Vince Kokich Jr, DMD, MSD

Private Practice
Tacoma, WA, USA 
 
International Academy of Endodontics Annual Meeting
Long Essay Program
Friday, March 3, 2023
 
 
Orthodontic Failures: Oversight, Under-Treatment, or Communication Breakdown?
 
Orthodontists have become an integral part of the interdisciplinary team. Today many adult patients require orthodontic treatment to facilitate their ultimate restorative plan. By establishing a proper orthodontic foundation with ideal tooth position and a well-interdigitated occlusion, the future restorative work typically becomes more predictable. However, the unfortunate reality is that this isn’t always the case. Occasionally, following the completion of orthodontic treatment, a patient may return to the dentist with a less-than-ideal tooth position and a marginal occlusal result, both of which can significantly impact the successful completion of the comprehensive plan. The question is – why? Is this simply an oversight by a normally “good” orthodontist?, incomplete treatment by perhaps a “disinterested” orthodontist?, or is it the result of poor communication within the interdisciplinary team?  Dr. Kokich will answer these questions while emphasizing the importance of planning, communication, and proper sequencing when treating the complex orthodontic patient.
 
 
Learning Objectives:
  1. learn to identify different examples of orthodontic failures
  2. understand how to overcome specific types of orthodontic failures
  3. learn to better plan in order to avoid these interdisciplinary failures
 
Affiliations:
none
 

Bio:

Dr. Kokich Jr. received his dental degree from Tufts University School of Dental Medicine in 1996 and completed a general practice residency at the University of Washington Medical Center in 1997. He remained at the University of Washington for his orthodontic training where he obtained his Masters in Orthodontics in 1999. Since then he has remained on faculty in the Department of Orthodontics as an Affiliate Assistant Professor while maintaining a private practice in Tacoma, Washington. He has received the Charles L. Pincus Research Award for Clinical Research from the American Academy of Esthetic Dentistry and his current research and publications are primarily involved with esthetic, interdisciplinary dentistry. He is a diplomate of the American Board of Orthodontists and a member of both the Angle Society and the American Academy of Esthetic Dentistry. He has written or co-written four book chapters as well as numerous scientific and review articles. Dr. Kokich has given 250 lectures nationally and internationally on interdisciplinary dentistry and dental esthetics emphasizing comprehensive treatment planning and the importance of properly sequencing orthodontic, periodontal, and restorative treatment.

 

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