of Oral Pathology teaching courses for students of dentistry at
the University of Padua
Organizer of 1998 together with Prof. Mario Berengo of specialized course in
oral surgery for residents in the University of Padova
Between the years 2007-2009 he has conducted activities as associate
professor in the faculty for dental hygienists
He is an active member in several scientific associations such as: EAO
(European Association for Osteointegration) SIDP (Italian Society of
Periodontology) SIPMO (Italian Society of Oral Pathology), SICO (Italian Society
of Oral Surgery), ANDI (Italian National Association of Dentistry)
In parallel with the academic activity he operates in his own dental studio
since 1997 in Pieve di Cadore, his area of expertise is in implantology,
reconstructive surgery, periodontics and oral pathology
Author of numerous articles on oral surgery and pathology. Presented at
numerous national and international courses and congresses about the same
theme.
50
Alessandro Perini
Abstract Book
THE ORTHODONTIST CONTRIBUTION IN AESTHETIC DENTISTRY
Abbas Zaher (Egypt)
Department of Orthodontics- University of Alexandria
The ultimate desire of patients seeking orthodontic treatment is the excellent dental and facial esthetics; the
active phase of orthodontic treatment is considered finished and ready for retention only when certain
occlusal criteria are met.
The most recent practice in orthodontic finishing will be presented identifying the most common Occlusal,
Periodontal and Esthetic finishing factors in healthy dentulous patients and explain how these can be
modified to achieve an excellent finished result in adults with compromised dentitions.
DDS. University of Alexandria 1981
MS orthodontics, University of Alexandria 1986
PhD Orthodontics, University of Iowa and University of Alexandria 1992
Visiting Fellow to the University of Iowa USA, 1989 – 91
Currently; Professor, Department of Orthodontics at the University of Alexandria
Visiting Assoc. Prof. Marquette University, USA
Visiting Assoc. Prof. Cairo University, Egypt
External examiner, 6th of October University, Egypt
Visiting Professor, Department of Orthodontics, the American University of
Beirut, Lebanon
Vice-President of the World Federation of Orthodontists
Board Member in the Egyptian Orthodontic Society,
Honorary Member in the Saudi Orthodontic Club,
Founding Member in the Arab Orthodontic Society and
International Member, the American Association of Orthodontists.
Lectured in Egypt, Lebanon, Syria, Morocco, Tunis, Saudi Arabia, Italy, Mexico,
France and USA.
Have more than 35 scientific publications in Egyptian and international journals.
Received the Helen and B. F. Dewel Clinical Orthodontic Award for the best
Clinical Article in the American Journal of Orthodontics and Dentofacial
Orthopedics, 1995.
Abbas Zaher
51
Abstract Book
ASSESING THE AESTEHETIC FUNCTION IN CHILDREN AND YOUNG ADULTS
Michaela Mesaros, Anca Mesaros, Alexandrina Muntean, Radu Rares Nicolae
Department of Paediatric Dentistry and Orthodontics, Faculty of Dental Medicine, University of Medicine and Pharmacy
Cluj-Napoca, Romania
The aesthetic function is one of the most important functions for the human being, threw which it integrates
into society. Alterations of this function can lead to inferiority complexes, inadaptation and social isolation.
Nowadays, the interest shown by the patients to this function has become significantly higher.
Alterations of aesthetics can be perceived by the patient himself , if he arrived at the age at which he is
preoccupied by personal appearance and can determine inferiority complexes or by the patients parents or
entourage. Identifying and correcting these alterations exo- and endobuccal at an early age can lead to better
therapeutically results from the physiognomic point of view than if they were to be performed at a later stage
of development, sometime after the end of growth.
AIM: The present study wishes to describe and identify the facial modifications of the appearance from
frontal and lateral view on a group of patients that presented themselves at the Dental Pediatric Clinic from
Cluj-Napoca between 2000 and 2010. The study consists in a descriptive part and a statistical one.
MATERIAL AND METHODE The study was conducted on a group of 121 selected patients from a total of 167
with ages between 6 and 14 examined in the Dental Pediatric Clinic from Cluj-Napoca. The other 46 patients
were excluded from the study because they did not meet the selection criteria.
RESULTS AND DISCUSSIONS The study emphasized the difference of addressability between female and male
patientsseeking dental treatment in favor of the female group and also a direct relation between the aging
process and the perceived importance of the aesthetic appearance.
CONCLUSIONS The perception of a less desirable personal appearance represents a reason of addressability
for patients in Orthodontic services and starting a treatment at a proper age, during the development of the
dento-maxilary system will have a beneficial impact on the improvement of facial appearance.
Dr Florica Michaela Mesaros is Chef Department and Professor in the
Department of Paediatric Dentistry and Orthodontics , Faculty of Dental
Medicine, University of Medicine and Pharmacy “ Iuliu Hatieganu” Cluj Napoca,
Romania. She became specialist in Orthodontics and Dento-facial Orthopaedics
in 1991 and PhD in 1998 at the University of Medicine and Pharmacy “ Iuliu
Hatieganu” Cluj Napoca , Romania. In 2004 Dr Mesaros got her competence in
maxillofacial radiodiagnosis.
Professor Mesaros has numerous participations in national and international
prestigious conferences and many relevant publications.
Michaela Mesaros
52
Abstract Book
THE RESPONSIBILITY OF THE ORTHODONTIST IN CASE OF CANINE ANOMALIES
Ligia Vaida, Bianca Ioana Todor, Raluca Dima
Department of Dentistry, Faculty of Dental Medicine, University of Medicine and Pharmacy Oradea, Romania
Aim. The purpose of this study was to evaluate the frequency of canine anomalies and the opportunity and
possibilities of dental arch alignment of the canine with various anomalies. Material and methods. We
performed a statistical study of the canine ectopia and impaction. The sample included a total of 627 patients
aged 14-28 years. Both in the case of canine impaction and canine ectopia we took into consideration the
maxillary or mandibular positioning of the canine, the oral or buccal positioning of the canine, the presence of
unilateral or bilateral abnormalities. We used the following radiological investigation methods of the canine:
orthopantomography, occlusal radiographs, lateral cephalometric and the CB-CT method. For exemplification
we shall present several cases from my personal casuistry, including a case of canine transmigration. There
will also be several borderline cases regarding therapeutic options for impacted canines. Results. The
frequency of canine ectopia is very high, reaching values of 23.6%. The frequency of canine impaction that we
came across was of 2.34%. The CB-CT method is the best option for the accurate diagnosis of impacted
canines in terms of their root appearance and relations with neighbouring anatomical structures. Conclusions.
Given the major role which the canine holds in the functionality of the stomatognathic system, it is necessary
to address these anomalies with maximum responsibility in the current context, taking into consideration the
fact that the possibilities for investigation and for orthodontic and surgical-orthodontic treatment are highly
performant. Keywords: ectopic canine, impacted canine, orthodontic treatment.
Dr. Ligia Vaida graduated in 1995 from University of Medicine and Pharmacy
“Iuliu Hatieganu“, Cluj-Napoca, Romania. She has been practicing
Orthodontics since 2000 and completed her PhD studies in 2008 with a PhD
thesis. She is currently an assistant professor of Orthodontics at the
University of Oradea, Romania, and also runs a private practice in Oradea.
She has published more than 100 articles, abstracts and books, focusing on
psychological implications and other orthodontic themes such as researches
concerning RME. She has participated to several national and international
congresses where she presented various papers and conferences
She was a member of the Romanian Editorial Board of “Journal of Oral
Health and Dental Management in the Black Sea Countries”, in 2008-2009.
She is a member of the European Orthodontic Society, member of the
Senate of the University of Oradea, member of the National General
Assembly of Romanian Dental Medical College.
Ligia Vaida
53
Abstract Book
NEW APPROACHES IN THE ORTHODONTIC MANAGEMENT OF DENTAL TRAUMA
Mariana Pacurar
Dean of Faculty of Dental Medicine, Department of Orthodontics, University of Medicine and Pharmacy Targu Mures ,
Romania
The most common causes of dento-facial trauma are accidental falls, road accidents and sports. The
treatment of severe cases like dental intrusion needs a multidisciplinary approach but relies mostly
on orthodontics. If, in the case of a non-complicated tooth fracture it is decided that the treatment of choice
consists of adhesive reattachment, than the fragment must be kept moist until the procedure.
Dr Mariana Pacurar graduated from the University of Medicine and Pharmacy of
Tg Mures Romania in 1983. Currently she is Professor and Head of the Department
of Orthodontics, University of Medicine and Pharmacy, Tg Mures. Dr Pacurar is
also the Dean of the Faculty of Dentistry , Tg Mures, Romania. She became
specialist in General Dentistry in 1992 , specialist in Orthodontics in 1996 and
specialist in radiological diagnosis in dentistry in 2005.
Dr Pacurar received her PhD degree in 1999 at the University of Medicine and
Pharmacy Tg Mures, Romania. She had numerous internships and trainings in
Romania, Norway, Denmark and she is a member of EOS, ADA, Pierre Fouchard
Academy, International Association of Pediatric Dentistry, Romanian Association
of Pediatric Dentistry, UNAS and vice-president of ANRO (Romanian Orthodontic
Association), ARSW (Romanian Straight Wire Association), Edgewise College.
Dr Mariana Pacurar is vice executive editor of the Orthodontics and Dento-facial
Orthopedics Revue, Iassy,member of the scientific editorial board of Dentistry in
Mures County, review edited by the Association of the Doctors in Dentistry, Mureş
county and member of the research collective under the Tempus international
programme for oro-dental prophylaxis. She has numerous participations in
national and international orthodontic meetings and conferences and she is the
author and co-author of many books and articles published in prestigious journals.
54
Mariana Pacurar
Abstract Book
THE INTERRELATION ORTHODONTICS – PERIODONTICS
Irina Zetu, Liviu Zetu
Department of Orthodontics, Faculty of Dental Medicine, University of Medicine and Pharmacy Iasi, Romania
Gingival recession is a frequently observed clinical situation. The occurrence of recessions was found to
increase with age. Frequently interested are the mandibular central incisors, the maxillary canine ,the first
premolar . The etiology of the gingival recessions is not completely elucidated and it is multi-factorial.
Predisposing factors are necessary for the onset of the recession and are essentially anatomical. Initiating
factors which, in a risk area, will promote the onset of the recession. Among the determining factors we will
notice the periodontal inflammation caused by the bacterial biofilm (dental plaque), the patients with
aggressive brushing (mechanical trauma), the intraoral piercing, the latrogenic factors. The key question
would be: Is orthodontic movement of the teeth is one of the determining factor? Based on various clinical
cases and on literature results , we display that the orthodontic treatment has periodontal limits, specific for
each patient and that the orthodontist- periodontist should evaluate together the risk-benefit balance for
each patient.
Dr. Irina Zetu is Adjunct Professor at the department of Dento- Facial
Orthodontics and Orthopedics, University of Dental Medicine “Grigore T. Popa ”
Iasi. Chief of Surgery I Department University of Dental Medicine “Grigore T.
Popa ” Iasi. Coordinator of Postgraduate orthodontic programme, PhD in
Medical Sciences.
Numerous papers published in specialized national and international
magazines. Four published books in dental medicine expertise. Numerous
training stages and clinical programs developed abroad. Member in numerous
societies and organizations, both national and international: AAO, EOS, ESWS,
WFO,SFODF, ANRO, ARSW. Numerous participations at national and
international dentistry congresses.
Irina Zetu
55
56
Abstract Book
CORELATIONS BETWEEN RELAPSE AND THE TYPE OF RETAINER APPLIANCE USED
Bianca Ioana Todor, Ligia Vaida
Faculty of Medical Sciences and Pharmacy, Dental Medicine Section, University of Medicine and Pharmacy Oradea,
Romania
Scope: This study aimed to highlight the interdependence between the occurrence of relapseand the type of
retainer appliance used, in the context of various risk factors.
Material and method:
The relapse during orthodontic treatment is the normal reaction of human body to reestablish the
homeostasis existing before treatment. In most of cases the relapse expresses the loose of balance between
form and function.
There are many factors that contribute to relapse, such as:age, constitutional type, type of facial
development, type of dental-facial anomaly, gravity of anomaly, the association of dysfunctional factors, the
collaboration level as well as the result of active orthodontic treatment.
During the preliminary stage of study it was considered a sample of 569 patients that had followed
orthodontic treatment,with ages varying from 9 to 25 years old.Out of this sample, 501 patients followed a
treatment with fixed orthodontic appliances while 68 were treated using mobile orthodontic appliances. At
the end of the active orthodontic treatment, those patients were installed retainers of the following
type:Hawleyplate, vacuum splint-capand retainers. The patients were then scheduled to attend checks during
retaining period, at time frames varying from 6 to 12 weeks. The sample was monitored for relapse evaluation
for 3 years.
Results: Out of 501 patients with fixed orthodontic appliances, there were just 312 attending the checks
during the relapse period. Out of the 312 patients, the relapse was observed to 107 of them, such as: 29% of
the patients with retainers presented relapse, whilst 21% of the patients with vacuum splint-cap presented
relapse and 32% of the patients with Hawley plate presented relapse as well.
Conclusions: Due to the complexity of factors contributing to relapse occurrence, as seen during assessing the
above mentioned sample no matter the retaining method in use, the relapse remains a subject incompletely
understood and subject to a continuous debate.
THE EPIDEMIOLOGY OF DENTO-MAXILLARY ANOMALIES AND THE IOTN INCIDENCE ON A SAMPLE OF
CHILDREN AND YOUNG ADULTS FROM NORD-EAST OF MOLDAVIA AREA
Sorana Rosu, Carina Balcos, Catalina Danila, Irina Zetu
Department of Orthodontics, Faculty of Dental Medicine, University of Medicine and Pharmacy Iasi, Romania
Purpose: assessment index of orthodontic treatment need (IOTN) and the benefits of it.
MATERIALS AND METHODS: lot includes 650 subjects aged 6-29 years who have a wide range of orthodontic
pathology.
The diagnosis was based on clinical examination, radiological and study model.
Giving IOTN scores was performed by examining the study models and photographs of pre-treatment of
subjects assigned a score for each of the two components of the index AC and DHC.
Results and Discussion: The study global treatment need to observe that the group needed treatment
prevails aesthetically moderate, followed by a slight need and a clear need for treatment.
Study global treatment need in terms of dental health, points out that the study group subjects must prevail
high and very high.
Conclusions. Application of IOTN index allows the identification and quantification of potential patients need
treatment (in terms of aesthetics and dental health) in order to establish priority of orthodontic treatment.
In the study group we identified a small number of subjects who had a low need for orthodontic treatment.
THE VALUE OF THE SURGICALLY ASSISTED RAPID MAXILLARY EXPANSION
Victor Costan, Irina Nicoleta Zetu
Department of Orthodontics, Faculty of Dental Medicine, University of Medicine and Pharmacy Iasi, Romania
The surgically assisted rapid maxillary expansion is a procedure with fast and predicable result. The surgical
procedure is not a very traumatic one and it is recommended to the patients after finishing the period of
growing. In our experience, the method is a reliable one and permits diminishing the treatment period,
sometimes avoiding a new surgical procedure.
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NOONAN SYNDROME: A CASE REPORT CLINICAL FEATURES AND TREATMENT GUIDELINES
Raluca Maria Mocanu, Irina Nicoleta Zetu, Adriana Bălan
Department of Orthodontics, Faculty of Dental Medicine, University of Medicine and Pharmacy Iasi, Romania
Noonan syndrome is an autosomal dominant multisystem disorder. This syndrome is associated with cardiac
anomalies and a distinctive facial appearance, characterized by genetic heterogeneity. Noonan syndrome
affects both females and males, and has a estimated incidence of 1 per 1000- 2500 live births. The report
aimed to present the cranio-dento-facial findings in a case of Noonan syndrome in a 6-year-old male.
The patient presented a facial dysmorphism with bilateral telecanthus, hypertelorism, ptosis and a tendency
for exophtalmos. The face shape was one of inverted triangle, with a relatively large nose and full lips. He had
a tendency for lip incompetence and he reported the habit of mouth breathing.
Oral examination revealed the primary dentition with extensive and multiple profound caries lesions , most of
them with atypical locations and defects in teeth mineralization and dystrophies. The lower primary central
incisors were exfoliated and the primary upper incisors had baby bottle tooth decay. The patient presented a
narrow high-arched palate with prominent rugae. The presence of an important skeletal anterior open bite
can be clinical correlated with the thrust tongue habit with abnormal swallowing pattern, although no nasal
obstruction was found. The postlacteal plane was in mesial step.
A multidisciplinary approach- pedodontic, orthodontic and endocrinologic treatment was planned. The
patient’s growth and hormone level was closely monitorized by the endocrinologist. The patient received a
myofunctional appliance, in order to correct the tongue thrust habit and to control the anterior skeletal open
bite during the period of upper and lower incisors eruption. The frequency of control visit are at 2 months and
the eruption needs to be supervised.
MULTIDISCIPLINARY MANAGEMENT OF OLIGODONTIA
Ştefania Dinu*, Alexandru Ogodescu*,Emilia Ogodescu*, Mălina Popa*, Cristian Dorin Dinu**
* Department ofPaedodontics-Orthodontics, Facultyof Dental Medicine, University of Medicine and Pharmacy Timișoara,
Romania ** Private Practice, Timişoara, Romania
Aim: The purpose of this poster presentation is to describe the management of a case of nonsyndromicoligodontia and to present the clinical implications and the patient’s restorative treatment.
Subjects and method:A 19 years old female patient was referred to the University Of Medicine and Pharmacy
Timisoara, Faculty of Dental Medicine, for orthodontic treatment and replacement of missing teeth.
The clinical and radiographic examinations, including cephalometric, orthopantomographic and intraoral
radiographs, revealed that 9 permanent teeth were absent.The treatment plan included 2 phases, the
orthodontic therapy and theprosthetic rehabilitation.
Results: After 2 years of orthodontic treatment, reconsidering the quality of bone in the edentulous area, a
conventional dentalbridgeswere preferred in this case. The conventional bridges have been used to provide
a fixed option in this severe case where adhesivebridges were impractical and implant treatment would
involve grafting, which the patient wishes to avoid. The final prosthetic rehabilitation was performed with
porcelain fused to metal crowns, which provided a satisfactory functional and aesthetic result.
Conclusions: Treatment in the present case includes multidisciplinary management to improve not only
speech, aesthetic and masticatory function, but also has major psychological implications. It is very important
to make clinical and radiographic examination to every patient with retained primary teeth for early diagnosis
and intervention to improve oral health and to avoid psychological distress.
HYPODONTIA OF 6 PREMOLARS: CASE REPORT
Cernei Eduard Radu, Irina Zetu
Department of Orthodontics, Faculty of Dental Medicine, University of Medicine and Pharmacy Iasi, Romania
Congenital missing teeth are a common anomaly in the craniofacial skeleton. The agenesis of the 4 maxillary
premolars and mandibular second premolars is uncommon in orthodontic patients. Therefore we want to
report a case of a patient aged 20 years who presented for aesthetic and functional disorders in the Clinic of
Orthodontics and dento-facial orthopedics in Iasi. On extraoral examination facial changes occur not relevant.
Clinical examination reveals Class III Angle molar malocclusion, frontal open bite, the presence of temporary
canines on the upper arch, mesial inclination of the lower permanent molars, enamel damage of the upper
central incisors. OPT examination and anamnesis diagnosed agenesis of upper premolars and lower second
premolars. The lateral cephalometric indicates a slight skeletal Class II (∠ ANB inv. = 3.040).
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TREATMENT OF CLASS II DIVISION 1 MALOCCLUSION WITH MYOFUNCTIONAL TRAINER SYSTEM IN
GROWING PATIENT
Ștefania Dinu, Alexandru Ogodescu, Lazea Andreea, Cristina Lazăr, Luca Magda
Department of Paedodontics-Orthodontics, Faculty of Dental Medicine, University of Medicine and Pharmacy Timișoara,
Romania
Aim:Aim of this report is to describe the results of the two-stage myofunctional treatment of a patient in
mixed dentition with class II malocclussion division 1, deep bite, increased overjet and gummy smile,
hyperactive mentalis muscle on swallowing.
Subjects and method: A 9-year-old girl patient reported in good health with chiefcomplaint of protrusion of
upper frontal teeth and unpleasant looks.
In this clinical situation the objectives of our treatment were to reduce the skeletal class II pattern,control
bicuspids and canines eruption, establish correct overbite and overjet, improve gummy smile and the lip
incompetency. The myofunctional treatment included the use of Interceptive Class II Appliance i-2™
(Myofunctional Research Co.) without core in the first stage and with core in the final stage. The active
treatment time was 20 months, using the elastodontic appliances every day for 2 hours and overnight.
Results: At the end of the active treatment, the patient had normal overjet and overbite, fully competent lips,
lip trap completely eliminated and straight facial profile. The correction of skeletal class II malocclusion was
obtained in 20 months just using Interceptive Class II Appliance i-2™ at the right time of eruption of
permanent teeth.
Conclusions: The treatment of skeletal class II division 1 depends upon the growth potential, age of the
patient, severity of malocclusion, and, the most important, patient’s collaboration. This case demonstrates
that the myofunctional appliances induces dentoalveolar changes with a significant reduction of overjet and
can be successfully used with appropriate patient selection, during growth phase.
THE INFLUENCE OF CARIOUS LESIONS FROM TEMPORARY MOLARS ON THE CARIOUS RATE OF THE FIRST
PERMANENT MOLARS
Laura- Maria Gavrila, Marinela Pasareanu, Dana Cristiana Maxim, Vasilica Toma
Department of Paedodontics, Faculty of Dental Medicine, University of Medicine and Pharmacy Iasi, Romania
Summary. The aim of the study is to evaluate the influence of the temporary molars odonto-periodontal
status on the carious rate of the first permanent molars.
Material and methods: The study lot consisted of 212 subjects (104 girls and 108 boys) aged between 6 and
12 years, from both urban and rural areas of Iasi county.
Results: On the maxillary, the first permanent molars (1.6, 2.6) submitted simple caries at a rate of 11,32%
and black spots in 24,52% of the cases, being associated with the presence of simple caries in first temporary
molars (5.4, 6.4) at a rate of 23,07%, respectively 27,65%, and on the second temporary molars (5.5, 6.5) at a
rate of 40%, respectively 40,42%. On the mandible, the first permanent molars (3.6, 4.6) submitted simple
carious lesions at a rate of 20,75%, respectively 18,86%, and black spots at a rate of 22,64%, respectively
26,41, being associated with simple carious lesions on the first temporary molars (7.4, 8.4) at a rate of
30,23%, respectively 27,27%, and on the second temporary molars (7.5, 8.5) at a rate of 40%, respectively
34,04%.
Disscution: In our study, similar statistical data have been obtained to those from the study accomplished by I.
Mejàrea et al. (2001) in which they concluded that the carious rate of the first permanent molar depends on
the status of the second temporary molar, and, from the study undertaken by Skeie, MS et al. (2006), which
raported the fact that carious experience on the second temporary molars is the best predictor of carious risc
on the first permanent molars.
Conclusions: The carious rate of the first permanent molars depends on the temporary molars odontoperiodontal status.
The first permanent mandibulary molars have been affected more than the maxillary ones, while the
temporary molars, both mandibulary and maxillary, have been almost equally affected by the simple caries.
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Abstract Book
THE PAPILLA PRESENCE INDEX (PPI) DURING THE INTERDISCIPLINARY ORTHODONTIC TREATMENT OF
ADULT PATIENTS
Alexandru Ogodescu, Magda Luca, Emilia Ogodescu, Ștefania Dinu, Mălina Popa
2nd Department, Discipline of Paedodontics-Orthodontics, Faculty of Dental Medicine, University of Medicine and
Pharmacy Timișoara, Romania
Aim of investigation: The presence or absence of the interdental papilla during the orthodontic treatment of
adults is a topic of great concern since it involves great esthetic and functional problems. The purpose of this
clinical trial is to highlight the incidence of these unsightly areas on a group of adult patients who have
undergone orthodontic treatment and to evaluate their evolution with the Papilla Presence Index (P.P.I.)
proposed by Cardaropoli and coworkers.
Subjects and methods: The trial included a group of 21 adult patients of both sexes, with ages between 22
and 57, whose photos, radiographs and dental study models were analyzed at the beginning of the
orthodontic therapy, after completion of the alignment and leveling stage and at the end of the treatment.
The assessment included the aspect of the gingival embrasure following the alignment of the teeth, local
periodontal evaluation and the use of P.P.I. The patients were treated by dental stripping followed by
orthodontic space closure of the spaces, periodontal microsurgery, prosthetic veneers or a combination of
the three.
Results: All examined patients presented “black triangles” with a maximum at the end of the alignment and
leveling stage when a P.P.I. score of 3 or 4 was present in 57% of the cases. At the end of the treatment P.P.I.
scores of 3 or 4 were present in only 24% of the cases.
Conclusions: “Black triangles” represent an important issue in the orthodontic treatment of adults and it
should be considered at the start of the treatment. By anticipating the evolution and applying a proper
interdisciplinary cooperation protocol we can obtain optimal results for both physician and especially for the
patients.
RECONSTRUCTION OF THE INTERDENTAL PAPILLA USING AN INTERDISCIPLINARY ORTHODONTIC AND
PERIODONTAL APPROACH
Alexandru Ogodescu*, Ștefania Dinu*, Emilia Ogodescu*, Magda Luca*, Ștefan Stratul**
Department of Paedodontics-Orthodontics, Faculty of Dental, University of Medicine and Pharmacy Timișoara, Romania
Department of Periodontology, Faculty of Dental, University of Medicine and Pharmacy Timișoara, Romania
Aim of investigation: Frequently during the orthodontic treatment of adults the “pink” aesthetic becomes a
problem due to loss or absence of interdental papilla. This clinical situation known as “black triangles” is
unacceptable to the patient since it involves both esthetic and phonetic problems. The purpose of this case
report is to describe a new protocol of papilla reconstruction with an interdisciplinary orthodontic and
periodontal approach.
Subjects and methods: To improve the appearance of the esthetic zone of a 22 year old girl a combined
periodontal surgery and orthodontic technique were used. The surgical periodontal technique consisted of
placing a connective tissue graft into the pouch created at the base of the papilla. The gingival embrasure was
reduced by stripping followed by orthodontic space closure.
Results: This combined orthodontic and periodontal surgical technique lead to an enhancement of the height
of the papilla, an improvement of the papilla presence index (PPI) and a proper esthetics.
Conclusions: This case report reveals a new therapeutic possibility for the reconstruction of the interdental
papilla and emphasizes the importance of interdisciplinary collaboration.
CHANGES IN PERIODONTAL-PATHOGENIC MICROBIAL FLORA DURING THE FIXED ORTHODONTIC
TREATMENT
Liviu Zetu, Ionut Aevoae, Alina Adronovici, Mugur Cojocaru
Department of Periodontology, Faculty of Dental Medicine, University of Medicine and Pharmacy Iasi, Romania
Specialized studies demonstrate some unfavorable influences that orthodontic treatment can have
sometimes on periodontal tissues. This study analyzes in real time through PCR which are the modifications of
periodonto-pathogenetic microbiological flora at 6 months from the beginning of the orthodontic treatment
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Abstract Book
ORAL HABITS IN CHILDREN - A PREVALENCE STUDY
Iulia M. Ştefănescu, O. Stefanescu, Irina Zetu
Department of Orthodontics, Faculty of Dental Medicine, University of Medicine and Pharmacy Iasi, Romania
BACKGROUND: The influence of oral habits on dental and facial development and on malocclusion prevalence
is still a subject of great interest in the literature. The impact of oral habits on dental and facial development
has been well documented over the past 100 years, although there are still many that ignore this fact.
AIM: to determine the prevalence of oral habits among children in primary school, according to sex.
MATERIALS AND METHOD: This sample had 416 children aged 6-11 years old. The children were selected
from urban and rural public schools of Bacau and Iasi, Romania. The sample included 211 boys and 205 girls.
The prevalence of a habit was recorded by interview, clinical and paraclinical examination. Sex differences
were calculated by using Fisher's exact test to evaluate statistical significance for oral habits between male
and female children. This report is a part of a larger study on oral habits and its impact on oral development.
RESULTS: showed that the prevalence of oral habits was of 27,5%. The prevalence of oral habits derived from
this sample is representative for the school population in Romania in the age group of 6-11 years. Mouth
breathing was the common habit (19,1%) followed by tongue thrusting (6,3%) and tongue sucking(2,1%)
Tongue thrusting was common in girls when compared to boys.
CONCLUSIONS: There were no significant differences between boys and girls regarding the prevalence of
oral habits . For the specific habit types there was a sex difference. Mouth breathing was the common habit
for both sexes and tongue thrusting was common in girls.
Key words: tongue thrusting, mouth breathing, oral habit
SMILE AND THE ORTHODONTIC TREATMENT
Bogdan Dragomir, Irina Zetu
Department of Orthodontics, Faculty of Dental Medicine, University of Medicine and Pharmacy Iasi, Romania
In recent years, increasingly more patients are addressed and the orthodontist to correct the appearance of
facial aesthetics, that would allow a better integration in life, especially in your relational life. In this context
Smiles quality assessment appears as a primary document in your assessment of a final result of orthodontic
treatment.
May we trust in numbers, angles or their intuition, aesthetic appreciation in orthodontics and maxillofacial
assessment dismorfozelor repercussions is examining patient's face and profile either radiographic or
photographic or optical. To be convinced of this fact, it is enough to revise the definitions of "aesthetic facial
lines."
Note that we are "forced" to look at each patient through the eye engraver ancient Egypt, though the image
to judge whether our treatments have achieved the aesthetic plan, the most important goal: improving
Smiles. This becomes even more important today in the century photography, cinematography and television
we propose a "publicity smile" with perfectly aligned teeth, white, bright smile evolved into a labial labial
dental smile which, though pleasant to the sight, seems often artificial, devoid of personality. But the media,
increasingly more present in everyday life, understanding the importance of this expression and exploiting it
to the maximum contributed to the emergence of a true "investment" to create a standard image for
individual feel good, so good .
An asymmetric smile that reveals cavities or crowded incisors, an edematous gingiva or absence of one or
more teeth will create person looks at him, as a person who would look at herself in a mirror, a sense of pain
and not pleasure . In this socio-economic context orthodontist has the responsibility to rebuild "facial image"
pleasant, so treatment to address not only therapeutic but also aesthetic. But we question whether we need
to align "Smiles teeth" according to your personality or it is required to follow the rules and canons of beauty
of our age. The risk of patients depersonalize us? We don’t aim to answer this question but just want to raise
awareness on the importance of medical colleges Smiles and we propose elements of study and reflection,
featuring series of clinical cases of patients with malocclusions in different specialties of physicians found
that, and the results that we can obtain through our orthodontic treatments.
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Abstract Book
ASSESSMENT OF VERTICAL FACIAL SYMMETRY OF A GROUP OF STUDENTS
Georgiana Macovei, Buturca Diana-Alexandra, Monica Mihela Scutariu, Dragos Fratila, Irina Zetu
Department of Orthodontics, Faculty of Dental Medicine, University of Medicine and Pharmacy Iasi, Romania
Symmetry, in particular the facial symmetry is often perceived as the same concept as beauty. Anthropometry
is the science which involves determining the human measurements and proportions, based on race, sex or
age. From ancient times the aesthetic concept was used which established the harmonious human physical
proportions. A series of anthropometric measurements are used in orthodontics and dentistry in order to
assess the vertical facial symmetry of our patients.
The aim of the study: Assessment of vertical facial symmetry to a number of students of both sexes in order
to evaluate the differences that can be distinguished by gender and individual characteristics.
Material and method: The study group was represented by a total of 30 students, 15 female and 15 male. To
measure vertical symmetry we used the following methods: Leonardo Da Vinci, Leonardo Da Vinci modified,
Boianov and Boianov modified. Data processing was performed using Microsoft Office Excel 2010.
Results and conclusions: After processing the data obtained by the methods mentioned, we found significant
differences between the results obtained from the study group. Vertical dimension of the lower and middle
facial height varies by gender and the characters of the individuals studied.
Key words: the face symmetry, anthropometric measurements, aesthetics.
THERAPEUTIC CLASS II- POST-ORTHODONTIC TREATMENT
CASE REPORT
Ionescu –Lungu Andreea, Ene Elena, Marinescu Radu, Zetu Irina
Department of Orthodontics, Faculty of Dental Medicine, University of Medicine and Pharmacy Iasi, Romania
In some cases of skeletal and dental class II malocclusion, a compromise therapeutic option is single maxillary
extraction, getting in the final a “therapeutic “ occlusion. For patients who can recover the skeletal
discrepancy by mandibular growth only by surgical option, teenagers with a unfavorable growth scheme and
as well as in some adults cases, we can use this pseudo-surgical solution.
In this context we will present a clinical case from a patient with a class II hypodivergent dental-maxillary
disharmony, at which we extracted 2 premolars only at the maxillary. With the help of a bonded orthodontic
appliance Roth prescription slot size 0,022-0,028 inch, we compensated the skeletal disharmony by bringing
back the incisor-canine group until the contact with lower arch.
By applying a particular treatment protocol, in the end we got a satisfactory functional and aesthetic result,
with a molar class II relation mentained.
BIMAXILLARYOSTEODISTRACTION AN ALTERNATIVE NONEXTRACTIONAL SOLUTION FOR THE
MANAGEMENT OF CLASS ONE MALOCCLUSIONWITH CROWDING.
D. Angelescu, M. Baciut, S. Bran, M. Mesaros
Department of Orthodontics, Faculty of Dental Medicine, University of Medicine and Pharmacy Cluj-Napoca, Romania
Class one malocclusion with crowding represents more than a half from the total dento-maxillary anomalies.
The management of this malocclusion implies either an extractional or annonextractional approach.
Mandibulo-maxillary ostodistraction represents a nonextractionalalternative for class one anomalies with
crowding and maxillaries transversal deficiencies. This case report describe the surgical-orthodontic approach
of this kind of malocclusion. To accomplish the treatment objectives that were established at the beginning of
treatment, two different osteodistractors were used: one tooth borne on the maxilla and the other bone
borne on the mandible. The space gain by this procedure was enough to accomplish a good result. This fact
proves that mandibulo-maxillary osteodistraction is a viable alternative for the management of this
malocclusion .
62
Social Programme
Thusday, JUNE, 06th 2013
OPENING CEREMONY
Time:19.30h
Venue: The Congress and Exhibition Palace in
Congress Hall Palas Iasi
(Vivaldi Rooms)
Dress Code: Business casual
ARTISTIC PROGRAMME
The band “Stars of Music” Iasi
Instructor prof. Anca Apetroaiei
Dancer Band “Doina Carpatilor”
Violonist Marinica Botea
Coregraphy Petre Susu
Friday, JUNE, 07th 2013
GALA DINNER
Time: 20.30h
Venue: Chamber of Commerce and Industry Iasi
Dress Code: Lounge Suite
Dress Code: Casual
DENTAL FOCUS PARTY TIME
Time: 23h
Venue: Zona de agrement Ciric
Dress Code: Casual
Sunday, JUNE, 08th 2013
CONGRESS OUTING
07.03h
20.00h
Departure from Iasi
Details will remain secret.
Return to Iasi
63
Information | Useful Information
Congress Venue
The Romanian Orthodontic Straight Wire Association Congress will take place in the Congress Hall Palas Iasi.
Official languages
The lectures will be presented in Romanian or English. The pre- congress course will be presented in English.
Trade exhibition
A trade exhibition of orthodontic materials and equipments will take place during the congress.
Certificate of attendance
Certificate of attendance is going to be presented to all registered participants with 50 EMC Credits.
Registration Desk
Registration and information desks will be located at the Congress Hall Palas Iasi and will be open during the
congress.
Lunch and Refreshments
Lunches are not included in the delegates' registration fee. However, the Palas Iasi has a Restaurant –
Cafeteria and several restaurants are located in and around the congress center. Coffee breaks are included in
the registration fee. Coffee and tea will be served in the exhibition area during the breaks.
Climate and Clothing
During June the temperature is mostly warm. The average temperature in the daytime is 13-25°C. At night it
may be cooler, so it is advisable to bring some warmer clothes. Occasional rain showers may occur. For more
information go to: www.weatherspark.com/forecasts/yr/Romania/Iasi
Photographing and Video Recording
Photographing or video recording of oral and poster presentations is not permitted.
Liability
By registering for the congress and/or by participating in the exhibition, participants agree that neither the
organising committee nor the congress secretariat assume any responsibility for damage or injury to persons
or property during the congress. Participants and exhibitors are advised to organise their own health, travel
and personal insurance.
64
Filiala Iasi
IV
International
Congress
ARSW 2013
Iasi, Romania