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1.
Cureus ; 16(4): e57665, 2024 Apr.
Article in English | MEDLINE | ID: mdl-38707159

ABSTRACT

A condition known as bimaxillary protrusion occurs when the front teeth protrude due to the forward positioning of the lower and upper jaws. Temporary anchorage devices (TADs) are utilized to provide anchorage and facilitate the controlled retraction of maxillary and mandibular protruding teeth, helping to correct the patient's bite and facial aesthetics. A 27-year-old female with bimaxillary protrusion reported to the Department of Orthodontics. On examination, the facial profile of the patient was convex. The clinical FMA was high. With a deep mentolabial sulcus and an acute nasolabial angle, lips were potentially competent. An intraoral examination revealed proclined incisors with spacing in the maxillary arch and proclined anterior teeth in the mandibular arch. Space closure was done using sliding mechanics with direct anchorage from a mini-screw after the extraction of all four first premolars. There was a significant improvement in the patient's profile posttreatment.

2.
Cureus ; 16(1): e53241, 2024 Jan.
Article in English | MEDLINE | ID: mdl-38425610

ABSTRACT

The straight-wire device offers the best finishing potential and control. This case study focuses on the treatment of severe deep bite and Class II malocclusion involving first premolar extraction of the upper arch using a Kalra Simultaneous Intrusion and Retraction loop. Using minimal force and creating enough space for anterior teeth to retract while maintaining the Class II molar relationship was the aim of the therapy. Due to the unsightly excessive maxillary incisor showing at rest, the decision was made to intrude anterior teeth to treat a deep overbite. Good and consistent changes occurred post-treatment.

3.
Cureus ; 14(9): e29584, 2022 Sep.
Article in English | MEDLINE | ID: mdl-36321006

ABSTRACT

Background and objectives The nose is one of the major focuses of face attractiveness. Through careful evaluation of the soft tissue drape, a treatment plan can be designed to enhance a patient's facial attractiveness. The aim of this study was to evaluate and assess the variations in nasal morphology among class I malocclusion and class II horizontal and class II vertical malocclusion. Material and method Lateral cephalograms of 27 patients were taken and consisted of three groups: skeletal class I malocclusion, class II horizontal malocclusion, and class II vertical malocclusion. The various linear and angular measurements specific to nose were assessed. Results and conclusion In class II and class I malocclusion, the nose is observed to be straight and convex, respectively. Additionally, compared to class II horizontal malocclusion, it is more convex in class II vertical malocclusion. Vertical growers or high-angle cases are more likely to have a nose with an increased inclination toward nasal dorsum convexity than horizontal growers or low-angle instances.

4.
Cureus ; 14(10): e30515, 2022 Oct.
Article in English | MEDLINE | ID: mdl-36415434

ABSTRACT

In class II malocclusion, there is an anteroposterior disparity between the upper dentition and the lower dentition, which may or may not be accompanied by a skeletal discrepancy. For orthodontists, this is one of the common malocclusions encountered during clinical practice. This might be due to excess maxillary growth or retarded growth of the mandible or a combination of both. In such types of malocclusion, both the upper and lower airways are affected, the lower one most commonly. Characteristic features seen are a narrow maxillary arch, a proclined upper anterior, and mouth breathing as a developing habit. Also, the position of the condyle in the skeletal type of class II malocclusion plays a vital role in the development of temporomandibular joint disorders. Treating such disparity in a growing individual leads to better results in the long term as well as prevention of malocclusion taking a severe form. Myofunctional appliances are useful for repositioning the mandible as well as the condyle. In adults, extraction of the upper premolars is most commonly done for the correction of class II malocclusion. This provides the patient with a better esthetic appearance. In addition to this, various treatment modalities, such as splint therapy, exercise, and prolotherapy, are beneficial for pain relief and temporomandibular disorder (TMD) correction. This article deals with the characteristics, development, etiology, and comprehensive treatment options of class II malocclusion and its co-relation with the upper and lower airway along with the severity of temporomandibular joint disorders. Repositioning of the condyle in the glenoid fossae is the key to the correction of this disorder.

5.
Cureus ; 14(9): e29184, 2022 Sep.
Article in English | MEDLINE | ID: mdl-36258978

ABSTRACT

Developmental anomaly of the maxillary lateral incisors most commonly leads to the occurrence of peg lateral. It is a variant of microdontia where the lateral incisors are smaller than the normal size. This appears as unilaterally or bilaterally. This condition is characterised by the converging of the mesial and distal surfaces forming a cone shape. A variety of treatment options exist for this anomaly including orthodontic treatment, restorative technique and veneer. This case report deals with an individual presenting with peg lateral of the maxillary arch along with midline diastema. The multidisciplinary treatment protocol of orthodontic treatment involving minor tooth movement and space closure in conjunction with a restorative technique for correction was preferred.

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