Contemporary Orthodontics (Virtual)


Randall C. Shults, D.D.S., MA, PhD

Dr. Randall Shults received his Doctor of Dental Surgery degree from the University of Colorado School of Dentistry and earned a certificate in orthodontics at the University of North Carolina at Chapel Hill. He also holds a PhD in sensory physiology. Since 1993, Dr. Shults has been in private practice at Shults Orthodontics in Wellington, FL. He is the past President of the Palm Beach County Dental Association and former chairman of the Palm Beach County Peer Review. He maintains memberships in the American Association of Orthodontics, Southern Association of Orthodontists, Florida Association of  Orthodontists, South Florida Academy of Orthodontists, American Dental Association, Florida Dental Association and the Central Palm Beach County Dental Association.

 Course Outline

 I.     Lecture 1: Overview of Contemporary Orthodontics

Orthodontic treatment in the 21st century will be examined within the framework of “ideal” occlusion, “ideal” dental esthetics and “ideal” facial esthetics.  We will explore when and why deviation from “ideal” is a problem from two perspectives:
First, dental malocclusion will be compared and contrasted with skeletal malocclusion.  Second, the impact of dental and skeletal malocclusion on facial esthetics will be quantified, simplifying both diagnosis and treatment planning.

An overview of the course will then be presented by briefly discussing management of common orthodontic problems such as “simple” class I crowding – should you extract, or expand?  To complete the overview, treatment of more complex class II and class III malocclusions requiring dental-facial orthopedic growth modification, orthodontic “camouflage” or surgical orthodontics will be presented.

 II.   Lecture 2:  How I Place My Braces and Why

Contemporary orthodontic appliances have changed dramatically in recent years in terms of what they look like, how they function and the manner in which they are placed in the mouth.  This lecture will review conventional orthodontic brackets, newer “self-litigating” brackets and digitally enhanced braces (“Suresmile” and “Insignia”).  We will explore why bracket placement is important and how to        reliably and easily achieve and optimal bracket position.

The basic physiology of orthodontic tooth movement will also be reviewed to put perspective on the opportunities and limitations of braces verses removable appliance systems such as “Invisalign” or “active” retainers.

III.  Lecture 3:  Class I Treatment

Lecture 3 will review treatment of “simple” class I malocclusions involving either dental spacing or crowding.  The extraction verses expansion debate will be discussed for both options in terms of where, why, how much and at what age. Pre-prosthetic orthodontic tooth movement will also be addressed from the perspective: braces ro aligners, when and why?

IV.   Lecture 4:  Class II and Class III Treatment

The concept of “envelope of treatment opportunity” will be introduced with respect to the treatment of more complex class II and III malocclusions.  Treatment options may be limited based on severity of the disproportion and growth status of the patient.  Contemporary orthodontic mechanics including orthopedic growth modification, orthodontic “camouflage”, surgical-orthodontics, distraction         osteogenesis and skeletal “anchorage” strategies including temporary anchorage devices (TAD’s) and endosseous dental implants will be examined in detail.

V.     Lecture 5:  Complex Interdisciplinary Treatment

Complex interdisciplinary treatment involves establishing a “team” with effective communication to optimally meet these patient’s special needs.  We will discuss the coordinated treatment or pre-prosthetic patients involving the timing and location of dental placement, the timing and benefits of pre-prosthetic orthodontic tooth positioning (with and without endosseous dental implant anchorage) and the timing of periodontal and surgically assisted orthodontic tooth movement.

VI.   Lecture 6:  Present Your Patient

The last session has been one of the most exciting in pevious years.  Course participants are invited to present their patients.  The goal is to facilitate your decision making during treatment planning, offer guidance for your patients already in treatment and answer questions you may have regarding patients     who have finished treatment or may be seeking additional treatment.

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