scholarly journals Adjunctive surgery after total arch distalization to optimize esthetics

2020 ◽  
Vol 10 ◽  
pp. 185-190
Author(s):  
Ahmad Abdulwhab ◽  
Ja Hyeong Ku ◽  
Fawaz Alfawaz ◽  
Jae Hyun Park ◽  
Yoon-Ah Kook

This case report presents surgically assisted orthodontic treatment for an adult patient due to labial exostosis, prominent malar, and unesthetic chin. Her treatment was total arch distalization with modified C-palatal plate for maxillary arch and miniscrews for mandibular arch. In addition, she was treated with alveoloplasty, malarplasty, and genioplasty to improve the consistency of her profile. The total treatment duration was 28 months.

2019 ◽  
Vol 7 (1) ◽  
pp. 70-73
Author(s):  
Hemant Kumar Halwa ◽  
Sumit Kumar Yadav ◽  
Kishor Dutta ◽  
Sandeep Kumar Gupta ◽  
Raju Shrestha ◽  
...  

Correction of a severe bimaxillary protrusion with maximum anchorage can be challenging. This case report describes the treatment of a girl with a bimaxillary protrusion. Orthodontic treatment included extraction of her 4 first premolars. The total treatment time was 18 months. Her dental proclination and facial appearance was significantly improved.


2014 ◽  
Vol 51 (6) ◽  
pp. 711-721 ◽  
Author(s):  
Tomohiro Fukunaga ◽  
Tadashi Honjo ◽  
Yuichi Sakai ◽  
Kiyo Sasaki ◽  
Teruko Takano-Yamamoto ◽  
...  

This is a case report about the successful orthodontic treatment of a bilateral cleft lip and palate patient by using a combination of bone grafting and subsequent prosthodontic rehabilitation. An adult patient with a bilateral cleft lip and palate presented with a concave profile, anterior and lateral crossbite, a markedly deep overbite, and residual bilateral alveolar clefts. His jaw movement patterns were unstable and irregular due to his collapsed bite. Orthodontic treatment with bilateral bone grafting improved his concave profile by downward and backward rotation of the mandible within the freeway space, and optimum occlusion and functionally stable and smooth jaw movements were obtained. After a 6-year retention period, no skeletal relapse could be detected, and his occlusal stability was satisfactory.


2021 ◽  
Vol 7 (2) ◽  
pp. 220-224
Author(s):  
Dr. Rajat Nahar ◽  
Dr. Jyoti Tembhurne ◽  
Dr. Arti Parag Gangurde ◽  
Dr. Manish R Chauhan ◽  
Dr. Nikhil Kule ◽  
...  

2017 ◽  
Vol 2 (s1) ◽  
pp. 68-72
Author(s):  
Roxana Rugina ◽  
Alexandru Rugina ◽  
Cristian Petri ◽  
Cosmin Sinescu

Abstract The aim of this case presentation is to outline some of the advantages that an adjunct orthodontic treatment can offer in a comprehensive oral rehabilitation of an adult patient. Adjunctive orthodontic treatment is usually limited to a dental arch or to a group of teeth within an arch. The purpose of dental movements in this case will be to position the teeth in a way that makes the restoration or replacement of damaged or missing teeth as easy as possible and with minimal dental tissue sacrifice. In addition, the improved position of the teeth will create a healthier periodontal environment that is easier to maintain over time.


2019 ◽  
Vol 2019 ◽  
pp. 1-5 ◽  
Author(s):  
Laís C. Giacobbo ◽  
Lara Karolina Guimarães ◽  
Isabelle Adad Fornazari ◽  
Eduardo Monteiro Meda ◽  
Orlando Motohiro Tanaka

This case report describes the orthodontic treatment used to prepare for restorative dentistry, aimed at the functional rehabilitation of an adult patient with Class I malocclusion, right posterior crossbite, and significant tooth wear on the palatal face of the maxillary canine to canine. The orthodontic treatment was performed with a total fixed appliance mini-expandex-type expander, associated with vertical elastics. Good dental intercuspation was obtained and enabled conditions for the restoration of the abrasions on the palatal surfaces of the maxillary incisors and canines and the tips of the buccal cusps of the maxillary right premolars and first molar. Excellent results were found during a 37-month follow-up.


2018 ◽  
Vol 8 ◽  
pp. 44-48
Author(s):  
Ekta Lahoti ◽  
Partha Pratim Choudhury ◽  
Ali Asger Nakib ◽  
Mukesh Kumar

This article presents the orthodontic treatment of a 24-year-old female patient with gummy smile and proclination along with a hyperdivergent profile. The patient showed excessive gingival display in both the anterior and posterior areas in the maxilla. Such situation in an adult patient often demands surgical therapy. However, due to patient reluctance toward surgery, the gummy smile was treated by the intrusion of the whole maxillary arch. After alignment and leveling, absolute anchorage system as well as a modified transpalatal arch was designed to achieve posterosuperior movement of the entire upper dentition. The active treatment period was 2.3 years.


2019 ◽  
Vol 24 (6) ◽  
pp. 36-47
Author(s):  
Armando Yukio Saga ◽  
Ariane Ximenes Graciano Parra ◽  
Isteicy Cortêz Silva ◽  
Cayana Dória ◽  
Elisa Souza Camargo

ABSTRACT Objective: This article describes the orthodontic treatment performed on an adult patient with multiple dental losses. Case report: A female patient, 20 years and 4 months old, presented with the following conditions: absence of teeth #26, #35, #36 and #46; semi-impacted tooth #48; inclined molars adjacent to an edentulous space; canines and premolars in a Class II relationship; a convex profile; biprotrusion; and forced lip sealing. Results: Space in the region of tooth #26 was closed, as well the space of tooth #46; tooth #48 erupted and followed mesial movement passively; space of the region of tooth #35 was maintained for the placement of a dental implant; uprighting of tooth #37 was obtained. Aesthetic and functional goals of the treatment were achieved. Results remained stable 10 years after the end of the treatment. Conclusion: The modified helical loop could be effectively used in orthodontic mechanics to close edentulous spaces. Passive semi-impacted mandibular third molar eruption and mesialization can occur in adults when proper space is provided.


2016 ◽  
Vol 14 (2) ◽  
pp. 171-183 ◽  
Author(s):  
Antonio Gracco ◽  
Laura Siviero ◽  
Alberto de Stefani ◽  
Giovanni Bruno ◽  
Edoardo Stellini

2019 ◽  
Vol 9 (1) ◽  
pp. 74-78
Author(s):  
Narula Khyati ◽  
Shetty Siddarth

Before the advent of skeletal anchorage distalisation of the lower arch was considered cumbersome. Individual lower molar distalisation followed by retraction into the distalised space created is very time-consuming. Therefore, to reduce the treatment duration lower arch distalisation can be attempted by using buccal shelf screws. Here we present a case of Angle’s Class III malocclusion which has been treated effectively with distalisation of lower arch using 2 buccal shelf screws (2x12mm) with elastic chains following lower third molars extraction. We achieved full arch distalisation of 3.5mm bilaterally in a span of 1.5 months into a class I molar and canine relationship with normal overjet and overbite. Total treatment duration was of 17 months. These results were stable. There were no changes in vertical facial dimensions.


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