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Ortho Tribune Middle East & Africa No.1, 2018

Dental Tribune Middle East & Africa Edition | 1/2018 ◊Page E3 ORTHO TRIBUNE E4 Fig. 7: 3-D reconstruction panoramic view. Fig. 8: 3-D sagittal segmentation. Fig. 9: 3-D reconstruction. Fig. 10: Sagittal segmentation Fig. 11: Coronal segmentation Fig. 12: Obstruction of the maxillary sinuses Fig. 13: Decrease of the respiratory tract Fig. 14: Swollen tonsillar and adenoid tissue. Fig. 15: 3-D cephalometric image. Fig. 16: Jarabak 3-D analysis. Fig. 17: Analysis of the vertical position of the maxillary Fig. 18: Sagittal section of the TMJ. Fig. 19: 3-D reconstruction of the TMJ; sagittal view. Fig. 20: Arthrosis of the TMJ; sagittal sections. tissue, tonsils and more. This view of the airway completely changes the perception of the specialist and, most important, the life of the pa- tients. Soft tissues The evaluation of the soft tissues in a three-dimensional system and with- out magnification is ideal for the or- thodontist because he/she, can now evaluate the patient fully with one exam, completely changing his per- spective. Previously, with 2-D images we only had the possibility of mak- ing an unilateral evaluation of the skull and structures unless, of course, several X-rays were taken and com- plementary analysis in each of them. The other option was performing photographic analysis to see the fa- cial aesthetic from different photo- graphic angles and requiring a major number of shots that surely resulted difficult for the patient. The diag- nostic evaluation with 3-D systems allows in one exam to evaluate the patient from the angles necessary as well as evaluating the soft- and hard-tissues resulting visually stun- ning and attractive for the patient, being this extremely positive con- sidering that the patient has a better understanding of his/her aesthetic problems and how the specialist will proceed to eliminate them. Temporomandibular joint The TMJ is, by definition, a gingly- mus diarthrodial complex joint. This complexity is reflected in the knowl- edge and importance that each pro- fessional gives it. There are a num- ber of specialists for who the TMJ is remote from the teeth and does not interfere with orthodontic treat- ment. On the extreme opposite side, for the other group of specialists, the TMJ is the foundation on where they base all their treatments. Whichever concept the doctor has on this, the evaluation of the TMJ should be in- cluded in the diagnosis. Conclusion The specialist cannot be unaware of the constant advances in technology. Of course, these developments have to be taken in moderation and with responsibility because it does not substitute the knowledge acquired during ones professional training and even less the experience ob- tained from treating patients. Need- less to say, an effort is required for the training and understanding of these new systems but such systems are every time easier and perceptibles and the quality, quantity and useful- ness of the information it generates is unquestionable. It is important to remember the concept that we are healthcare providers and our goal is more than to just straighten teeth. Therefore, it is mandatory to diag- nose our patients fully and when necessary, seek consultation from other specialists, since nowadays a great number of our patients require multidisciplinary treatments. Acknowledgement The author would like to thank the Group Cedirama Digital, for their constant support in the realisation of the exams and software manag- ing; especially to Elie Matta Haddad, BBA. Dr Enrique González García is a member of the World Federation of Orthodontics, Academia Mexicana de Ortodoncia and Colegio de Ortodoncia y Ortopedia del D.F. Has specialised in the interpretation and handling of images in the areas of: Maxillofacial Surgery, Or- thodontics, Implants, Prosthodontics and Endodontics. Professor of Imaging for Postgraduate of Restorative Dentistry and Prosthodontics at UNITEC. Invited professor of the Facultad de Odontología División de Estudios de Posgrado e Inves- tigación de la UNAM, Posgrado de Orto- doncia de la UABC Campus Mexicali and Posgrado de Ortodoncia de UNITEC. Au- thor of many scientific articles and maga- zines in Mexico, Spain and USA. Author of the books: “Tomografía Cone Beam. Atlas de Aplicaciones Clínicas” 1º and 2º edition and “Oclusión Práctica. Conceptos Actu- ales” and the 3rd chapter of the book “Or- todoncia y Microimplantes”. Advisor for KaVo Kerr Group in the area of Imaging and for Cedirama Digital.Currently runs his exclusive practice of Orthodontics and TMJ Dysfunctions in Mexico City and is a national and international speaker.

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