scholarly journals Oral manifestation of thalassemia  mayor: case study

2019 ◽  
Vol 1 (2) ◽  
pp. 32
Author(s):  
Haris B. Widodo ◽  
Aisya E. Maharani
Keyword(s):  
Blood Transfusion ◽  
Class Ii ◽  
X Ray ◽  
Skeletal Class ◽  
Oral Manifestation ◽  
Blood Disorder ◽  
Skeletal Class Ii ◽  
Abnormal Form ◽  
Dental Hospital

Objective: Thalassemia b major is one of inheredited blood disorder caused by abnormality hemoglobin. Thalassemia b major is widely found in population Mediteranian with prevalent ±25.000 case. The abnormal form of hemoglobin chain will lead to erythrocytes damage in <120 days and will distrurb osteogenesis process. This condition caused patient with thalassemia b major require blood transfusion. The purpose of this paper is to describe an oral manifestation of thalassemia b major.Methods: the patient (5 years old) came to dental hospital of Jenderal Soedirman University with his mother for having teeth treatment. The patient was diagnosed thalassemia b major since 1 years old of and has had regular blood transfusion every month. An examination of intraoral examination showed pale oral mucose (purplish), profound caries on 85th teeth exposed to pulp, overbite 4mm, overjet 3mm, deep palatum, and the extraoral examination showed special face shape.Results: Clinical examinations performed on patients showed the characteristics of cooley-face and the cephalo-tracing x-ray result, the were <SNA = 86o, <SNB = 81o, <ANB = 5o, and <FH-Man = 35o. Based on the radiographic results it can be seen that patients with thalassemia have skeletal class II tendency and there is more anterior or protusive appearence of maxillary growth.Conclusion: Thalassemia sufferers have oral manifestations which are characterized by Cooley-face. Patients with thalassemia have skeletal class II tendency and there is more anterior or protusive appearence of maxillary growth.Keyword: Hemoglobin, Oral manifestation, Thalassemia b mayor.

scholarly journals Distribution of Pediatric Malocclusion Patients in Seoul National University Dental Hospital

2021 ◽  
Vol 48 (2) ◽  
pp. 140-150
Author(s):  
Sophia Rhee ◽  
Ji-Soo Song ◽  
Teo Jeon Shin ◽  
Young-Jae Kim ◽  
Jung-Wook Kim ◽  
...  
Keyword(s):  
Class Ii ◽  
Class I ◽  
Class Iii ◽  
Skeletal Class ◽  
Skeletal Class Ii ◽  
Therapeutic Decisions ◽  
Dental Hospital ◽  
National University ◽  
Skeletal Pattern ◽  
Seoul National University

A total of 580 patients, who visited and received an orthodontic diagnosis in the Department of Pediatric Dentistry, Seoul National University Dental Hospital from 2017 to 2019, were investigated in this study. The aim of this study was to evaluate skeletal patterns of pediatric orthodontic patients determined with lateral cephalometric analysis and to analyze the relationship between skeletal pattern and probable associated clinical features. Also, the modality of orthodontic treatment for each skeletal classification was investigated to aid in therapeutic decisions.<br/>Patients aged 7 year accounted for the largest age group; 54.2% of patients showed a skeletal class I pattern, 22.2% showed a skeletal class II pattern, and 23.6% showed a skeletal class III pattern. Bi-maxillary retrusion for skeletal class I, retruded mandible with normal positioning of the maxilla for skeletal class II, and retrusion of the maxilla with protrusion of the mandible for skeletal class III were the largest subgroups by skeletal pattern. Brachyfacial type accounted for 55.0% of patients, followed by 31.9% of mesofacial type and 13.1% of dolichofacial type. The prevalence of anterior crossbite in the study was 43.3%, higher than that in previous studies.

scholarly journals Penggunaan trans palatal arch untuk mengatasi penjangkaran pada kasus maloklusi kelas II skeletal disertai crowding yang parahThe use of trans palatal arch as anchorage control for skeletal class II malocclusion with severe crowding

2020 ◽  
Vol 32 (2) ◽  
pp. 119
Author(s):  
Jenny Augusta Arnis ◽  
Haru Setyo Anggani
Keyword(s):  
Case Report ◽  
Orthodontic Treatment ◽  
Class Ii ◽  
Class Ii Malocclusion ◽  
Skeletal Class ◽  
Premolar Extraction ◽  
Skeletal Class Ii ◽  
Dental Hospital ◽  
Dental Crowding ◽  
Proper Consideration

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.

Multidisciplinary Approach for an Adult Patient with Skeletal Class II, Multiple Teeth Missing and Constricted Maxilla

2020 ◽  
Vol 10 (3) ◽  
pp. 205-217
Author(s):  
Seung-Weon Lim ◽  
Ha-Yeon Park ◽  
Won-Young Park ◽  
Min-Hee Oh ◽  
Kyung-Min Lee ◽  
...  
Keyword(s):  
Adult Patient ◽  
Multidisciplinary Approach ◽  
Class Ii ◽  
Skeletal Class ◽  
Skeletal Class Ii

Uso de propulsor mandibular fixo Flex Developer como recurso no tratamento da Classe II em paciente não colaborador

2020 ◽  
Vol 13 (52) ◽  
pp. 40-51
Author(s):  
Renato Barcellos Rédua
Keyword(s):  
Upper Airway ◽  
Class Ii ◽  
Class Ii Malocclusion ◽  
Skeletal Class ◽  
Advantages And Disadvantages ◽  
Skeletal Class Ii ◽  
High Incidence ◽  
Therapeutic Alternatives ◽  
Smile Aesthetics ◽  
Treatment Alternatives

Class II malocclusion has a high incidence in the population, which may compromise smile aesthetics, occlusion function and stability. Skeletal Class II may affect facial aesthetics and upper airway volume. Class II malocclusion is routinely associated with skeletal Class II condition, having as treatment alternatives the use of Extra Buccal Appliance (EBA) or removable or fixed propulsor appliance. This article describes a case of a patient who did not accept the use of EBA and so it was fitted a Flex Developer propulsor for Class II correction and discussed the advantages and disadvantages of therapeutic alternatives for Class II correction.

scholarly journals Steering the Mandible in the Right Direction : Forsus Case Series

2021 ◽  
pp. 030157422110054
Author(s):  
Prachi Gohil ◽  
Sonali Mahadevi ◽  
Bhavya Trivedi ◽  
Neha Assudani ◽  
Arth Patel ◽  
...  
Keyword(s):  
Orthodontic Treatment ◽  
Case Series ◽  
Treatment Compliance ◽  
Class Ii ◽  
Skeletal Class ◽  
Skeletal Class Ii ◽  
Technological Advances ◽  
Functional Appliances ◽  
The Right ◽  
Mandibular Retrognathia

We are in the process of discovery of new vistas for technological advances in terms of various appliances with a vision of making orthodontic treatment compliance free as well as successful. Due to improved technology, the enigma of treating the Class II syndrome is palliated. “Out of the box” thinking has become a norm to treat certain situations that were not corrected in noncompliant patients. Fixed functional appliances are valuable tools introduced to assist the correction of skeletal Class II malocclusion with mandibular retrognathia at the deceleration stage of growth for achieving stable results. In this direction a case series is reported of patients having the above conditions and undergoing orthodontic treatment using a Forsus FFA. Joining hands with technology is a win-win situation for both the patient and the orthodontist.

A Comparison of Five Different Methods for Describing Sagittal Jaw Relationship

1993 ◽  
Vol 20 (1) ◽  
pp. 13-17 ◽  
Author(s):  
Johannes Kirchner ◽  
Stephen Williams
Keyword(s):  
Correlation Analysis ◽  
Treatment Planning ◽  
Class Ii ◽  
Diagnosis And Treatment ◽  
Class Ii Malocclusion ◽  
Skeletal Class ◽  
Skeletal Class Ii ◽  
Accurate Picture

Analysis of sagittal jaw relationship is important in orthodontic diagnosis and treatment planning, and can be investigated by angular or linear parameters. In the present study an analysis was performed using profile cephalograms of 40 children with skeletal Class II malocclusion. A correlation analysis is presented, involving five different methods of expressing sagittal jaw relationships. Whilst some degree of agreement could be noted, it was not possible to suggest a pair of measurements, which in combination, could give a more accurate picture of sagittal jaw relationships.

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