scholarly journals Modified transpalatal arch to correct sagging of palatal cusp of maxillary 2nd molar

2022 ◽  
Vol 11 ◽  
pp. 325-327
Author(s):  
Namit Nagar

“Sagging” of the palatal cusp of upper second molars is a common finding observed during orthodontic treatment which may develop heavy balancing side contacts, which have been found to be detrimental to harmonious function of the masticatory system. Various modifications of transpalatal arch (TPA) are advocated to correct crossbite, but most of them will utilize an additional step of soldering a wire attachment to TPA. In this clinical pearl, the TPA was fabricated using a single wire component, eliminating an additional step of soldering.

2019 ◽  
Vol 2019 ◽  
pp. 1-6 ◽  
Author(s):  
Neal D. Kravitz

Background and Overview. Lingual eruption of the permanent maxillary central incisors in the early mixed dentition can result in a traumatic anterior crossbite, causing mobility and gingival recession to the opposing mandibular incisors.Case Description. This case report presents a common finding of a 7-year-old boy with a dental crossbite and pseudo-Class III malocclusion caused by lingual eruption of the maxillary central incisors. An interceptive phase of orthodontic treatment was provided by bonding a beveled resin turbo on the mandibular incisors. The crossbite was corrected in 3 months without any orthodontic appliances. In the absence of the traumatic occlusion, the mandibular incisors stabilized and the gingival tissue was expected to regenerate.Conclusions and Practical Implications. Dentists and orthodontists can place beveled resin turbos on the mandibular incisors to jump an anterior dental crossbite conservatively, without the use of orthodontic brackets and wires.


2015 ◽  
Vol 86 (3) ◽  
pp. 380-385 ◽  
Author(s):  
Adel Alhadlaq ◽  
Thamer Alkhadra ◽  
Tarek El-Bialy

ABSTRACT Objective:  To compare anchorage condition in cases in which transpalatal arch was used to enhance anchorage in both continuous and segmented arch techniques. Materials and Methods:  Twenty cases that required first premolar extraction for orthodontic treatment and transpalatal arch to enhance anchorage were included in this study. Ten cases were treated using the continuous arch technique, while the other 10 cases were treated using 0.019 × 0.025-inch TMA T-loops with posterior anchorage bend according to the Burstone and Marcotte description. Lateral cephalometric analysis of before and after canine retraction was performed using Ricketts analysis to measure the anteroposterior position of the upper first molar to the vertical line from the Pt point. Data were analyzed using an independent sample t-test. Results:  There was a statistically significant forward movement of the upper first molar in cases treated by continuous arch mechanics (4.5 ± 3.0 mm) compared with segmented arch mechanics (−0.7 ± 1.4 mm; P  =  .01). Conclusions:  The posterior anchorage bend to T-loop used to retract the maxillary canine can enhance anchorage during maxillary canine retraction.


2009 ◽  
Vol 79 (1) ◽  
pp. 85-90 ◽  
Author(s):  
Britta A. Jung ◽  
Martin Kunkel ◽  
Peter Göllner ◽  
Thomas Liechti ◽  
Heinrich Wehrbein

Abstract Objective: To analyze the clinical outcome of a prospective two-center study of second-generation palatal implants 6 months after functional loading. Material and Methods: From 2005 to 2006, 30 patients aged 12 to 41 years were included in the study. In all patients, orthodontic treatment required stationary anchorage. The palatal implants (Straumann, Basel, Switzerland) were placed in the median region of the anterior palate. Results: All implants were initially stable at the time of placement. However, two (6.7%) were lost during the unloaded healing period. The remaining 28 (93.3%) were subjected to functional loading after a mean healing period of 12 weeks. Typical signs of slight superficial inflammation were observed in the peri-implant mucosa (n = 28). During the orthodontic loading phase, the implants were equipped with either a modified pendulum appliance for distalization or a transpalatal arch for stationary anchorage to the posterior teeth. No implant loosening or loss was registered during the active treatment period. Conclusions: The failure rate of palatal implants of the second generation was low (6.7%). Slight inflammatory reactions of peri-implant tissue caused neither implant loss nor pain.


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.


2020 ◽  
Vol 11 (SPL3) ◽  
pp. 1750-1754
Author(s):  
Indra G ◽  
Maragathavalli G ◽  
Deepika Rajendran

Panoramic imaging is the most widely requested radiographic technique in dentistry. In orthodontics, the clinical and radiographic examinations are routinely carried out along with dental and skeletal photographs as a part of diagnosis and treatment planning. The evaluation of radiographs of patients after orthodontic treatment is important in understanding the possible changes that tend to occur post-treatment. This study aims to analyze the incidental findings present in the radiographs of patients who previously underwent orthodontic treatment. A total of 30 patients (18 females; 12 male) were randomly selected from the Orthodontic clinic at the Department of Orthodontics, Saveetha Dental College and Hospital, Chennai. Two independent examiners analyzed the panoramic radiographs for anomalies and pathologies. The result showed the most common finding, which was periodontal pathology (Generalised bone loss, widening of periodontal ligament space, or both, loss of lamina dura) with a prevalence of 36.7%. All the patients taken into the study had at least one anomaly. In conclusion, the relevant findings were observed in all the radiographs & special care should be taken while evaluating them to diagnose alterations that may require other dental treatments.


2021 ◽  
Vol 10 (38) ◽  
pp. 3387-3394
Author(s):  
Snehaja Jujjavarapu ◽  
Karen Glazer DE Anselmo Peres ◽  
David Brennan

BACKGROUND Oral health and general health are very closely related and are considered to be important health problems among individuals due to their expenses associated with treatment, prevalence rate and impact level among individuals and adolescents. These investigations can even have key suggestions for general and oral health prevention strategies relevant to the present knowledge on risk factors for these conditions. Assessment of the current impacts of oral health conditions on quality of life might even develop an understanding of the importance of dental conditions. The general purpose of the current thesis was to investigate the association between oral health and its impact on oral health-related quality of life (OHRQoL) among Brazilian adolescents. METHODS A population-based birth cohort study was carried out in the urban city of Pelotas, Brazil, in the year 2004 (2004 PBCS), including all live births in the city. All mothers living in the urban area of Pelotas and their children born in maternity hospitals of the city of Pelotas (N = 4231) were eligible to participate in this study. RESULTS Findings presented in this thesis indicate that a negative association between oral conditions and OHRQoL exists. Adolescents with severe malocclusion identified with a DAI score greater than 36, showed a negative impact on OHRQoL. Individuals with the presence of dental plaque were seen suffering from severe malocclusion, which in turn was negatively associated with OHRQoL. The evidence provided by the current thesis may not only contribute primarily to the scientific literature but may also furnish researchers and epidemiologists with information vital for orthodontic treatment and be useful to identify community needs and help in the implementation of treatment plans. CONCLUSIONS In conclusion, the impact of malocclusion on daily events among adolescents of Brazil was a common finding in our study. Some other important variables like gingival status, schooling of the fathers that possibly act during childhood which might be affecting the QoL were not included in our present study. These findings may not only contribute to the literature but may also furnish researchers and epidemiologists with information vital for orthodontic treatment and use to identify the community needs and help in the implementation of the treatment plan. Further studies need to be developed to clarify the most complex relationship between impacts of malocclusion on QoL. KEY WORDS Malocclusion, Epidemiological, Brazilian Adolescents, Oral Health-Related Quality Of Life, Dental Aesthetic Index


2013 ◽  
Vol 7 (1) ◽  
pp. 109-117 ◽  
Author(s):  
Sergio Paduano ◽  
Gianrico Spagnuolo ◽  
Giuseppe di Biase ◽  
Iacopo Cioffi

This case report describes the orthodontic treatment of a boy, aged 15.3 years, with permanent dentition, mesofacial typology, affected with a severe sagittal skeletal Class II division 2 malocclusion, due to a mandibular retrusion. His chief compliant was the position of the maxillary incisors, displaced too palatally, and an impaired facial profile. Herbst and multi-bracket straightwire fixed appliances, together with a custom made modified transpalatal arch (i.e. TPA proclination spring), were used to correct the sagittal discrepancy and to improve the attractiveness of the impaired facial profile.


Sign in / Sign up

Export Citation Format

Share Document