scholarly journals Orthodontic-Surgical Treatment of Pattern II: Case Report

2018 ◽  
Vol 20 (1) ◽  
pp. 11
Author(s):  
Sheila Lourdes Molin ◽  
Fabio Pinto Guedes ◽  
Cristhiane Almeida Leite da Silva ◽  
Natalia Sotero Machado Pires
Keyword(s):  
Case Report ◽  
Orthognathic Surgery ◽  
Orthodontic Treatment ◽  
Class Ii ◽  
Therapeutic Approaches ◽  
Prosthetic Rehabilitation ◽  
Angle Class Ii ◽  
Normality Condition ◽  
The Face ◽  
Implant Prosthesis

As más oclusões do Padrão II podem demandar diferentes abordagens terapêuticas. Quando a face é no mínimo aceitável, o tratamento poderá se restringir a região dentoalveolar. No entanto, quando a face é desagradável a correção deve envolver a realização de cirurgia ortognática, além do tratamento ortodôntico. E é exatamente à união sinérgica de todas as especialidades - Implante, Prótese, Cirurgia e Ortodontia – que garante a construção de um sorriso mais estético e saudável e com melhorias significativas na face. O objetivo desse trabalho é descrever um caso clínico de um paciente adulto, negro, Padrão II, deficiência mandibular grave, face desagradável. O tratamento envolveu ortodontia descompensatória, reabilitação protética, cirurgia ortognática e por fim, reanatomização estética dos dentes anteriores superiores, o que permitiu ao paciente uma condição de normalidade oclusal e facial.Palavras chave: Diagnóstico. Má Oclusão de Angle Classe II. Cirurgia Ortognática.AbstractPattern II may require different therapeutic approaches. When the face is at least acceptable, treatment may be restricted to dentoalveolar region. However, when the is unpleasant, correction should involve performing orthognathic surgery, in addition to the orthodontic treatment. And that is exactly the synergic union of all specialties - Implant, prosthesis, surgery and orthodontics - which ensures the construction of a more aesthetic and healthy smile and with significant face improvements. The aim of this study is to describe a case of an adult patient, black, malocclusions class II, severe mandibular deficiency, unpleasant face. The treatment involved descompensatory orthodontics, prosthetic rehabilitation, orthognathic surgery and finally aesthetic reanatomization the upper front teeth, which allowed the patient a normality condition of occlusion and face.Keywords: Diagnosis. Malocclusion, Angle Class II. Orthognathic Surgery

scholarly journals Surgical Treatment of Posttraumatic Laterognathia: A Case Report and a Literature Review, Focused on the Effects of a Condylar Fracture on the Face

2018 ◽  
Vol 11 (3) ◽  
pp. 211-218
Author(s):  
Felipe Ladeira Pereira ◽  
Luísa de Marilac de Alencar Pinheiro ◽  
Phelype Maia Araújo ◽  
LetíciaLiana Chihara ◽  
Renato Luiz Maia Nogueira ◽  
...  
Keyword(s):  
Case Report ◽  
Surgical Treatment ◽  
Orthognathic Surgery ◽  
Orthodontic Treatment ◽  
Facial Asymmetry ◽  
Condylar Fracture ◽  
Professional Help ◽  
Common Complaint ◽  
The Face ◽  
Second Procedure

Facial asymmetry, following early childhood condylar trauma, is a common complaint among patients who seek surgical treatment. G.D.M., a 27-year-old male patient, sought professional help to correct his cosmetic flaw, caused by a condylar fracture when he was 8-years-old. After the proper orthodontic treatment, he underwent a double jaw orthognathic surgery and, 9 months later, a second one to correct the remaining asymmetry. Two years after this second procedure, the patient is still under surveillance and has no complaints.

scholarly journals Class II malocclusion with accentuated occlusal plane inclination corrected with miniplate: a case report

2016 ◽  
Vol 21 (3) ◽  
pp. 94-103 ◽  
Author(s):  
Marcel Marchiori Farret ◽  
Milton M. Benitez Farret
Keyword(s):  
Case Report ◽  
Orthognathic Surgery ◽  
Class Ii ◽  
Occlusal Plane ◽  
Class Ii Malocclusion ◽  
Prosthetic Rehabilitation ◽  
End Of Treatment ◽  
Mandibular Teeth ◽  
Deciduous Molar ◽  
The Right

ABSTRACT Introduction: A canted occlusal plane presents an unesthetic element of the smile. The correction of this asymmetry has been typically considered difficult by orthodontists, as it requires complex mechanics and may sometimes even require orthognathic surgery. Objective: This paper outlines the case of a 29-year-old woman with Class II malocclusion, pronounced midline deviation and accentuated occlusal plane inclination caused by mandibular deciduous molar ankylosis. Methods: The patient was treated with a miniplate used to provide anchorage in order to intrude maxillary teeth and extrude mandibular teeth on one side, thus eliminating asymmetry. Class II was corrected on the left side by means of distalization, anchored in the miniplate as well. On the right side, maxillary first premolar was extracted and molar relationship was kept in Class II, while canines were moved to Class I relationship. The patient received implant-prosthetic rehabilitation for maxillary left lateral incisor and mandibular left second premolar. Results: At the end of treatment, Class II was corrected, midlines were matched and the canted occlusal plane was totally corrected, thereby improving smile function and esthetics.

scholarly journals TRATAMENTO ORTO-CIRÚRGICO DE PACIENTE CLASSE II ESQUELÉTICA: RELATO DE CASO

2019 ◽  
Author(s):  
Suelen Cristina Sartoretto
Keyword(s):  
Case Report ◽  
Key Words ◽  
Orthognathic Surgery ◽  
Class Ii ◽  
Mandibular Advancement ◽  
Facial Aesthetics ◽  
The Face ◽  
Functional Gains

RESUMO: A abordagem orto-cirúrgica em pacientes que apresentam Deformidade Dentofacial do tipo Classe II (DDFII) é mandatória para a obtenção de resultados satisfatórios à nível de função, estética e qualidade respiratória. A cirurgia ortognática permite a manipulação em amplitude dos ossos gnáticos como avanço mandibular e impacção maxilar, movimentos normalmente realizados em pacientes portadores de discrepância severa do tipo Classe II. O objetivo do presente trabalho é apresentar um relato de caso clínico de um paciente submetido a cirurgia ortognática para correção de DDFII com importante ganho no que se refere à estética facial, além dos ganhos funcionais, devido à harmonia entre o terço inferior com o restante da face. Palavras-chave: Cirurgia ortognática; Avanço mandibular; Ortodontia. ABSTRACT: The orthosurgical approach in patients with Class II malloclusion is mandatory to obtain satisfactory results in terms of function, aesthetics and respiratory quality. Orthognathic surgery allows manipulation of the gnatic bones such as mandibular advancement and maxillary impaction, movements normally performed in patients with severe Class II discrepancy. The aim of this study is to present a case report of a patient who underwent orthognathic surgery to correct DDFII with significant gains in facial aesthetics, as well as functional gains, due to the harmony between the lower third and the rest of the face. Key words: Ortognatic surgery; Mandibular advancement; Orthodontics

scholarly journals Hypodontia of mandibular incisors: considerations on the orthodontic treatment

2018 ◽  
Vol 23 (4) ◽  
pp. 79-87
Author(s):  
Renato Barcellos Rédua ◽  
Paulo César Barbosa Rédua
Keyword(s):  
Case Report ◽  
Treatment Option ◽  
Orthodontic Treatment ◽  
Composite Resin ◽  
Therapeutic Approaches ◽  
Missing Teeth ◽  
Craniofacial Malformation ◽  
Space Closure ◽  
Composite Resin Restorations

ABSTRACT Hypodontia is the most prevalent craniofacial malformation in mankind. It may present a wide variety of manifestations and, depending on the number and location of missing teeth, it may affect the esthetics, mastication, speech and occlusal balance. This paper discusses the therapeutic approaches to solve this condition, describing a case report with hypodontia of one mandibular lateral incisor, which treatment option included space closure at the region of hypodontia associated with composite resin restorations in the mandibular central incisors. The three-year follow-up after treatment revealed occlusal stability, adequate intercuspation in Class I relationship and excellent micro and macroesthetics.

scholarly journals Prosthetic Rehabilitation of Cleft Lip Palate with Andrews Bridge Modified as Obturator Prosthesis: Case Report

2020 ◽  
Vol 24 (1) ◽  
pp. 57-61
Author(s):  
Almina Murić ◽  
Demet Cagil Ayvalioglu ◽  
Bilge Gokcen Rohlig
Keyword(s):  
Case Report ◽  
Cleft Palate ◽  
Orthodontic Treatment ◽  
Cleft Lip ◽  
Radiographic Evaluation ◽  
Congenital Defects ◽  
Prosthetic Rehabilitation ◽  
Removable Partial Denture ◽  
Partial Denture ◽  
Cleft Lip Palate

SummaryBackground/Aim: Congenital defects such as cleft palate and lips require a long-lasting and multidisciplinary approach. In cases when surgical and orthodontic treatment is not feasible, prosthodontic management of these patients is advocated. Prosthetic rehabilitation of cleft palate in concerning of achieving aesthetic and function (such as swallowing and speech) outcomes is very demanding.Case report: Material and method: After performing the necessary surgical procedures and orthodontic treatment, 24-years-old male patient was sent to the Department for Maxillofacial Prosthetics of Istanbul University. Followed the clinical examination, the necessary periodontal and conservative therapy was performed. After radiographic evaluation and dental cast analysis prosthetic rehabilitation was performed. The prosthetic rehabilitation of cleft palate was accomplish with conventional fixed partial denture whose number of included abutment were defined by biomechanical principles. Additionally removable partial denture were manufactured for closing oro-nasal defects and lip supporting.Conclusions: The prosthetic rehabilitation resulted with functionally and aesthetically content prosthesis. With achieving proper swallowing Quality of Life of the patient was enormously enhanced.

scholarly journals Class II Division 1 malocclusion treatment using TADs: Case report

2020 ◽  
Vol 67 (3) ◽  
pp. 159-164
Author(s):  
Tina Pajevic ◽  
Jovana Juloski ◽  
Marija Zivkovic
Keyword(s):  
Case Report ◽  
Orthodontic Treatment ◽  
Class Ii ◽  
Dental Arch ◽  
Class Ii Malocclusion ◽  
Posterior Teeth ◽  
Temporary Anchorage Devices ◽  
Division 1 ◽  
Incisor Retraction ◽  
Class Ii Division 1

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.

scholarly journals Experiencing your own orthognathic surgery: A personal case report

2014 ◽  
Vol 85 (5) ◽  
pp. 890-896
Author(s):  
Gertjan Mensink ◽  
Peter Gooris ◽  
Florine Mulder ◽  
Christel Gooris-Kuipers ◽  
Richard van Merkesteyn
Keyword(s):  
Case Report ◽  
Side Effects ◽  
Orthognathic Surgery ◽  
Class Ii ◽  
Class Ii Malocclusion ◽  
Critical Perspective ◽  
Bilateral Sagittal Split Osteotomy ◽  
Division 2 ◽  
Personal Case

ABSTRACT There has been much research on minimizing the side effects of orthognathic surgery. However, there are very few doctors and researchers who themselves have undergone this surgery. This case report describes the findings of a maxillofacial surgeon who underwent combined orthodontic and orthognathic treatment for correction of Class II malocclusion. In March 2012, the surgeon was referred to an orthodontist, and an orthodontic examination revealed a Class II, division 2, malocclusion with a traumatic palatal bite and attrition of the lower front teeth. The patient underwent alignment of the upper and lower arches, followed by a bilateral sagittal split osteotomy. During this treatment, he made many interesting observations and learned much as a patient, which can have implications in improving the outcomes and quality of care for patients receiving such treatment. Thus, this case report aims to provide a critical perspective of the surgical procedure and treatment from the viewpoint of a maxillofacial surgeon who himself experienced the surgery as a patient.

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