Subject(s)
Orthodontic Appliance Design , Orthodontic Brackets , Printing, Three-Dimensional , Humans , Female , Male , Adolescent , AdultABSTRACT
Orthodontic temporary anchorage devices provide a novel alternative to orthognathic surgery for the treatment of severe anterior open-bite malocclusions. These implantable devices provide skeletal anchorage for maxillary molar intrusion, allowing for mandibular autorotation and subsequent open-bite closure. This case demonstrates step-by-step treatment of a 41-year-old woman with a severe open-bite malocclusion. Detailed orthodontic mechanics are described at every stage of treatment.
Subject(s)
Dental Implants , Open Bite/therapy , Orthodontic Anchorage Procedures/instrumentation , Tooth Movement Techniques/instrumentation , Adult , Bone Screws , Clinical Protocols , Female , Humans , Miniaturization , Molar , Molar, Third/surgery , Palate, Hard/surgery , Tooth ExtractionABSTRACT
Adolescent patients often seek orthodontic treatment to correct spacing of the maxillary anterior teeth. If the spacing is caused by a tooth size discrepancy that affects one or more anterior teeth, an interdisciplinary treatment plan involving orthodontic, restorative, and periodontal treatment is recommended to achieve a harmonious esthetic result. This article describes a clinical approach for treatment of these complex cases, focusing on the importance of tooth form, gingival esthetics, and treatment sequencing.
