Author Topic: The Crooked Path - Orthodontic interview series  (Read 740 times)

april

  • Private
  • Jr. Member
  • *****
  • Posts: 66
  • Karma: 5
The Crooked Path - Orthodontic interview series
« on: May 03, 2016, 09:23:39 AM »
I came across this recent series of interviews with various ortho specialists.

https://www.youtube.com/channel/UCSwGOw3jo1zXx96oyXXF1LA

I haven't watched all of them but here are some relevant ones I've watched so far.

Episode 7: Interview with Dr. William M. Hang - Talks on problems of extractions/retraction on airway and aesthetics, TMJ.



Quote
Dr. William Hang for many years has been the foremost practitioner, instructor and innovator of the Orthotropics philosophy and technique, originated by John Mew. He transformed Mew's ideas into his own Face Focused concept. Dr. Hang is committed to treatment approaches that do not retract the teeth regardless of the patient’s age. He has lectured world-wide on airway-keying and face focused orthodontics

april

  • Private
  • Jr. Member
  • *****
  • Posts: 66
  • Karma: 5
Re: The Crooked Path - Orthodontic interview series
« Reply #1 on: May 03, 2016, 10:16:48 AM »
Episode 4: Interview with Prof. Jeffrey P. Okeson - This is on TMJ, ortho and occlusion. The importance of orthopedic stability when changing the occlusion.

Proper interview starts at 3.30!



Even though this is about the debate surrounding ortho causing TMJ, I find it EVEN MORE relevant to us given that that surgery dramatically and suddenly changes the occlusion. This is something I'm really worried about with surgery. I know that A&G address this, but I don't know if others do.

His point is that the joints and occlusion need to be in harmony. In a different video somewhere he talk about it being like a 3-legged chair - with the two joints on one end and the teeth on the other - if one is off balance, everything is off balance.

Some points for those who don't watch:

*Aesthetics are important but a more important factor is function, you can have good aesthetics while having having poor function. That poor function goes a lifetime and sometimes a lifetime of misery.
 
*Every patient deserves orthopedic stability.

*If an orthodontist builds an occlusion in a very unstable orthopedic position that patient has a greater risk factor for developing TMJ disorders.

*For us to assume orthodontist could not cause problems is pretty naive.

*More risk in adults than adolescents/children.

*When orthodontists are trained to do things well there is no risk factor. But we have to worry about the ortho who is not thinking about joint position.
« Last Edit: May 03, 2016, 10:42:09 AM by Bee18 »

april

  • Private
  • Jr. Member
  • *****
  • Posts: 66
  • Karma: 5
Re: The Crooked Path - Orthodontic interview series
« Reply #2 on: May 03, 2016, 11:04:21 AM »
Episode 1: Montefiore Medical Center, NYC. Interview with Dr. Steven Y. Park - ENT/Sleep medicine doctor