The Modern Goals of



ORTHODONTICS
Do Thi Ngoc Anh, DDS, MDent
Dr. Do Thi Ngoc Anh
 Content

1 Goals of Orthodontics

2 Classification
 Why? Crossbite

Crowded

Protruding
teeth
 Why?
•  Align Teeth
 DEFINITION
ORTHODONTICS
•  Ortho: Thẳng
+
•  Odont : Răng
Before
+
•  Ics: Bộ môn

After
Goals?

SO,
ORTHODONTICS
JUST HELP TO
ALIGN TEETH???

MORE
THAN
THAT!
 GOALS

JAW

TEMPORO-
MANDIBULAR TEETH
JOINT

FACE SOFT TISSUE

Edward H. Angle
 The development
•  Align teeth and the correction of facial proportions
Before Angle •  Little attention to bite relationships
Before 1890

•  Concept of occlusion
Angle •  Best esthetics when having ideal occlusion
1890

Tweed
•  Enhancing facial esthetics
1940s
MODERN GOALS OF ORTHODONTIC

Facial
proportions

The soft
tissue
Paradigm
Dentition
The Soft Tissue Paradigm
The Soft Tissue Paradigm

Diagnosis

Stability
Soft Goal

tissue

Plan
Modern Goal: What different?
Modern Goal: What different?
 GOAL
•  Clean
 GOAL
•  Improve smile
 GOAL
•  Profile
 GOAL
•  Growth
CHANGE LIFE
 Content

1 Goals

2 Classification
CLASSIFICATION OF ORTHODONTICS
Prevention

Interceptive

Purpose Comprehensive

Orthognathic

CLASSIFICATION
Supportive

Removable
Appliance
Fixed
 CLASIFICATION

PREVENTION •  Prevent bad habit

•  Treat in mixed dentition

INTERCEPTIVE •  Guide occlusion normal
development
 CLASIFICATION

Prevention

Interceptive
 Occlusion  
Right  Side   Dental  Midline   Le>  Side  
n  Molar  Class:    I  Angle
  n  Upper:  ok   n  Molar  Class:  III  Angle  

n  Canine  Class:  I  Angle   n  Lower:  ok   n  Canine  Class:  I  Angle  
     
 
Case
Case 1: Quy trình
Ban đầu
 CLASIFICATION

COMPREHENSIVE
• Permanent
dentition
Clinical case
BEFORE
PROCESS
AFTER
AFTER
 CLASIFICATION

•  > 18
ORTHOGNATHIC •  Orthodontic
+ Jaw
Surgery
Orthognathics
Change life…
 CLASIFICATION

•  Implant
•  Peridontics
SUPPORTIVE •  Prosthetics
•  …
SUPPORTIVE
 Question

1. Modern Goal?

Face or Teeth?
Patient problem or
occlusion?
 Question

2. Case: Should do
Orthodontics treatment?
 Conclusion
•  Modern Treatment Goals: The Soft Tissue
Paradigm - Focus on facial and oral soft
tissues

•  Clasification
ü Prevention
ü Interceptive
ü Comprehensive
ü Orthognathic
ü Supportive
Conclusion
 Reference
•  Lee W. Graber et al (2016), Orthodontics:
Principle and Technique. Mosby, 6th edition
•  William R. Proffit, et al (2018),
Contemporary Orthodontics. Mosby, 6th
editon