scholarly journals Aggravation of Gummy Smile by Straight-Wire Mechanics and its Management with or without Orthognathic Surgery Up to 10-Year Follow-Up

2018 ◽  
Vol 8 ◽  
pp. 96-109
Author(s):  
Tsang Tsang Franklin She ◽  
Raymond Lop Keung Chow
Keyword(s):  
Orthognathic Surgery ◽  
Orthodontic Treatment ◽  
Occlusal Plane ◽  
Specialist Care ◽  
Straight Wire ◽  
Female Patients ◽  
Treatment Objective ◽  
General Dentists ◽  
Gummy Smile

Two female patients presented with gummy smile, maxillary dentoalveolar protrusion and total vertical maxillary excess, retroclined incisors, and increased overbite received orthodontic camouflage with straight-wire mechanics by general dentists. The treatments caused severe bowing of upper occlusal plane which aggravated the gummy smile and had led them to seek specialist care. They were successfully managed by orthodontic camouflage and combined surgical-orthodontic treatment, respectively, in conjunction with the application of miniscrews on straight-wire mechanics. Aggravation of gummy smile by straight-wire mechanics, use of visual treatment objective to differentiate between orthodontic camouflage and surgical cases, and LeFort I segmentalization were discussed.

scholarly journals Correction of gummy smile by superior repositioning of maxilla in Bangladeshi people

2016 ◽  
pp. 1-5
Author(s):  
Abdullah Al Masud ◽  
Muhammad Shohag Shikder ◽  
Mohammad Tofazzal Hossan ◽  
Mohammad Mahfuzul Gani ◽  
Mohammad Wahidul Islam
Keyword(s):  
Orthodontic Treatment ◽  
Class Ii ◽  
Class I ◽  
Class Ii Malocclusion ◽  
Le Fort I Osteotomy ◽  
Le Fort ◽  
Le Fort I ◽  
Gummy Smile

Vertical maxillary excess is associated with gummy smile, incompetent lip,  bimaxillary proclination, Angle’s class-I or class-II malocclusion with or without retogenia. After proper evaluation preoperative orthodontic treatment was performed in every cases and superior repositioning of the maxilla by Le Fort-I osteotomy is presented. Three patients with maxillary excess associated with retrogenia or microgenia were treated with this technique in combination with genioplasty. The maxillary segment was repositioned a maximum of 7.0 mm superiorly at point A. The mandible autorotated anterosuperiorly to achieve sound occlusion. Point B moved 1.0–3.0 mm anteriorly and 5.0–8.0 mm superiorly. The pogonion moved 4.0 mm anteriorly in a case done without genioplasty and the pogonion moved maximum 8.0mm in case done in combination with genioplasty. All patients obtained sound occlusion and a good profile after the operation. Almost no skeletal relapse was observed during 3 years of postoperative follow-up. Amount of gingiva showing during smile was ranges from 5.0mm –7.0mm which was 0-2.0mm after superior repositioning of the maxilla. Ban J Orthod & Dentofac Orthop, April 2016; Vol-6 (1-2), P.1-5

scholarly journals Changes in occlusal plane through orthognathic surgery

2012 ◽  
Vol 17 (4) ◽  
pp. 160-173 ◽  
Author(s):  
Lucas Senhorinho Esteves ◽  
Carolina Ávila ◽  
Paulo José Medeiros
Keyword(s):  
Surgical Treatment ◽  
Functional Outcomes ◽  
Orthognathic Surgery ◽  
Functional Results ◽  
Clinical Results ◽  
Occlusal Plane ◽  
Functional Disorders ◽  
Dentofacial Deformities ◽  
Treatment Objective ◽  
Surgical Manipulation

INTRODUCTION: A conventional ortho-surgical treatment, although with good clinical results, does not often achieve the desired functional outcomes. Patients with dentofacial deformities, especially those with increased occlusal planes (OP), are also affected by muscle, joint and breathing functional disorders, as well as facial esthetic involvement. The surgical manipulation of the OP in orthognathic surgery is an alternative to overcome the limitations of conventional treatment. OBJECTIVE: To report the importance of assessing the occlusal plane during diagnosis, planning and ortho-surgical treatment of patients with facial skeletal deformities and its main advantages. CONCLUSION: Although both philosophies of ortho-surgical treatment (conventional and by surgical manipulation of the OP) have presented good results, the selective correction of the OP allows a full treatment of these patients, providing better esthetic and functional results.

scholarly journals Two-Stage Treatment of Facial Asymmetry Caused by Unilateral Condylar Hyperplasia

2014 ◽  
Vol 25 (3) ◽  
pp. 257-260 ◽  
Author(s):  
Samuel Porfírio Xavier ◽  
Thiago de Santana Santos ◽  
Erick Ricardo Silva ◽  
Ana Célia Faria ◽  
Francisco Verissimo de Mello Filho
Keyword(s):  
Orthognathic Surgery ◽  
Orthodontic Treatment ◽  
Facial Asymmetry ◽  
Two Stage ◽  
Condylar Head ◽  
Condylar Hyperplasia ◽  
And Function ◽  
Spontaneous Onset

Condylar hyperplasia (CH) is a rare, self-limiting process manifesting between the first and third decades of life. CH causes facial asymmetry and derangement of the occlusion. Management involves resection of the condylar head and orthognathic surgery. This paper describes the case of a 37-year-old woman with spontaneous onset of CH over a span of approximately 25 years. The condition was managed with resection of the condyle alone, which dramatically improved facial asymmetry and altered the occlusion within a few months of follow up. Orthodontic treatment was then carried out and the patient underwent orthognathic surgery after 3 years. The patient is currently satisfied with her appearance and function and there are no signs of recurrence.

scholarly journals Orthodontic treatment in a patient with unilateral open-bite and Becker muscular dystrophy. A 5-year follow-up

2014 ◽  
Vol 19 (6) ◽  
pp. 37-45 ◽  
Author(s):  
Juan Fernando Aristizabal ◽  
Rosana Martínez Smit
Keyword(s):  
Case Report ◽  
Muscular Dystrophy ◽  
Orthognathic Surgery ◽  
Orthodontic Treatment ◽  
Becker Muscular Dystrophy ◽  
Treatment Retention ◽  
Open Bite ◽  
Functional Therapy ◽  
Retention Period

INTRODUCTION: Becker muscular dystrophy is an X-chromosomal linked anomaly characterized by progressive muscle wear and weakness. This case report shows the orthodontic treatment of a Becker muscular dystrophy patient with unilateral open bite.METHODS: To correct patient's malocclusion, general anesthesia and orthognathic surgery were not considered as an option. Conventional orthodontic treatment with intermaxillary elastics and muscular functional therapy were employed instead.RESULTS: After 36 months, open bite was corrected. The case remains stable after a 5-year post-treatment retention period.

scholarly journals Radiographic Follow-Up during Orthodontic Treatment for Early Diagnosis of Sequential Supernumerary Teeth

2016 ◽  
Vol 2016 ◽  
pp. 1-6
Author(s):  
Selma Sano Suga ◽  
Paula de Castro Kruly ◽  
Talissa Mayer Garrido ◽  
Marise Sano Suga Matumoto ◽  
Uhana Seifert Guimarães Suga ◽  
...  
Keyword(s):  
Early Diagnosis ◽  
Orthognathic Surgery ◽  
Orthodontic Treatment ◽  
Supernumerary Teeth ◽  
Supernumerary Tooth ◽  
Sequential Development ◽  
First Case ◽  
Mandibular Region ◽  
The Right

Most supernumerary teeth are impacted and asymptomatic.Objective.The aim of this paper is to describe two cases of sequential development of supernumerary teeth in the mandibular premolar region, identified during orthodontic treatment.Reports.The first case describes the radiographic follow-up of a female patient that presented a supernumerary tooth at the age of 9 years and 10 months in the right mandibular premolar region, followed by a further supernumerary tooth in the left mandibular premolar region identified at the age of 11 years and 3 months. In the second case, the radiographic follow-up of a male patient demonstrated 3 supernumerary teeth in the premolar region at the age of 16 years. During orthognathic surgery planning at the age of 20 years and 5 months, a supplemental supernumerary tooth was found in the left mandibular region.Conclusion.Considering the late developing of supernumerary premolars, appropriate follow-up with panoramic radiographs of patients with previous experience of supernumerary teeth is essential for early diagnosis of supplemental premolars to prevent possible complications.

scholarly journals Surgical correction of vertical maxillary excess associated with mandibular self-rotation

RSBO ◽  
2017 ◽  
Vol 14 (1) ◽  
pp. 56-61
Author(s):  
Michelle Nascimento Meger ◽  
Fernanda Tiboni ◽  
Felipe Silvério dos Santos ◽  
Thalyta Verbicaro ◽  
Tatiana Miranda Deliberador ◽  
...  
Keyword(s):  
Case Report ◽  
Orthognathic Surgery ◽  
Rare Condition ◽  
Final Position ◽  
Le Fort I Osteotomy ◽  
Skeletal Deformity ◽  
Le Fort ◽  
Le Fort I ◽  
Gummy Smile

The Class I skeletal deformity associated with vertical maxillary excess is a rare condition reported in the literature. Surgical impaction allows the correction of the long face and gummy smile. Objective: This case report aimed to evaluate the positioning of the condyle after Le Fort I osteotomy associated with mandibular selfrotation. Case report: The patient underwent orthognathic surgery for the correction of maxillary vertical excess. Tomography studies were performed to evaluate the initial and final position of the condyle. The patient improved mastication, breathing and phonetics, with esthetic benefit. Conclusion: After the Le Fort I osteotomy and mandibular self-rotation, the condyle remained stable occupying a new anterior-superior position in the glenoid fossa and patient’s TMJ remained asymptomatic after 9 months of postoperative follow-up.

scholarly journals Surgical correction of vertical maxillary excess associated with mandibular self-rotation

RSBO ◽  
2017 ◽  
Vol 1 (1) ◽  
pp. 56 ◽  
Author(s):  
Michelle Nascimento Meger ◽  
Fernanda Tiboni ◽  
Felipe Silvério Dos Santos ◽  
Thalyta Verbicaro ◽  
Tatiana Miranda Deliberador ◽  
...  
Keyword(s):  
Case Report ◽  
Orthognathic Surgery ◽  
Rare Condition ◽  
Final Position ◽  
Le Fort I Osteotomy ◽  
Skeletal Deformity ◽  
Le Fort ◽  
Le Fort I ◽  
Gummy Smile

Introduction: The Class I skeletal deformity associated with vertical maxillary excess is a rare condition reported in the literature. Surgical impaction allows the correction of the long face and gummy smile. Objective: This case report aimed to evaluate the positioning of the condyle after Le Fort I osteotomy associated with mandibular selfrotation. Case report: The patient underwent orthognathic surgery for the correction of maxillary vertical excess. Tomography studies were performed to evaluate the initial and final position of the condyle. The patient improved mastication, breathing and phonetics, with esthetic benefit. Conclusion: After the Le Fort I osteotomy and mandibular self-rotation, the condyle remained stable occupying a new anterior-superior position in the glenoid fossa and patient’s TMJremained asymptomatic after 9 months of postoperative follow-up.

scholarly journals A patient with protrusion and multiple missing teeth treated with autotransplantation and space closure

2013 ◽  
Vol 84 (3) ◽  
pp. 561-567 ◽  
Author(s):  
Jeong-Min Ko ◽  
Cheol-Ho Paik ◽  
Simon Choi ◽  
Seung-Hak Baek
Keyword(s):  
Orthodontic Treatment ◽  
Root Resorption ◽  
Treatment Options ◽  
Occlusal Plane ◽  
Orthodontic Space Closure ◽  
Effective Treatment Modality ◽  
Space Closure ◽  
Asymmetric Pattern ◽  
Congenitally Missing

ABSTRACT Objective: To present a patient treated with submerging autotransplantation (SA) of an immature premolar and subsequent orthodontic space closure (OSC) and to report a 10-year follow-up result. Case and Method: A 10-year-old boy had multiple missing premolars with an asymmetric pattern (maxillary right first and second premolars, teeth 14 and 15; maxillary left second premolar, tooth 25; and mandibular right second premolar, tooth 45). After considering several treatment options, tooth 35 with immature root development underwent SA into the missing site of tooth 15 at a depth 5 mm below the occlusal plane and was stabilized with sutures to create a symmetric missing condition of the premolars in the four quadrants. Results: Three months after autotransplantation, spontaneous eruption of the transplanted tooth was observed. Nine months after autotransplantation, presence of the lamina dura of the transplanted tooth was confirmed with a periapical radiograph. Active orthodontic treatment was initiated to reduce lip protrusion by closing the missing spaces of teeth 14, 25, 35, and 45 and to correct dental midline deviation. After 33 months of active orthodontic treatment, Class I canine and molar relationships were obtained. During the 10-year follow-up, the pulp vitality of the transplanted tooth was maintained without any pathologic findings, including root resorption or pulp canal obliteration. Conclusions: In a patient with lip protrusion and multiple congenitally missing premolars with an asymmetric pattern, SA of one premolar from the normal quadrant into the quadrant missing two premolars with subsequent OSC of the missing sites of the other premolars can be an effective treatment modality.

New Splint for Orthognathic Surgery

2011 ◽  
Vol 2 (2) ◽  
pp. 143-149
Author(s):  
SE Shekar ◽  
K Ranganath ◽  
B Gunasheela ◽  
N Supriya
Keyword(s):  
Orthognathic Surgery ◽  
Orthodontic Treatment ◽  
Posterior Part ◽  
Class Iii ◽  
Class Iii Malocclusion ◽  
Skeletal Class ◽  
Stomatognathic System

ABSTRACT A case of skeletal class III malocclusion treated by both orthodontics and orthognathic surgery is presented. In this case, body osteotomy has been done so as to maintain the natural integrity of the posterior part of stomatognathic system, including the TMJ. A new splint was designed to position and align the sectioned mandibular segments so as to assist in easy fixation and obtain proper occlusion. The postsurgical orthodontic treatment was minimal and no relapse was observed even after 1 year follow-up.

scholarly journals Nonsurgical miniscrew-assisted rapid maxillary expansion results in acceptable stability in young adults

2016 ◽  
Vol 86 (5) ◽  
pp. 713-720 ◽  
Author(s):  
Sung-Hwan Choi ◽  
Kyung-Keun Shi ◽  
Jung-Yul Cha ◽  
Young-Chel Park ◽  
Kee-Joon Lee
Keyword(s):  
Young Adults ◽  
Treatment Modality ◽  
Orthodontic Treatment ◽  
Rapid Maxillary Expansion ◽  
Maxillary Expansion ◽  
Initial Examination ◽  
The Stability ◽  
Maxillary Deficiency ◽  
Time Point

ABSTRACT Objective:  To evaluate the stability of nonsurgical miniscrew-assisted rapid maxillary expansion (MARME) in young adults with a transverse maxillary deficiency. Materials and Methods:  From a total of 69 adult patients who underwent MARME followed by orthodontic treatment with a straight-wire appliance, 20 patients (mean age, 20.9 ± 2.9 years) with follow-up records (mean, 30.2 ± 13.2 months) after debonding were selected. Posteroanterior cephalometric records and dental casts were obtained at the initial examination (T0), immediately after MARME removal (T1), immediately after debonding (T2), and at posttreatment follow-up (T3). Results:  Suture separation was observed in 86.96% of subjects (60/69). An increase in the maxillary width (J-J; 1.92 mm) accounted for 43.34% of the total expansion with regard to the intermolar width (IMW) increase (4.43 mm; P < .001) at T2. The amounts of J-J and IMW posttreatment changes were −0.07 mm (P > .05) and −0.42 mm (P  =  .01), respectively, during retention. The postexpansion change in middle alveolus width increased with age (P < .05). The postexpansion change of interpremolar width (IPMW) was positively correlated with the amount of IPMW expansion (P < .05) but not with IMW. The changes of the clinical crown heights in the maxillary canines, first premolars, and first molars were not significant at each time point. Conclusions:  Nonsurgical MARME can be a clinically acceptable and stable treatment modality for young adults with a transverse maxillary deficiency.

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