scholarly journals Orthodontic treatment of an impacted dilacerated maxillary incisor: A case report

2006 ◽  
Vol 30 (2) ◽  
pp. 93-98 ◽  
Author(s):  
Paola Cozza ◽  
Alessandra Marino ◽  
Roberta Condo

Dilaceration is one of the causes of permanent maxillary incisor eruption failure. It is a developmental distortion of the form of a tooth that commonly occurs in permanent incisors as result of trauma to the primary predecessors whose apices lie close to the permanent tooth germ.We present a case of post-traumatic impaction of a dilacerated central maxillary left incisor in a young patient with a class II malocclusion.

2020 ◽  
Vol 67 (3) ◽  
pp. 159-164
Author(s):  
Tina Pajevic ◽  
Jovana Juloski ◽  
Marija Zivkovic

Introduction. Orthodontic treatment of Class II Division 1 (II/1) malocclusions in adults can be challenging since skeletal effects are limited. Possible treatment options are orthodontic camouflage or orthognatic surgery, in severe cases. The aim of this paper was to present a successful management of Class II malocclusion in an adult patient using temporary anchorage devices (TADs). Case report. After detailed clinical examination, study models and cephalometric analysis, a 26 years old patient was diagnosed with Class II malocclusion, an overjet of 12 mm, congenitally missing tooth 41 and midline shifted to the right in upper dental arch. In prior orthodontic treatment, patient had upper premolars extracted. Posterior teeth in upper left quadrant were shifted mesially. The camouflage treatment was considered, using temporary anchorage devices (TADs) to distalize posterior teeth on the left side, and gain space for incisor retraction and midline correction in upper dental arch. Results. Using TADs as additional anchorage in anterior region and coil spring for molar distalization, the space was made for tooth 23, midline correction and incisor retraction. After 40 months, a satisfactory result was achieved, overjet and midline correction, class I canines occlusion and class II molar occlusion. Conclusion. Class II/1 malocclusion in adults can be successfully treated using TADs. The success depends on the severity of malocclusion and patient cooperation.


1996 ◽  
Vol 23 (2) ◽  
pp. 103-108 ◽  
Author(s):  
H. C. Moseley ◽  
E. N. Horrocks ◽  
R. R. Welfare

A case is described in which a Class II malocclusion with severe Class II skeletal pattern was treated with a modified Twin Block Appliance. The patient, an II-year-old girl, had initially presented with an ameloblastoma located in the right maxilla. The subsequent defect produced by surgery was obturated by the appliance during her orthodontic treatment, which was undertaken during her pubertal growth spurt Two years later the result was stable, allowing the provision of a more definitive prothesis to restore the occlusion.


2014 ◽  
Vol 3 (1) ◽  
pp. 41-45
Author(s):  
Naznin Sultana ◽  
Md Nazmul Hasan ◽  
Gazi Shamim Hassan ◽  
Mir Abu Naim ◽  
Nasrin Akther

In orthodontic practice various treatment modalities have been presented for the treatment for the class II, div 1malocclusions. Recently a large number of young adults have been seeking shorter, cost effective and a non surgical correction of Class II malocclusions and they accept dental camouflage as a treatment option to mask the skeletal discrepancy .This case report presents one such case, a 15years old growing male who has Class II div I malocclusion with sever maxillary incisor proclination, convex profile ,high mandibular plane angle, incompetent lips, increased overjet& overbite, over retained upper left deciduous canine ,impacted upper left canine and a supernumerary tooth in canine region. We considered the camouflage treatment by extracting the upper right first premolar, left impacted canine, deciduous canine and supernumerary tooth. Following the treatment, a satisfactory result was achieved with an ideal, static and a functional occlusion, facial profile, acceptable smile, competent lip and stable treatment results. DOI: http://dx.doi.org/10.3329/updcj.v3i1.17984 Update Dent. Coll. j: 2013; 3 (1): 41-45


2017 ◽  
Vol 2017 ◽  
pp. 1-4 ◽  
Author(s):  
S. Aksakalli ◽  
A. Balaban ◽  
K. Nazaroglu ◽  
E. Saglam

This case report outlines the possibility of accelerated tooth movement with the combination of microosteoperforation and mini-screws. A 14-year-old male patient presented Class II malocclusion with maxillary incisor protrusion. Upper first premolars were extracted, and after leveling, accelerated canine distalization started. For pre- and postdistalization times, amount of distalization, periodontal health, and root resorption were assessed. Within the limitations of this case report, micro-osteoperforations with mini-screw have a potential for shortening the treatment time.


2016 ◽  
Vol 4 (2) ◽  
pp. e85-e92
Author(s):  
José Julio Donjuán Villanueva ◽  
Hugo Alberto Vásquez Estrada ◽  
José Ramón Hernández Carvallo ◽  
María Gabriela Nachón García

2020 ◽  
Vol 32 (2) ◽  
pp. 119
Author(s):  
Jenny Augusta Arnis ◽  
Haru Setyo Anggani

Pendahuluan: Maloklusi kelas II skeletal disertai crowding yang parah dapat menambah kompleksitas perawatan ortodontik. Umumnya dibutuhkan pencabutan gigi premolar sehingga dibutuhkan upaya untuk mempertahankan ruangan yang telah diperoleh karena kebutuhan ruangan yang cukup besar. Tujuan penulisan laporan kasus ini adalah menjelaskan perawatan ortodontik kasus maloklusi kelas II skeletal disertai crowding yang parah dengan penjangkaran trans palatal arch (TPA). Laporan kasus: Pasien laki-laki 34 tahun datang ke klinik Ortodonti RSGM FKG UI dengan keluhan gigi berjejal. Hasil diagnosis memperlihatkan adanya maloklusi kelas II skeletal disertai dengan crowding yang parah pada lengkung gigi atas dan bawah, serta profil muka cembung. Kasus ini dirawat dengan pencabutan gigi premolar pertama di rahang atas maupun bawah di kedua sisi menggunakan peranti ortodontik cekat sistem breket pre-adjusted edgewise MBT, dan ditambahkan TPA di rahang atas. Hasil perawatan menunjukkan crowding pada lengkung gigi atas dan bawah terkoreksi setelah 20 bulan perawatan. Simpulan: Penatalaksanaan maloklusi kelas II yang kompleks memerlukan pertimbangan dan perencanaan yang seksama terutama dalam hal penjangkaran. Perawatan ortodontik konvensional menggunakan penjangkaran tambahan berupa TPA terbukti efektif dalam mengoreksi crowding yang parah, mengubah hubungan molar dan kaninus menjadi kelas I, serta memperoleh oklusi yang baik secara merata di regio atas dan bawah di kedua sisi.Kata kunci: Trans palatal arch, crowding, maloklusi kelas II skeletal. ABSTRACTIntroduction: Skeletal class II malocclusion with severe crowding may contribute to the complexity level of orthodontic treatment. During the treatment with premolar extraction, space created needs to be maintained due to the more substantial space requirement. The purpose of this case report was to determine the orthodontic treatment of class II malocclusion with severe crowding using a trans palatal arch (TPA) to reinforce the anchorage. Case report: A 34-year man came to Orthodontic Clinics of the Faculty of Dentistry University of Indonesia Dental Hospital with a chief complaint of dental crowding. Diagnosis result showed the skeletal class II malocclusion along with severe maxillary and mandibular crowding and a convex face profile. Treatment with four first premolar extraction was performed with a pre-adjusted edgewise MBT system with TPA in the upper arch. The treatment results showed that severe crowding was corrected after 20 months of treatment. Conclusion: Due to the complexity of class II malocclusion, arrangement and implementation of this case need proper consideration and strategic planning, especially regarding anchorage control. Conventional orthodontic treatment using TPA is proven to be effective to eliminate severe crowding, obtain bilateral class I canine and molar relationship, and to achieve a right balance and occlusal function in the upper and lower regions of both sides.Keywords: Trans palatal arch, dental crowding, skeletal class II malocclusion.


2007 ◽  
Vol 77 (4) ◽  
pp. 735-741 ◽  
Author(s):  
Richard Scott Conley ◽  
Scott B. Boyd ◽  
Harry L. Legan ◽  
Christopher C. Jernigan ◽  
Craig Starling ◽  
...  

Abstract An impacted or missing permanent tooth can add significant complications to an otherwise straightforward case. When multiple impacted teeth are present, the case complexity increases further. Developing a treatment sequence, determining appropriate anchorage, and planning and executing sound biomechanics can be a challenge. The following case report illustrates a patient reportedly diagnosed with mild scleroderma as an adolescent. He presented for orthodontic treatment as an adult with multiple retained primary teeth and multiple impacted teeth. Diagnosis, treatment planning, and various methods of managing guided eruption of impacted teeth will be discussed. Following orthodontic treatment that required extraction of multiple primary and permanent teeth as well as exposure and ligation of multiple permanent teeth by an oral surgeon, the patient finished with a significantly improved functional and esthetic result.


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