ABSTRACT
Dental aplasia of heterogenous etiology may cause jaw growth disturbance, malocclusion, esthetic discontent and psychosocial impairment. By a case report of a young patient suffering from hypodontia, class II malocclusion and a deep bite the intricate interdisciplinary diagnosis- and treatment-protocol targeting the functional and esthetic rehabilitation is illustrated.
Subject(s)
Anodontia/rehabilitation , Interdisciplinary Communication , Intersectoral Collaboration , Malocclusion, Angle Class II/rehabilitation , Mandibular Osteotomy , Orthodontics, Corrective , Overbite/rehabilitation , Adolescent , Anodontia/diagnostic imaging , Combined Modality Therapy , Female , Follow-Up Studies , Humans , Malocclusion, Angle Class II/diagnostic imaging , Radiography, PanoramicABSTRACT
The aim of the study was to apply an effective treatment protocol with low morbidity for children with syndromic and nonsyndromic micrognathia using curvilinear distractors, intraoral approach and early orthodontic treatment. We report 7 patients aged from 3 to 13 years with bilateral mandibular hypoplasia. These patients were characterized by severe malocclusion, esthetic facial deformation and respiratory disorders. In 3 patients mandibular hypoplasia was combined with anterior open bite. The intraoral surgical approach was used in all cases. Good functional and esthetic results were achieved during treatment. The less traumatic intraoral approach, curvilinear distractors, ultrasound callus formation control and early orthodontic treatment assure the good functional and esthetic results in severe cases facilitating the continuinty in complex rehabilitation of the growing child.
Subject(s)
Mandible/abnormalities , Micrognathism/rehabilitation , Open Bite/rehabilitation , Orthodontics, Corrective/instrumentation , Overbite/rehabilitation , Adolescent , Child , Child, Preschool , Female , Humans , Male , Mandible/surgery , Mandibular Osteotomy/methods , Micrognathism/complications , Micrognathism/surgery , Open Bite/complications , Open Bite/surgery , Overbite/complications , Overbite/surgeryABSTRACT
Abrasion and erosion are two increasingly common indications for dental treatment. Thanks to modern digital technologies and new restorative materials, there are novel therapeutic approaches to restoring such losses of tooth structure in a virtually non-invasive manner. The case study in this article demonstrates one such innovative approach. The patient's severely abraded natural dentition was restored in a defect-driven, minimally invasive manner using high-performance composite materials in the posterior region, and the "sandwich technique" in the anterior region. The restorations were milled on an optimized milling machine with milling cycles adapted for the fabrication of precision-fit restorations with thin edges.
Subject(s)
Computer-Aided Design , Mouth Rehabilitation/methods , Vertical Dimension , Ceramics/chemistry , Composite Resins/chemistry , Dental Articulators , Dental Bonding/methods , Dental Materials/chemistry , Dental Porcelain/chemistry , Dental Prosthesis Design , Dental Veneers , Follow-Up Studies , Humans , Imaging, Three-Dimensional/methods , Jaw Relation Record/methods , Male , Middle Aged , Overbite/rehabilitation , Patient Care Planning , Photography, Dental , Tooth Abrasion/rehabilitation , Tooth Erosion/rehabilitation , User-Computer InterfaceABSTRACT
UNLABELLED: A Class II division 2 incisor malocclusion may be a cause of aesthetic and/or functional concern for some affected patients. Their particular concerns may include dark spaces around the misaligned teeth or uneven gingival contours. Orthodontic and/or orthognathic treatment can address some of these problems but frequently involves lengthy and expensive treatment in the adult dentition. Sadly, such treatment often produces an unstable result, with significant drawbacks such as the requirement for long-term retention. This article aims to describe alternative strategies for managing patients with this incisor malocclusion. CLINICAL RELEVANCE: This paper outlines a quicker, pragmatic and minimally destructive restorative treatment alternative to conventional orthodontic treatment and the associated long-term retention.
