RESUMO
OBJECTIVE: This article describes the orthodontic treatment performed on an adult patient with multiple dental losses. CASE REPORT: A female patient, 20 years and 4 months old, presented with the following conditions: absence of teeth #26, #35, #36 and #46; semi-impacted tooth #48; inclined molars adjacent to an edentulous space; canines and premolars in a Class II relationship; a convex profile; biprotrusion; and forced lip sealing. RESULTS: Space in the region of tooth #26 was closed, as well the space of tooth #46; tooth #48 erupted and followed mesial movement passively; space of the region of tooth #35 was maintained for the placement of a dental implant; uprighting of tooth #37 was obtained. Aesthetic and functional goals of the treatment were achieved. Results remained stable 10 years after the end of the treatment. CONCLUSION: The modified helical loop could be effectively used in orthodontic mechanics to close edentulous spaces. Passive semi-impacted mandibular third molar eruption and mesialization can occur in adults when proper space is provided.
Assuntos
Erupção Dentária , Técnicas de Movimentação Dentária , Dente Impactado , Adulto , Estética Dentária , Feminino , Humanos , Mandíbula , Dente Molar , Dente SerotinoRESUMO
O presente trabalho propôs relatar o tratamento ortodôntico e restaurador em um paciente adulto apresentando desgaste excessivo dos incisivos superiores e inferiores. A inclinação axial dos incisivos superiores era desfavorável para remodelação com compósito. As correções nas inclinações axiais dos dentes anteriores com a Ortodontia e os procedimentos restauradores com a Dentística propiciaram melhor estética, saúde e função, além de estabilidade dos resultados obtidos. Durante o planejamento do tratamento ortodôntico e antes de se iniciar o tratamento restaurador todos os detalhes operacionais foram ponderados entre os profissionais envolvidos e a decisão final foi definida em concordância com a vontade do paciente. Resultados estéticos e funcionais satisfatórios foram obtidos neste caso clínico tratado interdisciplinarmente.
The current paper focuses the orthodontic and restorative treatment of an adult patient with excessive wear on the incisal edges of upper and lower incisors. He also presented upper incisors in up-righted position. Correction of axial inclination of anterior teeth promoted improvements in esthetics, health, function and also favored the stability of the attained results. Every operational detail must be considered by both orthodontist and restorative dentist during orthodontic treatment planning and prior to any restorative procedure. The treatment plan must be in accordance with the patients expectations and the limitation of the case. Favorable esthetic and functional results were achieved in this case report.