Benefits of Digital Smile Design (DSD) in the conception of a complex orthodontic treatment plan: A case report-proof of concept

2019 ◽  
Vol 17 (3) ◽  
pp. 573-579 ◽  
Author(s):  
Carole Charavet ◽  
Jean-Claude Bernard ◽  
Cyril Gaillard ◽  
Michel Le Gall
Keyword(s):  
Case Report ◽  
Orthodontic Treatment ◽  
Treatment Plan ◽  
Proof Of Concept

scholarly journals Perawatan Ortodontik Inkonvensional Gigi Atas Berjejal Dengan Keberadaan Kista

2013 ◽  
Vol 20 (1) ◽  
pp. 99
Author(s):  
Timothy Soewito ◽  
Darmawan Sutantyo ◽  
Cendrawasih A Farmasyanti
Keyword(s):  
Case Report ◽  
Active Treatment ◽  
Orthodontic Treatment ◽  
Treatment Plan ◽  
Orthodontic Brackets ◽  
Lateral Incisor ◽  
Class Iii ◽  
Incisor Tooth ◽  
Knowing That

Keberadaan kista dapat menghambat perawatan ortodontik konvensional yang diberikan pada pasien. Tujuan artikel ini adalah menyajikan laporan kasus perawatan ortodontik alternatif seorang pasien perempuan berusia 17 tahun dengan kondisi gigi atas berjejal berat dan kista jinak di antara gigi insisivus lateral dan kaninus kiri atas. Setelah menetapkan diagnosis ortodontik, perawatan pertama yang dilakukan adalah pengangkatan kista. Kista dikirim untuk biopsi dan didiagnosis sebagai kista jinak. Orang tua dan pasien memutuskan untuk mencabut gigi insisivus lateral atas setelah mengetahui bahwa gigi insisivus lateral kiri atas nekrosis. Setelah gigi dicabut, bracket ortodontik dipasang di gigi bawah pasien. Tiga bulan kemudian, bracket ortodontik dipasang di gigi atas pasien. Kondisi gigi atas yang berjejal terkoreksi dan kaninus atas menggantikan posisi insisivus lateral. Saat ini, perawatan aktif masih dilanjutkan dan terpasang bracket ortodontik dengan elastik kelas III pada pasien. Kesimpulan artikel ini adalah pendekatan perawatan ortodontik inkonvensional dapat menjadi pertimbangan ketika ditemukan hambatan seperti adanya kista. Pasien dan orang tua harus diberi informasi mengenai konsekuensi perawatan sebelum perawatan dimulai.Unconventional Orthodontic Treatment for Upper Teeth Crowding with Benign Cyst. The presence of a cyst can provide an obstacle to the conventional orthodontic treatment given to the patients. The purpose of this article is to describe a case report of a seventeen year-old girl with a severe crowding of maxilla and presence of benign cyst between lateral incisor teeth and upper left canine treated with an alternative orthodontic treatment plan. After orthodontic diagnosis, the first treatment to be conducted was the removal of the cyst. The cyst was sent for biopsy and diagnosed as non-malignant cyst. The patient and her parents decided to extract upper laterals incisor tooth after knowing that the upper left lateral incisor tooth was necrotic. After the extractions, orthodontic brackets were bonded on the mandible. Then three months later the maxilla was bonded. The upper crowding of teeth condition was resolved very promptly and the upper canines were used to replace the laterals incisor position. Currently, active treatment is still in progress, and the patient has full upper and lower orthodontic brackets with class III elastics. After the treatment so far, it can be concluded that unconventional orthodontic treatment is worth considering when an obstacle such as a cyst is present. Patients and parents must be informed about the consequences of the treatment before active treatment is started.

Adenomatoid odontogenic tumour: A rare threat to orthodontic treatment planning

2019 ◽  
Vol 46 (3) ◽  
pp. 259-266
Author(s):  
Laura Han ◽  
Alison Downing ◽  
David Farr ◽  
Kaushik Dasgupta ◽  
Duncan Stewart
Keyword(s):  
Case Report ◽  
Treatment Planning ◽  
Orthodontic Treatment ◽  
Treatment Plan ◽  
Dentigerous Cyst ◽  
Histopathological Diagnosis ◽  
Odontogenic Tumour ◽  
Adenomatoid Odontogenic Tumour

This case report aims to increase awareness of how an adenomatoid odontogenic tumour (AOT) can present in a similar fashion to a dentigerous cyst and the importance of accurate histopathological diagnosis. In this case, the AOT resulted in loss of the upper left permanent canine in a patient who already had a congenitally absent upper left second premolar, compromising the original orthodontic treatment plan.

scholarly journals Management of an orthognathic surgery treatment in a skeletal class III patient: case report.

2021 ◽  
Vol 29 (2) ◽  
Author(s):  
Daniela Orozco Jiménez ◽  
Alejandro Andrade Torres ◽  
Alejandra Castro García ◽  
Raul Roca Pereda ◽  
Miguel Angel Casillas Santana
Keyword(s):  
Case Report ◽  
Orthognathic Surgery ◽  
Orthodontic Treatment ◽  
Treatment Plan ◽  
Maxillofacial Surgery ◽  
Class Iii ◽  
Skeletal Class ◽  
Post Surgery ◽  
Facial Harmony ◽  
Craniofacial Complex

Introduction: The treatment established as the gold standard for skeletal deformities of the craniofacial complex is orthodontic treatment combined with orthognathic surgery, to achieve occlusal stability, facial harmony, improved mastication, phonation and breathing. The conventional orthognathic surgery protocol consists of 3 phases: pre-surgical orthodontic treatment, orthognathic surgery and post-surgical orthodontics. Case Report: 18 year old female patient with skeletal class III. She presents occasional pain, crepitation and luxation of the temporomandibular joint, laterognathia. Treatment: Conventional orthognathic surgery of both jaws with unilateral sagittal osteotomy. Results: The objectives of the treatment plan were achieved 1 year and 9 months after starting orthodontic treatment. Conclusion: With a good diagnosis and treatment planning orthodontic - maxillofacial surgery ensures excellent results, as well as bone stability and occlusal harmony post-surgery.

Orthodontical Management of Secondary Dental Migration Associated with a Reduced Periodontium: A Case Report

2020 ◽  
Vol 7 ◽  
Author(s):  
Laila Elhajoubi ◽  
Meriem Rhissassi ◽  
Fatima Zaoui ◽  
Loubna Bahije
Keyword(s):  
Case Report ◽  
Orthodontic Treatment ◽  
Bone Growth ◽  
Treatment Plan ◽  
Combined Treatment ◽  
Multidisciplinary Treatment ◽  
Tissue Response ◽  
Facial Aesthetics ◽  
Periodontal Status ◽  
Self Confidence

Introduction: Dental migrations following periodontal pathology may lead to significant aesthetic and functional complaints. In this case report, the presence of evident gingival recessions and mandibular crowding pushed us to opt for an ortho-periodontal multidisciplinary treatment plan, using extractions and incisive repositioning. Through this, we ensured tissue gain at the level of the superficial and deep periodontitis, thus avoiding the use of periodontal surgery.Clinical Case: A Moroccan 26-years-old female medical secretary who, being very concerned about her appearance and facial aesthetics, presented with pathological dental migrations following severe periodontitis, an unsatisfactory periodontal status, a clear mandibular crowding of the anterior inter-incisive diastemas, gingival recessions, attachment losses and quite large pocket depths with advanced bone resorptions in different areas. This required a specific multidisciplinary approach aiming at creating a healthy and well-structured periodontal environment through extensive periodontal treatment, combined with regular plaque control, and supplemented by an orthodontic treatment using extractions and incisive repositioning in order to avoid any vestibular movement that may worsen the recessions and will require possible overlapping. After 22 months of combined treatment, a stable occlusion was obtained with class I molar and canine relationship, perfect dental alignment, healthy periodontal architecture and significant attachment gain and bone growth. In addition, the patient’s facial aesthetics and self-confidence have been significantly improved. Conclusion: The orthodontic treatment supplementing the meticulously planned periodontal therapy that was administered for this patient has helped to improve functionality, facial aesthetics as well as psychological self-confidence. However, it must be gradual with application of mild forces and constant control of the periodontal status, for optimal tissue response.

Management of a Patient with Angle Class I Malocclusion with Anterior Crossbite and Maxillary Central Diastema Caused by High Attachment of the Maxillary Labial Frenulum

2021 ◽  
Vol 55 (8) ◽  
Author(s):  
Faradiah Hayati ◽  
Hanifa Aini ◽  
Ida Bagus Narmada
Keyword(s):  
Case Report ◽  
Growth And Development ◽  
Orthodontic Treatment ◽  
Treatment Plan ◽  
Anterior Segment ◽  
Class I ◽  
Orthodontic Appliance ◽  
Angle Class ◽  
Fixed Orthodontic Appliance

Maxillary Central diastema is common and normal for the growth and development of the anterior segment. If the central diastema persists after the eruption of the permanent cuspids, the orthodontist should clarify the etiology and establish a treatment plan. This case report discusses a 22-year-old woman with anterior crossbite and central diastema due to a high maxillary labial frenulum attachment. Treatment was performed using a fixed orthodontic appliance with a posterior bite raiser. Frenectomy was performed at the end of the orthodontic treatment.

Aesthetic Crown Lengthening for Gummy Smile Treatment Related to Altered Passive Eruption: A Case Report

2020 ◽  
Vol 23 (2) ◽  
pp. 28-33
Author(s):  
Indira Apriantika ◽  
Agung Krismariono
Keyword(s):  
Case Report ◽  
Treatment Plan ◽  
Patient Treatment ◽  
Treatment Results ◽  
Dental Hospital ◽  
Proper Diagnosis ◽  
The Aesthetic ◽  
Smile Aesthetics ◽  
Crown Lengthening ◽  
Gummy Smile

A healthy and beautiful smile can affect appearance and confidence. One of the aesthetic problems in dentistry that is often complained of by patients is excessive gingival display (gummy smile). The excessive gingival display can be caused by several factors, one of which is altered passive eruption (APE). One of the treatments to correct gummy smile related to APE is crown lengthening. Crown lengthening can be with bone reduction (gingivectomy with bone reduction) or without bone reduction (gingivectomy). Crown Lengthening with bone reduction is a surgical procedure that aims to maintain the dentogingival complex and to improve smile aesthetics. The purpose of this case report is to determine the crown lengthening with bone reduction (gingivectomy with bone reduction) procedure as a gummy smile treatment related to APE .A23-year-old female patient, came to Dental Hospital of Universitas Airlangga with complaints of her upper gum which not in the same length and the teeth looked short, she considered her smile was less aesthetic. After conducting analyses relating to aesthetics and periodontal tissue, crown lengthening with bone reduction was chosen for this patient treatment. The treatment results are quite good, visible gingival margins that matched the gingival zenith and improved patient's smile profile. APE as the etiology of patient's gummy smile can be corrected. There are no post-surgical complications such as excessive pain and infection. A proper diagnosis, treatment plan, and good techniques can produce a harmonious smile on the patient.

Managing the Transition to Edentulousness Using Partial Transitional Dentures for First Time Prosthodontic Patients: Addressing Unrealistic Expectations – A Case Report

2017 ◽  
Vol 1 (1) ◽  
Keyword(s):  
Case Report ◽  
Treatment Outcomes ◽  
Treatment Planning ◽  
Clinical Relevance ◽  
Treatment Plan ◽  
Sequential Treatment ◽  
Aesthetic Result ◽  
Abutment Teeth ◽  
First Time ◽  
Unrealistic Expectations

Aim: The aim of this report is to describe the management of a prosthodontic patient expressing unrealistic expectations with respect to the transition to edentulousness. Objectives: To outline (1) the diagnosis and explicit expectations of the patient on presentation (2) considerations made during treatment planning to address the wishes of the first time prosthodontic patient (3) a sequential treatment plan utilizing transitional partial removable dentures to manage the change to edentulousness (4) functional and aesthetic result achieved. Results: Delivery of immediate removable partial dentures retaining key abutment teeth in upper and lower arches was a viable prosthodontic solution in the transition to edentulousness of a patient expecting unrealistic treatment outcomes. Conclusions: Addressing impractical expectations and devising a treatment plan amenable to both clinician and patient is difficult. Strategies to manage these wishes in prosthodontic dentistry can include transitional partial dentures. Clinical relevance: Practitioners who encounter similar situations may consider this report valuable.

Cirurgia de aumento de coroa clínica e confecção de facetas diretas em resina composta orientadas por mock-up.

2020 ◽  
Vol 12 (45) ◽  
pp. 24-33
Author(s):  
Fábio Shiniti Mizutani ◽  
Atila de Freitas ◽  
Adriano Sapata ◽  
Claudio Sato
Keyword(s):  
Case Report ◽  
Composite Resin ◽  
Treatment Plan ◽  
Diagnostic Information ◽  
Good Treatment ◽  
Restorative Dentistry ◽  
Laboratory Technician ◽  
Crown Length ◽  
Anterior Teeth ◽  
Anterior Posterior

Keeping in mind the final result is the basis of any type of treatment, especially those in which the morphology, size and proportion of the anterior teeth will be changed. This is where a good treatment plan based on a diagnostic wax-up tested with a mock-up and approved by the patient becomes crucial. This case report aims to exemplify how to transfer the diagnostic information to the patient’s mouth and direct it not only to the restorative dentistry, but also to the surgeon when performing the crown length. Diagnostic waxing was performed by the laboratory technician, obeying anterior posterior incisal and gingival criteria and curvatures, which were transported to an aesthetic guide through mock up to mark the surgical points. Then, surgery to increase the clinical crown with bone access and after healing, direct venners in composite resin also guided by waxing. In conclusion, a workflow can be established using the wax-up / mock-up that serves as a guide for the periodontist in the approach to surgical lengthening of the crown and for the rehabilitator who uses it to produce changes in the shape of dental dimensions .

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