Use of Cantilever Mechanics for Impacted Teeth: Case Series

This paper describes the orthodontic treatment, and the biomechanics of cantilevers for the impaction of permanent teeth in youngs, adolescents, and adults. In these case series, multibracket straightwire fixed appliances, together with cantilever mechanics, were used to treat the impaired occlusion.

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OPTIMIZATION OF SURGICAL-ORTHODONTIC TREATMENT TACTICS IN PATIENTS WITH IMPACTED TEETH

Wiadomości Lekarskie ◽

10.36740/wlek201905121 ◽

2019 ◽

Vol 72 (5) ◽

pp. 838-845

Author(s):

Pavlo I. Tkachenko ◽

Maryna I. Dmytrenko ◽

Mykola O. Cholovskyi

Keyword(s):

Orthodontic Treatment ◽

Objective Assessment ◽

Optimal Path ◽

Reference Points ◽

Permanent Teeth ◽

Diagnostic Process ◽

Specific Reference ◽

Dental Arch ◽

Impacted Tooth ◽

Impacted Teeth

Introduction: Impacted teeth is complex anomaly of teeth eruption that requires a balanced approach not only in the differential diagnosis of its forms, but choice of rational methods of treatment. The aim: Optimization of the tactics of orthodontic-surgical treatment of patients with impacted teeth based on the development and implementation of computed tomographic indices (KT) and photometric indices (FM) of opening of surgical access (OSA) to crowns of impacted teeth Materials and methods: The results of treatment of 48 patients with delay of permanent teeth eruption have been analyzed. For an objective assessment of treatment results, a group of 24 (aged from 9 to 19 years old ) was formed. All 24 patients had typical clinical situation. Results: Orthodontic correction of patients envisaged, first of all, the elimination of obstacles in the way of teeth eruption, if necessary to provide space in dental arch and simultaneous treatment of associated bite malocclusions. Surgical exposure of impacted tooth crown was carried out and at the same time a triangular shaped guiding channel was formed, base of channel was at the impacted tooth and its angle finished into the dental arch. Precise dimensions and depth of the channel were preliminary planed on computed tomography slices with 3D reconstruction. Mean values of CT width (7,13±0,54mm), and length (6,42±0,78mm) of OSA and CT index (130,79±8,19%) of OSA to impacted teeth crowns were determined. Conclusion: To improve the quality of diagnosis and optimization of methodological approaches to treatment of patients with teeth impaction, we have proposed CT and FM OSA indices to the crowns of impacted teeth. The developed indices serve as specific reference points for optimization of diagnostic process, for reducing of probability of repeated surgical interventions and choosing the optimal path for instrumental orthodontic treatment of patients with impacted teeth

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Treatment of a Patient with Multiple Impacted Teeth

The Angle Orthodontist ◽

10.2319/081006-328 ◽

2007 ◽

Vol 77 (4) ◽

pp. 735-741 ◽

Cited By ~ 10

Author(s):

Richard Scott Conley ◽

Scott B. Boyd ◽

Harry L. Legan ◽

Christopher C. Jernigan ◽

Craig Starling ◽

...

Keyword(s):

Case Report ◽

Treatment Planning ◽

Orthodontic Treatment ◽

Primary Teeth ◽

Permanent Tooth ◽

Permanent Teeth ◽

Treatment Sequence ◽

Impacted Teeth ◽

Case Complexity ◽

Multiple Primary

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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Orthodontic Treatment in a Patient with Cleidocranial Dysostosis

The Angle Orthodontist ◽

10.2319/111307-393.1 ◽

2009 ◽

Vol 79 (1) ◽

pp. 178-185 ◽

Cited By ~ 27

Author(s):

Giampietro Farronato ◽

Cinzia Maspero ◽

Davide Farronato ◽

Silvia Gioventù

Keyword(s):

Ethnic Group ◽

Orthodontic Treatment ◽

Primary Dentition ◽

Permanent Teeth ◽

Supernumerary Teeth ◽

Impacted Teeth ◽

Cleidocranial Dysostosis ◽

Skeletal Disorder ◽

Maxilla And Mandible ◽

Delayed Closure

Abstract Cleidocranial dysostosis is a rare congenital skeletal disorder, associated with clavicular hypoplasia or aplasia, delayed closure of cranial fontanels, brachycephalic skull, delayed exfoliation of primary dentition, eruption of permanent teeth, and multiple supernumerary and morphologic abnormalities of the maxilla and mandible. The disorder is caused by mutation in the CBFA1 gene, on the short arm of chromosome 6p21. The prevalence of cleidocranial dysostosis is estimated one per million, without sex or ethnic group predilection. The purpose of this paper is to describe the orthodontic treatment in a patient with cleidocranial dysostosis. Therapy may include removal of supernumerary teeth, surgical exposure of impacted teeth, and orthodontic treatment.

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Oral health-related quality of life in orthodontics: a cross-sectional multicentre study on patients in orthodontic treatment

European Journal of Orthodontics ◽

10.1093/ejo/cjz064 ◽

2019 ◽

Vol 42 (3) ◽

pp. 270-280 ◽

Cited By ~ 2

Author(s):

Susie Paes da Silva ◽

Vinay Pitchika ◽

Uwe Baumert ◽

Heinrich Wehrbein ◽

Rainer Schwestka-Polly ◽

...

Keyword(s):

Oral Health ◽

Orthodontic Treatment ◽

Negative Influence ◽

Cross Sectional ◽

Related Quality ◽

Adolescents And Adults ◽

Health Related ◽

Fixed Appliances ◽

Removable Appliances

Summary Objective This study aimed to assess oral health-related quality of life (OHRQoL) in relation to associated covariates in orthodontic patients of different age groups (children, adolescents, and adults) in a cross-sectional study. Methods A total of 898 subjects (50.6% females, 49.4% males; mean age 16.89 years) undergoing orthodontic treatment anonymously completed the German version of the Oral Health Impact Profile (OHIP-G14) to assess OHRQoL in addition to completing 23 other items. Descriptive, exploratory statistical analysis and multiple linear regression modelling were performed. Results The mean score of the OHIP-G14 was 8.3 for the 6- to 11-year olds, 8.9 for the 12- to 17-year olds, and 12.6 for adults. Physical pain (Subscale 2) was the highest factor in all groups. Additionally, a relevant factor was Subscale 3 (psychological discomfort). A linear regression model showed that, in the adolescent group, aesthetics in combination with pain had a significant negative influence on OHRQoL, whereas, in the adult group, function in combination with pain showed the same significant negative influence. Second, except for the children, fixed appliances had a significant negative effect on OHRQoL compared to removable appliances. Conclusions Our study showed that the majority of the 6- to 11-year olds and 12- to 17-year olds reported a good OHRQoL. Nevertheless, adolescents and adults who reported aesthetic/pain and function/pain problems, respectively, as reasons for orthodontic treatment showed a significant occurrence for reduced OHRQoL. Fixed appliances, in comparison with removable appliances, also resulted in a significant reduction in OHRQoL for both groups.

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Steering the Mandible in the Right Direction : Forsus Case Series

The Journal of Indian Orthodontic Society ◽

10.1177/03015742211005404 ◽

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.

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Changes in the Complexity of Orthodontic Treatment for Patients Referred to a Teaching Hospital

British Journal of Orthodontics ◽

10.1179/bjo.15.1.27 ◽

1988 ◽

Vol 15 (1) ◽

pp. 27-32 ◽

Cited By ~ 13

Author(s):

C. D. Stephens ◽

N. W. Harradine

Keyword(s):

General Practitioner ◽

Orthognathic Surgery ◽

Orthodontic Treatment ◽

Further Training ◽

Fixed Appliance ◽

Dental Hospital ◽

Orthodontic Patients ◽

Specialist Treatment ◽

Fixed Appliances ◽

Removable Appliance

The records of 200 orthodontic patients accepted for treatment by the Orthodontic Department of the Bristol Dental Hospital in 1977 were compared with 200 taken on in 1985 in order to determine whether there had been any change in the proportion of referred cases requiring more complex procedures. Within each sample, cases were categorized as follows: (a) suitable for removable appliance treatment by an undergraduate or general practitioner; (b) requiring simple one arch fixed appliance treatment such as might he attempted by a general practitioner after a period of further training; (c) needing specialist treatment such as full multibracketed fixed appliances or orthognathic surgery. It was found that there had been no change in the proportions of simple and complex cases referred during the 8-year period although the proportion of patients now receiving complex treatment had increased greatly. Possible explanations and implications are discussed.

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