ABSTRACT
This case shows a patient who had presented a severe Class III malocclusion, both maxillary and mandibular crowding and an impacted canine: she is now 24 years posttreatment. She was treated, in permanent dentition, by proclination of both maxillary and mandibular incisors, expansion of the maxillary arch and of the mandibular intercanine width and disinclusion of the impacted canine. At debonding, she presented well-aligned arch forms, a centered midline and a pleasant smile. Twenty-four years after treatment, her records show that the occlusion has remained stable. The use of wires of almost full thickness helped effectively control incisor torque, thus keeping the teeth inside the cortical bone and limiting the expected periodontal problems.
Subject(s)
Malocclusion, Angle Class III/therapy , Adolescent , Cephalometry/methods , Cuspid/pathology , Female , Follow-Up Studies , Gingival Recession/etiology , Humans , Incisor/pathology , Longitudinal Studies , Mandible/pathology , Maxilla/pathology , Orthodontic Extrusion/methods , Orthodontic Wires , Palatal Expansion Technique , Patient Care Planning , Tooth Movement Techniques/instrumentation , Tooth Movement Techniques/methods , Tooth, Impacted/therapy , Treatment Outcome , Vertical DimensionABSTRACT
This case report describes the healing of gingival recessions on mandibular incisors resulting from orthodontic treatment of a deep bite malocclusion at a 30-year follow-up observation. The marked improvement in the severe recessions was a consequence of the elimination of the direct trauma, orthodontic intrusion of the affected teeth, and subsequent creeping attachment over time. No periodontal treatment was performed before or after orthodontic treatment.
