scholarly journals Penatalaksanaan disgnati kelas II skeletal dengan bilateral sagital split osteotomy

2010 ◽  
Vol 9 (2) ◽  
pp. 69
Author(s):  
Muhammad Ruslin ◽  
Ida Ayu Astuti ◽  
D. Bram Tuinzing

This case reported a female patient aged 30 years was treated with orthognathysurgery in Hasan Sadikin Hospital, Bandung. Based on clinical and radiologicalexaminations, model study and photography, diagnosis of skeletal dysgnathy class IIwas established. The orthodontic treatment is a preparation before surgical operationto achieve stability in optimal dental interdigitation. In operation, BSSO, chinplasty,and V-Y plastic upper lip as well as intermaxillary fixation (IMF) ligation was carriedout at the dentofacial position class I. At day-16, radiography was carried out toevaluate the surgical outcome and the bone position. At day-21, the opening of jawswas 1.5 cm; and at day-42, the patient was reconsulted to orthodontist, and tophysical medicine and rehabilitation In month-3, occlusion, facial profile andharmony, and jaw functions showed the satisfying outcome, though for theinterdigitation stabilization, the rubber elastics was still installed.

2014 ◽  
Vol 19 (2) ◽  
pp. 115-125 ◽  
Author(s):  
Daltro Enéas Ritter

This article reports the orthodontic diagnosis and treatment planning carried out with a 14-year and 5-month-old female patient with esthetic and functional complaints. She presented an Angle Class I malocclusion, anterior crossbite and severe crowding in both maxillary and mandibular arches, in addition to a lightly concave straight facial profile. Orthodontic treatment did not require extraction. Crossbite was corrected by protrusion of upper teeth, which contributed to alignment and leveling of teeth, in addition to improving the patient's facial profile. The case was presented to the Brazilian Board of Orthodontics and Dentofacial Orthopedics (BBO) as a requirement for the BBO certification.


2012 ◽  
Vol 17 (3) ◽  
pp. 132-137 ◽  
Author(s):  
Claudia Trindade Mattos ◽  
Mariana Marquezan ◽  
Isa Beatriz Barroso Magno Chaves ◽  
Diogo Gonçalves dos Santos Martins ◽  
Lincoln Issamu Nojima ◽  
...  

2021 ◽  
Vol 14 (1) ◽  
pp. 27-31
Author(s):  
Naeem I Adam ◽  
Adam Jowett ◽  
Trevor Hodge

This is the second article in a series on conundrums in orthodontics. A Class I molar relationship is a frequent aim of orthodontic treatment. There are, however, examples where intentionally finishing to a Class III molar relationship is the more pragmatic and preferable option. Pursuing this approach in the appropriate circumstances may, for example, prevent deleterious consequences to the facial profile or avoid the need for further dental extractions. This article explores the indications for finishing cases to a Class III molar relationship with illustrated clinical cases. CPD/Clinical Relevance: Dogmatic attempts to deliver Class I molar relationships, in all cases, without consideration of the consequences, have the potential to cause the patient harm. The orthodontist must then consider all possible options available, including those resulting in a Class III molar relationship.


Praxis medica ◽  
2021 ◽  
Vol 50 (1-2) ◽  
pp. 13-17
Author(s):  
Dragana Ćorović ◽  
Amila Vujačić ◽  
Vladanka Vukićević

The variety of etiological factors contributing to the development of distal bite various form, as well as the structures that are affected by the disorders determine the deegre of complexity of the malocclusion itself, and thus the choice of therapeutic procedure by which it will be treated. An 11-year-old female patient was diagnosed with this type of malocclusion with a certain degree of presence of other irregularities. After a detailed diagnostic procedure, and determining the type of growth, we approach the therapeutic procedure in two phases. By applying the funcional therapy in the first phase, we correct the vertical growth type, and then in the second phase of therapy using a fixed technique we achieve harmonious intermaxillary relations, an adequate molar and canine Class I relationship as well, thus improving the aesthetics of the patient's face.


2019 ◽  
Vol 9 (2) ◽  
pp. 172-176 ◽  
Author(s):  
Benedito V. Freitas ◽  
Vandilson P. Rodrigues ◽  
Mariana F. Rodrigues ◽  
Heloiza V.F. de Melo ◽  
Pedro C.F. dos Santos

2008 ◽  
Vol 78 (1) ◽  
pp. 181-188 ◽  
Author(s):  
Eiji Tanaka ◽  
Akiko Nishi-Sasaki ◽  
Takuro Hasegawa ◽  
Clarice Nishio ◽  
Nobuhiko Kawai ◽  
...  

Abstract The correction of a severe maxillary protrusion in an adult by distal movement of the maxillary molars has been one of the most difficult biomechanical problems in orthodontics. This article reports on the treatment of an adult case of severe maxillary protrusion and a large overjet treated with a skeletal anchorage system. A female patient, age 22 years and 3 months, complained of the difficulty of lip closure due to severe maxillary protrusion with a gummy smile. Overjet and overbite were +7.6 mm and −0.9 mm, respectively. She had a history of orthodontic treatment in which her maxillary first premolars were extracted. In order to conduct distal movement of the maxillary molars, anchor plates were placed in the zygomatic process. After achieving a Class I molar relationship, retraction and intrusion of the maxillary incisors were performed. After a 2-year treatment, an acceptable occlusion was achieved with a Class I molar relationship. Her convex facial profile with upper lip protrusion was considerably improved, and the lips showed less tension in lip closure. After a 2-year retention period, an acceptable occlusion was maintained without recurrence of maxillary protrusion, indicating a stability of the occlusion. The result of this treatment indicated that skeletal anchorage is of great importance as a remedy for achieving intrusion and retraction of the maxillary incisors in cases of severe maxillary protrusion with a patient who had previous orthodontic treatment.


2016 ◽  
Vol 1 (1) ◽  
pp. 33
Author(s):  
Siska Septania Krisnanda ◽  
Soekarsono Hardjono ◽  
Sri Suparwitri

Bruxism merupakan suatu kebiasaan parafungsional berupa gerakan menggertakan dan menggerus gigi. Tidak jarang pasien yang mempunyai kebiasaan bruxism memerlukan perawatan ortodontik. Perawatan bruxism dapat dilakukan bersamaan dengan perawatan ortodontik cekat. Studi kasus ini bertujuan untuk menganalisa efek Trainer for Braces (T4B) pada pasien bruxism yang memerlukan perawatan ortodontik cekat. Pasien perempuan usia 21 tahun, mengeluhkan gigi berjejal dan tidak rapi. Pemeriksaan objektif menunjukkan bidental protrusi, crowding rahang atas dan rahang bawah, deep overbite, konstriksi berat pada regio gigi premolar dan molar rahang atas dan rahang bawah, 47 linguoversi dan disertai bruxism. Maloklusi Angle Kelas I dengan hubungan skeletal Kelas I, bidental protrusi, overjet 3,7 mm, overbite 4 mm, crowding, edge to edge bite, cross bite dan bruxism. Pasien dirawat menggunakan alat ortodontik cekat teknik Edgewise dengan alat tambahan Lingual Arch Bar untuk ekspansi rahang dan koreksi 47 yang linguoversi dan Trainer for Braces (T4B) untuk bruxism. Setelah 8 bulan perawatan, crowding rahang atas dan rahang bawah terkoreksi, ekspansi rahang dapat tercapai, 47 yang linguoversi terkoreksi, overjet dan overbite berkurang menjadi 3,5 mm, perawatan pada pasien masih berlangsung hingga saat ini. Kombinasi perawatan ortodontik cekat dengan penggunaan alat tambahan seperti Trainer for Braces (T4B) efektif untuk membantu koreksi maloklusi pada pasien bruxism. ABSTRACT: Edgewise Technique Combined with Trainer for Braces for Bruxism Patient. Bruxism is a parafunctional habit of grinding and clenching the teeth. It is common for patients with fixed orthodontic treatment to experience bruxism. When dealing with these patients, clinicians could initiate the bruxism treatment in conjunction with the orthodontic treatment. This case report will analyze the effects of Trainer for Braces (T4B) in a patient with malocclusion and bruxism habit. A 21 year old female patient complained of her crowding in upper and lower anterior teeth. The objective examination shows protrusion and crowding in upper and lower teeth, deep overbite, severe maxillary and mandibulary constriction, 47 linguoversion and bruxism habit. Angle Class I with skeletal Class I malocclusion, bidental protrusion, overjet 3.7 mm, overbite 4 mm, crowding, edge to edge bite, crossbite and bruxism habit. The orthodontic treatment used fixed preadjusted Edgewise appliance with Lingual Arch Bar for expansion and lingoversion molar correction. Trainer for Braces (T4B) was also prescribed to treat her bruxism. After 8 months of treatment, the crowding in upper and lower teeth was corrected, dental arch expansion was achieved, linguoversion molar was corrected, and overjet and overbite became 3.5 mm and the treatment was still on going. The combination of fixed preadjusted Edgewise appliance with Trainer for Braces (T4B) can be considered as an effective therapy for correcting malocclusion in bruxism patient.


2017 ◽  
Vol 1 ◽  
Author(s):  
Dwita Pratiwi Dwita Pratiwi ◽  
Benny Mulyono Soegiharto

<p>This case report describes the treatment of a 12-years-old female with a Class III skeletal profile and dental malocclusion. The clinical examination showed concave profile, class III dental relationship, buccal crossbite on the right side, and mild crowding. The cervical vertebral maturation analysis showed the patient was on the CS3 stage. The class III malocclusion was treated with combination of banded rapid palatal expander and face mask followed by non-extraction orthodontic treatment with self-ligating system. Banded rapid palatal expander and face mask were used to improve the skeletal discrepancy. Class I maxilla-mandibular relationship was achieved along with class I molar, incisor, and canine relationship. The buccal crossbite and mild crowding were corrected, the overbite and overjet were normal, and the facial profile was improved. This case demonstrates a good result of a class III malocclusion treatment in an adolescent patient with banded rapid palatal expander/face mask and self-ligating system.</p>


Author(s):  
Nabila Anwar ◽  
Gazi Shamim Hassan

Class I malocclusion also called neutro-occlusion, this describes a normal molar relationship but there is malposition of one or more individual teeth. Treatment of Class I malocclusion varies depending on the condition and severity. However, the purpose of this report is to review the orthodontic treatment of a Class I malocclusion with buccally placed canine without extraction. This case report describes a 13-year-old girl with a Class I malocclusion, anterior and posterior crossbite, a retrusive maxilla with high canine. The Class I malocclusion with posterior crossbite was corrected with quad helix followed by non extraction orthodontic treatment with fixed appliances to correct anterior crossbite. At the end of treatment we obtained an acceptable occlusion relationship and the facial profile and the patient's smile were improved substantially.Ban J Orthod & Dentofac Orthop, April 2014; Vol-4 (1-2), P.20-22


2020 ◽  
Vol 27 (2) ◽  
Author(s):  
Agita Pramustika ◽  
◽  
Retno Widayati ◽  

Presently, dental crowding is the most common problem among orthodontic patients. The prevalence of crowding in the dental arch is significantly increased in modern dentitions, and it is the most common reason why patients pursue orthodontic treatment. Objective: To report an advanced bracket systems, namely self-ligating brackets, to increase the efficacy of orthodontic treatment especially in patients with severe crowding. Case Report: A 22-year-old female patient presented with severe crowding of the maxillary and mandibular arches. In the upper arch, both second premolars were palatally positioned; in the lower arch, the lower right canine was lingually positioned and the lower left second premolar was extracted. The patient had a balanced facial profile with a straight profile and skeletal Class I relationship. Treatment was initiated using passive self-ligating brackets followed by extraction of the upper second premolars and the lower right first premolar. Conclusion: The use of passive selfligating brackets proved to be effective and resulted in a significant improvement in the patient’s dental and smile esthetics. The active treatment time was 11 months; this resulted in successfully alleviating the crowding of the maxillary and mandibular arches and significant improvement in the occlusal relationship.


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