scholarly journals Orthodontic treatment of a disto-occlusion with and favorable growth pattern

Praxis medica ◽  
2021 ◽  
Vol 50 (1-2) ◽  
pp. 13-17
Author(s):  
Dragana Ćorović ◽  
Amila Vujačić ◽  
Vladanka Vukićević
Keyword(s):  
Female Patient ◽  
Growth Pattern ◽  
Orthodontic Treatment ◽  
Diagnostic Procedure ◽  
Class I ◽  
Second Phase ◽  
Therapeutic Procedure ◽  
Growth Type ◽  
Vertical Growth ◽  
Two Phases

The variety of etiological factors contributing to the development of distal bite various form, as well as the structures that are affected by the disorders determine the deegre of complexity of the malocclusion itself, and thus the choice of therapeutic procedure by which it will be treated. An 11-year-old female patient was diagnosed with this type of malocclusion with a certain degree of presence of other irregularities. After a detailed diagnostic procedure, and determining the type of growth, we approach the therapeutic procedure in two phases. By applying the funcional therapy in the first phase, we correct the vertical growth type, and then in the second phase of therapy using a fixed technique we achieve harmonious intermaxillary relations, an adequate molar and canine Class I relationship as well, thus improving the aesthetics of the patient's face.

Vertical Proportion of the Face: A Cephalometric study

2021 ◽  
Vol 11 (1) ◽  
pp. 24-28
Author(s):  
Rajiv Yadav ◽  
Kishor Dutta ◽  
Nabin Gosain ◽  
Anil K Yadav ◽  
Neelam Yadav ◽  
...  
Keyword(s):  
Growth Pattern ◽  
Normal Growth ◽  
Class I ◽  
Skeletal Class ◽  
Vertical Growth ◽  
Facial Height ◽  
Group I ◽  
Significant Difference ◽  
Horizontal Growth ◽  
Vertical Growth Pattern

Introduction: Balance in vertical facial proportion is an important criteria for good esthetics. Variations in vertical growth are common and have certain orthodontic implications. The objectives of this study were to determine mean upper anterior facial height and lower anterior facial height, ratio between UAFH to LAFH and their difference among genders in skeletal Class I patients with different vertical growth pattern among patients visiting department of Orthodontic and Dentofacial orthopedics, Tribhuvan University Dental Teaching Hospital, Kathmandu. Materials and Method: This study was descriptive observational cross sectional study with 105 sample aged from 18-25 years. Pretreatment cephalometric radiograph of Skeletal Class I patients were taken and divided into three growth patterns as group I (normal growth pattern), group II (horizontal growth pattern ) and group III (vertical growth pattern ). Upper anterior facial height (N-ANS) and lower anterior facial height (ANS-Me) of all samples were measured on lateral cephalogram with cephalometric tracing ruler parallel to true vertical line. Descriptive statistics was used to calculate mean, minimum, and maximum values standard deviations with p value <0.05. Result: The upper anterior facial height (UAFH) and lower anterior facial height (LAFH) measurements in normal growth pattern was 52.37 and 64.4 , in horizontal growth pattern was 53.0 and 62.2, in vertical growth pattern was 53.37 and 64.42 respectively. The mean ratio of upper and lower anterior facial height in normal, horizontal and vertical growth pattern was 0.81, 0.85 and 0.79 respectively. There was no statistically significant difference in upper and lower facial heights between males and females. There was no statistically significant difference in UAFH between normal, horizontal and vertical growth pattern but statistically significant difference was observed in LAFH between groups. Conclusion: The cephalometric values for different vertical groups in skeletal class I can be used more specifically for diagnosis and treatment planning of Nepali population.

scholarly journals Longitudinal study of mandibular behavior in Class I subjects with vertical and horizontal growth

2012 ◽  
Vol 17 (6) ◽  
pp. 25e1-25e7 ◽  
Author(s):  
Dirceu Barnabé Raveli ◽  
Savana Maia ◽  
Luana Paz Sampaio ◽  
Denise Rocha Goes Landázuri ◽  
Taísa Boamorte Raveli
Keyword(s):  
Growth Pattern ◽  
Growth Patterns ◽  
Class I ◽  
Vertical Growth ◽  
Facial Height ◽  
Horizontal Growth ◽  
Group 2 ◽  
Vertical Growth Pattern ◽  
Group 1

OBJECTIVE: To evaluate possible differences in mandibular behavior in Class I individuals with vertical and horizontal growth patterns. METHODS: The sample consisted of 20 untreated Class I individuals divided into: Group 1 comprising 10 individuals with vertical growth pattern and Group 2 comprising 10 individuals with horizontal growth pattern, all of them belonging to the Burlington Growth Center files, University of Toronto-Canada, radiographically followed-up at ages 9, 12 and 21. Cephalometric radiographs, determined mean values for a long-term evaluation of mandibular behavior using the following measurements: SNB, Co-GN, SN.GoMe, anterior facial height and posterior facial height. RESULTS: SNB and Co-Gn values were higher in horizontal growth group at all of the ages studied; SN.GoMe measure was significantly lower in horizontal growth group; anterior facial height (AFH) showed lower values in individuals with horizontal growth pattern; and posterior facial height (PFH) showed lower values in individuals with vertical growth pattern. CONCLUSION: Long-term comparisons of Class I individuals' growth tendencies indicate that there are significant differences between both groups. Mandible showed a trend to clockwise rotation in Group 1. Group 2 showed a trend to brachycephalic facial form, due to the deficit in vertical development with regard to anterior facial height.

scholarly journals Perawatan Ortodontik Cekat pada Pasien disertai Bruxism dengan Teknik Edgewise yang dikombinasikan dengan Trainer for Braces

2016 ◽  
Vol 1 (1) ◽  
pp. 33
Author(s):  
Siska Septania Krisnanda ◽  
Soekarsono Hardjono ◽  
Sri Suparwitri
Keyword(s):  
Case Report ◽  
Female Patient ◽  
Orthodontic Treatment ◽  
Effective Therapy ◽  
Class I ◽  
Dental Arch ◽  
Skeletal Class ◽  
Anterior Teeth ◽  
Angle Class ◽  
Arch Bar

Bruxism merupakan suatu kebiasaan parafungsional berupa gerakan menggertakan dan menggerus gigi. Tidak jarang pasien yang mempunyai kebiasaan bruxism memerlukan perawatan ortodontik. Perawatan bruxism dapat dilakukan bersamaan dengan perawatan ortodontik cekat. Studi kasus ini bertujuan untuk menganalisa efek Trainer for Braces (T4B) pada pasien bruxism yang memerlukan perawatan ortodontik cekat. Pasien perempuan usia 21 tahun, mengeluhkan gigi berjejal dan tidak rapi. Pemeriksaan objektif menunjukkan bidental protrusi, crowding rahang atas dan rahang bawah, deep overbite, konstriksi berat pada regio gigi premolar dan molar rahang atas dan rahang bawah, 47 linguoversi dan disertai bruxism. Maloklusi Angle Kelas I dengan hubungan skeletal Kelas I, bidental protrusi, overjet 3,7 mm, overbite 4 mm, crowding, edge to edge bite, cross bite dan bruxism. Pasien dirawat menggunakan alat ortodontik cekat teknik Edgewise dengan alat tambahan Lingual Arch Bar untuk ekspansi rahang dan koreksi 47 yang linguoversi dan Trainer for Braces (T4B) untuk bruxism. Setelah 8 bulan perawatan, crowding rahang atas dan rahang bawah terkoreksi, ekspansi rahang dapat tercapai, 47 yang linguoversi terkoreksi, overjet dan overbite berkurang menjadi 3,5 mm, perawatan pada pasien masih berlangsung hingga saat ini. Kombinasi perawatan ortodontik cekat dengan penggunaan alat tambahan seperti Trainer for Braces (T4B) efektif untuk membantu koreksi maloklusi pada pasien bruxism. ABSTRACT: Edgewise Technique Combined with Trainer for Braces for Bruxism Patient. Bruxism is a parafunctional habit of grinding and clenching the teeth. It is common for patients with fixed orthodontic treatment to experience bruxism. When dealing with these patients, clinicians could initiate the bruxism treatment in conjunction with the orthodontic treatment. This case report will analyze the effects of Trainer for Braces (T4B) in a patient with malocclusion and bruxism habit. A 21 year old female patient complained of her crowding in upper and lower anterior teeth. The objective examination shows protrusion and crowding in upper and lower teeth, deep overbite, severe maxillary and mandibulary constriction, 47 linguoversion and bruxism habit. Angle Class I with skeletal Class I malocclusion, bidental protrusion, overjet 3.7 mm, overbite 4 mm, crowding, edge to edge bite, crossbite and bruxism habit. The orthodontic treatment used fixed preadjusted Edgewise appliance with Lingual Arch Bar for expansion and lingoversion molar correction. Trainer for Braces (T4B) was also prescribed to treat her bruxism. After 8 months of treatment, the crowding in upper and lower teeth was corrected, dental arch expansion was achieved, linguoversion molar was corrected, and overjet and overbite became 3.5 mm and the treatment was still on going. The combination of fixed preadjusted Edgewise appliance with Trainer for Braces (T4B) can be considered as an effective therapy for correcting malocclusion in bruxism patient.

scholarly journals Class I malocclusion with anterior crossbite and severe crowding

2014 ◽  
Vol 19 (2) ◽  
pp. 115-125 ◽  
Author(s):  
Daltro Enéas Ritter
Keyword(s):  
Treatment Planning ◽  
Female Patient ◽  
Orthodontic Treatment ◽  
Class I ◽  
Diagnosis And Treatment ◽  
Facial Profile ◽  
Angle Class ◽  
Dentofacial Orthopedics ◽  
Functional Complaints

This article reports the orthodontic diagnosis and treatment planning carried out with a 14-year and 5-month-old female patient with esthetic and functional complaints. She presented an Angle Class I malocclusion, anterior crossbite and severe crowding in both maxillary and mandibular arches, in addition to a lightly concave straight facial profile. Orthodontic treatment did not require extraction. Crossbite was corrected by protrusion of upper teeth, which contributed to alignment and leveling of teeth, in addition to improving the patient's facial profile. The case was presented to the Brazilian Board of Orthodontics and Dentofacial Orthopedics (BBO) as a requirement for the BBO certification.

scholarly journals Penatalaksanaan disgnati kelas II skeletal dengan bilateral sagital split osteotomy

2010 ◽  
Vol 9 (2) ◽  
pp. 69
Author(s):  
Muhammad Ruslin ◽  
Ida Ayu Astuti ◽  
D. Bram Tuinzing
Keyword(s):  
Female Patient ◽  
Surgical Outcome ◽  
Orthodontic Treatment ◽  
Class I ◽  
Upper Lip ◽  
Intermaxillary Fixation ◽  
Facial Profile ◽  
Model Study

This case reported a female patient aged 30 years was treated with orthognathysurgery in Hasan Sadikin Hospital, Bandung. Based on clinical and radiologicalexaminations, model study and photography, diagnosis of skeletal dysgnathy class IIwas established. The orthodontic treatment is a preparation before surgical operationto achieve stability in optimal dental interdigitation. In operation, BSSO, chinplasty,and V-Y plastic upper lip as well as intermaxillary fixation (IMF) ligation was carriedout at the dentofacial position class I. At day-16, radiography was carried out toevaluate the surgical outcome and the bone position. At day-21, the opening of jawswas 1.5 cm; and at day-42, the patient was reconsulted to orthodontist, and tophysical medicine and rehabilitation In month-3, occlusion, facial profile andharmony, and jaw functions showed the satisfying outcome, though for theinterdigitation stabilization, the rubber elastics was still installed.

scholarly journals Can Orthodontic Treatment Be Stable 20 Years after the End of the Treatment Scheme? Treatment of a Class 2, Division 1 Malocclusion with Severe Skeletal Discrepancy and Its 20-Year Follow-Up

2021 ◽  
Vol 2021 ◽  
pp. 1-15
Author(s):  
Domenico Aiello ◽  
Riccardo Nucera ◽  
Stefania Costa ◽  
Michele Mario Figliuzzi ◽  
Sergio Paduano
Keyword(s):  
Orthodontic Treatment ◽  
Class Ii ◽  
Class I ◽  
Second Phase ◽  
Correct Identification ◽  
Italian Population ◽  
Lower Lip ◽  
Oral Breathing ◽  
Mandibular Retrusion

Class II malocclusions, after class I malocclusions, are the most frequent in the juvenile Italian population. They are most often skeletal in origin and due to mandibular retrusion. Functional devices seem to have a beneficial effect on the growth of the jaw. Long-term maintenance of the achieved results is essential for therapeutic success in any orthodontic treatment; moreover, the retention phase should last as long as possible, especially in the lower anterior sector. A female patient aged 10 years and 3 months presented a visibly convex profile and a severe mandibular retrusion. The anamnesis brought to light the habit of oral breathing and lower-lip sucking. The cephalometric analysis showed a normodivergent skeletal class II. The first treatment phase involved the use of a Bass type for 12 months at the end of the functional treatment; the second phase of fixed therapy was carried out following the principles of bioprogressive techniques. The photos at the end of treatment show an important improvement in the profile; a full class I ratio of molar and canine teeth was achieved with an excellent interarch relationship and a correction of the V-shaped upper arch. The result is occlusally and profilometrically stable after 2, 4, 5, 10, 14, and 20 years. The maintenance of a stable orthodontic result over time is the result not only of a correct and physiological occlusion but also and above all of a correct diagnosis and correct identification of problems that can cause the malocclusion itself. Flawed habits such as interposition of the lower lip and oral breathing must be intercepted and corrected early in order to correct them and not affect the long-term result of orthodontic treatment. In this case, a functional device associated with an orthodontic fixed finishing and a correct retention phase were necessary to correctly treat a second-class mandibular retrusion whose result remained stable 20 years after the end of therapy.

scholarly journals Effect of Craniofacial Growth Pattern on Head Posture

2020 ◽  
Vol 27 (3) ◽  
Author(s):  
Burak Kale ◽  
◽  
Muhammed Hilmi Buyukcavus ◽  
Keyword(s):  
Growth Pattern ◽  
Upright Position ◽  
Interactive Effects ◽  
Class I ◽  
Craniofacial Growth ◽  
Class Iii ◽  
Head Posture ◽  
Vertical Growth ◽  
Significant Difference ◽  
Vertical Growth Pattern

Head posture refers to the upright position of the head of a standing or sitting subject. The literature reports that head posture is affected by many factors. Objective: To evaluate differences in head posture according to craniofacial growth pattern. Methods: A total of 163 individuals (83 females and 80 males) were included in this study. Patients were divided into three groups according to ANB angle as Class I, Class II, and Class III, and each group was divided further into three subgroups according to SN/GoGn angle as hyperdivergent, normodivergent, and hypodivergent. The patients were compared in terms of head posture measurements. Two-way ANOVA was used to evaluate the main and interactive effects of vertical growth pattern and malocclusion type on the head posture of the patients. Results were considered statistically significant at p < 0.05. Results: No statistically significant difference between malocclusion and face-type groups was observed in all head posture measurements (p > 0.05). Conclusion: Head posture is similar among subgroups of different malocclusion types separated by vertical growth pattern.

scholarly journals Orthodontic approach to treat complex hypodontia using miniscrews in a growing patient

2015 ◽  
Vol 20 (4) ◽  
pp. 82-90 ◽  
Author(s):  
Renato Barcellos Rédua ◽  
Paulo Cesar Barbosa Rédua ◽  
Carlos Eduardo de Almeida Ferreira ◽  
Adriana de Oliveira Lira Ortega
Keyword(s):  
Female Patient ◽  
Growth Pattern ◽  
Orthodontic Treatment ◽  
Dental Arch ◽  
Tooth Size ◽  
Facial Growth ◽  
Primary Molar ◽  
Length Discrepancy ◽  
Permanent Molars

This article reports orthodontic treatment of a case of hypodontia of five premolars in an 11-year-old female patient with a positive tooth size-arch length discrepancy in both dental arches. The patient had a straight profile with balanced facial growth. Setup manufacture revealed the possibility of achieving ideal occlusion by mesializing permanent molars up to 15 mm, in addition to keeping a primary molar in the dental arch. With the aid of absolute anchorage, the proposed mechanics was performed and the occlusion predicted in the setup was achieved, while profile and facial growth pattern were maintained. The use of miniscrews for extensive orthodontic movements was successful. Furthermore, one primary molar was extensively mesialized. The indication of gingivoplasty to correct gingival smile proved effective. This is considered a useful technique for orthodontists.

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