scholarly journals Intervention Proposal for Infant Prognathism: A Case Report in a Non-Syndromic Pediatric Patient

2021 ◽  
Vol 6 (11) ◽  
pp. 824-830
Author(s):  
Silvia J. Chedid ◽  
Renata Húngaro
Keyword(s):  
Treatment Plan ◽  
Complex Interventions ◽  
Daily Practice ◽  
Radiographic Examination ◽  
Class Iii ◽  
Genetic Syndromes ◽  
Dental Office ◽  
Digital Compression ◽  
Angle Class Iii Malocclusion ◽  
Mandibular Protrusion

Treating Class III malocclusions has been presently considered one of the most challenging and complex interventions of orthodontic daily practice. In this study, we report a case of a 17-month-old female patient, initially diagnosed with Angle Class III malocclusion, mandibular protrusion, and without genetic syndromes. Upon initial admission at the dental office, patient’s parents reported an inadequate bite pattern while the patient tried to eat solid food. Upon dental examination, a negative overjet of 8 millimeters was noticed and a two-phased treatment plan was established: 1. Performance of functional exercises; 2. Implementation of protractor device associated with masticatory guidance exercises. Radiographic examination and cephalometric analyses were performed throughout the case follow-up. Overall, the digital compression protocol carried out reverted the primary mandibular protrusion of -8 millimeters to +1 millimeters overbite, during the 6 months of treatment. In addition, the use of premaxillary protractor appliance increased the overbite to + 2 millimeters. The patient responded satisfactory to the treatment plan performed, and after 2 years, a proper primary occlusion, oral functionality, and facial aesthetics were improved.

Reabsorção externa inflamatória após luxação intrusiva dentária – conduta clínica de tratamento tardio

2020 ◽  
Vol 12 (45) ◽  
pp. 113-117
Author(s):  
Caroline Felipe Magalhães Girelli ◽  
Thaís da Silva Alves ◽  
Betina Maria de Lima Oliveira ◽  
Mariane Floriano Lopes Santos Lacerda ◽  
Carolina Oliveira de Lima
Keyword(s):  
Clinical Picture ◽  
Root Canal ◽  
Clinical Case ◽  
Root Resorption ◽  
Treatment Plan ◽  
Root Surface ◽  
Endodontic Treatment ◽  
Radiographic Examination ◽  
Dental Office

External inflammatory root resorption (EIRR) is one of the consequences of pulp necroses caused by intrusive dislocation (ID). The objective of the study was to report a clinical case of ID associated with EIRR, which was submitted to late endodontic treatment. Patient came to the dental office five months after a trauma with a clinical picture of intrusive dislocation of tooth 21 associated with pulp necrosis, but without symptoms. Radiographic examination showed an image compatible with EIRR along root surface. The treatment plan was to undergo endodontic treatment with calcium hydroxide changes which occurred monthly for 8 months. When EIRR stopped, the root canal was filled. After clinical and radiographic follow up for 5 years, there was an involution of the damage caused by the clastic activity resulting from the resorptive process, characterizing the success of the instituted therapy.

scholarly journals Analysis of Tongue Function from the Orthodontist’s Point of View: Not Only a Matter of Deglutition

2021 ◽  
Vol 11 (6) ◽  
pp. 2520
Author(s):  
Andrea Deregibus ◽  
Simone Parrini ◽  
Maria Chiara Domini ◽  
Jacopo Colombini ◽  
Tommaso Castroflorio
Keyword(s):  
Point Of View ◽  
Control Group ◽  
Class Iii ◽  
Class Iii Malocclusion ◽  
Maxillary Hypoplasia ◽  
Skeletal Class ◽  
Posterior Crossbite ◽  
Rest Position ◽  
Functional Aspects ◽  
Angle Class Iii Malocclusion

Many studies report that maxillofacial growth is influenced by genetic and environmental elements and that incorrect breathing, chewing, sucking, and swallowing are promoting factors of malocclusion. This study aims to evaluate the function and the influence of the tongue positions in patients with Angle class III malocclusion, maxillary hypoplasia, and posterior crossbite. One hundred patients, aged between 6 and 12 years old, were enrolled for the study. In the first group, patients with a diagnosis of class III malocclusion, affected by maxillary hypoplasia, skeletal class III, and posterior dental crossbite were recruited. In the control group, not treated patients with no malocclusion, skeletal class I, and without posterior dental crossbite were selected. Regarding atypical deglutition, no statistical differences were reported between the two groups, and 14% of patients reported ankyloglossia. Statistical differences were found in tongue rest position and during the execution of “hold and pull” and “chuck” exercises. Results obtained in this observational study showed that the clinician (orthodontist or general dentist) should analyze the presence/absence of atypical swallowing, the anatomical and functional aspects, and the tongue behavior in the rest position.

scholarly journals Molariform Mesiodens in Primary Dentition

2013 ◽  
Vol 2013 ◽  
pp. 1-4
Author(s):  
Sachin B. Mangalekar ◽  
Tajammul Ahmed ◽  
M. Zakirulla ◽  
Halawar Sangmesh Shivappa ◽  
F. B. Bheemappa ◽  
...  
Keyword(s):  
Rare Case ◽  
Treatment Plan ◽  
Permanent Dentition ◽  
Primary Dentition ◽  
Occlusal Surface ◽  
Radiographic Examination ◽  
Supernumerary Tooth ◽  
Dentigerous Cysts ◽  
Delayed Eruption ◽  
Maxillary Arch

Mesiodens is a midline supernumerary tooth commonly seen in the maxillary arch, and incidence of molariform mesiodens in the maxillary midline is rare in permanent dentition and extremely uncommon in primary dentition. A midline supernumerary tooth in the primary dentition can cause ectopic or delayed eruption of permanent central incisors which will further alter occlusion and may compromise esthetics and formation of dentigerous cysts. This paper reports a rare case of the presence of a molariform mesiodens in the primary dentition. On clinical and radiographic examination, flaring of the primary central incisors was seen, with a molariform mesiodens consisting of multiple lobes or tubercles on the occlusal surface with the well-formed root. The treatment plan consisted of the extraction of the supernumerary tooth and regular observation of permanent central incisors for proper eruption and alignment.

scholarly journals Prevalence of Malocclusion and Orthodontic Treatment Needs in Down Syndrome Sudanese Individuals

2014 ◽  
Vol 4 (2) ◽  
pp. 32-36
Author(s):  
Hiba A. Ibrahim ◽  
Amal H. Abuaffan
Keyword(s):  
Down Syndrome ◽  
Orthodontic Treatment ◽  
Class Iii ◽  
Class Iii Malocclusion ◽  
Treatment Needs ◽  
Angle Class ◽  
Alpha Level ◽  
History Of ◽  
Angle Class Iii Malocclusion ◽  
Angle Class Iii

Objective: To determine prevalence of malocclusion and orthodontic treatment needs in Down syndrome individuals among Sudanese population in Khartoum area.Materials & Method: A total of 75 (37 males and 38 females) Down syndrome individuals age ranging from 6-28 years were clinically examined after obtaining their guardian’s consent, malocclusion was determined based on Angle and Incisor classification. Exclusion criteria were included individuals who had history of extraction and orthodontic treatment.Data was analysed by using SPSS Version 17, at an alpha level 0.05 and 95% confidence limits.Result: Angle Class III and Incisor III malocclusion represents the most prevalent type of malocclusions (58.7%) Angle classification, (53.3%) Incisors classification. Angle Class III malocclusion was more frequent among females (60.5%) than in males (56.8%). Themajority of individuals with Down syndrome are in need of orthodontic treatment (85.3%).Conclusion: The prevalence of malocclusion and orthodontic treatment need among Sudanese Down syndrome individuals was high. Angle and Incisor Class III malocclusion representing commonest trait of malocclusion with more frequency in femalesthan males.Key word: down syndrome, Class III malocclusion, orthodontic treatment

scholarly journals Orthodontic camouflage of skeletal Class III malocclusion with miniplate: a case report

2016 ◽  
Vol 21 (4) ◽  
pp. 89-98 ◽  
Author(s):  
Marcel Marchiori Farret ◽  
Milton M. Benitez Farret ◽  
Alessandro Marchiori Farret
Keyword(s):  
Orthognathic Surgery ◽  
Class Iii ◽  
Class Iii Malocclusion ◽  
Lower Lip ◽  
Facial Profile ◽  
Skeletal Class ◽  
Mandibular Teeth ◽  
One Year ◽  
Angle Class Iii Malocclusion

ABSTRACT Introduction: Skeletal Class III malocclusion is often referred for orthodontic treatment combined with orthognathic surgery. However, with the aid of miniplates, some moderate discrepancies become feasible to be treated without surgery. Objective: To report the case of a 24-year-old man with severe skeletal Angle Class III malocclusion with anterior crossbite and a consequent concave facial profile. Methods: The patient refused to undergo orthognathic surgery; therefore, orthodontic camouflage treatment with the aid of miniplates placed on the mandibular arch was proposed. Results: After 18 months of treatment, a Class I molar and canine relationship was achieved, while anterior crossbite was corrected by retraction of mandibular teeth. The consequent decrease in lower lip fullness and increased exposure of maxillary incisors at smiling resulted in a remarkable improvement of patient's facial profile, in addition to an esthetically pleasing smile, respectively. One year later, follow-up revealed good stability of results.

scholarly journals Fourth mandibular molar in a pediatric patient – Case report

2015 ◽  
Vol 5 (20) ◽  
pp. 229-231
Author(s):  
Atanas Vlaykov ◽  
Dian Sharlanov ◽  
Dilyana Vicheva
Keyword(s):  
Case Report ◽  
Oral Cavity ◽  
Treatment Modality ◽  
Treatment Plan ◽  
Female Child ◽  
Permanent Teeth ◽  
Radiographic Examination ◽  
Supernumerary Teeth ◽  
Patient Case ◽  
Mandibular Molar

Abstract Background. Supernumerary teeth are described as an excess of the normal teeth number of 20 deciduous and 32 permanent teeth and can occur in any dental region. Material and methods. The authors present the case of a 12-year-old female child with a paramolar in the maxilla, discovered accidentally during an orthopantomogram, emphasising the treatment modality and the complications that can appear. Conclusion. Supernumerary teeth can be present in any region of the oral cavity. Both practitioners and clinicians should be aware of the various types of paramolars and make a treatment plan after an accurate clinical and radiographic examination.

scholarly journals Correction of severe facial asymmetry: A case with fractured condyle

2019 ◽  
Vol 9 ◽  
pp. 59-64
Author(s):  
Ramesh Agrawal ◽  
Dolly P. Patel ◽  
Bhagyashree B. Desai
Keyword(s):  
Facial Asymmetry ◽  
Post Treatment ◽  
Radiographic Examination ◽  
Rigid Fixation ◽  
Class Iii ◽  
Class Iii Malocclusion ◽  
History Of ◽  
Condylar Head ◽  
The Stability ◽  
The Right

The current paper depicts the challenges faced during the treatment of a complicated case of mandibular condylar head fracture, facial asymmetry, and centric relation-centric occlusion (CR-CO) discrepancy along with Class III malocclusion. A 20-year-old female reported with the chief complaint of difficulty in chewing and concern with her appearance due to deviated jaw and had a history of trauma over chin region. The clinical and radiographic examination revealed significant facial asymmetry with long face, right-sided deviation of the mandible, fractured condyle, CR-CO discrepancy, cross- bite with Class III malocclusion, and a missing mandibular single incisor along with non-vital 21 and 22. She was treated with 0.022 MBT appliance along with guiding plane for CR-CO correction followed by asymmetric bilateral sagittal split osteotomy and differential set back on the right and left sides and finally rigid fixation. A good facial profile and functional occlusion were achieved and non-vital 21 and 22 were esthetically rehabilitated with PFM crowns. The stability of surgical as well as orthodontic corrections was excellent and appreciable in the records obtained 2-year post-treatment. When faced with mutilated malocclusion, with multiple problems, sequential correction of functional malocclusion with dental decompensation followed by skeletal correction with surgical approach has yielded a appreciable facial correction with good stability showing 2-year post-treatment follow-up.

scholarly journals Management of an Adult with Spaced Dentition, Class III Malocclusion and Open-bite Tendency

2011 ◽  
Vol 05 (01) ◽  
pp. 121-129 ◽  
Author(s):  
Demet Kaya ◽  
Tulin Ugur Taner
Keyword(s):  
Treatment Plan ◽  
Open Bite ◽  
Class Iii ◽  
Class Iii Malocclusion ◽  
Skeletal Class ◽  
Anterior Teeth ◽  
Old Adult ◽  
Facial Pattern ◽  
Set Up ◽  
Tongue Thrust

ABSTRACTThe aim of this case report was to present the orthodontic treatment of an adult with spaced dentition, Class III malocclusion, and open-bite tendency. A 28.4-year-old adult woman was concerned about the unesthetic appearance of her spaced dentition localized at both upper and lower arches while smiling. She had a mild tongue thrust, hypertropic upper frenum, and mild speech difficulty while pronouncing “s”. Her profile was straight with prominent lips. Molar relationship was Class III on both sides. Anterior teeth were in an end-to-end relationship. Lower dental midline was deviated to the left side. Cephalometric analysis revealed a skeletal Class III relationship with hyperdivergent facial pattern. The treatment plan included myotherapeutic exercises for the tongue thrust habit and a diagnostic set-up for closure of diastemas. A strict retention protocol was followed combined with gingivoplasty, fiberotomy, and frenectomy procedures. All spaces were closed successfully, adequate overbite and overjet relationships were obtained, and tongue thrust habit and speech difficulty while pronouncing “s” were eliminated. Clinical and cephalometric results indicated the maintenance of the treatment outcome at 6-months post-retention period. (Eur J Dent 2011;5:121-129)

scholarly journals Optimizing Anterior Implant Esthetics With a Vascularized Interpositional Periosteal Connective Tissue Graft for Ridge Augmentation: A Case Report

2018 ◽  
Vol 44 (4) ◽  
pp. 267-276
Author(s):  
Cimara Fortes Ferreira ◽  
Edival de Magalhães Barreto ◽  
Barbara Zini
Keyword(s):  
Connective Tissue ◽  
Soft Tissues ◽  
Treatment Plan ◽  
Class Iii ◽  
Anterior Maxilla ◽  
Ridge Augmentation ◽  
Connective Tissue Graft ◽  
Tissue Graft ◽  
Close Cooperation

Achieving excellence in anterior rehabilitations requires close cooperation between the periodontist and the prosthodontist. Many techniques can be used to restore the lost alveolar hard and soft tissues. The more severe the peri-implant defect, the higher the challenge and lower the predictability of the procedure. The present case consists of Seibert Class III with malaligned implants in the esthetic zone resolved with a cost-modified treatment plan to reestablish esthetics in the anterior maxilla using a rotated palatal flap. The vascularized interpositional periosteal connective tissue graft was effective in augmenting the soft tissue in the esthetic zone and remained stable over a 2-year period. Additional long-term clinical studies are necessary to support these results.

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