Juan Martin Palomo DDS, MSD

Using CBCT in Clinical Orthodontics.

The digital volumetric tomography era has begun, and we now have access to significant additional diagnostic information. When should an orthodontist use a three-dimensional (3D) image? Is Cone Beam Computed Tomography (CBCT) going to replace the cephalogram? Dr. Palomo was part of an special committee formed by oral maxillofacial radiologists and orthodontists whose goal was to determine when to use CBCT in clinical orthodontists. This presentation will show how CBCT is changing the way we practice, and show how Case Western Reserve University (CWRU) is extracting and using volumetric tomograms for orthodontic reasons. From posterior buccolingual inclination to surface area analysis and volumes, Dr. Palomo will show current protocols and recommendation on when and how to use this 3D imaging modality that is quickly becoming part of the orthodontic practice.

The 3D Airway and How to Manage OSA in a busy Orthodontic Office

Traditionally we are trained to see and analyze the airway from only the lateral view on a cephalometric film. But the airway is a three-dimensional (3D) structure, and that third dimension may be hiding something relevant to our diagnosis. This presentation will highlight some of the airway research from Case Western Reserve University, and will show how different commercially available programs can be used to analyze the airway volumetrically, how the airway is different for different craniofacial situations, and what happens to the airway when we extract or expand as part of our treatment plan. With more than 80 respiratory disorders, the orthodontist can play a big role helping children and adults, specially regarding Obstructive Sleep Apnea (OSA). This presentation will show how the orthodontist can help identify and manage OSA in pediatric and adult patients, from using oral appliances, to surgical movement of the jaws, and newest hypoglossal stimulation methods. When moving from 2D to 3D, distances and angles turn into areas and volumes, and understanding the airway may take orthodontics to the next level, increasing the scope of what can be done clinically.