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UNIVERSITA’ DEGLI STUDI DI CAGLIARIScuola di Specializzazione in Ortognatodonzia

Direttore Prof. Vincenzo Piras

PROBLEM SOLVING

The process of finding solutions to difficult issues

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PROBLEM SOLVING

Systematic Approach

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What is the best

solution?

HOW TO SOLVE THIS PROBLEM?

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Pretreatment lateral and posteroanterior cephalometric and

panoramic radiographs

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Am J Orthod, St. Louis, v. 70, no. 4, p. 358-397, 1976. 5. Ricketts RM. et al. Orthodontic diagnosis and planning – their roles in preventive and rehabilitative dentistry.

DECISION MAKING

Act

of narrowing down

the possibilities,

choosing a course of

action

and determining the

action’s potential

consequences.

PROBLEM SOLVING PROCESS

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PROBLEM SOLVING PROCESS

Accepting the Problem

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PROBLEM SOLVING PROCESS

STEP 1 : What is the problem?

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PROBLEM SOLVING PROCESS

STEP 2 : What are the alternatives?

0

2

4

6

Estraction No Estraction Surgery Compensation

aestheticsocclusionmechanics

Create a vast number of possible solutions without judging these solutionsEnza Robotti

STEP 3 : What are the ADVANTAGES and/or the DISADVANTAGES of each alternative?

PROBLEM SOLVING PROCESS

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1. Improve aesthetics2. More difficulty in biomechanics

3. Surgical risks4.Tooth loss

STEP 4 : What is the solution?

PROBLEM SOLVING PROCESS

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The patient said she was unhappy about his smile.. She was SOCIALLY EMBARASSING!

We decided to estract premolars and have a preorthodontic treatment and a surgical treatment.

IS IT POSSIBLE TO TEACH PROBLEM

SOLVING SKILLS?

KNOW THE DIFFERENT STAGES OF TREATMENT MECHANICS FOR DIFFERENT MALOCCLUSIONS ACCORDING TO THE DIFFERENT

PHILOSOPHY

to help improve understanding

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BYOPROGRESSIVE STEPSEXTRACTION TREATMENT – GENERAL SEQUENCES

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MAXILLARY ARCH

• Extraction of both maxillary first

premolars

• Arch allineament and closure of

the spaces

• Movement of the canines into the

arch

Ricketts RM, Bench RW, Gugino CF, Hilgers JJ, Schulhof RJ: Bioprogressive therapy, Book I, Denver, 1979,

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BYOPROGRESSIVE STEPSEXTRACTION TREATMENT – GENERAL SEQUENCES

MANDIBULAR ARCH

• Decompensation of the incisors

• Leveling of the curve of Spee

• Estabillishment of interarch compatibility

STEP 5 :How well is the solution working?

Multidisciplinary approach to treatment

PROBLEM SOLVING PROCESS

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Post-treatment results

Post-treatment lateral and posteroanterior cephalometric and

panoramic radiographs

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STAY MOTIVATED WHEN HANDLING LONG-

TERM ISSUES

BEFORE

TREATMENTAFTER

DECOMPENSATION

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FINALLY

Post-treatment results

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Thank you for the attention!