scholarly journals Non-Surgical Orthodontic Treatment of Class III Adult with Posterior Crossbite, Anterior Open Bite and Asymmetric Occlusion, Using TADs and Auxiliary Wires: A Case Report

2019 ◽  
Vol 09 (10) ◽  
pp. 227-240
Author(s):  
George Philip Dahabreh
Author(s):  
SN Rita ◽  
SMA Sadat ◽  
MZ Hossain

Reported case of a 19 years old male, with Class III malocclusion, bilateral cross bite associated with anterior open bite, which was treated by fixed orthodontic treatment. After treatment there was a class I Molar and incisor relation as well as the open bite was corrected with accepted aesthetic and functional satisfaction of the patient. DOI: http://dx.doi.org/10.3329/bjodfo.v1i1.15974 Ban J Orthod & Dentofac Orthop, October 2010; Vol-1, No.1, 22-23


2020 ◽  
Vol 25 (1) ◽  
pp. 36-46 ◽  
Author(s):  
Ei Ei Hsu Hlaing ◽  
Yoshihito Ishihara ◽  
Atsuro Fujisawa ◽  
Takashi Yamashiro ◽  
Hiroshi Kamioka

ABSTRACT Introduction: Tooth agenesis is one of the most common dental anomalies; however, the concomitant occurrence of opposite dental numerical variation of hypohyperdontia is extremely rare. Objective: To report the successful orthodontic management of a patient with non-syndromic concomitant bilateral agenesis of mandibular canines and two midline inverted supernumerary maxillary teeth. Case report: 21-year-old female patient with a chief complaint of protrusive right maxillary central incisor. The patient was diagnosed with a mild Class II skeletal base, Angle Class III molar relationship and increased overjet associated with hypohyperdontia. Anterior open bite accompanied with tongue-thrusting habit were also observed. Two temporary anchorage devices (TADs) were implanted at the buccal side of the maxillary molar region to control vertical height. Anterior teeth retraction was done after extraction of the maxillary first premolars, to improve the excessive overjet. The treatment mechanics involved lingual brackets system for the maxillary arch and transpalatal arch for anchorage control. Results: The total active treatment period was 35 months. Acceptable occlusion with increased bite force and contact area as well as functional excursion were established without interference, following complex orthodontic treatment with premolar substitution. The resultant occlusion and a satisfactory facial profile were maintained after 29 months of retention. Conclusion: The present case report provides implications regarding the orthodontic treatment of hypohyperdontia-associated substitution for missing teeth as an effective option for improving aesthetic and functional aspects.


2021 ◽  
Vol 32 (3) ◽  
pp. 120
Author(s):  
William Suryajaya ◽  
Haru Setyo Anggani

Pendahuluan: Perawatan ortodonti kamuflase adalah perawatan untuk menyamarkan diskrepansi skeletal dengan mengubah posisi dan angulasi gigi-gigi pada lengkung rahang. Perawatan tersebut merupakan perawatan yang dapat dipilih selain bedah ortognatik bagi kasus maloklusi skeletal kelas III pada pasien dewasa. Maloklusi skeletal kelas III sering pula disertai dengan keadaan lain seperti gigitan terbuka anterior yang menambah kompleksitas modalitas perawatan. Tujuan laporan kasus ini untuk menjelaskan pilihan modalitas perawatan pasien maloklusi skeletal kelas III secara kamuflase ortodonti. Laporan kasus: Pasien wanita usia 19 tahun 2 bulan datang ke klinik Ortodonti RSGM FKG UI dengan keluhan gigi atas depan tidak teratur dan gigi depan atas dan bawah tidak bertemu. Diagnosis menunjukkan pola skeletal kelas III dengan posisi maksila dan mandibula terhadap basis cranii retrognati (SNA 73°, SNB 74°, ANB -1°)  disertai dengan crowding sedang dan gigitan terbuka anterior. Tipe wajah pasien dolikofasial, simetris dan seimbang. Profil jaringan lunak dan skeletal cekung. Kasus ini dirawat dengan pendekatan ortodonti kamuflase tanpa pencabutan menggunakan piranti cekat standar Edgewise untuk mengoreksi crowding pada lengkung gigi atas dan bawah serta gigitan terbuka pada regio anterior. Perawatan ortodonti selesai dalam waktu 13 bulan dan crowding pada lengkung gigi atas dan bawah serta gigitan terbuka pada regio anterior telah terkoreksi. Simpulan: Perawatan ortodonti kamuflase pada maloklusi kelas III skeletal dengan gigitan terbuka anterior ringan merupakan pilihan perawatan yang cukup baik karena dapat mengoreksi maloklusi dengan kompensasi dentoalveolar sehingga diperoleh oklusi yang baik dan stabil. Hasil perawatan menunjukan hasil yang cukup baik dan dapat diterima oleh pasien.Kata kunci: Maloklusi skeletal kelas III, crowding, open-bite anterior, standar edgewise, ortodonti kamuflase. ABSTRACTIntroduction: Orthodontic camouflage is a treatment to disguise skeletal discrepancies by changing the teeth position and angulation in the jaw arch. This treatment is an option other than orthognathic surgery for skeletal class III malocclusion in adult patients. Skeletal class III malocclusion is often accompanied by other conditions such as an anterior open-bite which adds the complexity of the treatment modality. This case report was aimed to describe the choice of treatment modality for skeletal class III malocclusion patients by orthodontic camouflage. Case report: A female patient aged 19 years and two months came to the Orthodontic Clinics at the Faculty of Dentistry of University of Indonesia Dental Hospital (RSGM FKG UI) with complaints of irregular maxillary anterior teeth, and the maxillary and mandibular anterior teeth did not overlap. The diagnosis showed a skeletal class III pattern with the maxillary and mandibular position against the retrognathic cranii base (SNA 73°, SNB 74°, ANB -1°) accompanied by moderate crowding and anterior open-bite. The patient’s face type is dolichofacial, symmetrical and balanced, with the concave soft and skeletal tissue profiles. This case was treated with a non-extraction camouflage orthodontic approach using the standard edgewise fixed appliance to correct crowding in the maxillary and mandibular dental arches and open-bite in the anterior region. The orthodontic treatment was completed within 13 months, and crowding in the maxillary and mandibular dental arches and open-bite in the anterior region were corrected. Conclusion: Camouflage orthodontic treatment is a good treatment option for skeletal class III malocclusion with a mild anterior open-bite because it can correct malocclusion with dentoalveolar compensation to obtain a good and stable occlusion. The treatment results show good results and can be accepted well by the patient.Keywords: Skeletal class III malocclusion, crowding, anterior open-bite, standard edgewise, orthodontic camouflage.


2006 ◽  
Vol 7 (1) ◽  
pp. 141-149
Author(s):  
Bülent Baydaş ◽  
Saip Denizoğlu

Abstract An adult male patient who had lost his maxillary left central incisor seven years ago in a traffic accident presented with a chief complaint about his unaesthetic appearance associated with the loss of his maxillary left central incisor space, a Class III molar occlusion, and an anterior open bite malocclusion due to tonguethrust swallowing. Fixed orthodontic treatment was rendered following fan-type expansion of the maxilla. A Maryland bridge as a minimally invasive dentistry approach was used as a retention appliance and the patient's aesthetic appearance was restored. Citation Baydaş B, Denizoğlu S. An Application of a Split Purposeful Resin-Bonded Fixed Partial Denture after Orthodontic Treatment: A Case Report. J Contemp Dent Pract 2006 February;(7)1:141-149.


2021 ◽  
Vol 24 (2) ◽  
Author(s):  
Matheus Pithon ◽  
Luiz Antonio Bernardes

The present case report describes a conservative and uncommon treatment for class III malocclusion in a woman growing patient with aged eight years and four months. An unconventional treatment modality was used for the treatment of this malocclusion, reverse-pull headgear and distalisation of lower teeth using mandibular cervical headgear in the lower arch. At the end of the treatment (after 33 months), there was correction of the transversal and sagittal occlusal relationship between maxilla and mandible and correct dental intercuspation. Keywords Class III malocclusion; Open-bite; Orthodontics.


2017 ◽  
Vol 16 (4) ◽  
pp. 158-165
Author(s):  
Aurelia Magdalena Enache ◽  
◽  
Alexandru Marghescu ◽  
Roxana Antoanela Baluta ◽  
Maria Otilia Blajin ◽  
...  

Rationale. Myotonic dystrophy (MD) is a multisystemic autosomal dominant disease characterized by myotonia and progressive muscular weakness and atrophy. Objective. The purpose of this study was to describe the dental, skeletal and muscular features in a family with myotonic dystrophy type II and to discuss possible therapeutic strategies. Methods and results. This study presents the case of a family (a mother and two daughthers) diagnosed with myotonic dystrophy type II. Beside the medical history and genetic tests, each subject underwent a clinical examination including impression taking, intra- and extraoral photographs and cephalometric analysis. Our investigations revealed alterations in the transversal and vertical planes. Conclusions. Our findings were consistent with previously reported craniofacial features of patients affected by myotonic disorders, and they may be important diagnostic signs of a congenital muscular disease. We found that the most predominant malocclusions were the anterior open bite and posterior crossbite, but the tendency to class III malocclusion is in contradiction with their findings.


2021 ◽  
Author(s):  
Yiruo He ◽  
Yangyang Wang ◽  
Xinghai Wang ◽  
Jiangyue Wang ◽  
Ding Bai ◽  
...  

ABSTRACT Treatment of hyperdivergent skeletal Class III malocclusion is challenging for orthodontists, and orthognathic-orthodontic treatment is usually required. This report presents the successful nonsurgical treatment of a 20-year-old man who had a skeletal Class III malocclusion with anterior open bite, anterior and posterior crossbite, hyperdivergent growth pattern, steep occlusal plane, early loss of three first molars, and an uncommon convex profile with a retruded chin. An orthodontic camouflage treatment plan was chosen based on the etiology and the patient's complaints. Tooth #37 was extracted. Miniscrews were used for uprighting and intruding of the lower molars, distalization of the lower dentition, and flattening of the occlusal plane. After 34 months of active treatment, Class I relationships, proper anterior overjet and overbite, flat occlusal plane, and an esthetic facial profile were achieved. The results demonstrated that the biomechanics involved in the nonsurgical treatment assisted with miniscrews to distalize the mandibular dentition and flatten the occlusal plane while keeping the mandibular plane stable was effective for treating this hyperdivergent skeletal Class III patient with a convex profile and anterior open bite.


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