The relationship between the orthodontist and the surgeon is like a long-standing partnership. They spend time together, they write to each other, they complement each other, but do they truly understand each other?
I had a feeling that wasn't the case. That there were still areas of uncertainty, things left unsaid. So, to dispel this fog, I decided to cross the line. To literally go to the other side of the wall.
I interviewed ten maxillofacial surgeons. I didn't want textbook answers, I was looking for their truth: >How do they see our cooperation?
What do they expect from us? And also, who does what?
And that finally, our two monologues become a true dialogue.
Standardizing surgical preparation with splints: a reliable and reproducible protocol allowing for rapid occlusion.
By controlling the post-surgical occlusal plane, this protocol will minimize the risk of relapse.
Most Class III malocclusions are usually considered "surgical" once they are beyond the reach of orthopedic or orthodontic treatment.
But what kind of orthopedics are we talking about? Is it early orthopedics or late orthopedics, for example, using Bollard plates?
And does the phrase "beyond reach" mean that the treatment goals are unattainable? And if so, why?
In attempting to answer these questions, we are led to examine the functional nature of Class III malocclusions and the systemic approach to their correction.
This reflection leads to a proposed preferred treatment and posits that masticatory rehabilitation is a natural mechanism for consolidating corrections, whether
orthopedic, orthodontic, or even surgical.
The choice between surgical or non-surgical treatment requires a decision-making process that goes beyond simple skeletal diagnosis, taking into account the patient's opinion and life circumstances.
This presentation describes a patient whose treatment is feasible under both options. The key factors influencing the decision (aesthetics, function, invasive technique, duration, and social context) are evaluated. Through this clinical case, we address the diagnostic data and the social context to determine a therapeutic strategy.
Orthodontics and Periodontics: Allies or Adversaries?
Orthodontics plays a key role in periodontal health, with effects that are often beneficial but sometimes detrimental. For example, it can improve oral hygiene by correcting malpositions or restore function following secondary migration, a frequent consequence of periodontal disease. However, uncontrolled tooth movement or inadequate retention can lead to gum recession and periodontal complications. A multidisciplinary approach is essential to maximize benefits while minimizing risks to the supporting tissues of the teeth.
SQODF & consultant in a consulting firm specializing in the low-carbon transition
Towards a low-carbon office: issues and solutions
Where do our impacts come from, and what are our levers for action in the short, medium and long term? This presentation, conceived as a discussion between Dr Pastwa and Dr Oosthoek, will attempt to stimulate reflection on the decarbonization of our activity, and more broadly on what the transition to a more sustainable practice implies.
Doctor of Dental Surgery – Specialist in Dentofacial Orthopedics – Former Intern at the Hospices Civils de Lyon – University Diploma in Medical Law – Faculty of Law, University of Lorraine
1. Towards eco-responsibility in the practice: issues/solutions (joint conference with Dr. Justin Oostoek)
In the face of the climate challenge, general and specialist dentists must integrate measures into their daily practice to reduce the environmental impact of their offices. However, little data exists on the challenges of the ecological transition in dentistry.
2. Removal of orthodontic brackets and integrity of the enamel surface
The goal of a removal protocol is to ensure the complete removal of the composite resin without damaging the enamel surface. A systematic review was conducted to analyze the impact of orthodontic removal on the enamel surface.
The orthodontics of tomorrow / fixed braces versus aligners
How to involve patients in an eco-responsible approach to try to understand their ecological impact
The practice of our profession as orthodontists has a significant environmental impact.
Ignoring this aspect is hardly acceptable today, and the whole point of this conference is to try to propose and explain a replicable ecological project, allowing us to minimize this impact while involving our team and our own patients.
Academic Director of the "University Diploma in Environmental Medicine" (DUME), Henri Mondor University Hospital, Faculty of Medicine Paris/Créteil.
Endocrine disruptors: what are the health risks?
University lecturer in the Department of Conservative Dentistry – Endodontics at the Faculty of Dental Surgery in Strasbourg -
Academic coordinator of the University Diploma in Smile Aesthetics in Strasbourg
How to treat leukemia or white spot
Aesthetic expectations are increasing, particularly at the end of orthodontic treatment.
Our patients often find it difficult to accept discrepancies in shape, color, or symmetry after spending many months, or even years, with the orthodontist.
Preservative dentistry, based on adhesion, effectively addresses these end-of-treatment concerns by adapting to the patient's age.
This aesthetic dentistry is now a valuable aid in completing orthodontic treatments thanks to techniques such as injected composites, veneers, cantilever bridges, stain removal through erosion, whitening, and more.
This conference aims to explain, through numerous clinical videos, the contribution of these aesthetically pleasing, preservative techniques to the completion of orthodontic treatments.
