Contemporary Orthodontics

 

Randall C. Shults, D.D.S.Chairman
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 physiology. Since 1993, Dr. Shults has been in private practice in Wellington, FL. He is currently an adjunct clinical professor with the Department of Orthodontics at Nova Southeastern University College of  Medicine, director of the Palm Beach County Orthodontic Assistant Certification, 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

  • Over-View of Contemporary Orthodontics
    • Treatment Goals
           1. “Ideal” Occlusion
           2. “Ideal” Dental Esthetics
           3. “Ideal” Facial Esthetics
       
    • Deviation from Ideal: When is it a Problem?
      1. Occlusion
        a. Class I – Dental Malocclusion
        b. Class II and Class III malocclusion
        (1) Dental Malocclusion
        (2) Dento-Skeletal Malocclusion
      2. Facial Esthetics
  • Treatment Options
    • Class I
      a. Expansion versus Extraction
    • Class II and Class III Dental and Dento-Skeletal Malocclusions
      a. Orthodontics and Dento-Facial Orthopedic Growth Modification
      b. Orthodontic Camouflage
      c. Surgical Orthodontics
         (1) Orthognathic Surgery
         (2) Distraction Osteogenesis

  • How I Place my Braces and Why

    • Contemporary Appliances
      1. Labial verses Lingual Braces
          a. Components: bands, brackets, attachments
      2. Aligners (“Invisalign”)
      3. “Active” Retainers
    • Physiology of orthodontic tooth movement
    • 1.  PDL and Bone Biology
    • 2.  Orthodontic Anchorage
    • How Effiecient is the Mechanical Couple
    • 1.  Braces
    • 2.  "Invisalign"
    • 3.  "Active" Retainers
    • Braces Placement
    • 1.  Direct bonding
    • 2  Indirect bonding

  • Lecture 3:  Class I Treatment

    • Dental Spacing
    • Dental Crowding
      1. Expansion: where, how much, what age
      2. Extraction: where, why, what age
    • Pre-prosthetic Orthodontic Tooth Movement
    • Braces verses Aligners
      1. When and Why

  • Lecture 4:  Class II & Class III Treatment

    • Envelope of Treatment
    • Growth Modification
      1. Headgear
      2. Tooth Borne: herbst, forsus, acrylic functionals
      3. Skeletal Anchorage
    • Camouflage
      1. Extraction
      2. Skeletal Anchorage
    • Orthognathic Surgery
    • Distraction Osteogenesis

  • Complex Interdisciplinary Treatment

    • Referrals
    • Treatment Sequencing
    • Communication

  • Present your Patients

    • Course participants present their patients
      1. Treatment Planning guidance
      2. Advice regarding patients currently in treatment