RESUMEN
This case report describes successful orthodontic retreatment for vertical control with nonextraction orthodontic therapy. A 31-year-old woman complained of anterior open bite and crowding. She had slightly protrusive lips but wanted to correct her malocclusion without extraction. Two palatal temporary skeletal anchorage devices were used for the distalization of the maxillary arch along with posterior intrusion. Mandibular distalization was performed with Class III elastics. The duration of active treatment was 22 months. The plain and efficient mechanics used contributed to the effective distalization of both arches, the intrusion of the maxillary posterior teeth, and favorable profile changes. The results were still stable at the five-year follow-up period.
Asunto(s)
Mordida Abierta , Humanos , Femenino , Adulto , Mordida Abierta/diagnóstico por imagen , Mordida Abierta/terapia , Mandíbula , Técnicas de Movimiento Dental , Atención Odontológica , Diente MolarRESUMEN
A 9-year-old female was referred by her general dentist for an evaluation of an impacted maxillary left central incisor. Her maxillary left primary incisors showed crossbites and her right central incisor showed an edge-to-edge bite which caused gingival recession on the mandibular right central incisor. After treatment, the impacted maxillary central incisor erupted successfully. An optimal overbite and overjet were also achieved, and her gingival recession was improved.
Asunto(s)
Maloclusión , Diente Impactado , Niño , Femenino , Humanos , Incisivo , Maxilar , Extrusión OrtodóncicaRESUMEN
A 15-year-old girl who had a unilateral condylar fracture with severe crowding in both arches was treated with 4 premolar extractions followed by orthodontic therapy with a temporary skeletal anchorage device in the maxillary arch. The total active treatment time was 21 months. Her occlusion was significantly improved by orthodontic treatment, and the range of condylar movement was also improved. Posttreatment records after 30 months showed excellent results with a good stable occlusion. The remodeling process of the condyle was confirmed with cone-beam computed tomography images.
Asunto(s)
Maloclusión/terapia , Cóndilo Mandibular/lesiones , Fracturas Mandibulares/terapia , Métodos de Anclaje en Ortodoncia , Adolescente , Femenino , Humanos , Maloclusión/complicaciones , Fracturas Mandibulares/complicaciones , Índice de Severidad de la EnfermedadRESUMEN
A 12-year-old female with Klippel-Feil syndrome (KFS) combined with Turner syndrome (TS) and a submucous cleft palate (CP) was presented. The patient reportedly had TS and had received growth hormone (GH) therapy. Because of her skeletal Class III pattern with a steep mandibular plane angle, facial asymmetry, and fused cervical vertebrae, the effects of the GH on her craniofacial complex needed to be considered at the start of orthopedic/orthodontic treatment. To manage submucous CP with severe maxillary deficiency, a rigid external distraction (RED) device was used. The total active treatment time was 34 months including distraction osteogenesis (DO). Treatment improved both her occlusion and facial appearance.
Asunto(s)
Síndrome de Klippel-Feil/complicaciones , Síndrome de Turner/complicaciones , Cefalometría/métodos , Vértebras Cervicales/anomalías , Niño , Fisura del Paladar/complicaciones , Diente Canino/cirugía , Fijadores Externos , Aparatos de Tracción Extraoral , Asimetría Facial/complicaciones , Asimetría Facial/terapia , Femenino , Hormona de Crecimiento Humana/uso terapéutico , Humanos , Síndrome de Klippel-Feil/terapia , Maloclusión de Angle Clase III/complicaciones , Maloclusión de Angle Clase III/terapia , Maxilar/anomalías , Maxilar/cirugía , Osteogénesis por Distracción/instrumentación , Osteotomía Le Fort , Planificación de Atención al Paciente , Técnicas de Movimiento Dental/instrumentación , Diente Impactado/cirugía , Síndrome de Turner/terapiaRESUMEN
A 33-year-old woman with severe facial asymmetry and unilateral lingual crossbite was treated with orthodontics combined with differential maxillary impaction and intraoral vertical ramus osteotomy. After 12 months of preoperative orthodontic treatment, 2-jaw surgery was performed. The total active treatment time was 18 months. Both her occlusion and facial appearance were significantly improved by the surgical-orthodontic treatment. The occlusion was stable after 5 years of retention. Posttreatment records after 5 years showed excellent results with good occlusion and long-term stability.
Asunto(s)
Asimetría Facial/terapia , Maloclusión/terapia , Ortodoncia Correctiva/métodos , Procedimientos Quirúrgicos Ortognáticos/métodos , Adulto , Cefalometría/métodos , Asimetría Facial/cirugía , Femenino , Estudios de Seguimiento , Humanos , Técnicas de Fijación de Maxilares , Maloclusión/cirugía , Maloclusión Clase II de Angle/cirugía , Maloclusión Clase II de Angle/terapia , Mandíbula/anomalías , Osteotomía Mandibular/métodos , Maxilar/anomalías , Osteotomía Maxilar/métodos , Planificación de Atención al Paciente , Técnicas de Movimiento Dental/métodos , Resultado del TratamientoRESUMEN
The purpose of this paper was to describe the clinical case of a 12-year-old female patient with Klippel-Feil syndrome (KFS) combined with Turner syndrome (TS) and a submucous cleft palate (CP). The patient's general appearance was characterized by KFS, a clinical triad consisting of congenital fusion of at least 2 of 7 cervical vertebrae with a short neck, limited head motion, and a low posterior hairline. Three-dimensional images from cone-beam computed tomography (CBCT) revealed cervical vertebrae anomalies and submucous CP. It was reported that the patient had TS and has been administered growth hormone (GH) therapy. Due to a skeletal class III pattern with a steep mandibular plane angle, facial asymmetry, and fused cervical vertebrae, GH's effects on the craniofacial complex should be considered before orthopedic/orthodontic treatment is started.
Asunto(s)
Síndrome de Klippel-Feil/diagnóstico , Síndrome de Turner/diagnóstico , Vértebras Cervicales/diagnóstico por imagen , Niño , Femenino , Hormona del Crecimiento/uso terapéutico , Humanos , Síndrome de Klippel-Feil/complicaciones , Síndrome de Klippel-Feil/diagnóstico por imagen , Tomografía Computarizada por Rayos X , Síndrome de Turner/complicaciones , Síndrome de Turner/diagnóstico por imagen , Síndrome de Turner/tratamiento farmacológicoRESUMEN
A 28-year-old female with a Class III malocclusion and facial asymmetry was treated with orthodontics combined with intraoral vertical ramus osteotomy (IVRO). She had severe skeletal Class III (Wits: -9.7 mm). She was missing her maxillary left central incisor and had a fixed three-unit bridge on her maxillary anterior teeth. The patient presented a concave profile with a protrusive mandible. Her dental and mandibular midline was shifted 3 mm toward the left. After presurgical orthodontic treatment, IVRO was performed. The total active treatment time was 16 months including surgery. Both occlusion and facial appearance were significantly improved by the surgical-orthodontic treatment. Posttreatment records after 2 years showed excellent results with good, stable occlusion, facial balance and harmony, and long-term stability.
Asunto(s)
Anodoncia/complicaciones , Asimetría Facial/complicaciones , Maloclusión de Angle Clase III/terapia , Mandíbula/cirugía , Procedimientos Quirúrgicos Ortognáticos/métodos , Adulto , Cefalometría , Asimetría Facial/cirugía , Asimetría Facial/terapia , Femenino , Humanos , Maloclusión de Angle Clase III/complicaciones , Maloclusión de Angle Clase III/cirugía , Ortodoncia Correctiva/métodos , Osteotomía/métodos , Resultado del TratamientoRESUMEN
The publisher regrets that this article has been temporarily removed. A replacement will appear as soon as possible in which the reason for the removal of the article will be specified, or the article will be reinstated. The full Elsevier Policy on Article Withdrawal can be found at https://www.elsevier.com/about/our-business/policies/article-withdrawal.
Asunto(s)
Anodoncia/terapia , Diente Premolar/anomalías , Labio Leporino/terapia , Fisura del Paladar/terapia , Incisivo/anomalías , Maloclusión/terapia , Ortodoncia Correctiva , Adulto , Cefalometría/métodos , Diente Canino/patología , Femenino , Estudios de Seguimiento , Humanos , Maloclusión de Angle Clase III/terapia , Maxilar/patología , Aparatos Ortodóncicos , Técnica de Expansión Palatina , Planificación de Atención al Paciente , Erupción Ectópica de Dientes/terapiaRESUMEN
UNLABELLED: Clinicians agree that, regardless of gender or race, tooth agenesis has become more prominent in recent societies. The congenital absence of one or more maxillary lateral incisors poses a challenge to effective treatment planning for the restorative dentist. However, the one-sided orthodontic approach of just moving canines mesially to eliminate restorative procedures leads to compromise. Adult patients presenting with malocclusions, missing lateral incisors, or anterior crowding but who fail to get proper orthodontic treatment, requesting instead esthetic solutions that do not establish a stable occlusion, proper alignment, and proper axial inclination of the teeth will have compromised esthetic and periodontal results. An evaluation of anterior smile esthetics must include both static and dynamic evaluations of frontal and profile views to optimize both dental and facial appearance. This article presents how orthodontics is combined with other specialties in treating a congenitally missing lateral incisor. One case is used to illustrate how orthodontic treatment is progressed in collaboration with other specialists. CLINICAL SIGNIFICANCE: Patients with missing teeth, crowding, midline deviation, unesthetic gingival contours, or other restorative needs may require the interaction between various specialists. For the successful treatment of orthodontic-restorative patients, an interdisciplinary team effort is vital.
Asunto(s)
Anodoncia/terapia , Incisivo/anomalías , Ortodoncia Correctiva/instrumentación , Adulto , Anodoncia/complicaciones , Cefalometría , Esmalte Dental/cirugía , Dentadura Parcial , Estética Dental , Femenino , Humanos , Maloclusión Clase II de Angle/complicaciones , Maloclusión Clase II de Angle/terapia , Maxilar , Diseño de Aparato Ortodóncico , Sobremordida/complicaciones , Sobremordida/terapiaRESUMEN
Treatment of patients with a cleft lip and palate can be challenging. A boy, 15 years 11 months old, with a bilateral cleft lip and palate and a convex profile, transposed teeth and congenitally missing teeth was treated by orthodontic treatment. 3 year posttreatment records showed excellent results with good occlusion, facial balance and harmony, and long-term stability.
Asunto(s)
Anodoncia/terapia , Labio Leporino/terapia , Fisura del Paladar/terapia , Ortodoncia Correctiva , Erupción Ectópica de Dientes/terapia , Adolescente , Diente Premolar/patología , Diente Canino/anomalías , Estudios de Seguimiento , Humanos , Incisivo/anomalías , Masculino , Maloclusión/terapia , Planificación de Atención al Paciente , Técnicas de Movimiento Dental/instrumentación , Técnicas de Movimiento Dental/métodos , Diente Supernumerario/terapia , Resultado del TratamientoRESUMEN
OBJECTIVE: In the past, palatal lift prostheses (PLPs) have been problematic with respect to stability. This stability problem has been addressed by designing a PLP that includes a palatal bar. STRUCTURE: A PLP combined with a palatal bar is functionally characterized by a palatal bar that holds down the posterior palatal plate. By making this location the fulcrum, the force exerted by the soft palate on the lamina actually functions to stabilize the prosthesis instead of acting to overturn it. CASES: This new prosthetic design was applied to patients with cleft palate and those who had undergone cerebral contusion operations. The experimental group was composed of a total of 13 patients (7 men and boys, 6 women and girls) who ranged in age at the time of introduction of the prosthesis from 4 years 6 months old to 54 years 5 months. The period of follow-up after prosthetic insertion ranged from 2 months to 4 years 1 month. In all cases, the stability of the prosthesis was sufficiently maintained. CONCLUSION: Because of increased stability, this technique can be applied to not only adult patients but also children in whom insertion during the deciduous dentition period can be difficult. The new PLP was also found to be effective in patients with cleft palate with a short clinical crown.