Two-phase orthodontic treatment of two different types of tooth transposition in the same patient

2021 ◽  
pp. 146531252110157
Author(s):  
Marcelo Soares Correa ◽  
Flávia N Ellinger Correa ◽  
Karina Maria Salvatore de Freitas ◽  
Marcos Roberto de Freitas ◽  
Daniela Gamba Garib ◽  
...  
Keyword(s):  
Orthodontic Treatment ◽  
Treatment Time ◽  
Treatment Phase ◽  
Mixed Dentition ◽  
Lateral Incisor ◽  
Dental Arch ◽  
Two Phase ◽  
Main Complaint ◽  
One Year

Orthodontic treatment is thoroughly planned considering the patient’s facial and dental characteristics, the main complaint, treatment time and the orthodontist’s experience. Transposition is a form of ectopia, in which two adjacent teeth exchange positions in the dental arch. Transposition can be partial or complete. This article reports the treatment of a female patient with two kinds of tooth transposition managed in the mixed and permanent dentitions. A girl, aged eight years and three months, came to routine paediatric consultation with an ectopic permanent mandibular left lateral incisor in the mixed dentition. Radiographic analysis indicated partial transposition of the permanent mandibular left lateral incisor and canine (Md.L2.C), and development of a complete tooth transposition between the permanent maxillary right first pre-molar and canine (Mx.C.P1). The patient was treated in two phases. The first, in the mixed dentition, and the second, in the permanent dentition with a three-year follow-up between them. These challenging treatment approaches are described in detail, including the mechanics used. The key points of this treatment were early diagnosis of the ectopic mandibular lateral incisor, use of light forces and interphase patient follow-up. These determined the best time to start the second treatment phase, enabling achievement of aesthetic and functional outcomes, and the results remained stable one year after the end of orthodontic treatment.

scholarly journals Two-phase orthodontic treatment in a unilateral cleft lip and palate patient with 1-year follow-up results

2017 ◽  
Vol 7 ◽  
pp. 101-107
Author(s):  
Prashant M. Dhole ◽  
Divya O. Maheshwari
Keyword(s):  
Orthodontic Treatment ◽  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Treatment Time ◽  
Two Phase ◽  
Total Treatment Time ◽  
Total Treatment ◽  
Growth Modification ◽  
Palate Patient

Treatment of a patient with cleft lip and palate can be challenging. A 10-year and 10-month-old girl presented with uneven and crowded teeth. She had unilateral cleft lip and palate on left side for which she had undergone primary lip repair and palatoplasty when she was younger. On examination, she had concave facial appearance, crossbite of upper arch with reverse overjet of 2 mm, wits appraisal of 6 mm and impacted 23. She was treated with two-phase orthodontic treatment; growth modification appliances followed by fixed mechanotherapy. Total treatment time was 5 years. 1-year follow-up shows that results have been stable with good facial aesthetics and functional occlusion.

The Impacts and Outcomes of Presurgical Nasoalveolar Molding (PNAM) in Newborn Sequential Therapeutic Implementation

2021 ◽  
Author(s):  
Vonda Trivosa
Keyword(s):  
Incidence Rate ◽  
Rural Areas ◽  
Orthodontic Treatment ◽  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Mixed Dentition ◽  
Deciduous Dentition ◽  
Parents And Children ◽  
Nasoalveolar Molding

Cleft lip and palate is a common congenital malformation in the oral and maxillofacial regions. According to epidemiological investigation, the incidence rate is about 1.625%, and the incidence rate is high in poor areas and rural areas. Cleft lip and palate mainly involve the upper lip, hard palate, soft palate and nose, which can damage the appearance of children, affect pronunciation, swallowing and chewing, and also bring different degrees of psychological damage to children in the growth stage. Therefore, we should actively carry out sequential treatment and participate in the treatment work through multi-disciplines. Based on restoring the oral and maxillofacial function and health of children, we should also pay attention to their aesthetic needs, enhance the treatment confidence of parents and children, and lay the foundation for the follow-up repair treatment. Most patients with cleft lip and palate are complicated with malocclusion. Orthodontic treatment is an important part of the treatment of cleft lip and palate. The orthodontic treatment of cleft lip and palate can be divided into five periods: newborn period, deciduous dentition period, mixed dentition period, permanent dentition period and combined orthodontic and orthognathic treatment period. Presurgicalnasoalveolar molding (PNAM) was used to reduce the severity of facial deformity in children with cleft lip and palate. This article discusses the therapeutic effect of newborn PNAM according to clinical cases. Objective to study the opportunity and current situation of PNAM in the treatment of children with cleft lip and palate, and to provide a favorable reference for clinical orthodontists, emphasizing the close communication between various disciplines.

scholarly journals Orthodontic Treatments of Papillon-Lefevre Syndrome: Two Case Reports

2021 ◽  
Vol 30 (02) ◽  
pp. 132-138
Author(s):  
Laila Fawzi Baidas ◽  
Keyword(s):  
Orthodontic Treatment ◽  
Autosomal Recessive ◽  
Case Reports ◽  
Autosomal Recessive Disorder ◽  
Mixed Dentition ◽  
Permanent Teeth ◽  
Dental Arch ◽  
Facial Appearance ◽  
Deciduous Dentition ◽  
Palmoplantar Hyperkeratosis

Papillon-Lefevre syndrome (PLS) is a rare autosomal recessive disorder characterized by palmoplantar hyperkeratosis and early onset of severe destructive periodontitis causing premature loss of both deciduous and permanent dentitions at a young age. In this article two cases of patients with Papillon-Lefevre syndrome in late mixed dentition are presented. The objective of these case reports was to illustrate that under a controlled regime of periodontal treatment, orthodontic treatment is possible in patients with Papillon-Lefevre syndrome. In both cases, the deciduous dentition was lost prematurely shortly after eruption. The permanent teeth erupt without any guidance, and this can lead to loss of space, crowding, and collapse of the dental arch. The aim of the treatment was to expand the arch, create space to allow normal eruption of the permanent teeth, and stabilize the occlusion to help the patient achieve a normal facial appearance rather than the collapsed appearance caused by early extractions. KEYWORDS: Papillon-Lefevre Syndrome, Orthodontics, Mixed dentition, Case reports

scholarly journals Mandibular Symmetrical Bilateral Canine-Lateral Incisors Transposition: Its Early Diagnosis and Treatment Considerations

2016 ◽  
Vol 2016 ◽  
pp. 1-6
Author(s):  
Yehoshua Shapira ◽  
Tamar Finkelstein ◽  
Rana Kadry ◽  
Shirley Schonberger ◽  
Nir Shpack
Keyword(s):  
Early Diagnosis ◽  
Mixed Dentition ◽  
Lateral Incisor ◽  
Radiographic Examination ◽  
Dental Arch ◽  
Mandibular Tooth ◽  
Distal Migration ◽  
Treatment Considerations ◽  
Mandibular Canine ◽  
The Right

Bilateral mandibular tooth transposition is a relatively rare dental anomaly caused by distal migration of the mandibular lateral incisors and can be detected in the early mixed dentition by radiographic examination. Early diagnosis and interceptive intervention may reduce the risk of possible transposition between the mandibular canine and lateral incisor. This report illustrates the orthodontic management of bilateral mandibular canine-lateral incisor transposition. Correct positioning of the affected teeth was achieved on the left side while teeth on the right side were aligned in their transposed position. It demonstrates the outcome of good alignment of the teeth in the dental arch.

scholarly journals Stability of orthodontic treatment outcomes after 1-year treatment with the eruption guidance appliance in the early mixed dentition: A follow-up study

2018 ◽  
Vol 89 (2) ◽  
pp. 206-213 ◽  
Author(s):  
Rita Myrlund ◽  
Katri Keski-Nisula ◽  
Heidi Kerosuo
Keyword(s):  
Orthodontic Treatment ◽  
Permanent Dentition ◽  
Mixed Dentition ◽  
Retention Period ◽  
Anterior Crowding ◽  
Follow Up Study ◽  
Early Correction ◽  
Group 2 ◽  
Group 1

ABSTRACT Objectives: To investigate occlusal stability from the early mixed to the permanent dentition in children after early treatment with the eruption guidance appliance (EGA). Materials and Methods: Of 46 participants who received 1-year early EGA treatment, 35 attended a follow-up examination at age 12. Group 1 (n = 21) started their EGA treatment at mean age 7.7 years, and group 2 at 9.1 years. Following 1-year treatment, the EGA was used as a retainer. Changes in overjet, overbite, sagittal molar relationship, and anterior crowding were measured on casts obtained before EGA treatment, after EGA treatment, and at follow-up to evaluate occlusal stability. Results: Mean overjet, overbite, sagittal molar relation, and mandibular crowding improved significantly during the study period. Participants with good compliance during the retention period had significantly smaller overjet and overbite values than those with poor compliance. Conclusions: Early correction of increased overjet, overbite, and class II molar relation with the EGA is maintainable and can also be effective in the permanent dentition, provided the EGA is worn regularly as a retainer.

scholarly journals Expectations of orthodontic treatment in adults: the conduct in orthodontist/patient relationship

2013 ◽  
Vol 18 (2) ◽  
pp. 88-94 ◽  
Author(s):  
Ricardo Alves de Souza ◽  
André Frutuoso de Oliveira ◽  
Suélem Maria Santana Pinheiro ◽  
Jefferson Paixão Cardoso ◽  
Maria Beatriz Borges de Araújo Magnani
Keyword(s):  
Social Relations ◽  
Orthodontic Treatment ◽  
Treatment Time ◽  
Treatment Success ◽  
Successful Outcome ◽  
Patient Relationship ◽  
Dental Floss ◽  
Good Communication ◽  
Main Complaint ◽  
Facial Esthetics

INTRODUCTION: The high demand for orthodontic treatment, evidenced over the last few decades, has been justified mainly by the greater importance given to facial esthetics, influencing individual's self esteem. However, the professional frequently does not meet all the patient's expectations, for not establishing good communication and not knowing about the critical points during orthodontic treatment. OBJECTIVE: The aim of this study was to elucidate patients' desires and doubts regarding orthodontic treatment, by means of a survey applied to 60 adult patients. RESULTS: The analysis of results revealed that most individuals (38.3 %) noticed treatment success after its conclusion. Occlusion deviation was pointed out by 66.7 % as the main reason for seeking treatment, and esthetics ranked as second (with 48.3 %). Treatment time was considered within the prediction by 46.7% of the interviewees and the results were judged as very good by 43.3 %. The social relations of most participants were not affected by treatment (73.3 %). Also, 58.3 % of the interviewees reported pain as the main complaint and 53.3 % found it difficult to use dental floss. Most participants saw the orthodontist as a professional who was concerned about their health (76.7 %), and believed that he/she was more able to treat them (96.6 %) when compared with the general practitioner. CONCLUSION: The orthodontist/ patient relationship enables an understanding of the expectations regarding orthodontic treatment, resulting in greater motivation and cooperation, leading to a successful outcome.

scholarly journals Immediate Dental Implant Placements Using Osteotome Technique: A Case Report and Literature Review

2016 ◽  
Vol 10 (1) ◽  
pp. 367-374 ◽  
Author(s):  
Saad Al-Almaie
Keyword(s):  
Dental Implant ◽  
Treatment Time ◽  
Wound Dehiscence ◽  
Surgical Trauma ◽  
Implant Placement ◽  
Bone Expansion ◽  
Immediate Implant ◽  
One Year ◽  
Functional Loading

This clinical case describes the effect of the osteotome technique on the osseointegration of a mandibular dental implant in a 42-year-old female patient with dento-alveolar bony defects and to review the literature regarding immediate implant placement using osteotome technique. The amount of bone expansion at the alveolar ridge and the marginal bone resorption from the time of implant placement to one year after the implant’s functional loading were recorded clinically. The esthetic outcome for the restored implant (the gingival margin) was achieved one years after the implant’s functional loading. The surgical and prosthetic sites for the implant showed no postoperative complications, and no infection or wound dehiscence was recorded during the follow-up period. The osteotome technique is good for the purpose for which it was introduced, and its advantages with immediate implant placement include reduced surgical trauma and a shorter treatment time.

Factors Affecting Self-Eruption of Displaced Permanent Maxillary Canines

Medicina ◽  
2011 ◽  
Vol 47 (3) ◽  
pp. 22
Author(s):  
Dalia Smailienė ◽  
Antanas Šidlauskas ◽  
Kristina Lopatienė ◽  
Vesta Guzevičienė ◽  
Gintaras Juodžbalys
Keyword(s):  
Characteristic Curve ◽  
Treatment Success ◽  
Vertical Position ◽  
Dental Arch ◽  
Factors Affecting ◽  
Significant Difference ◽  
One Year ◽  
Unerupted Teeth ◽  
The Impact

The aim of this study was to examine the possibility of the spontaneous eruption of displaced unerupted maxillary canines after the extraction of the deciduous canine and dental arch expansion and to determine the impact of initial canine position on treatment success rate. Materials and Methods. The study sample included 50 patients (mean age, 13.5 years [SD, 2.2]) with unilaterally displaced unerupted maxillary canines. Deciduous canines were extracted, and the space for displaced canine was created at the beginning of the study. The follow-up period for the spontaneous eruption was 12 months. The initial vertical, horizontal, labio-palatal position and angle of inclination to the midline of the displaced canine were assessed on panoramic radiographs. Results. Only 42% of displaced canines erupted spontaneously within one-year period (52.9% of labially displaced canines and 36.4% of palatally displaced canines). A significant difference of inclination was determined between spontaneously erupted and unerupted teeth in the labially displaced canine group (P<0.01), with no difference in the palatally displaced canine group. The receiver operating characteristic curve analysis showed that the critical angle of inclination for the spontaneous eruption of the retained canine was 20º (sensitivity 0.759; specificity 0.571; P<0.05). The majority of unerupted canines (75.9%) were inclined more than 20º. The initial height of canine was crucial for spontaneous eruption (sensitivity 0.966; specificity 0.81; P<0.001). This was true for both palatal and labial cases. Conclusions. The initial vertical position of the labially and palatally displaced canines and the inclination of the labially displaced canines were the most important predictors for spontaneous eruption of the cuspid.

scholarly journals Single visit apexification technique by root end barrier formation with MTA

2015 ◽  
Vol 5 (1) ◽  
pp. 21-25
Author(s):  
Tazdik G Chowdhury ◽  
SM Abdul Quader ◽  
Tasnim A Jannat ◽  
Shirin Sultana Chowdhury ◽  
KM Rowank Jahan ◽  
...  
Keyword(s):  
Root Canal ◽  
Paediatric Dentistry ◽  
Lateral Incisor ◽  
Periapical Lesion ◽  
Canal System ◽  
Single Visit ◽  
Barrier Formation ◽  
Root Canal System ◽  
One Year

Aim: To seal with Mineral trioxide aggragate(MTA) and make a sizeable communication between the root canal system and the periradicular tissue and provide a barrier because of lack of apical constriction.Summary: A 9 year old girl who had met with trauma about six years ago, before she visited department of Paediatric Dentistry , Update Dental College,Dhaka,Bangladesh for the treatment of mandibular right lateral incisor. The case was diagnosed as necrosis of pulp with open apex. After proper isolation access opening and biomechanical preparation was performed with 1mm short of the radiographic apex and calcium hydroxideused as intra canal medicament. After 15 days MTA was placed in the canal till a barrier of 4mm was achieved. Later obturation was done using lateral condensation technique.Size of the periapical lesion was almost decreased after one year of follow up. Followup was done after 1 month, 6 months and 1 year later.Update Dent. Coll. j: 2015; 5 (1): 21-25

One-year follow-up of the effect of fixed orthodontic treatment on colonization by oral candida

2007 ◽  
Vol 37 (1) ◽  
pp. 26-29 ◽  
Author(s):  
Seher Gündüz Arslan ◽  
Nezahat Akpolat ◽  
Jalan Devecioğlu Kama ◽  
Törün Özer ◽  
Orhan Hamamcı
Keyword(s):  
Orthodontic Treatment ◽  
One Year ◽  
Oral Candida
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