DOCSLIB.ORG

Director's Remarks

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
Director's Remarks The British Orthodontic Society Clinical Effectiveness Bulletin No.33 November 2014 Clinical Governance Directorate of the British Orthodontic Society Director’s Remarks Moving House! lthough this is the autumn edition of the 1st Prize Clinical Effectiveness Bulletin, I think there An audit of compliance in Orthodontics with has been something of a spring clean within Department of Health 2007 “Smokefree and A Smiling” guidance. the editorial ranks. This edition has been jointly produced by Kate House, the outgoing editor, and A.McMullin and S. Caldwell (University Dental Jadbinder Seehra, our new incoming editor. The Hospital Manchester). team have worked hard to produce an excellent Bulletin with an interesting range of articles. There 2nd Prize are some familiar themes again, patient satisfaction Use of the PAR index to assess outcomes of and multidisciplinary care, but some more varied orthognathic surgery in cleft lip and palate patients. projects looking at the periodontal health of our C. Rolland (VT dentist), C. Chambers (Bristol patients and their dietary habits, reflecting the wider Dental Hospital) and S. Deacon (Frenchay Hospital scope of our practice. and Bristol Dental Hospital). Knowing that audit is strong within our specialty, 3rd Prize I was interested to read that the Healthcare Quality Orthodontic treatment and orthognathic surgery – Improvement Partnership (HQIP), the organisation do we predict the length of treatment accurately? tasked with promoting quality in healthcare, in C. Dunbar, G. McIntyre (Dundee Dental Hospital) particular increasing the impact that clinical audit and S. Laverick (Ninewells Hospital, Dundee). has on healthcare quality in England and Wales, recently promoted its second ‘Audit Awareness Many congratulations to all the winning authors. I Week’. This initiative is aimed at encouraging know it is a difficult task selecting winners with the engagement of staff at all levels in clinical audit number of high quality reports that are submitted within the workplace. Although this is aimed and published. I would like to thank all the authors principally at the medical field, it is an idea that for continuing to support this publication and the we could embrace within our specialty. I think we editorial board and referees for all their hard work in are ahead of our colleagues in this area and I am its production. pleased to see articles both from practitioners based in primary and secondary care. Within the Society I’ll finish by wishing Jadbinder every success in his the Audit committee is always thinking of ways to term as Editor and thanking Kate for all her hard increase audit’s relevance and impact. We would work over the past three years. I know that Kate has welcome ideas from members of how this could be left the Bulletin in safe hands. enhanced. Nikki Atack The BOS Clinical Audit Prizes were announced at Director, Clinical Governance the BOC in Edinburgh. The winners were chosen from the last two issues of the CEB and were awarded to: Editor’s Cut This is my first editorial as the new Editor of the BOS Clinical What does the future hold for the Bulletin? First and foremost I hope Effectiveness Bulletin. I would like to begin by thanking my very much to continue the success of this publication and continue predecessor, Kate House, for her tremendous hard work and effort. I the great work of my predecessors. I am aware of the responsibility am sure we would all agree under Kate’s stewardship the Bulletin has that comes with this role and I hope that I do not disappoint. I will be gone from strength to strength resulting in a high quality publication exploring options to further improve the submission process, overall reflecting the excellent clinical standards practised by orthodontic format and content of the Bulletin. If any member of the Society has clinicians within the United Kingdom. On a personal note, I would any thoughts and ideas, please feel free to contact me. also like to thank Kate for showing me the ropes and ensuring a BOS Clinical Effectiveness Bulletin Editorial Board smooth handover and transition. Celtic Regions I would also like to thank both Gavin Mack (South-East) and Amreen Liz Turbill ([email protected]) Ahmad (Northern) for their hard work and contribution to the success of the Bulletin. Both Gavin and Amreen, who will be leaving their Northern England positions on the editorial board, have excelled within their roles Amreen Ahmad ([email protected]) as regional sub-editors. New sub-editors for these regions will be South West and Midlands appointed in due course. I look forward to working with the existing Christian Day ([email protected]) and new editorial board members who I am sure will further enhance South East the reputation of the Bulletin. Gavin Mack ([email protected]) The success of the Bulletin is also dependent on the numerous Post- TGG representative CCST trainees across the country who undertake peer-review of Rachel Stephens ([email protected]) articles. I have found these reviews to be conducted in a careful and diligent manner and I would like to thank you all for your continued Ann Wright ([email protected]) support and excellent reviews!! This is greatly appreciated. Lastly, Jadbinder Seehra the Bulletin would not be in circulation without the numerous high Editor BOS Clinical Effectiveness Bulletin quality articles submitted for publication by members of our Society. The effort made by clinicians to report standards of clinical practice Department of Orthodontics and improve clinical effectiveness is impressive. I would strongly Kings College Hospital NHS Foundation Trust encourage all members of the orthodontic team in both primary and Denmark Hill, London secondary care to consider submitting their articles to the Bulletin. [email protected] In this issue…. 1. An audit of functional appliance treatment. C. Dunbar, 10. Documentation of the Basic Periodontal Examination scores as K. Mouton-Manhem, C. Harper. Royal Berkshire Hospital, part of the orthodontic examination for new patients: Reading A two-cycle audit. A. Hindocha , N. Patel, J. Turner, S. Visram. Birmingham Dental Hospital 2. New patient satisfaction. S. Nandhra, S. Power, E. Thickett. Royal Bournemouth Hospital 11. An audit on patient experience following orthognathic surgery. M.W Tang and A. Dibiase. William Harvey Hospital, Ashford, Kent 3. Patient satisfaction with Croydon MDT dento-alveolar clinics. L. Khamashta-Ledezma, Z. Kordi, J. Radecki, L. Davenport- 12. A regional audit of orthognathic service provision and Jones, M. Chia. Croydon University Hospital treatment duration. A.Tsichlaki1, S. Ward2. University Dental Hospital Manchester1, Royal Blackburn Hospital2 4. Retainers - What retainers? Patients understanding of orthodontic retention: A multicenter audit. J. Flanagan, 13. Audit of patient dietary habits. S. L. Stephens, R.M. Stephens, S. Kotecha, J. Panesar. Birmingham Dental Hospital S.J. Cunningham and F.S. Ryan. Eastman Dental Hospital UCLH Foundation Trust and UCL Eastman Dental Institute 5. An audit to assess the number of inappropriate referrals to a primary care specialist orthodontic practice. P. Raval. Peace 14. Clinical audit of patient oral hygiene measures. R.M. Stephens, Children’s Centre, Watford S.L. Stephens, S.J. Cunningham, F.S. Ryan. Eastman Dental Hospital UCLH Foundation Trust and UCL Eastman Dental 6. Occlusal outcomes for patients undergoing orthognathic Institute surgery in Devon and Cornwall. M.Moore, K. Drage, A. Jerreat, K. Postlethwaite, R. Robinson, A. Smith, N. Wenger. 15. Re-Audit of Orthodontic Model Boxes. F. Ahmed, H. Mazey. South West Regional Orthodontic Audit Group (Southern University Dental Hospital Manchester Section) 16. An audit of instrument decontamination standards and barcode 7. Orthognathic surgery precision - A retrospective audit of sticker usage in a London teaching hospital orthodontic planned and actual movements during maxillary surgery. department. L. Tabrett, H. Ling, P. Acharya. Eastman Dental 1 2 2 1 H. Barry , P. Shah , H. Popat and A. Cronin . University Hospital, London Dental Hospital, Cardiff & Vale University Health Board1 and School of Dentistry, Cardiff University2 17. A re-audit of the use of fluoride mouthwash in orthodontic patients. M. Storey, L. Mitchell. St Luke’s Hospital, Bradford 8. Orthodontic mini-screw effectiveness in Leeds. S.K. Barber, D.O. Morris. Leeds Dental Institute, Leeds, UK 18. A General Practice Based Audit of Orthodontic Extraction Letters. J. McGarry. McGarry’s Dental Practice, Lisnaskea, 9. A regional audit to assess the surgical re-exposure rates of Co.Fermanagh, N.Ireland ectopic palatal maxillary canines. A. Gill1, R. Valiji Bharmal1, T. McSwiney1, M. Palarajah 2, B. Bagdadi3, C. Campbell1. John 19. An audit of patient satisfaction among lingual orthodontic Radcliffe Hospital, Oxford1, Heatherwood and Wexham Hospital, patients. R. Paul Cheruvathur, H. Patel. The Liverpool Brace Slough2 and Stoke Mandeville Hospital, Buckinghamshire3 Place, Liverpool 2 1 AN AUDIT OF FUNCTIONAL APPLIANCE TREATMENT C. Dunbar, K.Mouton-Manhem, C. Harper. Royal Berkshire Hospital, Reading INTRODUCTION Overbite. Functional appliances are frequently used in the United Centreline. Kingdom for treatment of Class II malocclusions1,2. A successful outcome is strongly dependant on patient METHODS compliance, appropriate case selection and subsequent timing This was a retrospective audit completed at one district general of treatment2.
Load more

Recommended publications
  • Stability of Anterior Open Bite Treatment with Molar Intrusion Using Skeletal
    González Espinosa et al. Progress in Orthodontics (2020) 21:35 https://doi.org/10.1186/s40510-020-00328-2 REVIEW Open Access Stability of anterior open bite treatment with molar intrusion using skeletal anchorage: a systematic review and meta- analysis Daybelis González Espinosa1,2, Paulo Eliezer de Oliveira Moreira1, Amanda Silva da Sousa1, Carlos Flores-Mir3 and David Normando1* Abstract Objectives: The aim of this systematic review and meta-analysis is to assess the degree of stability of anterior open bite (AOB) treatment performed through the molar intrusion supported with skeletal anchorage at least 1 year posttreatment. Methods: This study was registered in PROSPERO (CRD42016037513). A literature search was conducted to identify randomized (RCT) or non-randomized clinical trials based including those considering before and after design. Data sources were electronic databases including PubMed, Cochrane Library, Science Direct, Google Scholar, Scopus, Lilacs, OpenGrey, Web of Science, and ClinicalTrials.gov. The quality of evidence was assessed through the JBI tool and certainty of evidence was evaluated through the GRADE tool. Random effects meta-analysis was conducted when appropriate. Results: Six hundred twenty-four articles met the initial inclusion criteria. From these, only 6 remained. The mean posttreatment follow-up time was 2.5 years (SD = 1.04). The overbite showed a standardized mean relapse of − 1.23 mm (95% CI − 1.64, − 0.81, p < 0.0001). Maxillary and mandibular incisors presented a non-significant mean relapse, U1-PP − 0.04 mm (95% CI − 0.55, 0.48) and L1-MP − 0.10 mm (95% CI − 0.57, 0.37). Molar intrusion showed a relapse rate around 12% for the maxillary molars and a 27.2% for mandibular molars.
    [Show full text]
  • Important Message
    WE INTERRUPT YOUR REGULARLY SCHEDULED PROGRAM FOR AN IMPORTANT MESSAGE Q1 2018 inside this Disrupted: edition... New Rules for a New Type of Customer By Angela Weber, CMO OrthoSynetics Page 34 BUSINESS PRACTICE & DEVELOPMENT TRAVEL & LEISURE CLINICAL CORNER 18 15 37 From the Rear View Mirror Pro Travel Tips High Frequency Vibration Can BY DR. COURTNEY DUNN BY PROORTHO STAFF Reduce or Eliminate Pain During Aligner Treatment 30 20 BY DR. JONATHAN L. NICOZISIS Traveling to the Greek Islands New Gaidge CEO BY DR. DANIELA LOEBL INTERVIEW WITH RYAN MOYNIHAN 32 OFFICE LOGISTICS 34 Traveling to Peru Disrupted: New Rules for a New BY DR. DAVID WALKER 56 Type of Customer Beyond Reminders: BY ANGELA WEBER, CMO ORTHOSYNETICS 40 Tapping the Potential of Texting Traveling to Spain BY DR. KEITH DRESSLER 44 BY DR. DAVID MAJERONI What Would You Do If an Aligner 46 Store Opened Down the Street? ORTHOPUNDIT.COM BY DR. JENNIFER EISENHUTH Traveling to Europe BY DR. BEN BURRIS & BRIDGET BURRIS 09 MARKETING/ H.R. INSIGHT Don't Piss Momma Off! SOCIAL MEDIA BY DR. BEN BURRIS 05 28 24 Go High or Go Low - Just Don't Get Utilize Group Interviews To Made to Measure: Stuck in the Middle Maximize Hiring Success The Dubious Relationship Between BY DR. LEON KLEMPNER AND AMY EPSTEIN, BY BRIDGET BURRIS Eugenics and Orthodontics MBA ANSWERS FROM THE BY DR. MARC ACKERMAN 52 EDGE 59 5 Keys to Capturing the Fastest The Economy Is Booming – Why Growing Referral Source 10 Isn’t Your Practice? BY NICK DUNCAN Interviews with Dr. Jeff Kozlowski BY DR.
    [Show full text]
  • Distalization of the Mandibular Dentition with Mini-Implants to Correct a Class III Malocclusion with a Midline Deviation
    CASE REPORT Distalization of the mandibular dentition with mini-implants to correct a Class III malocclusion with a midline deviation Kyu-Rhim Chung,a Seong-Hun Kim,b HyeRan Choo,c Yoon-Ah Kook,d and Jason B. Copee Uijongbu and Seoul, Korea, Philadelphia, Pa, and Dallas, Tex This article describes the orthodontic treatment for a young woman, aged 23 years 5 months, with a Class III malocclusion and a deviated midline. Two orthodontic mini-implants (C-implants, CIMPLANT Company, Seoul, Korea) were placed in the interdental spaces between the mandibular second premolars and first mo- lars. The treatment plan consisted of distalizing the mandibular dentition asymmetrically and creating space for en-masse retraction of the mandibular anterior teeth. C-implants were placed to provide anchorage for Class I intra-arch elastics. The head design of the C-implant minimizes gingival irritation during orthodontic treatment. Sliding jigs were applied buccally for distalization of the mandibular posterior teeth. The active treatment period was 18 months. Normal overbite and overjet were obtained, and facial balance was improved. (Am J Orthod Dentofacial Orthop 2010;137:135-46) very orthodontic tooth movement is accompa- patients. Therefore, several authors have attempted to nied by a reaction. This can make it difficult to treat this type of malocclusion by distal tooth movement Ecorrect a malocclusion by using intraoral appli- alone. For example, animal studies and clinical investi- ances alone, especially when complete distal movement gations have used conventional implants as absolute of the mandibular dentition is planned in nonsurgical anchorage2-4 and miniplates for intrusion or distalization Class III malocclusion treatment.
    [Show full text]
  • Upper Anterior Intrusion with Mini-Implants to Correct Anterior Deep Bite in a Periodontally Compromised Class II Malocclusion
    www.medigraphic.org.mx Revista Mexicana de Ortodoncia Vol. 2, No. 2 April-June 2014 pp 105-111 CASE REPORT Upper anterior intrusion with mini-implants to correct anterior deep bite in a periodontally compromised class II malocclusion. Case report Intrusión del segmento anterior superior con miniimplantes para eliminar la mordida profunda anterior en maloclusión clase II con compromiso periodontal. Reporte de un caso Carlos Eder Zamudio López,* Silvia Tavira Fernández§ ABSTRACT RESUMEN The use of mini-implants has revolutioned biomechanics in or- El uso de miniimplantes ha revolucionado la biomecánica de thodontics with better results as far as anchorage is concerned. We la ortodoncia con mejores resultados en cuanto al anclaje se have no limits when using these attachments depending only on refi ere. No hay límites al momento de utilizar estos aditamentos, our imagination. Anterior deep bites in severe class II malocclusion y depende únicamente de nuestra imaginación. Las mordidas patients are a common problem that causes orthodontists to focus profundas en la región anterior son un problema frecuente en therapy in biomechanics to eliminate the problem by extrusion of los pacientes con clase II severa, lo que nos obliga a enfocar posterior teeth or intrusion of the anterior. In this case, we decided nuestra terapéutica en una mecánica a corregir el problema to correct the anterior deep bite by intruding the incisors using as mediante la extrusión de los dientes posteriores, o bien, mediante anchorage two mini-implants. The case was compromised by perio- la intrusión de los dientes anteriores. En este caso, decidimos dontal disease with moderated loss of alveolar bone so we had to corregir la mordida profunda anterior mediante la intrusión de los choose biomechanics with a stable anchorage to achieve our goals.
    [Show full text]
  • Treatment of Class II, Division 2 Malocclusion in Adults: Biomechanical Considerations
    Treatment of Class II, Division 2 Malocclusion in Adults: Biomechanical Considerations FLAVIO URIBE, DDS, MDS RAVINDRA NANDA, BDS, MDS, PHD reatment of Class II malocclusion in adoles- inclined upper central and lower incisors, and Tcents has always relied on growth modifica- labially flared maxillary lateral incisors. These tion. The majority of treatment modalities, such patients also tend to exhibit problems with the as functional appliances, are directed at stopping upper and lower occlusal planes, such as deep or redirecting maxillary growth and simultane- curves of Spee. The soft-tissue drape of the lips ously stimulating mandibular growth.1-3 On the often conforms to the malocclusion, so that the other hand, in adult patients with severe Class II lips may be redundant with a deep mentolabial malocclusions, generally involving extremely sulcus. Because of the deep bite and supraerup- deficient mandibles, orthognathic surgery is tion of the maxillary incisors, the gingival mar- often the only possible treatment. gins of the maxillary anterior teeth are usually Although camouflage may be attempted by malaligned, and the lingually inclined mandibu- extracting premolars, the soft-tissue objectives lar incisors may have excessively high gingival may be impossible to meet. Even so, a recent margins (Fig. 1). study has shown that patient satisfaction with camouflage treatment was similar to that achieved with surgical mandibular advance- ment.4 In Class II patients with mild-to-moderate skeletal discrepancies, dental compensation may well be the treatment of choice. Common treat- ment procedures for such patients include flaring of incisors, interproximal tooth reduction, and extractions. Treatment of an adult Class II patient requires careful diagnosis and a treatment plan involving esthetic, occlusal, and functional con- siderations.5-7 The treatment objectives must include the chief complaint of the patient, and A the mechanics plan should be individualized based on the specific treatment goals.
    [Show full text]
  • Hintzen, Neil Dental Assistant Test Development Project. Final I
    DOCUMENT RESUME ED 287 987 CE 048 596 AUTHOR Laugen, Ronald C.; Hintzen, Neil TITLE Dental Assistant Test Development Project. Final Report. INSTITUTION Florida State Univ., Tallahassee. Center for Instructional Development and Services. SPONS AGENCY Florida State Dept. of Education, Tallahassee. Div. of Vocational, Adult, and Community Education. PUB DATE Aug 86 NOTE 549p. PUB TYPE Reports - Descriptive (141) -- Tests/Evaluation Instruments (160) EDRS PRICE MF02/PC22 Plus Postage. DESCRIPTORS Behavioral Objectives; *Competence; Competency Based Education; *Criterion Referenced Tests; *Dental Assistants; Evaluation Methods; Field Tests; Higher Education; *Performance Tests; Standards; Student Evaluation; Task Analysis; *Test Construction; *Test Items; Test Manuals; Vocational Education IDENTIFIERS Florida State University ABSTRACT A project was conducted to develop two criterion-referenced, multiple-choice tests and a performance test for the dental assistant occupational area. Procedures were recommended for administration of the tests and field test and for revision of the tests. Evaluation experts analyzed the performance standards being tested, drafted test items, reviewed the items, conducted field tests, revised the tests, and finalized the tests and procedures for administering them. (This document contains a report on the drafting of the tests and the following appendixes, which make up the bulk of the document: list of participants, occupational proficiency performance standards, list of competencies, task analysis, item matrices, written tests, and a performance test administration manual.) (KC) , *****************************Wt**#************************************* ,zp , we * Reproductions supplied byi4DRS are the best that can be made * * from the original document. * *********************************************************************** FINAL REPORT for Dental Assistant Test Development Project tp- 7 - 1+0 3-- 3 r5 (A Prepared by: Ronald C. Laugen, Ph.D.
    [Show full text]
  • Sample Chapter from Handbook of Pharmacy Health Education, 2Nd Edition 03Chap3 (Ds) 17/10/00 11:42 Am Page 64
    03chap3 (ds) 17/10/00 11:42 am Page 63 3 Dental healthcare Derrick Garwood It is now reasonable to expect a set of permanent to prevention by the individual is of far greater teeth to last a lifetime. This contrasts starkly with benefit than treatment. the situation only a generation ago, when it was The link between dental caries and diet has widely accepted that teeth would have to be long been recognised. The incidence of dental extracted and replaced by dentures well before caries increased significantly after the seven- old age. teenth century with the greater consumption of Loss of teeth, other than by accident, is caused refined carbohydrates, particularly sugars. The by two different pathological processes: dental prevalence in developing countries has until caries and periodontal disease. Today, these are recently been low compared with western very rarely life-threatening, although dental nations, but is now increasing as western-style treatment may produce adverse effects in suscep- diets are adopted. Conversely, the high preva- tible individuals. Certain pre-existing medical lence in western nations reached a peak in the conditions dramatically increase the risks of 1960s, but is now declining as a result of treatment. For example, haemophiliacs are at risk improved dental health education and the use of of severe haemorrhage after dental procedures. fluoride, especially in fluoride-containing tooth- Subacute bacterial endocarditis may occur in pastes (see Anatomy and morphology below). individuals with a history of rheumatic fever or Surveys were conducted in the UK in 1973, valvular heart disease, as a result of a bacteraemia 1983 and 1993 to assess the dental health of chil- following extractions, calculus removal (scaling), dren.
    [Show full text]
  • Invisalign Treatment Planning Guide 1 Align Technology, Inc
    Table of Contents INTRODUCTION . 2 Getting Quality Clinical Outcomes with Invisalign. 2 Invisalign Applicability . 3 DIAGNOSIS AND TREATMENT OPTIONS 1. Crowding . 4 2. Spacing. 10 3. Narrow Arches . 16 4. Crossbite. 20 5. Deep Bite . 24 6. Open Bite . 28 7. Class II . 32 Invisalign 8. Class III . 38 CLINICAL NOTES Treatment IPR . 5 Tooth Size Discrepancy . 11 Planning Staging . 12 Auxiliary Treatment. 12 Guide Expansion . 17 Attachments. 25 Anchorage . 42 APPENDIX Prescription Form Tips. 44 Glossary . 46 Index. 48 Credits . 54 Invisalign Treatment Planning Guide 1 Align Technology, Inc. Introduction HOW TO USE THIS GUIDE Getting Quality Clinical The guide is organized by patient diagnosis. ABOUT THIS GUIDE Match your patient’s diagnosis to the appropriate Outcomes with Invisalign The goal of this guide is to provide you with a diagnosis decision tree to see some possible treat- decision making tool you can use while selecting ment options. Read the accompanying treatment Successful clinical outcomes with Invisalign and treatment planning your Invisalign cases. notes and evaluate your options given your start with attention to detail during case By outlining typically used Invisalign approaches Invisalign experience level. See Figure A, below. selection and treatment planning. Here are and discussing their complexity and predict- five guidelines for setting up your cases that ABOUT THIS SERIES ability, we hope to make the treatment planning pay great dividends later: This guide is the first in a three-part series options and implications more clear for you of Invisalign patient care references, comple- to evaluate. 1. Submit high quality records. Accurate menting the ClinCheck® Evaluation Guide PVS impressions and clear patient photos and (D4458) and the Invisalign Clinical Monitoring Align Technology is not a provider of medical, radiographs are critical for the creation of your Guide (D4219).
    [Show full text]
  • The Orthodontic Treatment of Class III Malocclusion with Anterior Cross Bite and Severe Deep Bite
    Volume 31 Issue 1 Article 6 2020 The Orthodontic Treatment of Class III Malocclusion with Anterior Cross Bite and Severe Deep Bite Chieh Yang School of Dentistry, College of Dental Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan; Department of Orthodontics, Dental Clinics, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan Yu-Chuan Tseng School of Dentistry, College of Dental Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan; Department of Orthodontics, Dental Clinics, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan, [email protected] Follow this and additional works at: https://www.tjo.org.tw/tjo Part of the Orthodontics and Orthodontology Commons Recommended Citation Yang, Chieh and Tseng, Yu-Chuan (2020) "The Orthodontic Treatment of Class III Malocclusion with Anterior Cross Bite and Severe Deep Bite," Taiwanese Journal of Orthodontics: Vol. 31 : Iss. 1 , Article 6. DOI: 10.30036/TJO.201903_31(1).0006 Available at: https://www.tjo.org.tw/tjo/vol31/iss1/6 This Case Report is brought to you for free and open access by Taiwanese Journal of Orthodontics. It has been accepted for inclusion in Taiwanese Journal of Orthodontics by an authorized editor of Taiwanese Journal of Orthodontics. Case Report THE ORTHODONTIC TREATMENT OF CLASS III MALOCCLUSION WITH ANTERIOR CROSS BITE AND SEVERE DEEP BITE Chieh Yang, Yu-Chuan Tseng School of Dentistry, College of Dental Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan Department of Orthodontics, Dental Clinics, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan This 22-year-old female presents with skeletal Class III malocclusion, complicated by anterior cross bite, deep bite, and congenital missing of bilateral mandibular second premolars. The treatment modality was full- mouth fixed edgewise appliances.
    [Show full text]
  • Correcting Posterior Crossbites Complicated by Class III Malocclusions (A New Technique) Suhail A
    Dental, Oral and Craniofacial Research Research Article ISSN: 2058-5314 Correcting posterior crossbites complicated by class III malocclusions (A new technique) Suhail A. Khouri* Orthodontist, Ballwin, Missouri, USA Abstract TThe objective of this study is to introduce a simplified alternative approach to the current modality used in posterior crossbites correction. It is believed that the interlocking relation of posterior teeth cusps, prevents transverse forces of the palatal expanders from eliciting the desired movement, rendering the crossbite correction an oranous task for orthodontists. Thus eliminating this cuspal blockage constitutes a key step to developing a simpler approach for correction. This diagnostic concept has lead the way to formulating an alternative, and clinically convenient treatment technique that not only corrects posterior crossbites, but also effectively corrects the often coexisting class III malocclusion simultaneously. Building composite bite raisers on mandibular posterior teeth, along with the intrusive effects of the V-Bends on super elastic wires, disengage the blocked cusps of posterior teeth, stop the patient’s mandibular shifted occlusion making any transverse corrective forces more effective in moving the malposed teeth segments. This methodical and clinically applicable technique utilizes a solid force system that delivers expanding / constricting mechanics acting on buccal, rather than the palatal sides of posterior teeth, launched by placing lasting intraoral V-Bends on super elastic archwires, using the Bendistal Pliers*. Whereas these V-Bends create light and consistent, apically directed forces on both, mandibular and maxillary anterior teeth to intrude and disengage them for the class III correction, an equal and opposite side effect forces intrudes and disengages posterior teeth cusps helping the correction of posterior crossbites in the same time.
    [Show full text]
  • ORAL CARE for PEOPLE with HEMOPHILIA OR a HEREDITARY BLEEDING TENDENCY Second Edition
    TREATMENT OF HEMOPHILIA April 2008 · No. 27 ORAL CARE FOR PEOPLE WITH HEMOPHILIA OR A HEREDITARY BLEEDING TENDENCY Second edition Crispian Scully UCL Eastman Dental Institute London, U.K. Pedro Diz Dios University of Santiago de Compostela Spain Paul Giangrande Haemophilia Centre, Churchill Hospital Oxford, U.K. Published by the World Federation of Hemophilia (WFH), 2002; revised 2008. © Copyright World Federation of Hemophilia, 2008 The WFH encourages redistribution of its publications for educational purposes by not-for-profit hemophilia organizations. In order to obtain permission to reprint, redistribute, or translate this publication, please contact the Programs and Education Department at the address below. This publication is accessible from the World Federation of Hemophilia’s eLearning Platform at eLearning.wfh.org Additional copies are also available from the WFH at: World Federation of Hemophilia 1425 René Lévesque Boulevard West, Suite 1010 Montréal, Québec H3G 1T7 CANADA Tel. : (514) 875-7944 Fax : (514) 875-8916 E-mail: [email protected] Internet: www.wfh.org The Treatment of Hemophilia series is intended to provide general information on the treatment and management of hemophilia. The World Federation of Hemophilia does not engage in the practice of medicine and under no circumstances recommends particular treatment for specific individuals. Dose schedules and other treatment regimes are continually revised and new side-effects recognized. WFH makes no representation, express or implied, that drug doses or other treatment recommendations in this publication are correct. For these reasons it is strongly recommended that individuals seek the advice of a medical adviser and/or to consult printed instructions provided by the pharmaceutical company before administering any of the drugs referred to in this monograph.
    [Show full text]
  • Simultaneous Intrusion and Distalization Using Miniscrews in the Maxillary Tuberosity
    ©2016 JCO, Inc. May not be distributed without permission. www.jco-online.com Simultaneous Intrusion and Distalization Using Miniscrews in the Maxillary Tuberosity VICENTE JAVIER SADA GARRALDA, DDS, MSD ini-implants can be used to manage severe results, including such demanding movements as Mdental crowding without extractions and to intrusion and arch expansion or narrowing.11-13 correct minor jaw malpositions without ortho- In an open-bite case with a mild skeletal gnathic surgery,1-4 eliminating the need for extra- Class II pattern and excessive lower facial height, oral anchorage and patient cooperation. Intruding traction from both upper and lower mini-implants the posterior segments to correct an open bite by can improve the efficiency of orthodontic treat- mandibular autorotation—traditionally difficult to ment. Another possibility is to use simultaneous achieve without extruding the incisors—is now traction from the maxillary tuberosity and the possible with skeletal anchorage. maxillary anterior region to intrude and distalize In this method of treatment, if miniscrews the upper teeth, as described in this article. are placed in interradicular spaces, the buccal teeth cannot be distalized because the implants will act Placement Procedure as stops. If they are placed in the palate, a device can be used to generate intrusive or distalizing When a mini-implant is placed in the maxil- forces on the posterior teeth without interference lary tuberosity, any lack of primary stability will from the mini-implants,5-7 but there are other dis- require relocation of the implant to an area with advantages: the risk of perforating the nasal cav- better bone.
    [Show full text]