Do your eyes glaze over when looking at a long list of annual health insurance enrollment options – or maybe while you’re trying to calculate how much you owe the IRS? You might be wondering the same thing we are: Where’s the guidebook for all of this grown-up stuff? Whether opening a bank account, refinancing student loans, or purchasing car insurance (...um, can we just roll the dice without it?), we’re just as confused as you are. Enter: “Grown-Up Stuff: How to Adult” a podcast dedicated ...
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Conteúdo fornecido por Farooq Ahmed. Todo o conteúdo do podcast, incluindo episódios, gráficos e descrições de podcast, é carregado e fornecido diretamente por Farooq Ahmed ou por seu parceiro de plataforma de podcast. Se você acredita que alguém está usando seu trabalho protegido por direitos autorais sem sua permissão, siga o processo descrito aqui https://pt.player.fm/legal.
Parecido com orthodontics In summary
Everyone has a dream. But sometimes there’s a gap between where we are and where we want to be. True, there are some people who can bridge that gap easily, on their own, but all of us need a little help at some point. A little boost. An accountability partner. A Snooze Squad. In each episode, the Snooze Squad will strategize an action plan for people to face their fears. Guests will transform their own perception of their potential and walk away a few inches closer to who they want to become ...
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continue reading
Welcome to the Success Story Podcast, hosted by entrepreneur, business executive, author, educator & speaker, Scott D. Clary (@scottdclary). On this podcast, you'll find interviews, Q&A, keynote presentations & conversations on sales, marketing, business, startups and entrepreneurship. Scott will discuss some of the lessons he's learned over his own career, as well as have candid interviews with execs, celebrities, notable figures and politicians. All who have achieved success through both w ...
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continue reading
Culips English Podcast: Practical English Learning Made Fun Learn and Explore: Join Culips for an exciting English learning journey. Our podcast focuses on teaching English idioms, slang, and phrasal verbs through fun and engaging conversations. Each episode helps you master English for real-life situations. Unique Learning Experience: Culips stands out by blending language skills with cultural insights. Our diverse hosts make learning relatable, covering a variety of everyday topics. You’ll ...
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A science guy from the deep south (Destin) and a humanities guy from the wild west (Matt Whitman) discuss deep questions with varying levels of maturity.
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continue reading
Although the world is becoming mostly sedentary, our bodies still require a wide variety of daily movements in order to work well. Many of us struggle to get regular exercise, but even that can fall short of nourishing the body from head to toe. How can we move more—a lot more—when we have sore, stiff parts and overly busy lifestyles? Join Katy Bowman M.S., biomechanist, author, and movement educator as she combines big-picture lessons on biomechanics, kinesiology, physiology, and natural hu ...
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continue reading
Five-time winner of Best Education Podcast in the Podcast Awards. Grammar Girl provides short, friendly tips to improve your writing and feed your love of the English language. Whether English is your first language or your second language, these grammar, punctuation, style, and business tips will make you a better and more successful writer. Grammar Girl is a Quick and Dirty Tips podcast.
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continue reading
The Art of Charm is where self-motivated people, just like you, come to learn from the company’s coaches about to how to master human dynamics, relationships, and becoming your best self with the help of Johnny and AJ, the company’s founders. Johnny and AJ bring their 11 years of coaching experience from their famous Bootcamps, where they host clients in Los Angeles from all over the world and they share their stories, best practices and themselves on this weekly podcast. Not only does The A ...
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continue reading
Making It is a weekly audio podcast that comes out every Friday hosted by Jimmy Diresta, Bob Clagett and David Picciuto. Three different makers with different backgrounds talking about creativity, design and making things with your bare hands.
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continue reading
Are you looking for more happiness, success and vitality in your life? Get inspired each week with Wellness Expert, Integrative Medicine Fellow & Keynote Speaker, Kristel Bauer. Live Greatly shares empowering conversations about life, wellness & success talking with top experts, athletes, celebrities, CEOs and other incredible individuals. Tune in for insights to thrive personally and professionally. It’s time to awaken your ultimate potential! Disclaimer: All of the information shared on th ...
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Comprehensive orthodontic approach of the excessive gingival smile Mona Ghoussoub
Manage episode 299748492 series 2830917
Conteúdo fornecido por Farooq Ahmed. Todo o conteúdo do podcast, incluindo episódios, gráficos e descrições de podcast, é carregado e fornecido diretamente por Farooq Ahmed ou por seu parceiro de plataforma de podcast. Se você acredita que alguém está usando seu trabalho protegido por direitos autorais sem sua permissão, siga o processo descrito aqui https://pt.player.fm/legal.
Join me as I summarise Mona Ghoussoub’s lecture looking at the excessive gingival display (EGD).
Mona looked at the diagnosis and treatment of EGD, with a focus on aetiology leading to treatment method, effect of age, and input of multidisciplinary care for appropriate cases.
Definition Kokich 1999, Machado 2014
· Negative effects = 4mm + gingival display
Treatment approach
Early treatment
o Medical ENT allergology
o Excessive gingival show age 7-8 years
o Nasal obstruction causes decrease in lip closing force Sabashi 2011
o Detect and refer ENT if suspect nasal obstruction
§ Dark eyes
§ Flat cheeks
§ Increase LAFH
o Orthodontic – prevention
o Utility arch
§ Intrusion upper anterior teeth
§ 4 brackets and molar bands
§ Retain with 2 layers of Essix + brass wire – for rigidity
Late treatment
o Orthodontic
o Alignment
§ 2 occlusal planes in maxilla in 2 div 2, posterior higher, anterior lower
· Straight wire – reciprocal effects
o Intrusion of anterior teeth
o Extrusion of posterior teeth
o Expansion
§ RME
· Posterior expansion = gingival position moves upwards
o When constricted, greater posterior gingival show
o Intrusion
§ Ricketts / Burstone 3 piece intrusion arch
§ Headgear – J hook intrude upper anterior teeth
§ TAD placement for anterior intrusion
· UR1-UL1 labial
· Powerchain archwire to TAD
§ TAD for posterior intrusion
· U5-U6 region buccal
· Direct retraction U3- TAD
o Below centre of rotation = posterior intrusion
o MDT
o Periodontics
§ Gingivectomy – passive over-eruption of dentition
· Ideal where tooth width:height ratio increased
§ Guided Tissue Regeneration for VME
· Stable after 1 year
· 40-60% improvement in excessive gingival growth, with crown lengthening
· Bony cavity at anterior superior aspect of maxilla
o Results in the lip raising higher
o Bone augmented at the level of the Le-fort 1
o Can be clinically simulated with cotton wool rolls in upper labial sulcus and taking photos
o Orthognathic surgery
§ Decompensate
· Maxillary impaction
o Plastic surgery Pierre 2020
§ Short lip / mild VME = lip repositioning surgery Rubinstein 1973
· Limit the smile muscle pull by reducing the depth of the upper vestibule– zygomaticus minor, levator Angulo, orbicularis oris, levator labil superior Tawfik 2018
· Conservative when compared to OGN
· Technique
o Split thickness flap – expose connective tissue
o Advance mucosa and suture at mucogingival junction
· Limited studies
· Overcorrect as some relapse expected
· Systematic review improve EGD 3-4mm Tawfik 2018
§ Hypermobile lip – Botox Cengiz 2020
· Reduce muscle activity – levator labil superios LLSAN, zygomaticus minor / major, risorius muscle
· NOT classified as an alternate treatment for EGD
o Use = indication for patient outcomes possible for lip reposition
· Temporary effects – relapse at 6 months
· Problems
o Dose related results
o Excessive upper lip ptorsis
o Too little – not achieve desired result
o Smile effected if erroneous
§ = require expert to use
112 episódios
Compartilhar
Manage episode 299748492 series 2830917
Conteúdo fornecido por Farooq Ahmed. Todo o conteúdo do podcast, incluindo episódios, gráficos e descrições de podcast, é carregado e fornecido diretamente por Farooq Ahmed ou por seu parceiro de plataforma de podcast. Se você acredita que alguém está usando seu trabalho protegido por direitos autorais sem sua permissão, siga o processo descrito aqui https://pt.player.fm/legal.
Join me as I summarise Mona Ghoussoub’s lecture looking at the excessive gingival display (EGD).
Mona looked at the diagnosis and treatment of EGD, with a focus on aetiology leading to treatment method, effect of age, and input of multidisciplinary care for appropriate cases.
Definition Kokich 1999, Machado 2014
· Negative effects = 4mm + gingival display
Treatment approach
Early treatment
o Medical ENT allergology
o Excessive gingival show age 7-8 years
o Nasal obstruction causes decrease in lip closing force Sabashi 2011
o Detect and refer ENT if suspect nasal obstruction
§ Dark eyes
§ Flat cheeks
§ Increase LAFH
o Orthodontic – prevention
o Utility arch
§ Intrusion upper anterior teeth
§ 4 brackets and molar bands
§ Retain with 2 layers of Essix + brass wire – for rigidity
Late treatment
o Orthodontic
o Alignment
§ 2 occlusal planes in maxilla in 2 div 2, posterior higher, anterior lower
· Straight wire – reciprocal effects
o Intrusion of anterior teeth
o Extrusion of posterior teeth
o Expansion
§ RME
· Posterior expansion = gingival position moves upwards
o When constricted, greater posterior gingival show
o Intrusion
§ Ricketts / Burstone 3 piece intrusion arch
§ Headgear – J hook intrude upper anterior teeth
§ TAD placement for anterior intrusion
· UR1-UL1 labial
· Powerchain archwire to TAD
§ TAD for posterior intrusion
· U5-U6 region buccal
· Direct retraction U3- TAD
o Below centre of rotation = posterior intrusion
o MDT
o Periodontics
§ Gingivectomy – passive over-eruption of dentition
· Ideal where tooth width:height ratio increased
§ Guided Tissue Regeneration for VME
· Stable after 1 year
· 40-60% improvement in excessive gingival growth, with crown lengthening
· Bony cavity at anterior superior aspect of maxilla
o Results in the lip raising higher
o Bone augmented at the level of the Le-fort 1
o Can be clinically simulated with cotton wool rolls in upper labial sulcus and taking photos
o Orthognathic surgery
§ Decompensate
· Maxillary impaction
o Plastic surgery Pierre 2020
§ Short lip / mild VME = lip repositioning surgery Rubinstein 1973
· Limit the smile muscle pull by reducing the depth of the upper vestibule– zygomaticus minor, levator Angulo, orbicularis oris, levator labil superior Tawfik 2018
· Conservative when compared to OGN
· Technique
o Split thickness flap – expose connective tissue
o Advance mucosa and suture at mucogingival junction
· Limited studies
· Overcorrect as some relapse expected
· Systematic review improve EGD 3-4mm Tawfik 2018
§ Hypermobile lip – Botox Cengiz 2020
· Reduce muscle activity – levator labil superios LLSAN, zygomaticus minor / major, risorius muscle
· NOT classified as an alternate treatment for EGD
o Use = indication for patient outcomes possible for lip reposition
· Temporary effects – relapse at 6 months
· Problems
o Dose related results
o Excessive upper lip ptorsis
o Too little – not achieve desired result
o Smile effected if erroneous
§ = require expert to use
112 episódios
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Parecido com orthodontics In summary
Do your eyes glaze over when looking at a long list of annual health insurance enrollment options – or maybe while you’re trying to calculate how much you owe the IRS? You might be wondering the same thing we are: Where’s the guidebook for all of this grown-up stuff? Whether opening a bank account, refinancing student loans, or purchasing car insurance (...um, can we just roll the dice without it?), we’re just as confused as you are. Enter: “Grown-Up Stuff: How to Adult” a podcast dedicated ...
…
continue reading
Everyone has a dream. But sometimes there’s a gap between where we are and where we want to be. True, there are some people who can bridge that gap easily, on their own, but all of us need a little help at some point. A little boost. An accountability partner. A Snooze Squad. In each episode, the Snooze Squad will strategize an action plan for people to face their fears. Guests will transform their own perception of their potential and walk away a few inches closer to who they want to become ...
…
continue reading
Welcome to the Success Story Podcast, hosted by entrepreneur, business executive, author, educator & speaker, Scott D. Clary (@scottdclary). On this podcast, you'll find interviews, Q&A, keynote presentations & conversations on sales, marketing, business, startups and entrepreneurship. Scott will discuss some of the lessons he's learned over his own career, as well as have candid interviews with execs, celebrities, notable figures and politicians. All who have achieved success through both w ...
…
continue reading
Culips English Podcast: Practical English Learning Made Fun Learn and Explore: Join Culips for an exciting English learning journey. Our podcast focuses on teaching English idioms, slang, and phrasal verbs through fun and engaging conversations. Each episode helps you master English for real-life situations. Unique Learning Experience: Culips stands out by blending language skills with cultural insights. Our diverse hosts make learning relatable, covering a variety of everyday topics. You’ll ...
…
continue reading
A science guy from the deep south (Destin) and a humanities guy from the wild west (Matt Whitman) discuss deep questions with varying levels of maturity.
…
continue reading
Although the world is becoming mostly sedentary, our bodies still require a wide variety of daily movements in order to work well. Many of us struggle to get regular exercise, but even that can fall short of nourishing the body from head to toe. How can we move more—a lot more—when we have sore, stiff parts and overly busy lifestyles? Join Katy Bowman M.S., biomechanist, author, and movement educator as she combines big-picture lessons on biomechanics, kinesiology, physiology, and natural hu ...
…
continue reading
Five-time winner of Best Education Podcast in the Podcast Awards. Grammar Girl provides short, friendly tips to improve your writing and feed your love of the English language. Whether English is your first language or your second language, these grammar, punctuation, style, and business tips will make you a better and more successful writer. Grammar Girl is a Quick and Dirty Tips podcast.
…
continue reading
The Art of Charm is where self-motivated people, just like you, come to learn from the company’s coaches about to how to master human dynamics, relationships, and becoming your best self with the help of Johnny and AJ, the company’s founders. Johnny and AJ bring their 11 years of coaching experience from their famous Bootcamps, where they host clients in Los Angeles from all over the world and they share their stories, best practices and themselves on this weekly podcast. Not only does The A ...
…
continue reading
Making It is a weekly audio podcast that comes out every Friday hosted by Jimmy Diresta, Bob Clagett and David Picciuto. Three different makers with different backgrounds talking about creativity, design and making things with your bare hands.
…
continue reading
Are you looking for more happiness, success and vitality in your life? Get inspired each week with Wellness Expert, Integrative Medicine Fellow & Keynote Speaker, Kristel Bauer. Live Greatly shares empowering conversations about life, wellness & success talking with top experts, athletes, celebrities, CEOs and other incredible individuals. Tune in for insights to thrive personally and professionally. It’s time to awaken your ultimate potential! Disclaimer: All of the information shared on th ...
…
continue reading
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Fique off-line com o app Player FM !
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