Dr. Junji Sugawara Orthodontist Dr.Junji Sugawara Clinic
Abstract
The 7th Japan Academy of Aligner Orthodontics Annual Congress 2020
- 無呼吸症候群患者へのサージェリーファースト+アライナー矯正治療
The 5th Japan Academy of Aligner Orthodontics Annual Congress 2018
- Surgery First approach meets Advanced Aligner Orthodontics
- [A New Option for "Surgery First” using Skeletal Anchorage and Aligners]
Abstract: Since most of the Class III patients who underwent Surgery First (SF) show Class II open bite immediately after orthognathic surgery due to no presurgical orthodontics and occlusal interference at the molar region, the Skeletal Anchorage System (SAS) biomechanics is indispensable for distalization and intrusion of the maxillary posterior teeth, and mesialization of the mandibular posteriors during postsurgical orthodontic treatment. In addition to SAS, we are recently applying aligners to reduce treatment time of multi-bracket system in order to raise the QOL during postsurgical treatment. As the SF patients need quick three-dimensional molar movement immediately after surgery, it seems to be less beneficial to completely eliminate MBS in post-surgical orthodontics at the present time. But, there is no question about that the application of aligners to detailing and finishing is very friendly to patients.
The 4th Japan Academy of Aligner Orthodontics 2017
- A New Option for "Surgery First” using Skeletal Anchorage and Aligners
- Abstract: Since most of the Class III patients who underwent Surgery First (SF) show Class II open bite immediately after orthognathic surgery due to no presurgical orthodontics and occlusal interference at the molar region, the Skeletal Anchorage System (SAS) biomechanics is indispensable for distalization and intrusion of the maxillary posterior teeth, and mesialization of the mandibular posteriors during postsurgical orthodontic treatment. In addition to SAS, we are recently applying aligners to reduce treatment time of multi-bracket system in order to raise the QOL during postsurgical treatment. As the SF patients need quick three-dimensional molar movement immediately after surgery, it seems to be less beneficial to completely eliminate MBS in post-surgical orthodontics at the present time. But, there is no question about that the application of aligners to detailing and finishing is very friendly to patients.
Japan Academy of Aligner Orthodontics 2016
- 【Surgery First with Application of Aligners】
- Conventional surgical orthodontics has had limitations in skeletal deformity patients, the most serious of them being the aggravation of anterior crossbite and prognathic profile following the decompensation of the incisors during presurgical orthodontics in Class III patients. In an attempt to avert these problems but at the same time improve the quality of conventional surgical orthodontics, we have been trying a completely different approach: surgery is carried out with no presurgical orthodontics whatsoever. This new approach, Surgery First (SF), is now possible because of the development of a skeletal anchorage system (SAS), which uses titanium miniplates as temporary anchorage devices in postsurgical orthodontic treatment, and enables the three-dimensional movements of the entire dentition in non-growing patients. In particular, since most of the Class III patients who underwent SF show Class II open bite immediately after orthognathic surgery due to no presurgical orthodontics and occlusal interference at the molar region, distalization and intrusion of posterior teeth during postsurgical orthodontic treatment should be predictably carried out with the application of SAS in a short period. In addition to SAS, we are recently applying aligners to raise the QOL during treatment and reduce treatment time of multi-bracketed system (MBS) as short as possible. Since most SF patients need quick 3D molar movement immediately after jaw surgery, it seems to be less beneficial to completely eliminate MBS in post-surgical orthodontics at the present time. But it must be more patient friendly to apply aligners for detailing and finishing. In this presentation, the up-to-date protocol of SF including the application of aligners will be discussed.
History
1973 | Graduated from Tohoku University, Sendai, Japan |
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1973-1981 | Assistant Professor, Department of Orthodontics, Tohoku University, Sendai, Japan |
1981-1982 | Visiting Assistant Professor, Department of Orthodontics University of Connecticut, Farmington, CT, USA |
1983-1989 | Assistant Professor, Department of Orthodontics, Tohoku University, Sendai, Japan |
1989-1991 | Instructor, Department of Orthodontics, Tohoku University, Sendai, Japan |
1991-2006 | Associate Professor, Department of Orthodontics and Dentofacial Orthopedics, Graduate School of Dentistry, Tohoku University, Sendai, Japan |
2004-Present | Active member of E.H. Angle Orthodontic Society (North Atlantic component) |
2005-Present | Visiting Professor at Dalian Medical University, Dalian, China |
2006-Present | Visiting Clinical Professor at University of Connecticut, Farmington, CT, USA |
2007-Present | Director of SAS Orthodontic Centre, Ichiban-cho Dental Office, Sendai, Japan |
2008-2010 | Clinical Professor, Department of Maxillofacial Surgery, Graduate School of Dentistry, Tohoku University, Sendai, Japan |
Dr. Junji Sugawara is currently a Director at the SAS Orthodontic Centre, Sendai Aoba Clinic, Sendai, Japan, and a Visiting Clinical Professor at the Division of Orthodontics, School of Dental Medicine, University of Connecticut, Farmington, USA. He graduated from Tohoku University, Sendai, Japan in 1973 and worked there over 30 years. He is an active member of the Edward H. Angle Society (North Atlantic Component) since 2004. The Skeletal Anchorage System (SAS) utilizing the titanium miniplates as temporary anchorage devices and Surgery First are recent key interests and he has given many lectures on these subjects in the United States, Europe, South America, Australia, Middle East and Asia. He started Surgery first with Invisalign with Smile Innovation Orthodontics team since 2015.
Visiting Clinical Professor
Division of Orthodontics
Department of Craniofacial Science
School of Dental Medicine, University of Connecticut
Farmington, CT, USA
Membership
- American Association for Orthodontist
- World Federation of Orthodontists
- The Japanese Orthodontic Society
- International Association of Dental Research
- The Japanese Society for Jaw Deformities
Honors
1992- | Consultant and Referee for American Journal of Orthodontics and Dentofacial Orthopedics |
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2005 | World champion lecturer representing the central and eastern Asia at 6th International Orthodontic Congress, Paris, France |
2007 | The 2007 BF and Helen E Dewel Research Award (American Journal of Orthodontics and Dentofacial Orthopedics) |
2011 | The Northcroft memorial lecture at the British Orthodontic Conference |