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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. -
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. -
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. -
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. -
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. -
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. -
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. -
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). -
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. -
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. -
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. -
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.