RESUMO
The presence of root resorption and its correlated factors are concerns that must be considered in orthodontic planning. This case report describes the orthodontic retreatment of a patient with a dental to facial midline discrepancy, a severe apical root resorption, and with maxillary and mandibular incisors presenting accentuated labial tipping and protrusion. The treatment included self-ligating brackets, maxillary unilateral distalization with skeletal anchorage and a mandibular extraction, followed by retraction. The orthodontic planning was based on simple and efficient mechanics and the treatment duration was of 19 months. Based on the acceptable final results it can be assumed that the treatment choices enabled a successful approach, maintaining a stable root condition.
Assuntos
Procedimentos de Ancoragem Ortodôntica/efeitos adversos , Reabsorção da Raiz/etiologia , Reabsorção da Raiz/terapia , Técnicas de Movimentação Dentária/efeitos adversos , Adulto , Feminino , Humanos , Incisivo , Má Oclusão Classe II de Angle/diagnóstico por imagem , Má Oclusão Classe II de Angle/terapia , Mandíbula , Maxila , Procedimentos de Ancoragem Ortodôntica/métodos , Braquetes Ortodônticos , Retratamento , Ápice Dentário/diagnóstico por imagem , Técnicas de Movimentação Dentária/métodosRESUMO
Resumo A avaliação da estabilidade dos resultados obtidos é muito importante após a realização do tratamento ortodôntico. O objetivo deste trabalho é apresentar o tratamento de uma má oclusão de Classe II com o aparelho Jasper Jumper e sua a estabilidade após 12 anos de acompanhamento. Paciente do sexo feminino, 11 anos de idade e queixa principal de dentes tortos no arco superior. A paciente apresentava má oclusão de Classe II de Angle, divisão 1, bilateral, trepasses horizontal e vertical aumentados, presença de leve apinhamento anteroinferior e mandíbula retruída. O aparelho Jasper Jumper foi capaz de corrigir a má oclusão de classe II, divisão 1, a relação maxilomandibular, o trepasse vertical e melhorar o perfil facial com estabilidade em longo prazo. (AU)
Abstract Assessment of stability of the results obtained is very important after orthodontic treatment. The aim of this paper is to present the treatment of a Class II malocclusion with the Jasper Jumper appliance and its stability after 12 years follow-up. Female, 11 years old and main complain of crowding in superior teeth. The patient presented bilateral Class II malocclusion, division 1, overbite and overjet increased, mild anterosuperior crowding and mandible retruded. The Jasper Jumper appliance corrected the Class II malocclusion, division 1, the maxilomandibular relationship, the overbite and improved facial profile with long term stability.(AU)
Assuntos
Humanos , Feminino , Criança , Aparelhos Ortopédicos , Avanço Mandibular , Má Oclusão Classe II de AngleRESUMO
This paper aimed to describe the orthodontic treatment of an adult patient with the following characteristics: asymmetric Class II malocclusion, left subdivision, mandibular midline shifted to the left, mild mandibular anterior crowding, excessive overbite, 4-mm overjet, and a brachycephalic facial pattern. A 31-year-old male patient, treated with fixed preadjusted appliance with Roth prescription, with leveling and alignment NiTi archwire sequence. To correct the asymmetric Class II malocclusion, midline shift as well the overjet and overbite, intermaxillary elastics and accentuated and reversed stainless steel archwires were used, respectively. The posttreatment results showed a Class I molar relationship, as well the overjet and overbite correction. These results could be achieved due to a correct treatment plan and so to the patient cooperation.
