scholarly journals Seleksi Kasus dan Perawatan Ortodontik pada Gigi Kaninus Maksila Impaksi

2016 ◽  
Vol 19 (1) ◽  
pp. 152
Author(s):  
Handoko Setiawan ◽  
P I

Latar belakang: Seleksi kasus merupakan hal utama sebelum melakukan perawatan ortodontik terhadap gigi kaninus maksila impaksi. Hanya gigi kaninus maksila impaksi yang erupsi ke bidang oklusal dan berada di ruangnya yang dapat dilakukan perawatan ortodontik. Konsultasi kepada Ahli Bedah Mulut mengenai teknik surgical exposure akan memberikan manfaat bagi Ortodontis dalam melakukan perawatan ortodontik. Teknik pembedahan yang tepat akan membuat proses perawatan ortodontik lebih singkat dengan hasil memuaskan. Teknik Begg merupakan salah satu teknik ortodontik yang dapat digunakan untuk merawat gigi kaninus impaksi. Tujuan: Memaparkan teknik perawatan ortodontik dengan alat cekat teknik Begg pada gigi kaninus maksila impaksi yang erupsi ke bidang oklusal. Kasus: Perempuan 18 tahun disertai gigi kaninus maksila kanan impaksi. Perawatan: 1. Perawtan ortodontik dengan teknik Begg tahap pertama. 2. Surgical exposure oleh Ahli Bedah Mulut. 3. Perawatan ortodontik teknik Begg tahap kedua dan ketiga. Kesimpulan: Perawatan ortodontik dengan teknik Begg mampu menempatkan gigi kaninus impaksi pada lengkung gigi yang baik. Background: case selection is the important thing before orthodontically impacted maxillary canine treated. Certain impacted maxillary canine that erupts to occlusal plane could be orthodontically treated. Consultation to Oral Surgeon to have a proper surgical exposure technique would be benefit to speed up the treatment with a succesful outcome. Begg Technique is a choice of orthodontic treatments that could treat impacted maxillary canine. Purpose: To describe of Begg technique for treating of impacted maxillary canine that erupts to occlusal plane. Case: A 18 years old female patient with impacted of a right maxillary canine. Management: 1. First step of Begg technic. 2. Surgical exposure by Oral Surgeon. 3. Second and third steps of Begg technic. Conclusion: Begg technique could treat impacted maxillary canine in to the proper maxillary arch jaw.

2021 ◽  
Author(s):  
Roberta Lione ◽  
Valeria Paoloni ◽  
Lorenzo Bartolommei ◽  
Francesca Gazzani ◽  
Simonetta Meuli ◽  
...  

ABSTRACT Objectives To evaluate tooth movements during maxillary arch expansion with clear aligner treatment. Materials and Methods The study group included 28 subjects (16 females, 12 males, mean age 31.9 ± 5.4 years) collected prospectively from January 2018 to May 2019. Inclusion criteria were European ancestry, posterior transverse discrepancy of 3–6 mm, permanent dentition stage, presence of second permanent molars, mild or moderate crowding, and good compliance with aligners. Treatment protocol included nonextraction strategies, application of Invisalign clear aligner system, and no auxiliaries other than Invisalign attachments. Linear and angular measurements were performed before treatment (T1), at the end of treatment (T2), and on final virtual models (T2 ClinCheck). A paired t-test was used to compare T2-T1 and T2-T2 ClinCheck changes. The level of significance was set at 5%. Results Statistically significant differences were found for all measurements, except for ones at the upper second molars. The greatest increase in maxillary width was detected at the upper first and second premolars: +3.5 mm for the first premolar and +3.8 mm for the second premolar at T2. Comparison of T2-T1 angular outcomes showed statistically significant changes in the inclinations of all teeth except for the second permanent molars. T2-T2 ClinCheck showed significant differences for both linear and angular measurements for maxillary canines, resulting in poor predictability. Conclusions Maxillary arch development revealed a progressive reduction of the expansion rate and buccal tipping in the anterior, lateral, and posterior regions, with the greatest net increase at the first and second premolars. Clinical attention should be paid to maxillary canine movements, and overcorrection should be planned for them during dentoalveolar expansion.


2020 ◽  
Author(s):  
HAMAD ALQAHTANI

UNSTRUCTURED Objective: To investigate orthodontists’ approach concerning managing maxillary impacted canines (MIC). Methods: A cross-sectional study comprising a comprehensive survey with 22 questions was sent to practicing orthodontists. This study explored the preferred diagnostic measures, surgical techniques, materials, and mechanics utilized to manage MIC;104 responses were returned. Results: Palatal impaction was reported to be encountered more often by 60% of the respondents. In 62% of the respondents, an oral and maxillofacial surgeon was the specialist preferred to perform the surgical exposure. In 66%, the choice of required surgical techniques was reported as a joint decision between orthodontists and other specialists who perform the surgery. Cone-beam computed tomography (CBCT) was reported to be the diagnostic X-ray of choice. The gold button with a chain was the preferred bonded attachment in 86% of cases. Less than half of the respondents bonded the attachments themselves during surgical exposure. A clear plastic retainer was the preferred retainer in 61% of the respondents, and 43% of the respondents tended to use a closed exposure technique. Coe-pakTM was the preferred surgical pack for orthodontists who prefer an open exposure technique. Piggyback (double wire) was the preferable mechanic to move a palatally impacted canine. Conclusions: Our findings indicate that there are variations among orthodontists on how to manage MICs concerning diagnostic methods, surgical management, materials, and mechanics.


2015 ◽  
Vol 3 (2) ◽  
pp. 113
Author(s):  
Shanti Varghese ◽  
Vinaya Bhat ◽  
Sapna Bhaskaran ◽  
Suja Joseph

2013 ◽  
Vol 2 (1) ◽  
pp. 77-80 ◽  
Author(s):  
P Joshi

Rehabilitation becomes more challenging with the partial edentulism where bilateral segment is found missing. The collapse of posterior teeth also results in the loss of normal occlusal plane and the reduction of the vertical dimension. This case report describes the rehabilitation of a 65-year old female patient with multiple missing teeth and severe loss of tooth structure. The maxillary arch was restored with fixed partial dentures and the mandibular arch using porcelain fused to metal crowns and removable prosthodontics. Nepal Journal of Medical Sciences | Volume 02 | Number 01 | Jan-Jun 2013 | Page 77-80 DOI: http://dx.doi.org/10.3126/njms.v2i1.7658


2015 ◽  
Vol 86 (3) ◽  
pp. 421-430 ◽  
Author(s):  
Svetlana Tyan ◽  
Hong-Sik Park ◽  
Munkhshur Janchivdorj ◽  
Sun-Ho Han ◽  
Su-Jung Kim ◽  
...  

ABSTRACT Objective:  To evaluate the characteristic transverse dental compensations in patients with facial asymmetry and mandibular prognathism and to compare features of dental compensations between two types of mandibular asymmetry using 3-dimensional (3D) cone-beam computed tomography (CBCT). Materials and Methods:  Seventy-eight adult patients with skeletal Class I (control group; n  =  33; 19 men and 14 women) or skeletal Class III with facial asymmetry (experimental group; n  =  45; 23 men and 22 women) were included. The experimental group was subdivided into two groups according to the type of mandibular asymmetry: translation type (T-type; n  =  20) and roll type (R-type; n  =  19). CBCT images were acquired before orthodontic treatment and 3D analyses were performed. Results:  The transverse dental distance was significantly different between the two groups only at the palatal root apex of the maxillary first molar (P < .05). In the experimental group, the first molar axes were compensated significantly on both arches except the maxillary nondeviated side. The vertical molar heights were different between the two groups only on the maxillary arch (P < .001). The R-type showed greater mandibular ramal length difference and menton deviation than the T-type (P < .001). In the R-type, transverse compensation of the maxillary first molars was more obvious than with the T-type, which resulted in canting in the maxillary occlusal plane. Conclusions:  Mandibular asymmetry with prognathism showed a characteristic transverse dental compensation pattern. The mandibular asymmetry type influenced the amount and direction of molar compensation on the maxillary arch.


2012 ◽  
Vol 113 (2) ◽  
pp. 222-228 ◽  
Author(s):  
Andrew R. Chapokas ◽  
Khalid Almas ◽  
Gian-Pietro Schincaglia

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