Résumé
Objective@# The present study evaluated the clinical effects of Invisalign-aided molar distalization in the treatment of mild or moderate crowding in anterior teeth. @*Methods@#Eleven adults with class Ⅱ dental malocclusion and a class Ⅰ skeletal pattern were selected as subjects. The patients’ molar occlusion did not exhibit an end-to-end relationship. Subjects were selected for straight profile, mild or moderate crowding in maxillary teeth and normal or mild crowding in mandibular teeth. Nonextraction and Invisalign-aided molar distalization were planned for treatment. Model measurement and cephalometric analysis were performed before and after treatment. A paired t test was used for the statistical analysis.@*Results@#The crowding and class Ⅱ molar relationship were corrected in all 11 patients. The upper first molars were moved distally by 2.32 mm (t = 3.315, P < 0.01) and were inclined distally by 3.35° (t = 3.959, P < 0.01) on average. The central incisors were protruded by 1.72 ° (t = 3.274, P < 0.01) on average. The buccal movement of the upper first molars was 1.32 mm (t = 2.461, P < 0.05) on average. The above differences were statistically significant. @*Conclusion @#Upper molar distalization can be achieved using a class Ⅱ elastic-aided Invisalign technique. The end-to-end molar occlusion can be corrected, and front teeth with mild or moderate crowding can be aligned using our treatment protocol.
Résumé
Objective@# To explore the clinical application of cone beam CT in the diagnosis of traumatic anterior teeth before orthodontic treatment in order to reduce the risk of orthodontic treatment failure due to adhesion. @*Methods @# 48 fixed orthodontic treatment cases with the history of anterior teeth trama were selected. The anterior teeth were examined by CBCT to exclude root and alveolar bone adhesions. @*Results @#3 cases of root-alveolar bone adhesion were found, and the upper anterioa teeth of the remaining 45 cases were successfully moved by orthodontic treatment. @*Conclusion @#CBCT examination is recommended to check the periodontal ligament in patients of fixed orthodontic treatment with the history of anterior teeth trauma in order to exclude the root-alveolar bone adhesion cases.