scholarly journals Perawatan Ortodontik Kaninus Kiri Maksil Impaksi di Daerah Palatal dengan Alat Cekat Teknik Begg

2016 ◽  
Vol 19 (1) ◽  
pp. 149
Author(s):  
E. Emil ◽  
Prihandini Iman
Keyword(s):  
Anterior Segment ◽  
Third Molar ◽  
Class Ii ◽  
Class I ◽  
Fixed Appliance ◽  
Skeletal Class ◽  
Angle Class Ii ◽  
Angle Class ◽  
Impacted Canine

Latar Belakang: ketidakharmonisan ukuran rahang dengan gigi merupakan salah satu bentuk etiologi maloklusi yang diturunkan dan akan mempengaruhi susunan dan posisi gigi di dalam rahang. Impaksi gigi seperti molar ketiga atau gigi kaninus sering kita temui akibat tidak adanya ruang untuk gigi tersebut erupsi dan menyusun diri di dalam lengkung yang baik. Gigi kaninus memiliki peran penting di dalam mulut, selain untuk mastikasi, gigi ini juga memiliki peran menentukan dalam estetika susunan gigi. Senyum yang menarik tidak akan didapatkan tanpa adanya gigi kaninus di dalam lengkung. Kasus impaksi kaninus dapat dirawat menggunakan teknik Begg dengan proses windowing yang dilakukan oleh ahli bedah mulut. Tujuan: membantu erupsi gigi kaninus dengan bantuan alat orto cekat teknik Begg. Kasus: laki-laki 19 tahun mengeluhkan gigi depan rahang atas protusif langit-langit tergigit oleh gigi depan rahang bawah. Diagnosis: maloklusi Angle kelas II dengan hubungan skeletal kelas I disertai kondisi berjejal di daerah anterior dan gigitan dalam. Perawatan: menggunakan alat cekat teknik Begg dan windowing dengan pencabutan dua premolar pertama rahang atas serta prosedur windo. Kesimpulan: hasil menunjukkan gigi kaninus kiri rahang atas dapat erupsi dengan baik dan bisa diposisikan ke dalam lengkung dalam 5 bulan. Background: Discrepancy in size between jaw and teeth is one of the etiology factor of malocclusion that genetically inherited and will affect teeth allignment and position within the jaw. Third molar and canine impaction frequently found because there is not enough space for theme to erupt and align themselfes in a good alignment. Canine have an important role in mastication as it is in facial aesthetic. Canine impaction can be treated with Begg technique and windowing process performed by oral surgeon. Purpose: to help impacted canine to erupt using fixed Begg appliance technique and windowing process. Case: 19 years old man complained of crowded front teeth. Diagnosis: malocclusion Angle class II, skeletal class I with crowding and deepbite on anterior segment. Treatment: using the Begg fixed appliance and windowing techniques with the extraction of two maxillary first premolars. Conclusion: the result showed that maxillary right canine erupted and can be adjusted within the line of occlusion in 5 months.

scholarly journals Relationship between skeletal malocclusion and dental anomalies in Nepalese population

2019 ◽  
Vol 9 (1) ◽  
pp. 15-18
Author(s):  
Bashu Dev Pant ◽  
Anjana Rajbhandari ◽  
Resina Pradhan ◽  
Manju Bajracharya
Keyword(s):  
Third Molar ◽  
Class Ii ◽  
Class I ◽  
Class Ii Malocclusion ◽  
Class Iii ◽  
Dental Anomalies ◽  
Chi Square ◽  
Skeletal Class ◽  
Skeletal Malocclusion ◽  
Third Molar Agenesis

Introduction: Teeth eruption is important for the development of alveolar process which increases vertical height of the face and third molar is the last tooth to erupt in the oral cavity after birth. The aim of this study was to determine relationship between skeletal malocclusion and dental anomalies in Nepalese population. Materials & Method: A sample of 170 patients with agenesis of at least one third molar was divided into four groups according to the third-molar agenesis pattern. Panoramic radiographs, lateral cephalograph and cast models were used to determine the skeletal malocclusion and associated dental anomalies. The Pearson chi-square test was used for stastical analysis. Result: Among 170 patients more than half of the patients were female with the average age being 18.15 ± 3.64 years. Majority of the patients had Class I skeletal malocclusion followed by Class II and III but on group wise comparison of patients with different skeletal patterns Class I skeletal malocclusion had highest prevalence of dental anomalies followed by Class III and Class II malocclusion. Conclusion: Prevalence of third-molar agenesis was more in skeletal class I malocclusion followed by class II and III but skeletal Class I malocclusions had more dental anomalies followed by class III and class II malocclusion.

scholarly journals Republication: Conservative Management of Skeletal Class II Malocclusion with Gummy Smile, Deep Bite, and a Palatally Impacted Maxillary Canine

2018 ◽  
Vol 8 ◽  
pp. 146-160
Author(s):  
Ariel Wong ◽  
Chris Chang ◽  
W. Eugene Roberts
Keyword(s):  
Conservative Management ◽  
Anterior Segment ◽  
Class Ii ◽  
Class Ii Malocclusion ◽  
Maxillary Canine ◽  
Deep Bite ◽  
Fixed Appliance ◽  
Skeletal Class ◽  
Skeletal Class Ii ◽  
Gummy Smile

A 21-year-old female presented with chief complaints of crooked teeth, canine impaction, deep bite, and “gummy smile” (excessive maxillary gingival exposure when smiling). Increased facial convexity (15.5°), increased lower facial height (56%), and incompetent protrusive lips (E-line to upper left 2 mm, E-line to lower left 2 mm) were associated with a severe Class II malocclusion (nearly a full cusp bilaterally). There was 7.5 mm of overjet, 100% anterior deepbite, and a left posterior buccal crossbite. Cephalometrics revealed a skeletal discrepancy due to a protrusive maxilla and a retrusive mandible (SNA 85°, SNB 78°, and ANB 7°). Cone-beam computed tomography imaging revealed a palatally impacted right maxillary canine (UR3) near to the adjacent lateral incisor (UR2). The retained right primary canine (URc) was extracted. A simplified open-window technique was utilized to surgically expose its impacted successor. A maxillary anterior mini-screw provided anchorage to align the UR3 in its correct anatomical position. Nonextraction treatment with a passive self-ligating fixed appliance was indicated to align and level both arches. Anchorage provided by infrazygomatic crest bone screws, and maxillary anterior miniscrews were used for the correction of Class II malocclusion and gummy smile. To achieve more esthetic crown lengths in the maxillary anterior segment, gingivectomy was performed with a diode laser 2 months after fixed appliances were removed. This challenging skeletal Class II malocclusion with a Discrepancy Index of 38 was treated in 32 months to excellent outcomes: Cast-radiograph evaluation score of 25 and an pink and white dental esthetic score of 2. All facial and dental corrections were stable at the 6 months follow-up evaluation (Int J Orthod Implantol 2017;48:24-46). Republished with permission from: Ariel Wong, Chang CH, Roberts WE. Conservative Management of Skeletal Class II Malocclusion with Gummy Smile, Deep Bite, and a Palatally Impacted Maxillary Canine. Int J Orthod Implantol 2017;48:24-46.

scholarly journals Reposisi Gigi Kaninus Impaksi Palatal pada Perawatan Ortodontik Cekat Teknik Begg

2015 ◽  
Vol 1 (2) ◽  
pp. 104
Author(s):  
Iwan Wirasatyawan ◽  
Soekarsono Hardjono ◽  
Sri Suparwitri
Keyword(s):  
Orthodontic Treatment ◽  
Class I ◽  
Lateral Incisor ◽  
Dental Arch ◽  
Midline Shift ◽  
Maxillary Canine ◽  
Fixed Appliance ◽  
Skeletal Class ◽  
Impacted Canine ◽  
Lateral Incisor Agenesis

Impaksi palatal kaninus sering mengakibatkan keluhan secara estetis. Faktor genetik merupakan faktor yang dominan serta beberapa faktor yang lain yaitu diskrepansi lengkung gigi, ukuran gigi, retensi gigi desidui, kerusakan dini, pencabutan dini , posisi yang abnormal benih gigi, agenese incisivus lateral dan kista. Tujuan laporan kasus ini adalah untuk memberikan informasi tentang perawatan kasus impaksi palatal kaninus rahang atas pada maloklusi kelas I skeletal menggunakan alat cekat teknik Begg. Pasien perempuan umur 15 tahun, datang ke klinik ortodonsia RSGM Prof. Soedomo FKG UGM. Pemeriksaan subyektif, pasien terganggu dengan keadaan gigi depan yang maju dan bercelah. Pemeriksaan obyektif menunjukkan adanya rudimenter, agenese gigi incisivus lateral kanan dan kiri rahang atas, impaksi palatal kaninus kiri atas. Transposisi kaninus kanan atas ke ruang incisivus lateral kanan atas, pergeseran midline. Maloklusi angle kelas I dengan relasi skeletal kelas I dengan bimaksiler retrusif disertai protrusif incisivus maksila dan retrusif incisivus mandibula. Perawatan diawali dengan pencabutan gigi rudimenter. Tahap I menggunakan multiloop archwire untuk leveling dan unraveling gigi anterior, koreksi pergeseran midline. Tahap berikutnya adalah pemasangan button pada kaninus impaksi untuk mengaitkan kawat ligatur pada archwire yang berfungsi untuk menarik kaninus impaksi palatal pada lengkung gigi. Perawatan ortodontik pada kasus dengan impaksi palatal kaninus rahang atas pada maloklusi kelas I skeletal menggunakan alat cekat teknik Begg dapat dilakukan dengan hasil perawatan yang baik. ABSTRACT: Repositioning of Palatally Impacted Canine in Orthodontic Treatment Using Begg Fixed Appliance. Palatally impacted canine often leads to esthetic complaints. Genetic factor is dominant followed by such other factors as dental arch discrepancy, tooth size, retention of deciduous teeth, early decay, premature extraction, abnormal position of tooth germ, lateral incisor agenesis, and cysts. This article provides information about the treatment of palatally impacted maxillary canine case in a skeletal class I malocclusion using Begg fixed appliance technique. A 15-year-old female patient came to the orthodontia clinic of RSGM Prof. Soedomo FKG UGM. The subjective examination found that the patient was disturbed by her protrusive, gapped front teeth. Then, the objective examination indicated the presence of rudimentary, lateral incisor agenesis of right and left upper jaw, and upper left palatally impacted canine. In addition, there was a transposition of upper right canine to lateral incisor area as well as a midline shift. Angle class I malocclusion with class I skeletal relationship and bimaxillary retrusion along with maxillary incisor protrusion and mandibular incisor retrusion also occurred. The treatment began with rudimentary tooth extractions. The first stage used a multiloop archwire for leveling and unraveling of anterior teeth as well as correction of midline shift. The button attached to the impacted canine could tie the ligature wire to the archwire that served to attract the palatally impacted canine in the dental arch. The orthodontic treatment in cases of palatally impacted maxillary canine with skeletal class I malocclusion using Begg fixed appliance technique can be applied with a good treatment result.

scholarly journals Study of occlusion in patients with Angle Class I and Class II malocclusions

2015 ◽  
Vol 61 (2) ◽  
pp. 161-166
Author(s):  
Sergiu-Alexandru Rădulescu ◽  
◽  
Andreea Paula Rădulescu ◽  
Florina Trîmbiţaş ◽  
Ecaterina Ionescu ◽  
...  
Keyword(s):  
Statistical Analysis ◽  
Class Ii ◽  
Class I ◽  
Class Ii Malocclusion ◽  
Practical Application ◽  
Posterior Teeth ◽  
Angle Class Ii ◽  
Angle Class ◽  
Average Total Number

Objective. In this study we tried to notice the differences in the number and type of occlusal contacts present in patients with Angle Class I and Class-II malocclusions. Materials and methods. For this study were examined 30 patients with Angle Class I and Class-II malocclusions. Identification of the number and type of occlusal contacts was made both clinically and with the help of study casts mounted in an semiadjustable articulator. Results and discussion. In the Angle Class I malocclusion average total number of occlusal contacts was 36.93 and in Angle Class-II malocclusion was 31.46 contacts. Most occlusal contacts identified were side cusp – side fossa type. Following statistical analysis we did not fi nd significant differences between the two classes of malocclusions, in terms of total number of occlusal contacts. Conclusions. The total number of occlusal contacts does not differ depending on the malocclusion class, but there are differences between the number of contacts occurring within certain groups of posterior teeth. In order to have findings with practical application it is necessary to carry out more studies on the type and number of occlusal contacts that may occur in individuals with malocclusions.

Bimaxillary surgery to correct high-angle class II malocclusion: does a simultaneous genioplasty affect long-term stability?

2019 ◽  
Vol 42 (4) ◽  
pp. 426-433
Author(s):  
Nina Torgersbråten ◽  
Arild Stenvik ◽  
Lisen Espeland
Keyword(s):  
Class Ii ◽  
Open Bite ◽  
Mandibular Advancement ◽  
Class Ii Malocclusion ◽  
High Angle ◽  
Skeletal Class ◽  
Angle Class Ii ◽  
Post Surgery ◽  
Angle Class ◽  
Skeletal Class Ii

Summary Background and objectives High-angle skeletal Class II malocclusion is one of the most challenging dentofacial deviations to treat and, in adults, a combination of orthodontic treatment and bimaxillary orthognathic surgery is often indicated. This study examines the rate of clinically significant relapse and whether a genioplasty affects the treatment outcome of high-angle Class II malocclusions. Material and methods Cephalometric tracings of 36 consecutively treated high-angle Class II patients were evaluated from pre-surgery to 3 years post-surgery. All patients had undergone bimaxillary surgery (Le Fort I and BSSO), 13 of them had in addition a genioplasty. Results The maxilla remained stable, whereas relapse (greater than or equal to 2 mm) of the mandibular advancement was seen in 40 per cent of the patients. Advancement greater than 10 mm increased the risk for horizontal relapse. The overjet was normalized and remained stable despite mandibular relapse. Half of the patients had an anterior open bite 3 years post-surgery. A supplemental genioplasty did not affect the relapse rate. Conclusions and implications Overjet was normalized and remained stable long term; there was an open bite in half of the patients. Combined orthodontic and bimaxillary surgical treatment of high-angle Class II patients showed skeletal relapse (greater than or equal to 2 mm) of the mandible in 40 per cent of patients. Mandibular advancement greater than 10 mm increased the risk for relapse. There was no increased risk for dental or skeletal instability associated with a genioplasty in combination with maxillary and mandibular surgery in the treatment of high-angle skeletal Class II malocclusion.

scholarly journals Statistical study regarding the identification of premature occlusal contacts in patients with Angle class I and class II malocclusions

2017 ◽  
Vol 63 (2) ◽  
pp. 80-84
Author(s):  
Sergiu-Alexandru Rădulescu ◽  
◽  
Ecaterina Ionescu ◽  
Keyword(s):  
Statistical Analysis ◽  
Statistical Study ◽  
Class Ii ◽  
Class I ◽  
Class Ii Malocclusion ◽  
Angle Class Ii ◽  
Angle Class ◽  
Made In

Objective. In this study we tried to identify the premature occlusal contacts that are present in patients with Angle Class I and Class II malocclusions. Materials and method. For this study 60 patients with Angle Class I and Class II malocclusions were examined. Identification of premature occlusal contacts was made both clinically and with the help of study casts mounted in an adjustable articulator. Results and discussion. Based on the statistical analysis made in this study we noticed that for patients with Angle Class I malocclusion, premature occlusal contacts from protrusion on the working side are more common, they are present in 15 patients, than to those with Angle Class II malocclusion where they were identified in 13 patients. In right laterotrusive edge to edge position we noticed that there are premature occlusal contacts on the working side in 43.3% of patients with Angle Class I malocclusion, and 50% of patients with Angle Class II malocclusion. Conclusions. In protrusive and laterotrusive edge to edge position there are premature occlusal contacts both at Angle Class I malocclusion, and in Angle Class II malocclusion patients. For practical conclusions, it is necessary to carry out more studies on the identification of occlusal premature contacts, which may occur in people with malocclusion.

scholarly journals Clinical aspects of Angle class II/1 malocclusion during the eruption of the 12-year-old molar

2017 ◽  
Vol 63 (3) ◽  
pp. 119-123
Author(s):  
Ionela Teodora Dascălu ◽  
◽  
Adina Magdalena Bunget ◽  
Evantia Coleş ◽  
P. Mărăşescu ◽  
...  
Keyword(s):  
Orthodontic Treatment ◽  
Clinical Case ◽  
Class Ii ◽  
Etiological Factor ◽  
Clinical Aspects ◽  
Case Presentation ◽  
Fixed Appliance ◽  
Angle Class Ii ◽  
Angle Class

Introductions. The vicious habit of sucking the thumb is an etiological factor of Angle Class II/1 malocclusion. Case presentation. In the clinical case that we intend to present, the main goal of the treatment was to recover the occlusion and the functions of the dento-maxillary complex. The treatment relied on the use of a fixed appliance. The sagittal inocclusion was thus reduced and the parameters of occlusion were brought to normality. Conclusions. We consider that the period of orthodontic treatment was reduced because the climax of the bones growth took place at the same time with the eruption of the 12-year-old molars.

scholarly journals Treatment technique: A clinical & Practical sequences in the Management of Angle Class II Malocclusion (Maxillary Protrusion)

2013 ◽  
Vol 1 (1) ◽  
pp. 27-37
Author(s):  
MZ Hossain
Keyword(s):  
Orthodontic Treatment ◽  
Class Ii ◽  
Class Ii Malocclusion ◽  
Treatment Technique ◽  
Fixed Appliance ◽  
Post Graduate ◽  
Angle Class Ii ◽  
Angle Class ◽  
Postgraduate Studies ◽  
Dentofacial Orthopedics

This paper is mainly intended for postgraduate orthodontic students especially for those who will learn and practice the Fixed Appliance Technique. With the advancement of research, introduction of new biomaterials and techniques, the orthodontic treatment has been scientifically affordable for the last few decades. In Bangladesh the orthodontic treatment and education is also becoming very popular in the private and institutional level day by day. In fact, post-graduate trainee doctors in the department of orthodontics & Dentofacial Orthopedics, Dhaka Dental College and Hospital were the once who had the idea of writing this paper. While supervising & conducting FCPS Part II examination as a convener, I felt this sort of clinical and technical review would be very helpful for the trainees as well as practitioners. Keeping that thought in my mind, I also intend to write a series of papers that will contain the basic as well as contemporary orthodontic techniques and philosophy. Post-graduate trainee doctors, faculty members and private practitioners will all find this paper as a guideline during their training as well as in professional practicing period. I am very much delighted to present this paper and series of papers in the next subsequent issues. The present paper describes training techniques, the design of standard edge-wise-technique in sequential stages for treating Angle Class II maxillary protrusion with excessive over jet, overbite (upper and lower 1st premolar extraction case), and illustrated case reports1,2 of class II malocclusion. The author acknowledges that the paper is summarized from lectures, handouts during his postgraduate studies in Kyushu University and Hiroshima University, Japan and also clinical experience acheived from the Department of Orthodontics and Dentofacial Orthopedics, Dhaka dental College and Hospital and private practice in Bangladesh. DOI: http://dx.doi.org/10.3329/bjodfo.v1i1.15976 Ban J Orthod & Dentofac Orthop, October 2010; Vol-1, No.1, 27-37

scholarly journals Class II correction by maxillary en masse distalization using a completely customized lingual appliance and a novel mini-screw anchorage concept – preliminary results

2021 ◽  
Vol 17 (1) ◽  
Author(s):  
Frauke Beyling ◽  
Elisabeth Klang ◽  
Eva Niehoff ◽  
Rainer Schwestka-Polly ◽  
Hans-Joachim Helms ◽  
...  
Keyword(s):  
Null Hypothesis ◽  
Treatment Plan ◽  
Class Ii ◽  
Class I ◽  
Angle Class Ii ◽  
Angle Class ◽  
Lingual Appliance ◽  
Set Up ◽  
Completely Customized Lingual Appliance ◽  
Dentoalveolar Compensation

Abstract Background The aim of the study was to evaluate the efficacy of a novel en masse distalization method in the maxillary arch in combination with a completely customized lingual appliance (CCLA; WIN, DW Lingual Systems, Germany). Therefore, we tested the null-hypothesis of a significant deviation from an Angle-Class I canine relationship and a normal overjet defined by an individual target set-up after dentoalveolar compensation in Angle Class II subjects. Methods This retrospective study included 23 patients, (m/f 3/20, mean age 29.6 years (min/max, 13.6/50.9 years)), with inclusion criteria of an Angle Class II occlusion of more than half a cusp prior to en masse distalization and treatment completed consecutively with a CCLA in combination with a mini-screw (MS) anchorage for uni- or bilateral maxillary distalization (12 bilateral situations, totalling 35). Plaster casts taken prior to (T0) and following CCLA treatment (T3) were compared with the treatment plan / set-up (TxP, with a Class I canine relationship and a normal overjet as the treatment objective). MSs were placed following levelling and aligning (T1) and removed at the end of en masse distalization at T2. Statistical analysis was carried out using Schuirmann’s TOST [two one-sided tests] equivalence test, based on a one-sample t-test with α = 0.025 on each side (total α = 0.05). Results Ninety-seven percent of planned correction of the canine relationship was achieved (mean 3.6 of 3.7 mm) and also 97 % of the planned overjet correction (mean 3.1 of 3.2 mm), with a statistically significant equivalence (p < 0.0001) for canine relationship and overjet between the individual treatment plan (set-up) and the final outcome. Adverse effects were limited to the loss of n = 2 of 35 mini-screws. However, in each instance, the treatment was completed, as scheduled, without replacing them. Accordingly, the null-hypothesis was rejected. Conclusions The technique presented allows for a predictable correction of an Angle-Class II malocclusion via dentoalveolar compensation with maxillary en masse distalization.

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