scholarly journals A Case Report-Non Extraction Treatment of Class II division 1 Malocclusion with Excessive Overjet and Traumatic Bite

2018 ◽  
pp. 30-32
Author(s):  
Mir Abu Naim ◽  
Luthfun Nahar ◽  
Shahidul Islam ◽  
Naznin Sultana ◽  
Tawhida Nasrin ◽  
...  
Keyword(s):  
Case Report ◽  
Marked Improvement ◽  
Orthodontic Treatment ◽  
Cost Effective ◽  
Excessive Force ◽  
Case Patient ◽  
Facial Profile ◽  
Division 1 ◽  
Extraction Treatment

In our orthodontic practice we have seen a recent spurt of increasing numbers of young adults who desire cost effective, non surgical correction of malocclusion and accept dental camouflage as a treatment option to mask the skeletal discrepancy. Usually over 10 mm overjet with traumatic bite is very difficult to treat without extraction; therefore this case is handling so carefully that the upper central incisors cannot loose or dead because of excessive force. In this case patient growth is complete and therefore the only option is fixed orthodontic treatment. So here the challenge is reduction of overjet and correction of traumatic bite without any extraction and is careful to save the tooth vitality. Following treatment marked improvement in patient’s smile, facial profile and lip competence were achieved and there was a remarkable increase in the patient’s confidence and quality of life.Ban J Orthod & Dentofac Orthop, April 2015; Vol-5 (1-2), P.30-32

scholarly journals Bullying and malocclusion in adolescence: a case report

2021 ◽  
Vol 7 (2(S)) ◽  
pp. 17-20
Author(s):  
Vincenzo Grassia ◽  
Rossana Patricia Rotolo ◽  
Ludovica Nucci ◽  
Fabrizia D'Apuzzo ◽  
Letizia Perillo
Keyword(s):  
Case Report ◽  
Orthodontic Treatment ◽  
Self Esteem ◽  
Two Phase ◽  
Oral Rehabilitation ◽  
Mandibular Asymmetry ◽  
Facial Esthetics ◽  
Division 1 ◽  
Victims Of Bullying

Adolescents with bad malocclusion can more often be victims of bullying and the improvement of their facial appearance through oral rehabilitation is nowadays an important issue. The aim of this case report was to describe the orthodontic treatment in a teenager with a dentoskeletal malocclusion exposed to bullying to correct his occlusal problems and improve facial esthetics and quality of life. The patient, a boy aged 13.5 years, had a class II, division 1, malocclusion with hyperdivergent pattern, mandibular asymmetry, constricted maxillary arch and molar crossbite, increased overjet, lower mild crowding and lip sucking. A two-phase approach was necessary to achieve proper occlusion, better esthetics and promote the patient's self-esteem with consequent greater serenity of his family.

scholarly journals Class II Division 1 malocclusion treatment using TADs: Case report

2020 ◽  
Vol 67 (3) ◽  
pp. 159-164
Author(s):  
Tina Pajevic ◽  
Jovana Juloski ◽  
Marija Zivkovic
Keyword(s):  
Case Report ◽  
Orthodontic Treatment ◽  
Class Ii ◽  
Dental Arch ◽  
Class Ii Malocclusion ◽  
Posterior Teeth ◽  
Temporary Anchorage Devices ◽  
Division 1 ◽  
Incisor Retraction ◽  
Class Ii Division 1

Introduction. Orthodontic treatment of Class II Division 1 (II/1) malocclusions in adults can be challenging since skeletal effects are limited. Possible treatment options are orthodontic camouflage or orthognatic surgery, in severe cases. The aim of this paper was to present a successful management of Class II malocclusion in an adult patient using temporary anchorage devices (TADs). Case report. After detailed clinical examination, study models and cephalometric analysis, a 26 years old patient was diagnosed with Class II malocclusion, an overjet of 12 mm, congenitally missing tooth 41 and midline shifted to the right in upper dental arch. In prior orthodontic treatment, patient had upper premolars extracted. Posterior teeth in upper left quadrant were shifted mesially. The camouflage treatment was considered, using temporary anchorage devices (TADs) to distalize posterior teeth on the left side, and gain space for incisor retraction and midline correction in upper dental arch. Results. Using TADs as additional anchorage in anterior region and coil spring for molar distalization, the space was made for tooth 23, midline correction and incisor retraction. After 40 months, a satisfactory result was achieved, overjet and midline correction, class I canines occlusion and class II molar occlusion. Conclusion. Class II/1 malocclusion in adults can be successfully treated using TADs. The success depends on the severity of malocclusion and patient cooperation.

scholarly journals Nonsurgical orthodontic treatment of a hypodivergent adult patient with bilateral posterior scissors bite and excessive overjet

2018 ◽  
Vol 89 (2) ◽  
pp. 333-349
Author(s):  
Masahiro Nakamura ◽  
Noriaki Kawanabe ◽  
Rie Adachi ◽  
Takashi Yamashiro ◽  
Hiroshi Kamioka
Keyword(s):  
Adult Patient ◽  
Orthodontic Treatment ◽  
Maxillary Incisor ◽  
Bite Block ◽  
Facial Profile ◽  
Skeletal Class ◽  
Mandibular Plane ◽  
Division 1 ◽  
Vertical Relationship ◽  
Anterior Posterior

ABSTRACT This report illustrates successful nonsurgical orthodontic treatment of a hypodivergent adult patient with bilateral posterior scissors bite (Brodie bite) and excessive overjet. A 26-year-old woman primarily reported maxillary incisor protrusion. She was diagnosed with Class ll division 1 malocclusion with skeletal Class I, short face, low mandibular plane angle and bilateral posterior scissors bite. A lingual arch with anterior bite block and posterior miniscrews with preadjusted edgewise appliances were used to improve the bilateral scissors bite. After achieving molar occlusion, the maxillary first premolars were extracted, and six miniscrews were used to improve the anterior-posterior and vertical discrepancies. After active treatment for 56 months, the convex facial profile with excessively protruded lips was improved and good interdigitation with ideal incisor relationship was achieved. Additionally, the irregular movements of the incisal path and the bilateral condyles during lateral excursion were improved. At 13 months of retention, a satisfactory facial profile, occlusion, and jaw movements were maintained. The treatment results suggest that miniscrews and fixed bite blocks were effective and efficient to facilitate correction of the bilateral scissors bite, excessive overjet, and vertical relationship correction in this nonsurgical orthodontic treatment.

scholarly journals Custom Dynamic Orthoses and Physical Therapist Intervention for Bilateral Midfoot Amputation: A Case Report

2021 ◽  
Author(s):  
Kirsten M Anderson ◽  
Richard E Evans ◽  
Charles E Connerly ◽  
Molly Pacha ◽  
Jason M Wilken
Keyword(s):  
Quality Of Life ◽  
Case Report ◽  
Carbon Fiber ◽  
Marked Improvement ◽  
Physical Therapist ◽  
Plantar Flexion ◽  
Plantar Flexor ◽  
Transmetatarsal Amputation ◽  
And Function

Abstract Objective Partial foot amputation (PFA) is often associated with decreased mobility and function. Recent advances in custom carbon-fiber dynamic ankle-foot orthoses (CDO) have improved gait, pain, and function following musculoskeletal trauma and may benefit individuals with PFA. However, limited information is available related to CDO use outside the military. The purpose of this case report is to describe the course of care and outcomes of a civilian provided CDOs after bilateral transmetatarsal amputation. Methods (Case Description) A 72-year-old man had a blood-borne bacterial infection (septicemia) of unknown origin at 68 years of age, developed limb threatening necrosis of the hands and feet, and received bilateral transmetatarsal amputations with skin grafting. The patient initially used foam toe fillers and cushioned shoes but was functionally limited and experienced recurrent ulceration. He was fit with bilateral CDOs 39 months after amputation and completed device-specific training with a physical therapist. Results After 1 week with the CDOs, ankle ROM during gait was reduced, but greater than 40% increases were observed in bilateral ankle plantar-flexor moments and ankle plantar-flexion push-off power compared with the toe fillers. With additional therapist-directed training focused on gait and activity performance, ankle plantar-flexor moments and plantar-flexion push-off power further increased when compared with results after 1 week of CDO use. The patient reported marked improvement in quality of life with the CDOs due to improved walking ability on level and uneven terrain, marked improvement in confidence, and reduced pain. Conclusion This case reflects the lessons learned and outcomes of a civilian using bilateral CDOs after bilateral transmetatarsal amputation and with poor skin quality. The results from this case study suggest that carbon fiber CDOs and focused training by a physical therapist can result in improved gait biomechanics, mobility and quality of life.

scholarly journals Impact of facial profile on young adults’ oral health-related quality-of-life item levels: A hierarchical analysis

2021 ◽  
Vol 26 (6) ◽  
Author(s):  
Marcelo Venturinelli MARTINS ◽  
Patrícia Rafaela dos SANTOS ◽  
Diego Patrik Alves CARNEIRO ◽  
Marcelo de Castro MENEGHIM ◽  
Carolina Carmo de MENEZES ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Young Adults ◽  
Orthodontic Treatment ◽  
Self Esteem ◽  
Health Related Quality ◽  
Facial Profile ◽  
Related Quality ◽  
Health Related ◽  
Dental Malocclusion

ABSTRACT Objective: To assess the impact of facial profile on young adults’ oral health-related quality of life (OHRQoL) item levels. Methods: A cross-sectional study was carried out with a population-based sample of 205 young adults, with a mean age of 23.1 years. The individuals answered questions about OHRQoL (OHIP-14) and self-esteem (Global Negative Self-Evaluation). The Dental Health Component (DHC) of the Index of Orthodontic Treatment Need (IOTN) was used to evaluate normative orthodontic treatment needs and define dental malocclusion clinically. Facial profile was analyzed using photographs and dichotomized into two levels: normal (straight) and altered facial profile (convex or concave). A calibrated researcher performed the clinical examination. Association between the independent variables and the outcome (OHRQoL) was established by hierarchical multiple linear regression analysis for each item level. Considering the variable of interest (facial profile), the psychological incapacity domain was the most affected item. Results: Individuals with changed facial profile had 2.47 (1.04-5.85) times higher chances of reporting impacts on psychological incapacity than those with a normal profile (p> 0.05). The association was modulated by dental malocclusion and self-esteem. Conclusions: The convex and concave facial profile showed a negative impact on the psychological aspects of young adults’ quality of life.

Hoarseness secondary to haemodialysis: case report and literature review

2012 ◽  
Vol 126 (8) ◽  
pp. 867-869
Author(s):  
M Santhirakumar ◽  
C Q Phua ◽  
Y Karagama
Keyword(s):  
Case Report ◽  
Marked Improvement ◽  
Vocal Fold ◽  
Speech Therapy ◽  
Vocal Folds ◽  
Computed Tomography Scan ◽  
Contributing Factors ◽  
Relevant Article ◽  
Tomography Scan

AbstractIntroduction:Hoarseness is common and can have a major impact on patients’ quality of life. We report a rare case of hoarseness secondary to haemodialysis.Case report:A 62-year-old man described developing transient hoarseness after haemodialysis sessions, which he underwent three times weekly. Fibre-optic nasendoscopy showed incomplete glottis closure due to bowing of the vocal folds. A computed tomography scan of the neck and thorax was unremarkable. Speech therapy was unhelpful. The renal physicians concluded that no change could be made to his dialysis regime. The patient subsequently underwent injection laryngoplasty with calcium hydroxylapatite, with marked improvement of his symptoms.Discussion:A literature search found one relevant article reporting that 60 per cent of patients suffered post-dialysis hoarseness and decreased vocal fold thickness. It is postulated that dialysis causes dehydration of Reinke's space, affecting vocal fold thickness and the patient's voice.Conclusion:Hoarseness caused by haemodialysis is uncharted territory. Further research is required to determine its prevalence and contributing factors.

scholarly journals Do premolar extractions necessarily result in a flat face? No, when properly indicated

2018 ◽  
Vol 23 (5) ◽  
pp. 82-92
Author(s):  
Susiane Allgayer ◽  
Maurício Barbieri Mezomo
Keyword(s):  
Case Report ◽  
Soft Tissue ◽  
Present Article ◽  
Orthodontic Treatment ◽  
Facial Profile ◽  
Premolar Extraction ◽  
Soft Tissue Profile ◽  
The Subject ◽  
Tooth Extractions

Abstract The esthetic benefits are among the main goals of orthodontic treatment; therefore, tooth extractions have been avoided as a protocol for orthodontic treatment because they may impair the facial profile. The present article discusses aspects as the magnitude and response of soft tissue profile due to changes in incisor positioning, and the effect of different sequences of premolar extraction. One case report illustrates the subject, with favorable and stable esthetic and occlusal outcomes five years after orthodontic treatment with extraction of second premolars.

Lingual orthodontics with customized functional appliance

2019 ◽  
Vol 12 (4) ◽  
pp. 151-156
Author(s):  
Sridhar Premkumar ◽  
Varun Peter
Keyword(s):  
Case Report ◽  
Synergistic Effect ◽  
Orthodontic Treatment ◽  
Class Ii ◽  
Treatment Technique ◽  
Functional Appliance ◽  
Lingual Orthodontics ◽  
Effective Manner ◽  
Division 1 ◽  
Class Ii Division 1

Every treatment technique in the orthodontic specialty has its own set of advantages. Combining the techniques in an effective manner could result in a synergistic effect. Two such techniques are lingual orthodontics and functional orthopaedic appliances. This case report shows the effective and efficient use of a customized functional appliance, along with lingual orthodontics, in the management of Class II division 1 malocclusion. It emphasizes the importance of combining the benefits of different strategies of orthodontic treatment. CPD/Clinical Relevance: The use of a customized functional appliance along with lingual orthodontics can produce desirable changes in Class II division 1 cases and clinicians should be aware of these advantages.

scholarly journals Restorative treatment in a case of amelogenesis imperfecta and 9-year follow-up: a case report

2020 ◽  
Vol 16 (1) ◽  
Author(s):  
Martin M. I. Sabandal ◽  
Till Dammaschke ◽  
Edgar Schäfer
Keyword(s):  
Quality Of Life ◽  
Case Report ◽  
Marked Improvement ◽  
Amelogenesis Imperfecta ◽  
Case Presentation ◽  
Restorative Treatment ◽  
Retrospective Assessment ◽  
Patient Reported

Abstract Background Amelogenesis imperfecta is a hereditary malformation showing various manifestations regarding enamel dysplasia. This case report shows a 9-year follow-up after restorative treatment of a 16-year old female patient affected by a hypoplastic type of amelogenesis imperfecta. The caries-free, hypersensitive teeth of the patient were restored by direct dentin adhesive composite restorations performed in total etch technique. Case presentation After rehabilitation the patient reported a marked improvement of the mastication ability and quality of life especially during food intake. Accumulation of plaque was reduced and the ability to perform adequate oral hygiene was improved. During follow-up of 9 years recurring secondary caries and debonding of fillings were recognized and retreated. Conclusions The retrospective assessment exhibits that the performed restorative treatment prolonged the time until further treatment has to be considered, such as prosthetic treatment.

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