Long-Term Management and Maxillofacial Growth in a Klippel-Trenaunay Syndrome Patient

2019 ◽  
Vol 57 (6) ◽  
pp. 782-790
Author(s):  
Takuya Ogawa ◽  
Eric Shih-Wei Cheng ◽  
Keiko Muramoto ◽  
Keiji Moriyama
Keyword(s):  
Soft Tissue ◽  
Vascular Malformations ◽  
Orthodontic Appliances ◽  
Syndrome Patient ◽  
Fixed Orthodontic Appliances ◽  
Treatment Plans ◽  
Maxillary Dentition ◽  
Klippel Trenaunay Syndrome ◽  
Term Management

Klippel-Trenaunay syndrome (KTS) is a congenital disorder associated with capillary, venous, lymphatic vascular malformations, and unilateral hypertrophy of the soft tissue and bone. We report a case of a 5-year-old girl with KTS who was followed up until age 17. The asymmetry of her maxillary dentition became remarkable with growth, although no significant left-right difference in either the maxilla or mandible was recognized. Acceptable occlusion was achieved without fixed orthodontic appliances; however, it was necessary to develop treatment plans in accordance with the general symptoms of the disease.

scholarly journals Long-term skeletal effects of high-pull headgear followed by fixed appliances for the treatment of Class II malocclusions

2018 ◽  
Vol 88 (5) ◽  
pp. 530-537
Author(s):  
E. Erin Bilbo ◽  
Steven D. Marshall ◽  
Karin A. Southard ◽  
Verrasathpurush Allareddy ◽  
Nathan Holton ◽  
...  
Keyword(s):  
Class Ii ◽  
Class I ◽  
Control Group ◽  
Orthodontic Appliances ◽  
Skeletal Changes ◽  
Fixed Orthodontic Appliances ◽  
Horizontal Growth ◽  
Skeletal Effects ◽  
Fixed Appliances

ABSTRACT Objectives: The long-term skeletal effects of Class II treatment in growing individuals using high-pull facebow headgear and fixed edgewise appliances have not been reported. The purpose of this study was to evaluate the long-term skeletal effects of treatment using high-pull headgear followed by fixed orthodontic appliances compared to an untreated control group. Materials and Methods: Changes in anteroposterior and vertical cephalometric measurements of 42 Class II subjects (n = 21, mean age = 10.7 years) before treatment, after headgear correction to Class I molar relationship, after treatment with fixed appliances, and after long-term retention (mean 4.1 years), were compared to similar changes in a matched control group (n = 21, mean age = 10.9 years) by multivariable linear regression models. Results: Compared to control, the study group displayed significant long-term horizontal restriction of A-point (SNA = −1.925°, P < .0001; FH-NA = −3.042°, P < .0001; linear measurement A-point to Vertical Reference = −3.859 mm, P < .0001) and reduction of the ANB angle (−1.767°, P < .0001), with no effect on mandibular horizontal growth or maxillary and mandibular vertical skeletal changes. A-point horizontal restriction and forward mandibular horizontal growth accompanied the study group correction to Class I molar, and these changes were stable long term. Conclusions: One phase treatment for Class II malocclusion with high-pull headgear followed by fixed orthodontic appliances resulted in correction to Class I molar through restriction of horizontal maxillary growth with continued horizontal mandibular growth and vertical skeletal changes unaffected. The anteroposterior molar correction and skeletal effects of this treatment were stable long term.

Long-term changes in microbiology and clinical periodontal variables after completion of fixed orthodontic appliances

2013 ◽  
Vol 17 (1) ◽  
pp. 49-59 ◽  
Author(s):  
E. Ghijselings ◽  
W. Coucke ◽  
A. Verdonck ◽  
W. Teughels ◽  
M. Quirynen ◽  
...  
Keyword(s):  
Orthodontic Appliances ◽  
Fixed Orthodontic Appliances ◽  
Long Term Changes

scholarly journals A Cross-Sectional Study of Labial Bone and Covering Soft Tissue in Maxillary Anterior Segment: A Dilemma in Orthodontics

2021 ◽  
Vol 2021 ◽  
pp. 1-7
Author(s):  
Saeed Yousefzadeh ◽  
Maryam Johari ◽  
Sedigheh Sheikhzadeh ◽  
Sina Haghanifar ◽  
Hemmat Gholinia ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Pearson Correlation ◽  
Anterior Segment ◽  
Young Patients ◽  
Orthodontic Appliances ◽  
Hard Tissue ◽  
Tissue Thickness ◽  
Alveolar Crest ◽  
Soft Tissue Thickness ◽  
Fixed Orthodontic Appliances

Purposes. The thickness of the buccal bone and its covering gingiva is pivotal in determining the prognosis of implant therapy as well as fixed orthodontic appliances, especially nonextraction treatments. The purpose of this study was to evaluate the buccal bone thickness and covering soft tissue in the maxillary anterior segment. Methods. This study measured the hard tissue thickness at 2 and 5 mm more apical from the crest and at the root apical apex, as well as the distance from the CEJ to the alveolar crest, using 80 CBCT images divided into three age groups. In addition, the distance from free gingiva to alveolar crest and from free gingiva to CEJ was measured. The acquired data then was analyzed using an ANOVA, t-test, and Pearson correlation to investigate any associations or statistically significant differences between parameters. Results. The highest mean soft tissue thickness at the 5 mm level was for central incisors and the least for canine. The highest mean thickness of soft tissue at the crest level and its 2 mm apical level was related to central incisors and the lowest mean thickness at these levels was related to canine. Analysis of hard tissue variables showed the lower thickness of hard tissue at higher ages compared to the young patients group, but the thickness of the soft tissue increases with age. Conclusion. The highest mean thickness of the buccal hard tissue in the maxillary anterior segment was in lateral and central incisors. Also, the most prominent thickness of the labial soft tissue was in the central and lateral incisors at levels close to the crest.

THE EFFECT OFPRP-THERAPY ON THE STATE OFTHE MICROCIRCULATORY BED USING FIXED ORTHODONTIC APPLIANCES

2020 ◽  
Vol 86 (1) ◽  
pp. 4-9
Author(s):  
I. Kovach ◽  
N. Gutarova ◽  
V. Alekseeva
Keyword(s):  
Oral Mucosa ◽  
The State ◽  
Term Effect ◽  
Pronounced Effect ◽  
Orthodontic Appliances ◽  
Antibacterial Drugs ◽  
Microcirculatory Bed ◽  
Long Term Effect ◽  
Fixed Orthodontic Appliances

The effect of PRP-therapy on the state of the vessels of the microvasculature was determined using invariable orthodontic appliances (FOAs). The experiments were carried out on 32 male rabbits of the Dutch breed aged 9 months, which were evenly distributed into four groups: control and experimental groups (I, II, III), 8 animals each. It has been established that treatment with FOAs leads to deterioration of the microcirculatory bed vessels, the development of ischemia and necrosis of the oral mucosa. The use of antibacterial drugs against the background of FOAs leads to a weakly pronounced effect, which develops quite late (on the 20th day in the studied group of rabbits). The most effective method of treatment is the use of PRP-therapy with a pronounced, strong and long-term effect from the very first days with a minimum of contraindications to the procedure. Keywords: microcirculatory bed, PRP-therapy, permanent orthodontic technique.

Long-term management of patients after potentially curative treatment of extremity soft-tissue sarcoma

2004 ◽  
Vol 11 (S2) ◽  
pp. S80-S81
Author(s):  
F. E. Johnson ◽  
K. S. Virgo ◽  
A. L. Beitler ◽  
J. F. Gibbs ◽  
K. Sakata ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Soft Tissue Sarcoma ◽  
Curative Treatment ◽  
Extremity Soft Tissue Sarcoma ◽  
Term Management

scholarly journals Treatment of Angle class I malocclusion with severe crowding by extraction of four premolars: A case report

2018 ◽  
Vol 17 (4) ◽  
pp. 683-687
Author(s):  
Mohammad Khursheed Alam ◽  
Shifat A Nowrin ◽  
Fazal Shahid ◽  
Sanjida Haque ◽  
Anas Imran ◽  
...  
Keyword(s):  
Case Report ◽  
Soft Tissue ◽  
Medical Science ◽  
Class I ◽  
Orthodontic Appliances ◽  
Angle Class ◽  
Fixed Orthodontic Appliances ◽  
Canine Guidance ◽  
Bimaxillary Protrusion

Aims: To correct the Angle class I malocclusion with crowding via four premolar extractions.Presentation of case:A 19-year-old Malaysian female presented with the bimaxillary protrusion, crowding, high canines, midline deviation and edge-to-edge anterior bite. Upper lateral incisors were palatalized and in crossbite interactions with the opposite teeth.Discussion: Treatment was initiated using fixed orthodontic appliances followed by four 1st premolar extractions in both arches. Case was finished with good inter cuspation of the upper and lower teeth. Molars were finished in a Class I relationship with canine guidance, and ideal overjet and overbite were obtained.Conclusion: Successful finishing of a case with beautiful smile, obtained proper overjet and overbite, corrected cross bite, midline shifting and the improved soft tissue profile.Bangladesh Journal of Medical Science Vol.17(4) 2018 p.683-687

scholarly journals Long-term clinical and bacterial effects of xylitol on patients with fixed orthodontic appliances

2015 ◽  
Vol 16 (1) ◽  
Author(s):  
Mohamed I. Masoud ◽  
Reem Allarakia ◽  
Najlaa M. Alamoudi ◽  
Romesh Nalliah ◽  
Veerasathpurush Allareddy
Keyword(s):  
Orthodontic Appliances ◽  
Fixed Orthodontic Appliances

scholarly journals Klippel-Trenaunay Syndrome with Extensive Lymphangiomas

2015 ◽  
Vol 2015 ◽  
pp. 1-6 ◽  
Author(s):  
Sirin Mneimneh ◽  
Ali Tabaja ◽  
Mariam Rajab
Keyword(s):  
Soft Tissue ◽  
Vascular Malformations ◽  
Rare Disorder ◽  
Port Wine ◽  
Port Wine Stains ◽  
Klippel Trenaunay Syndrome

Klippel-Trenaunay syndrome (KTS) is a rare disorder characterized by the triad of vascular malformations, venous varicosities, and bone and soft-tissue hypertrophy. We present a case of Klippel-Trenaunay syndrome with limb hypertrophy, port-wine stains, lymphangiomas, and venous varicosities in the limbs.

scholarly journals Interproximal space recovery using an orthodontic elastic separator before prosthetic restoration: a case report

2011 ◽  
Vol 22 (1) ◽  
pp. 79-82 ◽  
Author(s):  
Luciana Lira Meneghel ◽  
Linda Wang ◽  
Murilo Baena Lopes ◽  
Alcides Gonini Júnior
Keyword(s):  
Contact Point ◽  
Orthodontic Appliances ◽  
Gingival Inflammation ◽  
Second Molar ◽  
Restorative Treatment ◽  
Normal Occlusion ◽  
Fixed Orthodontic Appliances ◽  
Pocket Formation

The presence of a dental contact point is essential to maintain normal occlusion and to preserve the health of periodontal structures. Occasionally dental caries could compromise the interproximal contact point, leading to migration of the adjacent teeth with consequent retention of food, gingival inflammation, pocket formation, bone loss and dental mobility. In order to achieve an adequate restorative treatment, reestablishment of interproximal space is necessary. This report describes the interproximal space recovery between the maxillary first and second molars of a 45-year-old female patient before tooth reconstruction. In this case, an orthodontic elastic separator was indicated as an alternative to fixed orthodontic appliances in order to recover the necessary space. The technique was proven efficient, effective, economical, easy to perform and, above all, less invasive than other methods. The interproximal space was regained and a ceramic onlay was cemented for restoring the maxillary second molar. Periodical clinical and radiographic follow-up should be maintained to ensure long-term success.

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