Exploring the Limits of TAD Assisted Orthodontics, Orthopedics and Orthognathic Surgery in Cl III Malocclusion
Krishnaswamy R. Nathamuni
- Dr. N.R. Krishnaswamy currently holds the position of vice principal, Professor and Head, Dept. of Orthodontics, Ragas Dental College and Hospitals, Chennai. India He obtained his bachelor degree at the Govt. Dental College, Chennai and earned his master`s degree from KMC Manipal..He has served as Director and Chairman of the Indian Board of Orthodontics and as President of the Indian Orthodontic Society. He was conferred the Best Teacher Award by the Dr. M. G. R Medical University in 2011.He is the recipient of the HELEN&B.F.DEWEL award for the best clinical research paper published in the AJO -DO in the year 2012. He was conferred the Dr. KEKI MISTRY scroll of honor for being the Ambassador of the Indian Orthodontic Society. He was also conferred best Professor award by the Indian Orthodontic society in 2018 He has delivered guest lectures at several international platforms including the AAO.He was the scientific chair of the 8th APOC, 2012 and President of the 8th WIOC, 2016.
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Correction of class III skeletal malocclusion continues to be a challenge for the clinician. The traditional approach has been to employ growth modification in the growing period, dento-alveolar camouflage in mild skeletal Class III in non-growing patients and orthognathic surgery in severe skeletal class III patients. But all the approaches have been shown to have limitations either in the outcome or in long term stability. With the advent of TADs Orthopedic forces for growth modification can be targeted on the basal bone bypassing the dentition. Orthodontic camouflage can be more effective with TADs rather than the dentition being the source of anchorage and TAD assisted Orthognathic surgery offers the opportunity to do surgery ahead of presurgical orthodontic preparation. These protocols seem to offer new hope to the clinician in conquering the challenges encountered in managing class III Malocclusion. This presentation will highlight the advantages and limitations of these newer strategies with illustrative cases.