RESUMO
A 34-year-old woman with mandibular micrognathia, vertical maxillary excess, and an open bite characterized by a "bird-face" deformity was treated with orthodontics combined with LeFort I and bilateral inverted L osteotomies. The total treatment time was 16 months. Her occlusion and facial appearance were significantly improved by a surgical-orthodontic plan. This case report presents the discussion of a unique and complex orthognathic surgical case and the myriad of orthodontic and surgical considerations that it involved.
Assuntos
Má Oclusão , Micrognatismo , Mordida Aberta , Adulto , Cefalometria , Feminino , Humanos , Maxila , Ortodontia CorretivaRESUMO
A common dilemma when treating anterior open bite is understanding its etiology. Idiopathic condylar resorption (ICR) can cause open bite in affected individuals. Although it is prudent to not treat patients with ICR until active resorption has ceased, orthodontists may begin treating them because anterior open bite from ICR may not appear before or during their orthodontic treatment. This article reports a 12-year-old female who was diagnosed with ICR 10 months after completion of her orthodontic treatment for a Class II Division 1 malocclusion. When a young patient with a high mandibular angle and previous skeletal or dental Class II malocclusion returns with an open bite during the retention phase, the patient's condyles must be carefully examined to determine whether any temporomandibular joint disorder, such as ICR, is present. Currently, the controversy over the cause and the cure for ICR is continuing to challenge orthodontists in diagnoses and treatments. Orthodontists should closely monitor and offer informed treatment options to patients with risk factors for ICR or signs of its pathology that might develop at any stage of orthodontic treatment, including the retention period.
Assuntos
Reabsorção Óssea/complicações , Reabsorção Óssea/terapia , Má Oclusão Classe II de Angle/terapia , Côndilo Mandibular/patologia , Doenças Mandibulares/patologia , Doenças Mandibulares/terapia , Mordida Aberta/etiologia , Mordida Aberta/terapia , Ortodontia Corretiva/métodos , Transtornos da Articulação Temporomandibular/terapia , Reabsorção Óssea/diagnóstico por imagem , Cefalometria , Criança , Terapia Combinada , Estética Dentária , Feminino , Humanos , Má Oclusão Classe II de Angle/diagnóstico por imagem , Doenças Mandibulares/diagnóstico por imagem , Mordida Aberta/diagnóstico por imagem , Transtornos da Articulação Temporomandibular/diagnóstico por imagem , Resultado do TratamentoRESUMO
A 26-year-old man with an anterior open bite was treated with orthodontics combined with 2-jaw surgery. Total treatment time was 19 months. Both his occlusion and facial appearance were significantly improved by the surgical-orthodontic treatment.