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.
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 implant 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.