Dr. Nour E. Tarraf
BDS (Hons), MDSc(Hons), MOrth RCSEd, MRACDS (Ortho)
Dr Tarraf finished his BDS at Cairo University with Honors in 2001 followed by an orthodontic residency at Cairo University. He then moved to Sydney where he completed his Masters degree in Orthodontics at the University of Sydney in 2008 with Honors. He works in private practice in Chatswood and is involved in research and teaching at the University of Sydney. With his practice composed of 40% adult patients Dr Tarraf has a special interest in invisible orthodontic techniques such as lingual orthodontics and Invisalign. Over 50% of his patients including adolescents are treated with lingual appliances and he believes that with today’s technology every patient can be offered and invisible treatment option. He also has a keen interest in the clinical applications of temporary anchorage devices (TADs) and is currently working towards a PhD on the application of skeletal anchorage in growth modification for growing children. Among his other interests are timely interventions in growing children and the correct timing for different types of dentofacial-orthopaedics for optimal facial results.
Title: Lingual orthodontics for adolescents: should it be standard?
AIMS: In recent years lingual orthodontics has become more popular and more accessible. Traditionally it has been a treatment option reserved for adult orthodontic patients however there is increasing evidence to suggest it may be a very good option for adolescent treatment as well. Adolescent orthodontic treatment poses unique challenges including high tendency for developing white spot lesions (WSL), the need for non-compliance mechanics and the incorporation of growth modification procedures such as expansion and Class II correctors. Lingual orthodontics offers greater protection from white spot lesions and permanent enamel discoloration seen in labial orthodontics. It also offers the advantage of non-compliance mechanics and allows the incorporation of growth modification with treatment
METHODS: This presentation covers the incorporation of lingual orthodontics for adolescents in everyday practice. It discusses the protocols for appliance design, bonding and manufacture around tooth eruption and growth modification procedures. A common concern is appliance breakage with adolescents. The appliance breakage rate of adolescents with lingual appliances is compared to that of adolescents with labial appliances and that of adults with lingual appliances.
Results and Conclusions: The benefits of lingual appliances in adolescents including protection from WSL and the comfort with wind musical instruments and sports are also discussed. With a growing trend of general practitioners providing orthodontic treatment broadening the scope of lingual orthodontics to routinely treat adolescents may be a great differentiator for specialist practices.