scholarly journals Overview on Malocclusion after Maxillofacial Trauma and Its Management

2021 ◽  
pp. 405-411
Author(s):  
Ashwag Siddik Noorsaeed ◽  
Reham Salem Alzahrani ◽  
Lujain Hussain Aljurbua ◽  
Mohammed Fouad Sheayria ◽  
Siefuddin Abdulaziz Bokhari ◽  
...  
Keyword(s):  
Orthodontic Treatment ◽  
Treatment Plan ◽  
Facial Asymmetry ◽  
Open Bite ◽  
Maxillofacial Trauma ◽  
Management Approach ◽  
Loss Of Function ◽  
Maxillofacial Injury ◽  
Functional Therapy ◽  
Post Traumatic

Malocclusion is one of the most common and often difficult-to-manage complications associated with post-traumatic maxillofacial injury. Maxillofacial injury is considered an important health problem worldwide. Such injuries most often have significant financial consequences and result in deformity of facial aesthetics, loss of function, and increased incidence of other health problems. Many common treatment approaches are extraction of teeth, occlusal adjustments, functional therapy, or a combination of these. An appropriate treatment plan should typically involve orthodontic treatment because it can prevent multi-segment upper jaw operations and stabilize the arches by coordinating and aligning them. The most common and important form of post traumatic malocclusion is malocclusion secondary to condylar fractures. Patient may complain of an open bite with functional disturbances, facial asymmetry. There is also improper alignment of teeth, frequent biting of the inner cheeks or tongue, discomfort when chewing or biting. Management approach of secondary malocclusion after maxillofacial trauma should include prosthetic treatment, orthodontic treatment, and implant-supported rehabilitation.

scholarly journals Correction of Unilateral Condylar Hyperplasia and Posterior Open Bite with Proportional Condylectomy and Fixed Orthodontic Treatment

2019 ◽  
Vol 90 (1) ◽  
pp. 144-158 ◽  
Author(s):  
Sang-Woon Ha ◽  
Jin-Young Choi ◽  
Seung-Hak Baek
Keyword(s):  
Orthodontic Treatment ◽  
Facial Asymmetry ◽  
Open Bite ◽  
Occlusal Plane ◽  
Class Iii ◽  
Anterior Open Bite ◽  
Maxillary Molars ◽  
Condylar Head ◽  
Condylar Hyperplasia ◽  
The Right

ABSTRACT A 29-year-old female patient with unilateral condylar hyperplasia (UCH) of the left side presented with facial asymmetry, maxillary transverse occlusal plane (MXTOP) cant, posterior open bite, and Class III relationship. Treatment consisted of proportional condylectomy of the left condyle for management of UCH, and fixed orthodontic treatment with intrusion of the left maxillary molars to correct the MXTOP cant and remaining chin point deviation (CPD). Proportional condylectomy with a 14-mm resection of the left condylar head improved the CPD from 11.5 mm to 7.8 mm and resolved the posterior open bite on the left side. However, it produced a Class II relationship on the right and left sides, posterior open bite on the right side, and anterior open bite. Fixed orthodontic treatment with 1.8-mm intrusion of the left maxillary molars using miniscrews corrected the MXTOP cant from 3.5 mm to 1.7 mm, reduced the remaining CPD from 7.8 mm to 3.7 mm, produced counterclockwise rotation of the mandible, and resolved the posterior open bite on the right side and the anterior open bite. After 16 months of total treatment, normal overbite/overjet and Class I relationship were obtained. Treatment results were well maintained after 5 years of retention. For the correction of UCH, it is important to determine the amount of condylar head resection and accurately simulate the correction of CPD and MXTOP cant through intrusion of the maxillary molars.

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 Case Report: unilateral condylar hyperplasia

F1000Research ◽  
2021 ◽  
Vol 10 ◽  
pp. 46
Author(s):  
Shishir Shetty ◽  
Shrihari Guddadararangiah
Keyword(s):  
Case Report ◽  
Clinical Case ◽  
Gradual Increase ◽  
Treatment Plan ◽  
Facial Asymmetry ◽  
Open Bite ◽  
Imaging Features ◽  
Main Symptom ◽  
Condylar Hyperplasia ◽  
Case Diagnosis

Case: This report describes a clinical case of unilateral condylar hyperplasia (CH) with unique, atypical morphology. An important feature of this report is the documentation of a series of clinical photographs of the patient, showing a gradual increase in facial asymmetry associated with the CH. The main symptom reported in this case was facial asymmetry. The main intraoral clinical features observed in the patient were contralateral crossbite and ipsilateral open bite associated with CH. Surgical reshaping of the condyle was the treatment plan for this case. Conclusions: The main take away point from this case is the importance of obtaining previous photographs of the patient at different ages during case diagnosis, which helps the clinician to determine the approximate time of commencement of CH. This case also highlights the imaging features of rarely observed atypical shape of the hyperplastic condyle.

scholarly journals Orthodontic management of facial asymmetry caused by early condilar fracture in a growing patient

2012 ◽  
Vol 140 (9-10) ◽  
pp. 630-636
Author(s):  
Konstantinos Papadopulos ◽  
Tatjana Tanic ◽  
Vladimir Mitic
Keyword(s):  
Orthodontic Treatment ◽  
Treatment Plan ◽  
Facial Asymmetry ◽  
Chief Complaint ◽  
Facial Trauma ◽  
Condylar Fracture ◽  
Common Cause ◽  
Lower Jaw ◽  
Fixed Appliances ◽  
Therapy Modification

Introduction. There are numerous possible causes of facial asymmetry. The facial asymmetry can be summarized and divided into three main categories: congenital, developmental, and acquired, resulting from disease or trauma. The most common cause of acquired facial asymmetry is condylar fracture. One of therapy concepts is the functional orthodontic treatment. Case Outline. The case presented is a 10.4 years old girl whose chief complaint was a progressive facial asymmetry. The patient?s medical history established a facial trauma at the age of 2 years. The treatment plan consisted of functional jaw orthopedic appliance therapy (modification of activator) and fixed appliances on the upper and lower jaw. Conclusion. Timely diagnosis of condylar fracture, which can lead to facial asymmetry, can be managed by comprehensive orthodontic treatment.

scholarly journals ISW for the Treatment of Facial Asymmetry Crossbite Case with Upper Right Lateral Incisor Missing

2012 ◽  
Vol 1 (2) ◽  
pp. 113-117
Author(s):  
Chia-bin SUN ◽  
Jian-hong YU
Keyword(s):  
Orthodontic Treatment ◽  
Medical Center ◽  
Treatment Plan ◽  
Facial Asymmetry ◽  
Functional Class ◽  
Lateral Incisor ◽  
Tini Alloy ◽  
Class Iii ◽  
Class Iii Malocclusion ◽  
Skeletal Class

ABSTRACT Class III malocclusion with facial asymmetry is difficult to treat with orthodontic treatment without surgery. Skeletal class III malocclusion can be treated with surgery or orthodontic treatment by camouflage. Functional class III malocclusion can be treated perfectly by orthodontic treatment, using the intermaxillary elastics (IME) to correct the jaw relation. Differentially, diagnosing a class III case is important before deciding the treatment plan. We must understand the type of class III malocclusion and then we can make the best choice for the patient. This article reports the treatment of adult class III malocclusion by the improved superelastic TiNi alloy wire (ISW). Using the ISW crossbite arch, coil springs and IME, adequate overbite and overjet were achieved and better facial symmetry was also improved. How to cite this article SUN Cb, YU Jh. ISW for the Treatment of Facial Asymmetry Crossbite Case with Upper Right Lateral Incisor Missing. Int J Experiment Dent Sci 2012;1(2): 113-117. Source of support This work was supported by China Medical University and Medical Center, Taichung City, Taiwan (Grant number: CMU97-080 (2008) to JH YU).

Orthodontic Conundrums Part 3: Indications for the loss of a lower incisor

2021 ◽  
Vol 14 (2) ◽  
pp. 72-79
Author(s):  
Naeem I Adam ◽  
Minnie Lyons-Coleman ◽  
Adam Jowett ◽  
Trevor Hodge
Keyword(s):  
Clinical Relevance ◽  
Orthodontic Treatment ◽  
Treatment Plan ◽  
Clinical Scenario ◽  
Lower Incisor ◽  
Highly Effective ◽  
Extraction Pattern ◽  
Final Article ◽  
Dental Professionals

The final article in our series on orthodontic conundrums considers the extraction of a single lower incisor as part of a wider orthodontic treatment plan. This is a relatively uncommon approach; however, when used in the appropriate clinical scenario, it can be highly effective. Extraction of a lower incisor may be required to provide space for alignment of the teeth and serve as a pragmatic way to facilitate treatment while preserving posterior units. This article explores some of the possible orthodontic indications and contraindications for extraction of a lower incisor. CPD/Clinical Relevance: In certain clinical situations, extraction of a lower incisor has significant advantages. Dental professionals should be aware of this extraction pattern and its limitations.

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