Treatment of an adult with a severe anterior open bite and mutilated malocclusion without orthognathic surgery

1996 ◽  
Vol 110 (6) ◽  
pp. 682-687 ◽  
Author(s):  
Gerald A. Smith
Keyword(s):  
Orthognathic Surgery ◽  
Open Bite ◽  
Anterior Open Bite

Idiopathic condylar resorption in orthodontics

2021 ◽  
Vol 14 (2) ◽  
pp. 82-88
Author(s):  
Salwa El-Habbash ◽  
Timothy McSwiney
Keyword(s):  
Risk Factors ◽  
Orthognathic Surgery ◽  
Mechanical Load ◽  
Systemic Disease ◽  
Treatment Options ◽  
Open Bite ◽  
Mandibular Movement ◽  
Anterior Open Bite ◽  
Surgical Risk ◽  
Multiple Treatment

Condylar resorption (CR) can be categorized into functional and dysfunctional remodelling of the temporomandibular joint (TMJ). The literature describes dysfunctional remodelling of the TMJ as idiopathic condylar resorption (ICR). Idiopathic condylar resorption (ICR) is a well-documented but poorly understood pathological entity that can occur spontaneously or post-orthognathic surgery. It predominantly affects young women, with other risk factors including Class 2 malocclusion with steep mandibular plane angles. It is distinguished by a decreased condylar head volume and ramus height, progressive mandibular retrusion and an anterior open bite. Its aetiology can be categorized into surgical and non-surgical risk factors. These include hormones, systemic disease, trauma, mechanical load and surgical risk factors, such as magnitude and direction of mandibular movement, type of surgical fixation and length of post-operative maxilla-mandibular fixation. ICR is a diagnosis of exclusion, and identified by a combination of clinical, radiographic and haematological findings. Multiple treatment options have been described in the literature, including medical management, orthodontics, orthognathic surgery, TMJ surgery, TMJ and orthognathic surgery combined, and total joint prosthesis reconstruction. Further research is required to better understand the aetiology of ICR and more long-term, controlled, multicentre clinical studies are needed to evaluate the outcomes of surgical and non-surgical management of CR patients. CPD/Clinical Relevance: Idiopathic condylar resorption has many presentations and potential causes that can greatly impact the decisions and outcomes for orthodontic/orthognathic treatment.

Anterior open bite correction with 2-jaw orthognathic surgery

2019 ◽  
Vol 155 (1) ◽  
pp. 108-116.e2 ◽  
Author(s):  
Jae Hyun Park ◽  
Michael Papademetriou ◽  
Carolyn Gardiner ◽  
John Grubb
Keyword(s):  
Orthognathic Surgery ◽  
Open Bite ◽  
Anterior Open Bite

Orthodontics

2020 ◽  
pp. 121-172
Keyword(s):  
Treatment Planning ◽  
Distraction Osteogenesis ◽  
Orthognathic Surgery ◽  
Orthodontic Treatment ◽  
Open Bite ◽  
Diagnosis And Treatment ◽  
Anterior Open Bite ◽  
Treatment Need ◽  
The Face ◽  
Structured Approach

This chapter discusses the growth of the face, development of the dentition, and prevention and correction of occlusal anomalies, providing a concise overview of the fundamentals of orthodontics. Definitions relevant to orthodontics are outlined as well as a structured approach to orthodontic assessment. The Index of Orthodontic Treatment Need is explained, and its implications highlighted. The chapter also simplifies cephalometrics before detailing the management of increased overbite, anterior open bite, increased overjet, and various other dental and skeletal malocclusions. A further area included in this chapter is orthognathic surgery. The section includes diagnosis and treatment planning in these cases, surgery, and distraction osteogenesis.

scholarly journals Orthodontic Treatment Timing and Modalities in Anterior Open Bite: Case Series Study

2017 ◽  
Vol 11 (1) ◽  
pp. 581-594
Author(s):  
Wisam Al Hamadi ◽  
Fayez Saleh ◽  
Mohamad Kaddouha
Keyword(s):  
Treatment Modality ◽  
Orthognathic Surgery ◽  
Age Groups ◽  
Case Series ◽  
Open Bite ◽  
Anterior Open Bite ◽  
Treatment Timing ◽  
Case Series Study ◽  
Key Factor ◽  
Series Study

Objective: The purpose of this study was to present early and adult cases of anterior open bite that were treated efficiently using different treatment approaches and mechanics. Materials and Methods: Five patients of different age groups (from 7 to 27 years), suffering from a clear Anterior open bite deformity, were properly diagnosed and relevant treatment modality for each was selected. Results: Positive overbite was efficiently achieved for all patients. Conclusion: Patient compliance is a key factor in using removable habit breakers. However, fixed palatal crib gave the same results but in shorter time. Anterior open bite of skeletal components should be thoroughly evaluated before selecting camouflage or orthognathic surgery treatment modality.

scholarly journals Treatment of adult patient with hyperdivergent retrognathic phenotype and anterior open bite: report of a case with non-surgical orthodontic approach

2020 ◽  
Vol 25 (4) ◽  
pp. 75-84
Author(s):  
Marinho Del Santo Jr
Keyword(s):  
Young Adult ◽  
Adult Patient ◽  
Orthognathic Surgery ◽  
Clinical Case ◽  
Open Bite ◽  
Therapeutic Result ◽  
Anterior Open Bite ◽  
Young Adult Patient ◽  
Molar Intrusion

ABSTRACT Adult patients with anterior open bite and hyperdivergent retrognathic phenotype demand complex treatments, as premolar extractions, molar intrusion or orthognathic surgery. In the present clinical case, a young adult patient without significant growth, with Class I and anterior open bite, was treated with four premolar extractions. The therapeutic result shows good intercuspation, good facial esthetic, good function balance, and stability in a two-year post-fixed treatment follow-up.

scholarly journals Orthognathic surgery case overview in patients with class III dentoskeletal Angle classification

2013 ◽  
Vol 25 (2) ◽  
Author(s):  
Dimas Ilham Hutomo ◽  
Ida Ayu Astuti ◽  
Borman Sumaji
Keyword(s):  
Medical Record ◽  
Orthognathic Surgery ◽  
Maxillofacial Surgery ◽  
Surgical Techniques ◽  
Open Bite ◽  
Surgical Patients ◽  
Oral And Maxillofacial Surgery ◽  
Class Iii ◽  
Anterior Open Bite ◽  
Record Data

Introduction: Angle classification is a classification commonly used for malocclusion in the field of orthodontics. Mandibular prognation is one of the skeletal features of Class III dentoskeletal classification or defined as mesiocclusion. The prevalence of class III dentoskeletal occurrence in Asian populations is much higher than Caucasian racial populations. Aim of research is to obtain data of Orthognathic surgery case overview in patients with class III dentoskeletal angle classification Methods: Type of research is using a retrospective descriptive method by taking secondary data from medical record cards of orthognathic surgery cases. The population in this study were all medical record data of patients undergoing orthognathic surgical treatment in the Oral and Maxillofacial Surgery Department of RSUP Dr. Hasan Sadikin 2006-2011 period. The sample in this study is medical record data of patients with Class III dentoskeletal classification performed orthognathic surgery in the period 2006-2011. then classified by year of surgery, sex, age, Angle classification, state of anterior open bite, location of surgery, and technique used in surgery. Result: 2% of orthognathic surgical patients have a Class III Angle relationship and only 8% of orthognathic surgical patients have a Class II Angle relation. Based on the anterior tooth overbite relation in patients with an Angle class III relationship, there are 16 patients who have an open bite relation on the anterior teeth. Only 8 patients from Angle III class relationships were treated with orthognathy without an anterior open bite relation.Conclusion: In the period 2006-2011, the Department of Oral and Maxillofacial Surgery Dr. Hasan Sadikin handled 26 orthognathic surgical patients, The most orthognathic surgical patients were in the age group of 21-25 years and the difference in the number of male and female patients was only small, Cases of orthognathic surgery in patients with class dentoskeletal Angle classification III is the most handled case by the Department of Oral and Maxillofacial Surgery Dr. Hasan Sadikin Bandung in the period 2006-2011 reached 92.31% of all orthognathic surgery cases or 24 cases. (4) Most orthognathic surgical patients with Class III dentoskeletal classification have an anterior open bite relation. The most commonly performed surgical techniques for patients with Class III dentoskeletal classification are bimaxillary surgical techniques with a combination of Le Fort 1 osteotomy techniques on the maxilla and sagittal split osteotomy and genioplasty of the mandible.

Dilemma in closing the bite: a case of orthognathic surgery

2020 ◽  
Vol 13 (1) ◽  
pp. 35-40
Author(s):  
Siddharth Mehta ◽  
Abhay T Kamath ◽  
Adarsh Kudva ◽  
G Srikanth ◽  
Arun Urala
Keyword(s):  
Case Report ◽  
Adult Male ◽  
Clinical Relevance ◽  
Orthognathic Surgery ◽  
Open Bite ◽  
Anterior Region ◽  
Anterior Open Bite ◽  
Posterior Crossbite ◽  
Old Adult ◽  
History Of

This case report demonstrates treatment of an open bite case with a history of trauma to the maxillary anterior region in childhood. A 20-year-old adult male presented with a convex profile and significant anterior bite and unilateral posterior crossbite. Surgical bite correction was planned but posed a dilemma in the choice of surgery. CPD/Clinical Relevance: To demonstrate the outcome of a case of skeletal anterior open bite treated with orthognathic surgery.

scholarly journals Long-term stability of an anterior open-bite malocclusion treated in the mixed dentition: a case report

2006 ◽  
Vol 14 (6) ◽  
pp. 470-475
Author(s):  
Márcio Rodrigues de Almeida ◽  
Renato Rodrigues de Almeida ◽  
Ana Claúdia de Castro Ferreira Conti ◽  
Ricardo de Lima Navarro ◽  
Giovani de Oliveira Correa ◽  
...  
Keyword(s):  
Orthognathic Surgery ◽  
Clinical Case ◽  
Open Bite ◽  
Mixed Dentition ◽  
Facial Growth ◽  
Maxillary Expansion ◽  
Anterior Open Bite ◽  
Long Term Stability

A clinical case with anterior open-bite, treated in the mixed dentition, is presented. This approach demonstrates one of the possible approaches of treatment, which is capable of interfering with growth and redirecting its vectors. Orthodontic and orthopedic methods were used, consisting of slow maxillary expansion, through a fixed palatal crib soldered in a bi-helix appliance, and high-pull traction on the mandible for 16 hours a day. After eight years of follow-up, stable outcomes were accomplished. These results may be explained by the fact that treatments were performed at the appropriate period of development, thus establishing perioral muscular equilibrium, matching the final period of facial growth. The combination of orthodontic and orthopedic treatments was necessary to prevent the need of further orthognathic surgery treatment.

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