scholarly journals Management of Bimaxillary Protrusion – A Case Report

Author(s):  
Mohammad Shamim Al Mamun ◽  
Md Zakir Hossain

This case report will evaluate the management of bimaxillary protrusion by standard edge wise technique with extraction of premolars. The objective of treatment was to use mild forces and to provide maximum space for the retraction of anterior teeth. The goal of the treatment was to improve facial appearance. The case was successfully managed by extraction of all first Premolars and fixed appliance therapy using standard edge wise mechanics. Post-treatment changes were good and stableBan J Orthod & Dentofac Orthop, April 2013; Vol-3, No.2

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.


2022 ◽  
Vol 22 (1) ◽  
Author(s):  
Xiaojuan Zhang ◽  
Hong Zhou ◽  
Xiangling Liao ◽  
Yi Liu

Abstract Background To evaluate the difference in root resorption between standard torque self-ligating brackets and high torque self-ligating brackets in bimaxillary protrusion patients after orthodontic treatment. Methods Pre-treatment and post-treatment Cone beam computed tomography (CBCT) of 32 patients (16 treated with the high torque DamonQ 0.022″ bracket and 16 with the 0.022″ standard torque self-ligating bracket) were selected. The first premolars were extracted from all patients before treatment. After mini-screw implants were inserted into the buccal region between the second premolar and first molar, 150 g of force was applied to retract the upper and lower anterior teeth to close the extraction space on each side. CBCT images of all patients were taken before and after treatment. Three-dimensional reconstruction of the maxillary central incisor, lateral incisor and canine was conducted with Mimics 20.0 software. The volumes of the roots were calculated using Gomagics Studio 12.0 software. The differences between the pre-treatment and post-treatment root volumes were statistically evaluated with a paired-samples t-test. Results There was no statistically significant difference in root resorption degree between the two kinds of torque brackets. The patient’s degree of root resorption in the high torque self-ligating group was greater than that in the standard torque group. Conclusions There was no significant difference in root external apical resorption between the high torque self-ligating brackets and the standard torque self-ligating brackets in bimaxillary protrusion patients.


2019 ◽  
Vol 2 (2) ◽  
pp. 92-96
Author(s):  
Hema Agrawal ◽  
RK Singh ◽  
P Suwal ◽  
P Parajuli ◽  
IK Limbu ◽  
...  

People have become increasingly concerned about esthetics as a perfect smile gives patients more confidence and make them feel comfortable in social circumstances. Esthetic dental treatment plays an important role in improving personal appearance. Advances in dental materials have led to innovations in porcelain laminate veneers and bonding materials which has improved the overall quality of the esthetic restorations. This case report describes the rehabilitation of a patient with spacing in mandibularanterior teeth, who was concerned with his facial appearance, with ceramic laminate veneers.


1995 ◽  
Vol 22 (2) ◽  
pp. 185-189 ◽  
Author(s):  
Judith V. Ball ◽  
Elisabeth N. Horrocks

A 24-year-old Afro-Caribbean with a pronounced anterior open bite and bimaxillary protrusion was successfully treated to a stable result with a partial glossectomy and fixed appliance therapy. Although transient sialorrhea and paraesthesia were experienced post-operatively, speech and function showed some improvement 2 years after treatment.


2008 ◽  
Vol 2 (1) ◽  
Author(s):  
Timothy N Showalter ◽  
A Omer Nawaz ◽  
Frederick M Fellin ◽  
Pramila R Anne ◽  
Ernest L Rosato ◽  
...  

2021 ◽  
Vol 14 (1) ◽  
pp. 21-25
Author(s):  
Tarun K Mittal ◽  
Kulraj Achal ◽  
James T Taylor ◽  
Jay D Kindelan

Orthodontic treatment of an anterior open bite is one of the most challenging malocclusions to treat, especially with respect to post-treatment stability. Complete diagnosis and targeted treatment is required for successful post treatment stability. In instances where macroglossia is the primary aetiology, partial glossectomy will greatly improve post treatment stability. The following case report describes a patient with severe anterior open bite and bimaxillary protrusion secondary to macroglossia. Treatment was successfully performed with partial glossectomy and straight wire orthodontics. Post-treatment relapse was minimal. CPD/Clinical Relevance: This article describes a review of the aetiology of anterior open bite and documents one possible treatment option, when the main aetiology of the malocclusion is of soft tissue origin


2018 ◽  
Vol 8 ◽  
pp. 219-224 ◽  
Author(s):  
Ronny K. P. Lie Ken Jie

In cases requiring extraction of four first premolars, ensuring maintenance of adequate posterior anchorage and proper inclination of the teeth adjacent to the extraction sites during space closure can be difficult. The Invisalign G6 first premolar extraction solution has been developed to specifically address these problems. This case report describes the treatment of a 30-year-old woman whose main concerns were related to her protrusive and malaligned anterior teeth. Clinical findings revealed, among others, bimaxillary anterior protrusion and moderate-to-severe anterior crowding. A treatment approach involving extraction of the four first premolars was chosen, followed by orthodontic treatment with the Invisalign G6 first premolar extraction solution and Invisalign aligners. At the completion of 19.5 months of aligner treatment, the patient’s anterior teeth were retracted and uprighted, resulting in an improvement in her lip profile. Normal overjet and overbite were also achieved along with alleviation of the anterior crowding. The patient was extremely happy with the treatment results.


2021 ◽  
Author(s):  
Zhang Xiaojuan ◽  
Zhou Hong ◽  
Liao Xiangling ◽  
Sang Jinhua

Abstract Objectives: To evaluate the difference in root resorption between standard torque self-ligating brackets and high torque self-ligating brackets in bimaxillary protrusion patients after orthodontic treatment.Materials and Methods: Pre-treatment and post-treatment CBCT of 32 patients (16 treated with the high torque DamonQ 0.022” bracket and 16 with the 0.022” standard torque self-ligating bracket) were selected. The first premolars were extracted from all patients before treatment. After mini-screw implants were inserted into the buccal region between the second premolar and first molar, 150 g of force was applied to retract the upper and lower anterior teeth to close the extraction space on each side. CBCT images of all patients were taken before and after treatment. Three-dimensional reconstruction of the maxillary central incisor, lateral incisor and canine was conducted with Mimics 20.0 software. The volumes of the roots were calculated using Gomagics Studio 12.0 software. The differences between the pre-treatment and post-treatment root volumes were statistically evaluated with a paired-samples t-test.Results: There was no statistically significant difference in root resorption degree between the two kinds of torque brackets. The patient’s degree of root resorption in the high torque self-ligating group was greater than that in the standard torque group.Conclusions: There was no significant difference in root external apical resorption between the high torque self-ligating brackets and the standard torque self-ligating brackets in bimaxillary protrusion patients.Clinical Relevance: A comparison of the effects of different torque brackets on root resorption can provide some guidance for bracket selection in clinical work.


2013 ◽  
Vol 20 (1) ◽  
pp. 92
Author(s):  
Apreka Tigor Kusumasmara ◽  
Wayan Ardhana ◽  
Christnawati Christnawati

Impaksi gigi terjadi karena gigi gagal untuk erupsi secara sempurna pada posisinya akibat terhalang oleh gigi lain maupun jaringan lunak atau padat di sekitarnya. Gigi yang sering mengalami impaksi adalah gigi geraham ketiga rahang bawah, gigi kaninus rahang atas, dan gigi premolar kedua. Impaksi premolar sering terjadi karena pencabutan prematur dari gig geraham desidui. Gigi premolar pertama jarang terjadi impaksi dibandingkan premolar kedua. Tujuan laporan kasus adalah untuk memaparkan penatalaksanaan perawatan untuk mengkoreksi impaksi gigi premolar pertama mandibula menggunakan alat cekat teknik Begg tanpa prosedur bedah. Pria 21 tahun mengeluhkan gigi yang berjejal pada rahang atas dan rahang bawah. Gigi kaninus desidui kiri rahang atas dan rahang bawah belum tanggal. Diagnosis pasien adalah Maloklusi Angle Klas II  divisi 2 bimaksiler protrusif dengan hubungan skeletal klas II, gigi anterior maksila retrusif, disertai impaksi gigi premolar pertama mandibula kiri. Perawatan dilakukan dengan menggunakan alat cekat teknik Begg dan pencabutan gigi desidui, Kesimpulan, impaksi gigi premolar pertama mandibula dapat tercapai pada tahap pertama teknik Begg tanpa pendekatan tindakan bedah, tahap selanjutnya yang akan dicapai adalah tahap memperbaiki inklinasi aksial gigi.Treatment Of Class II Division 2 Angle Malocclusion With Mandibular Premolar Tooth Impaction Using Begg Technique. Tooth impaction is a tooth that fails to erupt perfectly to its position because of the other tooth, surrounding soft or hard tissue that blocks its eruption. Premolar often fails to erupt due to a premature extraction of deciduous molar. This case study aims to illustrate the treatment of mandibular first premolar impaction using Begg technique for fixed appliance. The experiment was conducted to a 21 year-old male patient who complained about his crowding of upper and lower teeth, also the persistence of his upper and lower left deciduous canine. The case was diagnosed as class II division 2 angle malocclusion with bimaxillary protrusion with class II skeletal relation, and maxillary anterior teeth retrusion. The left mandibular of first premolar teeth was impacted. The treatment using Begg technique has helped to fix the appliance with the extraction of the deciduous teeth. From the evaluation, it can be concluded that the treatment of impacted mandibular first premolar is achieved on the first stage of Begg technique without surgical approach. The next objective of the treatment is to correct the teeth axis.


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