Perawatan Maloklusi Angle Kelas I disertai Impaksi Kaninus Maksila Menggunakan Alat Cekat Begg

Gigi kaninus sangat penting untuk estetika dan fungsi mastikasi seseorang. Impaksi gigi adalah gagalnya gigi untuk muncul ke dalam lengkung gigi yang dapat disebabkan karena kekurangan ruang, adanya sesuatu yang menghalangi jalur erupsi gigi atau karena faktor keturunan. Prevalensi impaks gigi kaninus maksila adalah 0,9-2,2%, sedangkan impaksi gigi kaninus mandibula lebih jarang terjadi. Alternatif perawatan gigi impaksi kaninus maksila adalah operasi exposure dan diikuti dengan kekuatan ortodontik untuk membantu erupsi dengan alat cekat ortodontik. Tujuan dari perawatan adalah untuk koreksi malrelasi dan malposisi gigi geligi, khususnya koreksi gigi kaninus impaksi menggunakan teknik Begg. Pasien laki-laki, 19 tahun, gigi sangat berjejal, gigi kaninus kanan kiri rahang atas dan gigi kaninus kanan rahang bawah impaksi, kelas I, deep overbite, overjet 3 mm dan overbite 8,8 mm. Perawatan dilakukan dengan menggunakan alat cekat Begg dengan tanpa pencabutan. Operasi exposure dilakukan untuk membuka gigi kaninus kanan kiri atas yang impaksi yang diikuti perekatan braket ortodontik. Kawat busur multiloop, anchorage bend dan elastik intermaksiler klas II digunakan pada tahap leveling dan unraveling. Dalam waktu 14 bulan,overbite terkoreksi, gigi kaninus kanan kiri atas sudah erupsi, overjet 3,00 mm, overbite 3,00 mm. Saat ini perawatan masih berlangsung pada tahap leveling dan unraveling untuk koreksi kaninus yang impaksi. Perawatan maloklusi angle klas I dengan berjejal dan impaksi kaninus maksila dapat dilakukan dengan operasi exposure gigi kaninus impaksi diikuti alat cekat Begg. Orthodontic Treatment of Class I Malocclussion with Canine Impaction Using Begg Fixed Appliance. Canine is very important for aesthetic and masticatory function. Impaction refers to a failure of tooth to presence into the dental arch, usually due to either space deficiencies, the presence of an entity blocking the path of tooth eruption or due to hereditary factors. Prevalence of maxillary canines impaction is 0.9 to 2.2%, while the mandibular canine impaction is less common. Alternative dental care is impacted maxillary canine exposure surgery and followed by orthodontic force for help the eruption with fixed orthodontic appliance. The goal of treatment is to correct malrelation and malposition of teeth. Patient man, 19 years old, very crowded teeth, maxillary right and left canine and mandibular right canine impaction, Angle Class I, deep overbite, 3 mm overjet and overbite 8,8 mm. Treatments performed using Begg fixed appliances without extraction. Exposure surgery is done under the right and left maxillary canine impaction followed orthodontic bracket bonding. Multiloop arch wire, bend and elastic anchorage intermaksiler class II used at the stage of leveling and unraveling. Within 14 months, overbite was corrected, maxillaryr right and left canine eruption, Angle Class I canine relationship, 3.00 mm overjet, 3,00 mm overbite. Current treatment is still ongoing at leveling and unraveling stage. Treatment angle malocclusion class I with maxillary canine impaction can be done by exposure surgery followed by Begg fixed appliances.

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Reposisi Gigi Kaninus Impaksi Palatal pada Perawatan Ortodontik Cekat Teknik Begg

Majalah Kedokteran Gigi Klinik ◽

10.22146/mkgk.11975 ◽

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.

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Perawatan Teknik Begg Pada Maloklusi Klas I Dengan Kaninus Impaksi dan Insisivus Lateral Agenesis

Majalah Kedokteran Gigi Indonesia ◽

10.22146/majkedgiind.8388 ◽

2013 ◽

Vol 20 (1) ◽

pp. 105

Author(s):

Kristina Wijaya Gunawan ◽

Wayan Ardhana ◽

Christnawati Christnawati

Keyword(s):

Class I ◽

Lateral Incisor ◽

Maxillary Canine ◽

Fixed Appliance ◽

Space Closure ◽

Impacted Canine ◽

Labial Side ◽

The Right ◽

Dental Crowding ◽

Tooth Buds

Impaksi kaninus maksila sering dijumpai pada sisi palatal daripada labial. Agenesis adalah anomali pertumbuhan akibat tidak ada satu atau lebih benih gigi. Laporan kasus ini bertujuan memaparkan kemajuan perawatan kasus Maloklusi klas I dengan kaninus impaksi dan insisivus lateral agenesis menggunakan alat cekat teknik Begg. Seorang pasien usia 20 tahun datang mengeluhkan gigi-gigi depan atas dan bawah yang berjejal sehingga mengganggu penampilan. Perawatan bertujuan untuk koreksi Maloklusi Angle klas I tipe dentoskeletal dengan deepbite, crossbite gigi 25 terhadap 35, pergeseran midline dental maksila dan mandibula ke kanan sebesar 2,5 mm dan 3,0 mm, 13 impaksi vertikal pada sisi labial, 42 agenesis, dan edentulous parsial regio 36. Koreksi dilakukan dengan pencabutan 14, 25, pemanfaatan ruang bekas pencabutan 36 dan exposure gigi kaninus yang impaksi. Tahap pertama teknik Begg adalah leveling, unraveling, dan bite opening, diikuti dengan koreksi midline dan penutupan sisa ruang bekas pencabutan. Kesimpulan: perawataan ortodontik menggunakan teknik Begg yang dilakukan simultan dengan exposure kaninus impaksi labial dengan closed eruption technique dapat memberikan hasil yang memuaskan.Treatment for Class I Malocclusion with Impacted Canine and Agenesis Lateral Incisor Using Begg Technique. Maxillary canine impaction occurs commonly on the palatal than labial side. Agenesis is a developmental anomaly condition because of the absence of one or more tooth buds. This case report aims to explain the treatment progress of class I malocclusion with impacted canine and agenesis lateral incisor using fixed appliance through Begg technique. A 20-year-old female patient complained about her upper and lower anterior dental crowding that disturbed her appearance. The treatment aims to correct the Angle class I malocclusion dentoskeletal types with deepbite, crossbite 25 to 35, maxillary and mandibulary dental midline shift to the right by 2.5 mm and 3.0 mm, 13 labially vertical impacted, 42 agenesis, and partial edentulous 36. The correction was obtained through extraction 14 and 25, and the use of former space from extraction 36 and exposure of impacted canine. The first step of treatment using Begg technique is to leveling, unraveling, and bite opening. The second step is midline correction and space closure. Finally, it can be concluded that orthodontic treatment using Begg technique which is done simultaneously and exposure of labial- canine impaction with closed eruption technique can give satisfactory results.

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Angle Class I malocclusion treated with lower incisor extraction

Dental Press Journal of Orthodontics ◽

10.1590/s2176-94512013000300024 ◽

2013 ◽

Vol 18 (3) ◽

pp. 150-158 ◽

Cited By ~ 4

Author(s):

Vanessa Leal Tavares Barbosa

Keyword(s):

Class I ◽

Dental Arch ◽

Periodontal Health ◽

Lower Incisor ◽

Facial Profile ◽

Anterior Crowding ◽

Angle Class ◽

Facial Esthetics ◽

Dentofacial Orthopedics ◽

Dental Crowding

In planning orthodontic cases that include extractions as an alternative to solve the problem of negative space discrepancy, the critical decision is to determine which teeth will be extracted. Several aspects must be considered, such as periodontal health, orthodontic mechanics, functional and esthetic alterations, and treatment stability. Despite controversies, extraction of teeth to solve dental crowding is a therapy that has been used for decades. Premolar extractions are the most common, but there are situations in which atypical extractions facilitate mechanics, preserve periodontal health and favor maintenance of the facial profile, which tends to unfavorably change due to facial changes with age. The extraction of a lower incisor, in selected cases, is an effective approach, and literature describes greater post-treatment stability when compared with premolar extractions. This article reports the clinical case of a patient with Angle Class I malocclusion and upper and lower anterior crowding, a balanced face and harmonious facial profile. The presence of gingival and bone recession limited large orthodontic movements. The molars and premolars were well occluded, and the discrepancy was mainly concentrated in the anterior region of the lower dental arch. The extraction of a lower incisor in the most ectopic position and with compromised periodontium, associated with interproximal stripping in the upper and lower arches, was the alternative of choice for this treatment, which restored function, providing improved periodontal health, maintained facial esthetics and allowed finishing with a stable and balanced occlusion. This case was presented to the Brazilian Board of Orthodontics and Dentofacial Orthopedics (BBO), as part of the requirements for obtaining the BBO Diplomate title.

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Maxillary arch changes with transpalatal arch treatment followed by full fixed appliances

The Angle Orthodontist ◽

10.2319/070114-466.1 ◽

2014 ◽

Vol 85 (4) ◽

pp. 683-689 ◽

Cited By ~ 11

Author(s):

Gaetana Raucci ◽

Camila Pachêco-Pereira ◽

Vincenzo Grassia ◽

Fabrizia d’Apuzzo ◽

Carlos Flores-Mir ◽

...

Keyword(s):

Treated Group ◽

Mixed Dentition ◽

Control Group ◽

Dental Arch ◽

Fixed Appliance ◽

Dimensional Changes ◽

Lateral Cephalograms ◽

Fixed Appliances ◽

Incisor Inclination ◽

Transpalatal Arch

ABSTRACT Objective: To evaluate short- and long-term maxillary dental arch dimensional changes in patients treated with a transpalatal arch (TPA) during mixed dentition followed by full fixed appliances in the permanent dentition compared with an untreated sample. Materials and Methods: Dental casts and lateral cephalograms obtained from 36 consecutively treated patients before TPA treatment (T0), after TPA treatment (T1), after fixed appliance treatment (T2), and a minimum of 3 years after fixed appliance treatment (T3) were analyzed. The control group was matched as closely as possible. Arch widths, perimeter, and length, as well as crowding and incisor proclination, were evaluated. Results: In the treated group, intercanine, interpremolar, and intermolar widths and arch perimeter increased significantly at T1. At T2, only the intercanine width increase was still significant. At T3 all arch dimensions decreased, remaining larger than they were at T0. The arch length increased after T1, significantly decreased at T2, and slightly decreased at T3. The crowding decreased significantly at T1, was eliminated at T2, and increased at T3. At T3, 50% of the patients showed relapse with crowding ranging from 0.5 to 2 mm. In the control group at T1, only slight changes were noted but crowding increased. At T2, crowding and upper incisor inclination increased but arch length decreased. At T3, intercuspid width, arch perimeter, and arch length continued to decrease, thereby increasing crowding. Conclusion: Maxillary dental arch dimensions changed significantly after TPA followed by treatment with fixed appliances. Relapse occurred to some extent, especially in intercanine width and arch perimeter, but most of the dental arch changes remained stable.

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Penatalaksanaan Kasus Impaksi Premolar, Ektopik Caninus dan Asimetri Rahang dengan Teknik Edgewise

Majalah Kedokteran Gigi Klinik ◽

10.22146/mkgk.11983 ◽

2015 ◽

Vol 1 (2) ◽

pp. 134

Author(s):

Novitria Zahrotul Malikha ◽

Sri Suparwitri ◽

Soekarsono Hardjono

Keyword(s):

Female Patient ◽

Primary Teeth ◽

Class I ◽

Permanent Teeth ◽

Dental Arch ◽

Midline Shift ◽

Orthodontic Appliance ◽

Angle Class ◽

Dental Crowding ◽

Fixed Orthodontic Appliance

Pencabutan dini pada gigi desidui seringkali menyebabkan perpendekan lengkung sehingga ruang yang dibutuhkan untuk erupsi gigi permanen kurang. Kaninus ektopik, impaksi premolar dan asimetri rahang adalah kasus yang sering terjadi akibat kurangnya ruang untuk erupsi gigi. Pasien perempuan usia 20 tahun, mengeluhkan gigi gingsul dan tidak rapi. Pemeriksaan objektif menunjukkan crowding rahang atas dan rahang bawah, kaninus maksila kanan atas ektopik, premolar mandibula kanan impaksi, disertai pergeseran midline. Maloklusi Angle kelas I dengan hubungan skeletal kelas I, overbite 1 mm, overjet 1,3 mm, crowding mandibula dan maksila, ektopik kaninus unilateral, impaksi premolar unilateral, asimetri rahang dan pergeseran midline. Pencabutan dilakukan pada 2 gigi premolar pertama rahang atas dan 2 gigi molar pertama rahang bawah yang mengalami nekrosis. Perawatan menggunakan alat cekat teknik Edgewise dengan multiloop. L loop digunakan untuk ekstrusi gigi kaninus ektopik dan menarik impaksi premolar. Asimetri rahang dikoreksi dengan ekspansi lengkung gigi menggunakan mainarchwire. Setelah 7 bulan perawatan, gigi kaninus yang ektopik, impaksi premolar dan crowding terkoreksi. Overjet dan overbite menjadi 2,5 mm. Perawatan masih berlangsung hingga saat ini. Penggunaan multiloop pada teknik Edgewise efektif untuk mengoreksi crowding gigi dan L loop efektif untuk mengekstrusi gigi kaninus ektopik dan impaksi premolar. ABSTRACT: Management of Impacted Premolar, Ectopic Canine and Jaw Asymmetry Case Using Edgewise Technique. The premature loss of primary teeth may reduce the arch length required for permanent teeth eruption. Ectopic canine, premolar impaction and jaw asymmetry are often encountered due to the lack of space for permanent teeth eruption. A twenty-year-old female patient complained an ectopic canine and crowding of upper and lower teeth. The objective examination found maxilla and mandibula crowding, ectopic right maxilla canine, mandibular premolar impaction, and midline shift of maxilla and mandibula. Angle class I malocclusion, overbite 1 mm, overjet 1.3 mm, maxilla and mandibula crowding, unilateral ectopic canine, unilateral premolar impaction, jaw asymmetry and midline shift occurred. Extraction of 2 maxillary first premolars and 2 necrose mandibular first molars was conducted followed by a treatment using fixed orthodontic appliance Edgewise technique with multiloop. The ectopic canine and premolar impaction were extruded using L loop. Jaw asymmetry was corrected by expanding the dental arch using the expanded main archwire. Ectopic canine, premolar impaction, maxilla and mandibula crowding were corrected after 7 months of treatment. The overjet and overbite reached 2.5 mm. The treatment is still ongoing. The multiloop edgewise archwire technique is found effective to overcome dental crowding, and L loop is effective to extrude the ectopic canine and premolar impaction.

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Microbiological Changes and Caries-Preventive Effect of an Innovative Varnish Containing Chlorhexidine in Orthodontic Patients

Caries Research ◽

10.1159/000486140 ◽

2018 ◽

Vol 52 (4) ◽

pp. 272-278 ◽

Cited By ~ 3

Author(s):

Lídia Lipták ◽

Krisztina Szabó ◽

Gábor Nagy ◽

Sándor Márton ◽

Melinda Madléna

Keyword(s):

Dental Arch ◽

Risk Category ◽

Orthodontic Appliances ◽

White Spot Lesions ◽

Preventive Effect ◽

Fixed Appliance ◽

Fixed Orthodontic Appliances ◽

Orthodontic Patients ◽

The Mean ◽

The Right

The aim of this study was to investigate the effects of Cervitec Plus® on the level of mutans streptococcus (SM) and lactobacillus (LB) colonies and the development of white spot lesions (WSLs) in patients with fixed orthodontic appliances. Informed consent was obtained from 32 volunteers (age 16.5 ± 2.75 years). At baseline, levels of the bacterial colonies were determined in saliva and plaque using a chairside test (CRT Bacteria, Ivoclar-Vivadent, Schaan, Liechtenstein), and the number of WSLs was registered. After placing the fixed appliance, Cervitec Plus® or placebo varnishes (Ivoclar-Vivadent, Schaan, Liechtenstein) were applied monthly around the brackets and tubes, randomly in the right or left (test and placebo) quadrants of the same dental arch. SM and LB colonies in saliva and the SM colonies in plaque were determined on 11–21, 13–23, 15–25, and 16–26 teeth monthly over a 6-month period. At the sixth month, the number of new WSLs was determined. By the end of the study, compared with baseline, the ratio of saliva samples belonging to the low-risk category was significantly higher (p ≤ 0.01) from the 2nd month regarding the SM (76 vs. 52%) and LB (69 vs. 52%); reduction of SM in plaque was significantly greater on the test than placebo sides (6.69 ± 1.71 and 4.45 ± 1.60, respectively; p ≤ 0.01). The mean number of new WSLs was significantly lower in the test (0.06 ± 1.60) than in the placebo quadrants (1.13 ± 1.50, p ≤ 0.01). Conclusion: Monthly use of Cervitec Plus® could result in a significant improvement in oral health of orthodontic patients.

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Predictors of postretention stability of mandibular dental arch dimensions in patients treated with a lip bumper during mixed dentition followed by fixed appliances

The Angle Orthodontist ◽

10.2319/051216-379.1 ◽

2016 ◽

Vol 87 (2) ◽

pp. 209-214 ◽

Cited By ~ 5

Author(s):

Gaetana Raucci ◽

Camila Pachêco-Pereira ◽

Maryam Elyasi ◽

Fabrizia d'Apuzzo ◽

Carlos Flores-Mir ◽

...

Keyword(s):

Mixed Dentition ◽

Dental Arch ◽

Regression Analyses ◽

Lower Incisor ◽

Fixed Appliance ◽

Predictive Variables ◽

Weak Evidence ◽

Fixed Appliances ◽

Lip Bumper ◽

Transpalatal Arch

ABSTRACT Objective: To identify which dental and/or cephalometric variables were predictors of postretention mandibular dental arch stability in patients who underwent treatment with transpalatal arch and lip bumper during mixed dentition followed by full fixed appliances in the permanent dentition. Materials and Methods: Thirty-one patients were divided into stable and relapse groups based on the postretention presence or absence of relapse. Intercuspid, interpremolar, and intermolar widths; arch length and perimeter; crowding; and lower incisor proclination were evaluated before treatment (T0), after lip bumper treatment (T1), after fixed appliance treatment (T2), and a minimum of 3 years after removal of the full fixed appliance (T3). Logistic regression analyses were performed to evaluate the effect of changes between T0 and T1, as predictive variables, on the occurrence of relapse at T3. Results: The model explained 53.5 % of the variance in treatment stability and correctly classified 80.6 % of the sample. Of the seven prediction variables, intermolar and interpremolar changes between T0 and T1 (P = .024 and P = .034, respectively) were statistically significant. For every millimeter of increase in intermolar and interpremolar widths there was a 1.52 and 2.70 times increase, respectively, in the odds of having stability. There was also weak evidence for the effect of sex (P = .047). Conclusions: The best predictors of an average 4-year postretention mandibular dental arch stability after treatment with a lip bumper followed by full fixed appliances were intermolar and interpremolar width increases during lip bumper therapy. The amount of relapse in this crowding could be considered clinically irrelevant.

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Angle Class I malocclusion with anterior negative overjet

Dental Press Journal of Orthodontics ◽

10.1590/2177-6709.21.2.102-114.bbo ◽

2016 ◽

Vol 21 (2) ◽

pp. 102-114

Author(s):

Paulo Ávila de Souza

Keyword(s):

Case Report ◽

Functional Outcomes ◽

Orthodontic Treatment ◽

Clinical Case ◽

Class I ◽

Class Iii ◽

Fixed Appliance ◽

Angle Class ◽

Dentofacial Orthopedics ◽

Two Stages

ABSTRACT This clinical case report describes the orthodontic treatment of an 8-year and 9-month old female patient with Angle Class I malocclusion, anterior crossbite and canine Class III relationship. Orthodontic treatment was carried out in two stages. The first one was orthopedic, while the second one included the use of a fixed appliance and the need for space gain for reshaping of maxillary lateral incisors. The two-stage treatment combined with multidisciplinary Restorative Cosmetic Dentistry allowed excellent esthetic and functional outcomes to be achieved. This case was presented to the Brazilian Board of Orthodontics and Dentofacial Orthopedics (BBO) as a requirement for the title of certified by the BBO.

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The use of three-dimensional cephalometric references in dentoskeletal symmetry diagnosis

Dental Press Journal of Orthodontics ◽

10.1590/2176-9451.19.6.078-085.oar ◽

2014 ◽

Vol 19 (6) ◽

pp. 78-85 ◽

Cited By ~ 3

Author(s):

Olavo Cesar Lyra Porto ◽

Jairo Curado de Freitas ◽

Ana Helena Gonçalves de Alencar ◽

Carlos Estrela

Keyword(s):

New York ◽

Surgical Planning ◽

Statistical Significance ◽

Three Dimensional ◽

Class I ◽

Cone Beam ◽

Radiology Service ◽

Angle Class ◽

The Right ◽

Cephalometric Measurements

OBJECTIVE: The aim of this study is to assess dentoskeletal symmetry in cone-beam computed tomography (CBCT) scans of Brazilian individuals with Angle Class I malocclusion.MATERIAL: A total of 47 patients (22 females and 25 males) aged between 11 and 16 years old (14 years) seen in a private radiology service (CIRO, Goiânia, GO, Brazil) were assessed. All CBCT scans were obtained from January, 2009 to December, 2010. Cephalometric measurements were taken by multiplanar reconstruction (axial, coronal and sagittal) using Vista Dent3DPro 2.0 (Dentsply GAC, New York, USA). Minimum, maximum, mean and standard deviation values were arranged in tables, and Student t-test was used to determine statistical significance (P < 0.05).RESULTS: Data were homogeneous, and differences between the right and left sides were not significant.CONCLUSIONS: Cephalometric measurements of Brazilian individuals with Angle Class I malocclusion can be used to establish facial symmetry and three-dimensional standard references which might be useful for orthodontic and surgical planning.

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

Majalah Kedokteran Gigi Indonesia ◽

10.22146/majkedgiind.15407 ◽

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.

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