Class I case successfully treated, showing mutilation of anterior teeth including loss and replantation of right lower lateral incisor, due to accident

Author(s):  
Harry E. Kelsey
2018 ◽  
Vol 89 (4) ◽  
pp. 661-671
Author(s):  
Nesrine Z. Mostafa ◽  
Anthony P. G. McCullagh ◽  
David B. Kennedy

ABSTRACT This case report describes orthodontic space closure for managing an avulsed maxillary central incisor and a lateral incisor in a growing girl with a Class I deep bite malocclusion with moderate lower and mild upper crowding. The treatment approach moved a central incisor across the midline and substituted a lateral incisor for a central incisor, in combination with canine substitution. Veneers on all maxillary anterior teeth attained acceptable esthetics. The right central incisor was moved to serve as the avulsed left central incisor. The right lateral incisor was moved to the position of the right central incisor and restored. The canines on both sides were substituted as lateral incisors; the posterior occlusion was left in Class II. Mesialization of central and lateral incisors with prosthetic rehabilitation is an acceptable treatment option.


2015 ◽  
Vol 20 (5) ◽  
pp. 108-117
Author(s):  
Guilherme Thiesen

The present case report describes the orthodontic treatment of a patient with agenesis of maxillary left lateral incisor and Angle Class II, Division 1 malocclusion. The patient also presented with maxillary midline deviation and inclination of the occlusal plane in the anterior region. Treatment objectives were: correction of sagittal relationship between the maxilla and the mandible; correction of midline deviation, so as to cause maxillary and mandibular midlines to coincide; correction of overbite and leveling of the occlusal plane, so as to create ideal conditions for esthetic rehabilitation of anterior teeth. This case was presented to the Brazilian Board of Orthodontics and Dentofacial Orthopedics (BBO) as a requirement for the title of certified by the BBO.


2003 ◽  
Vol 50 (2) ◽  
pp. 76-81
Author(s):  
Ljiljana Strajnic ◽  
Predrag Vucinic

In the study the cephalometric method was used to determine the position of the artificial central upper and lower incisors of edentulous patients class I, and natural central upper and lower incisors of dentulous individuals class I. Cephalometric radiographs of edentulous patients were made with a precisely set position of frontal teeth and marked central incisors. The control group consisted of 30 lateral cephalometric radiographs of dentulous persons class I. Certain of Schwartz and Steiner cephalometric radiograph analysis were used for precise sagittal positioning of upper and lower central incisors. To set precisely the position of these teeth in a sagittal position, the inclination of their axle was analyzed on each cephalometric radiograph, as well as the position of their vestibular surfaces related to the specific craniofacial elements. Statistically significant differences of the value of the angle of inclination of artificial upper and lower incisors of edentulous patients class I, and the angle of inclination of natural upper and lower incisors of dentulous persons, class I, were determined.


2018 ◽  
Vol 1 (2) ◽  
pp. 93
Author(s):  
Fidiyah Inayati ◽  
I Gusti Aju Wahju Ardani

Background: Patients with congenital absence of a mandibular lateral incisor are often found having difficulty in achieving adequate functional occlusion. It may affect esthetics, mastication, speech, and occlusal balance. Purpose: This paper reported an agenesis treatment of one mandibular lateral incisor case using a space closure method. Case: A twenty-three years old female patient with agenesis of tooth 42, mandibular anterior crowding, multiple diastema on mandibular anterior teeth, and skeletal class III malocclusion. Case Management: Space closure method was chosen to correct the agenesis by considering the class III skeletal malocclusion and multiple diastema condition. Conclusion: Space closure method treatment improved the patient’s facial and dental esthetics, and it provided a good functional occlusion, despite the absence of a mandibular lateral incisor, which generally impairs the adequate incisal guidance.


2021 ◽  
pp. 78-80
Author(s):  
Namburi Rajesh ◽  
Rajendran Poornima

Background:In recent times, aesthetics has become a major reason for the patients to seek the dentist. Gingival recession of the anterior teeth leads to long tooth appearance thereby hampering the aesthetics. The aim of the present study is to assess the efciency of modied coronally advanced ap (MCAF) technique in combination with platelet-rich brin (PRF) for recession coverage of Miller's class I and II cases. Materials and method: 10 patients with Miller's class I or class II gingiva were treated by modied coronally advanced ap (MCAF) technique in combination with platelet-rich brin (PRF). The clinical parameters such as gingival index (GI), bleeding on probing (BOP), probing pocket depth (PPD), clinical attachment level (CAL), width of attached gingiva (WAG), thickness of attached gingiva (TAG) and the height of gingival recession (HGR) were recorded at baseline, 3 months and 6 months follow-up visits. Results: All the clinical parameters showed signicant improvement at 3 months and 6 months post-operatively when compared with the baseline values. The results obtained during the initial follow-up visit remained stable over a period of 6 months. Conclusion: MCAF is a foreseeable technique to achieve gingival recession coverage. Additionally, the use of PRF enables in improved WAG and TAG due to the release of growth factors.


2019 ◽  
Vol 9 (1) ◽  
pp. 67-73 ◽  
Author(s):  
Sanjay Prasad Gupta

Anterior spacing is a common esthetic problem of patient during dental consultation. The most common etiology include tooth size and arch length discrepancy. Maxillary lateral incisors vary in form more than any other tooth in the mouth except the third molars. Microdontia is a condition where the teeth are smaller than the normal size. Microdontia of maxillary lateral incisor is called as “peg lateral”, that exhibit converging mesial and distal surfaces of crown forming a cone like shape. A carefully documented diagnosis and treatment plan are essential if the clinician is to apply the most effective approach to address the patient’s needs. A patient sometimes requires a multidisciplinary approach to correct the esthetics and to improve the occlusion. This case report describes the management of an adult female patient with a proclined upper anterior teeth, upper anterior spacing, deep bite and peg shaped upper right lateral incisor tooth through orthodontic and restorative treatment approach.


2017 ◽  
Vol 7 ◽  
pp. 41-48 ◽  
Author(s):  
Monwarul Aziz ◽  
Md. Zakir Hossain

Objective To investigate the existence and suitability of mathematical proportions between the widths of maxillary anterior teeth in Bangladeshi population having an esthetic smile, with the aid of digital photographs and computer analysis. Place of Study The study was conducted at the Department of Orthodontics and Dentofacial Orthopedics of Dhaka Dental College and Hospital, Dhaka. Period of Study The study was conducted from April 2016 to September 2016. Sample Selection The study samples collected from Students of Dhaka Dental College, Mirpur-14, Dhaka, Bangladesh, with age limit 18–35 years. Materials and Methods Standardized frontal images of 100 dental students of Dhaka Dental College were captured. All the images were downloaded to a personal computer, and width of each tooth was measured by the scale tool of Photoshop CS version 8.0. All the data were analyzed (through standard statistical method) using Statistical Package for Social Science Software version 20 (IBM Corp., USA). Results The golden proportion existed in 17% of the perceived width ratios of lateral incisor to central incisor and 4% of the width ratios of canine to lateral incisor in natural dentition. Sixty-six percent lateral incisors are following the golden percentage, but only 7% central incisors and 21% canines are following the golden percentage. The recurring esthetic dental (RED) proportion existed in only 4% of participants. Conclusions The golden proportion, golden percentage, and the RED proportion cannot be used as constant proportions to create a harmonious proportion throughout the width of maxillary anterior teeth. The adjusted golden percentage might serve as a guideline to create harmonious proportions in maxillary anterior teeth for Bangladeshi population.


2020 ◽  
Vol 53 (4) ◽  
pp. 223
Author(s):  
Dewi Sartika Santoso ◽  
C. Christnawati ◽  
Cendrawasih Andusyana Farmasyanti

Background: Bimaxillary and bidental protrusion Class I Angle malocclusions have a characteristic convex facial profile and protrusion lips due to the labial inclination of the anterior teeth. Extraction of the first four premolars is the most common choice for orthodontic treatment of these cases when all the permanent teeth are complete and in good condition. Orthodontic treatment can be performed using the Begg or Straightwire techniques. Purpose: This study aims to investigate the difference in the effect of orthodontic treatment with Begg and Straightwire appliances on molar position, occlusal plane, and anterior and posterior facial height. Methods: Sixty pairs of lateral cephalograms before and after the treatment of patients with bimaxillary and bidental protrusive Angle malocclusion Class I, aged 18–35 years old, who underwent orthodontic treatment using the Begg and Straightwire techniques with the extraction of all first premolars that met the inclusion criteria. Data analysis was performed using two-way repeated analysis of variance (p<0.05) and Pearson correlation (p<0.05). Results: Molar position, occlusal plane angle, and anterior and posterior facial heights increased significantly after the Begg technique treatment and decreased significantly after the Straightwire technique treatment (p<0.05), but there were no significant differences between the four variables in the two techniques (p>0.05). Medium correlation was found between variables in both the Begg and Straightwire techniques. Conclusion: Molars were extruded and mesialized and the occlusal plane angle and height of the anterior and posterior faces increased after the Begg appliances treatment. The molars moved mesially and occlusally and there was a decrease in the occlusal plane angle, as well as the height of the anterior and posterior faces, after treatment with the Straightwire appliances. However, there was no difference between the two techniques.


2021 ◽  
Vol 14 (2) ◽  
pp. 27-30
Author(s):  
Ram Udgar Yadav ◽  
Sageer Ahmed ◽  
Mozammal Hossain

This article has no abstract. The first 100 words appear below: A 26-year-old female came with unaesthetic restorations on the upper four anterior teeth. She gave a history of the restoration of the teeth 6 months ago that underwent progressive marginal discoloration. On clinical examination, two upper central and two lateral incisor teeth were restored by Glass Ionomer cement and Secondary caries were present beneath restorations. Teeth were vital and did not respond to percussion and mobility test. Radiographic examination revealed that the four maxillary anterior teeth (2 central and 2 laterals) had the existing restoration which showed a radioopaque area in the proximal surface but radiolucent areas were also seen beneath the radioopaque area that extends to the dentin.


2009 ◽  
Vol 46 (1) ◽  
pp. 58-64 ◽  
Author(s):  
Moon Cheung Lai ◽  
Nigel M. King ◽  
Hai Ming Wong

Objective: To retrospectively study the anterior maxilla of southern Chinese children with complete cleft lip and palate (CLP) for the prevalence of different kinds of dental anomalies, position and rotation of the teeth, and the asymmetry of dental development. Patients: 195 southern Chinese children with CLP aged between 3 and 17 years. Methods and Materials: Dental records and study casts were studied as were the radiographs from which the dental development was determined. Results: The tooth prevalence of cleft side permanent lateral incisor was 19.2% in unilateral CLP (UCLP) children and 20.5% in bilateral CLP (BCLP) children. The cleft side central incisors were rotated in 78.1% and 95.9% of the teeth in UCLP and BCLP children, respectively. Of the permanent canines, 43.4% were positioned mesially on the cleft side in UCLP children, while for BCLP children 69.7% of the teeth were in a normal position. In addition, the mesially positioned canines were often associated with an absence of the permanent lateral incisor while the distally positioned canines were always associated with the presence of supernumeraries in the cleft region. The permanent teeth on the cleft side showed significantly delayed development compared with their antimeres on the noncleft side; however, the delayed permanent lateral incisors did complete their formation normally. Conclusion: This group of Chinese children with CLP demonstrated statistically significant higher prevalences of hypodontia, microdontia, and delayed dental development on the cleft side than the noncleft side.


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