David De Franco

David De Franco

Private Practice, Italy

Dr. De Franco obtained a B.A. degree in Biochemistry from the University of Pennsylvania, a D.M.D. degree from the University of Connecticut, and the certificate in Orthodontics with a Doctorate of Medical Sciences degree in Oral Biology from Harvard University. He moved to Milan in 1992 where he has been working ever since in private practice limited to orthodontics. He is a Diplomate of ABO, EBO and IBO, and is presently the Chairman of Examiners for EBO. He is a member of AAO, EOS, Harvard Society for the Advancement of Orthodontics, SIDO, Italian Academy of Orthodontics, European Academy of Esthetic Dentistry, and the Eastern Component of the Angle Society for which he was President for the 2017-2018 term. He is a reviewer for several orthodontic journals.

Title 1: Current Approaches in the Interdisciplinary Treatment Planning of Prosthetic and Orthodontic Patients.

Abstract 1: In many partially edentulous patients requiring prosthesis and osseointegrated implants, orthodontic treatment is indicated to reposition natural teeth. This may be important to correct the sagittal, vertical and transverse positions of the teeth to improve masticatory function, create the necessary space for restoring the mesio-distal dimension of the crowns and obtain a satisfactory and natural looking esthetic outcome. Osseointegrated implants, as well as non-integrated mini-implants or temporary anchorage devices (TADs), can be used as anchorage to carry out the planned orthodontic movements, especially in patients with many missing teeth, and to support temporary crowns in edentulous areas. The treatment of such patients implicates a complete diagnosis, careful planning and an efficient line of communication between the orthodontist and the prosthodontist.

This lecture will illustrate the variables that should be taken into consideration when a combined ortho-implant-prosthetic treatment is necessary. Several clinical cases will help demonstrate the decision-making process.

Title 2: Clinical Management of Impacted Canines

Abstract 2: The ectopic eruption and impaction of canines is a rather frequent clinical problem. The management of impacted canines can be challenging even for experienced orthodontists depending on its location and severity, as well as the presence of other complications such as root resorption and ankylosis. An interdisciplinary approach, usually involving the general or pediatric dentist, the periodontist or oral surgeon, and the orthodontist, is essential in the treatment of impacted canines in order to achieve good function, esthetics and stability. This lecture will address the clinical management of both maxillary and mandibular impacted canines with regard to diagnosis and treatment, different surgical procedures for uncovering canines, anchorage requirements and biomechanics. Several clinical cases will demonstrate the clinical management of impacted canines.