Comprehensive Orthodontic Cases (Children and Adults Treated with Braces)
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Treatment Options for Jaw Growth Variations
TREATMENT OPTIONS FOR JAW GROWTH VARIATIONS An Editorial by Robert M. Mason, DMD, PhD PROBLEMS OF OVERGROWTH OF A JAW: It is well known among orthodontists that where there is a growth process involving overgrowth of a jaw, the rule is that growth should be allowed to proceed and then treat the situation after growth has ceased. The reason for this is that growth cannot be effectively stopped or otherwise modified to the extent that jaw growth can be overpowered; that is, “Mother Nature” is smarter than any of us in dentistry. What can be accomplished with an overgrowth of a jaw, however, is orthodontic “remodeling” of some of the parts which are expressing overgrowth. An example is a Class III “growing” mandible. Functional appliances, such as the Frankel or Bionator, can influence the shape of the growing mandible by remodeling, which may give the appearance of manipulating growth, while instead, long-term studies show that such jaw shape changes are only temporary. Over time, the overgrowth pattern returns. Hence, the orthodontic caveat: it is best to let a mandible grow to its full extent and then treat it either by a combination of jaw surgery and orthodontics, or orthodontics alone which may amount to “camouflaging” the problem. What happens dentally in the example of overgrowth of the mandible is that in an attempt for the body to try to maintain dental contacts, the lower incisors tip lingually and the upper incisors tip labially (facially) in an attempt to maintain anterior dental contact relationships as lower jaw growth continues. If the treatment decision is to try to correct the problem with orthodontics alone, Class III elastics would be used along with orthodontic fixed appliances to maintain the lingual tipping and maxillary flaring of incisors. -
Oral Diagnosis: the Clinician's Guide
Wright An imprint of Elsevier Science Limited Robert Stevenson House, 1-3 Baxter's Place, Leith Walk, Edinburgh EH I 3AF First published :WOO Reprinted 2002. 238 7X69. fax: (+ 1) 215 238 2239, e-mail: [email protected]. You may also complete your request on-line via the Elsevier Science homepage (http://www.elsevier.com). by selecting'Customer Support' and then 'Obtaining Permissions·. British Library Cataloguing in Publication Data A catalogue record for this book is available from the British Library Library of Congress Cataloging in Publication Data A catalog record for this book is available from the Library of Congress ISBN 0 7236 1040 I _ your source for books. journals and multimedia in the health sciences www.elsevierhealth.com Composition by Scribe Design, Gillingham, Kent Printed and bound in China Contents Preface vii Acknowledgements ix 1 The challenge of diagnosis 1 2 The history 4 3 Examination 11 4 Diagnostic tests 33 5 Pain of dental origin 71 6 Pain of non-dental origin 99 7 Trauma 124 8 Infection 140 9 Cysts 160 10 Ulcers 185 11 White patches 210 12 Bumps, lumps and swellings 226 13 Oral changes in systemic disease 263 14 Oral consequences of medication 290 Index 299 Preface The foundation of any form of successful treatment is accurate diagnosis. Though scientifically based, dentistry is also an art. This is evident in the provision of operative dental care and also in the diagnosis of oral and dental diseases. While diagnostic skills will be developed and enhanced by experience, it is essential that every prospective dentist is taught how to develop a structured and comprehensive approach to oral diagnosis. -
Elastics and Elastomeric in Orthodontics Practice REVIEW ARTICLE
IJPCDR Elastics and Elastomeric in Orthodontics Practice REVIEW ARTICLE Elastics and Elastomeric in Orthodontics Practice 1Sagar Mapare, 2Kanish Bansal, 3Ranjit Pawar, 4Richa Mishra, 5Ashutosh Sthapak, 6Sayed F Khadri ABSTRACT provides the clinician with the ability to correct both Elastics and elastomeric are an important part of orthodontic anteroposterior and vertical discrepancies. treatment with patients’ cooperation; they are used for Both natural rubber and synthetic elastomers are correction of anteroposterior and vertical discrepancies; there widely used in orthodontic therapy. Naturally produced are many types of elastics placement in relation with treatment latex elastics are used in the Begg technique to provide requirements. Elastics can be classified in many ways: intermaxillary traction and intramaxillary forces. Syn- according to the material, their availability, their uses, and force. Elastomer is a general term that encompasses materials that, thetic elastomeric materials in the form of chains find their after substantial deformation, rapidly return to their original greatest application with edgewise mechanics where they dimensions. Natural rubber is the first known elastomeric, are used to move the teeth along the arch wire. used by the ancient Incan and Mayan civilizations. Rubber-like The links of chain fit firmly under the wings of an materials that are made from chemicals were called synthetic edgewise bracket so that chain elastomers also serve to rubber because they were intended as substitutes for natural rubber. replace metal as the ligating force that holds the arch The types of elastic based on their use are class I, II, III, wire to the teeth. Since they are so positively located on palatal, lingual, cross, etc. -
Therapeutic Management of Patients with Class III Skeletal Malocclusion
Szpyt Justyna, Gębska Magdalena. Therapeutic management of patients with class III skeletal malocclusion. Mandibular prognathism, maxillary retrognathism – a case report. Journal of Education, Health and Sport. 2019;9(5):20-31. eISSN 2391-8306. DOI http://dx.doi.org/10.5281/zenodo.2656446 http://ojs.ukw.edu.pl/index.php/johs/article/view/6872 https://pbn.nauka.gov.pl/sedno-webapp/works/912455 The journal has had 7 points in Ministry of Science and Higher Education parametric evaluation. Part B item 1223 (26/01/2017). 1223 Journal of Education, Health and Sport eISSN 2391-8306 7 © The Authors 2019; This article is published with open access at Licensee Open Journal Systems of Kazimierz Wielki University in Bydgoszcz, Poland Open Access. This article is distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium, provided the original author (s) and source are credited. This is an open access article licensed under the terms of the Creative Commons Attribution Non commercial license Share alike. (http://creativecommons.org/licenses/by-nc-sa/4.0/) which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited. The authors declare that there is no conflict of interests regarding the publication of this paper. Received: 15.04.2019. Revised: 25.04.2019. Accepted: 01.05.2019. Therapeutic management of patients with class III skeletal malocclusion. Mandibular prognathism, maxillary retrognathism – a case report Justyna Szpyt1, Magdalena Gębska2 1. Physiotherapy student, Faculty of Health Sciences, Pomeranian Medical University in Szczecin. -
Pan Imaging News V3 I4
Volume 4, Issue 4 US $6.00 Editor: Allan G. Farman, BDS, PhD (odont.), Assessing Growth and Development with Panoramic DSc (odont.), Diplomate of the Radiographs and Cephalometric Attachments: A critical American Board of Oral and Maxillofacial Radiology, Professor of tool for dental diagnosis and treatment planning Radiology and Imaging Sciences, Department of Surgical and Hospital By Dr. Allan G. Farman Dentistry, The University of It is recommended that radio- indicator of age is that the three Louisville School of Dentistry, graphs be made periodically including permanent molar teeth in each quad- Louisville, KY. both during the mixed dentition (8-9 rant erupt approximately at six-year year old) and adolescence (12-14 year intervals. The first permanent molar Featured Article: old) to evaluate growth and develop- erupts around 6 years, the second Assessing Growth and Development ment, and to look for asymptomatic permanent molar around 12 years, and with Panoramic Radiographs and dental disease [1-3]. Substantial the third molars around 18 years. Root Cephalometric Attachments: A critical differences in the assessed biological formation for permanent teeth is tool for dental diagnosis and and the known chronological age can completed roughly three years following treatment planning be indicators of a variety of inherited eruption. The first major attempt at and congenital conditions. Further, local developing a chronology for human In The Recent Literature: failure in dental eruption within the tooth development was that of Logan normal time range can be evidence of and Kronfeld (1933) and with minor Implantology dental impaction and possibly of a modification is still usable as a rough pathological process such as a hamar- and ready guide. -
Maxillary Protraction with Miniplates Providing Skeletal Anchorage in a Growing Class III Patient
CASE REPORT Maxillary protraction with miniplates providing skeletal anchorage in a growing Class III patient Bong-Kuen Cha,a Dong-Soon Choi,b Peter Ngan,c Paul-Georg Jost-Brinkmann,d Soung-Min Kim,e and In-san Jangf Gangneung and Seoul, South Korea, Morgantown, WVa, and Berlin, Germany Maxillary protraction headgear has been used in the treatment of Class III malocclusion with maxillary de- ficiency. However, loss of dental anchorage has been reported with tooth-borne anchorage such as lingual arches and expansion devices. This side effect can be minimized with skeletal anchorage devices such as implants, onplants, mini-implants, and miniplates. The use of miniplates for maxillary protraction in the mixed dentition has not been reported in the literature. This case report describes the treatment of an 8-year-old girl with a Class III malocclusion and maxillary deficiency. Miniplates were used as skeletal an- chorage for maxillary protraction followed by phase 2 orthodontic treatment with fixed appliances. Skeletal, dental, and facial changes in response to orthopedic and orthodontic treatment are reported to illustrate the esthetics, function, and stability of treatment with this new technique. (Am J Orthod Dentofacial Orthop 2011;139:99-112) axillary protraction headgear has been used in loss of anchorage, especially when preservation of arch Mthe treatment of Class III patients with maxillary length is necessary, and the inability to apply orthopedic retrusion. Clinical studies have shown that 2 to force to the maxilla directly. Many investigators have 4 mm of maxillary advancement can be obtained with 8 attempted to design an absolute anchorage system for to 12 months of maxillary protraction. -
Non-Surgical Treatment of an Adult Class III Malocclusion Patient with Facial Asymmetry by Unilateral Mandibular Arch Distalization
Volume 29 Issue 2 Article 4 2017 Non-surgical Treatment of an Adult Class III Malocclusion Patient with Facial Asymmetry by Unilateral Mandibular Arch Distalization Chi-Yu Tsai Department of Orthodontics, Kaohsiung Chang Gung Memorial Hospital, Chang Gung University College of Medicine, Kaohsiung, Taiwan Shiu-Shiung Lin Department of Orthodontics, Kaohsiung Chang Gung Memorial Hospital, Chang Gung University College of Medicine, Kaohsiung, Taiwan Yi-Hao Lee Department of Orthodontics, Kaohsiung Chang Gung Memorial Hospital, Chang Gung University College of Medicine, Kaohsiung, Taiwan Li-Tyng Sun Department of Orthodontics, Kaohsiung Chang Gung Memorial Hospital, Chang Gung University College of Medicine, Kaohsiung, Taiwan Yu-Jen Chang Department of Orthodontics, Kaohsiung Chang Gung Memorial Hospital, Chang Gung University College Fofollow Medicine, this and Kaohsiung, additional T aiwanworks at: https://www.tjo.org.tw/tjo Part of the Orthodontics and Orthodontology Commons See next page for additional authors Recommended Citation Tsai, Chi-Yu; Lin, Shiu-Shiung; Lee, Yi-Hao; Sun, Li-Tyng; Chang, Yu-Jen; and Wu, Te-Ju (2017) "Non-surgical Treatment of an Adult Class III Malocclusion Patient with Facial Asymmetry by Unilateral Mandibular Arch Distalization," Taiwanese Journal of Orthodontics: Vol. 29 : Iss. 2 , Article 4. DOI: 10.30036/TJO.201706_29(2).0004 Available at: https://www.tjo.org.tw/tjo/vol29/iss2/4 This Case Report is brought to you for free and open access by Taiwanese Journal of Orthodontics. It has been accepted for inclusion -
Orthodontic Treatment of a Patient with Duchenne Muscular Dystrophy and Macroglossia: How Informed Consent Was Critical to Success
CASE REPORT Orthodontic treatment of a patient with Duchenne muscular dystrophy and macroglossia: How informed consent was critical to success James R. Miller Golden Valley and Minneapolis, Minn This article describes the complex orthodontic treatment of a 22-year-old patient with Duchenne muscular dys- trophy and macroglossia. His orthodontic treatment hinged on providing proper informed consent and manage- ment of the malocclusion with glossectomy, extractions, fixed appliances, and elastics. Challenges to traditional treatment are outlined, and compromises to both process and outcome are discussed from an informed consent point of view because of the serious risks involved. The treatment objectives were met, and the outcome was considered a success. (Am J Orthod Dentofacial Orthop 2013;144:890-8) he purpose of this article is to describe the ortho- past medical history was remarkable for Duchenne Tdontic treatment of a 22-year-old man with muscular dystrophy and an allergy to Augmentin. He Duchenne muscular dystrophy and macroglossia. did not have a tracheostomy tube. He was unable to He used a power wheelchair that he controlled with a voluntarily lift his arms and relied on caregivers for joystick, and some aspects of diagnosis and treatment oral hygiene. The clinical examination and initial photo- were adapted to address his needs and abilities. I report graphic montage (Fig 1) in full occlusion showed gener- here the treatment we provided, including the compro- alized excessive buccal crown torque with an anterior mises that were made and the problems that arose. I open bite of 8 to 10 mm and a posterior open bite of discuss the patient's treatment based on his wishes 0 to 12 mm. -
Relationship Between Skeletal Class II and Class III Malocclusions with Vertical Skeletal Pattern
original article Relationship between skeletal Class II and Class III malocclusions with vertical skeletal pattern Sonia Patricia Plaza1, Andreina Reimpell1, Jaime Silva1, Diana Montoya1 DOI: https://doi.org/10.1590/2177-6709.24.4.063-072.oar Objective: The purpose of this study was to establish the association between sagittal and vertical skeletal patterns and assess which cephalometric variables contribute to the possibility of developing skeletal Class II or Class III malocclusion. Methods: Cross-sec- tional study. The sample included pre-treatment lateral cephalogram radiographs from 548 subjects (325 female, 223 male) aged 18 to 66 years. Sagittal skeletal pattern was established by three different classification parameters (ANB angle, Wits and App-Bpp) and vertical skeletal pattern by SN-Mandibular plane angle. Cephalometric variables were measured using Dolphin software (Imaging and Management Solutions, Chatsworth, Calif, USA) by a previously calibrated operator. The statistical analysis was carried out with Chi-square test, ANOVA/Kruskal-Wallis test, and an ordinal multinomial regression model. Results: Evidence of associa- tion (p < 0.05) between sagittal and vertical skeletal patterns was found with a greater proportion of hyperdivergent skeletal pattern in Class II malocclusion using three parameters to assess the vertical pattern, and there was more prevalent hypodivergence in Class III malocclusion, considering ANB and App-Bpp measurements. Subjects with hyperdivergent skeletal pattern (odds ratio [OR]=1.85- 3.65), maxillary prognathism (OR=2.67-24.88) and mandibular retrognathism (OR=2.57-22.65) had a significantly (p < 0.05) greater chance of developing skeletal Class II malocclusion. Meanwhile, subjects with maxillary retrognathism (OR=2.76-100.59) and man- dibular prognathism (OR=5.92-21.50) had a significantly (p < 0.05) greater chance of developing skeletal Class III malocclusion. -
The National Dental Practice-Based Research Network Adult Anterior
ORIGINAL ARTICLE The National Dental Practice-Based Research Network Adult Anterior Open Bite Study: Treatment recommendations and their association with patient and practitioner characteristics Greg Huang,a Camille Baltuck,b Ellen Funkhouser,c Hsuan-Fang (Cathy) Wang,a,d Lauren Todoki,a Sam Finkleman,a Peter Shapiro,a Roozbah Khosravi,a Hsiu-Ching (Joanna) Ko,a Geoffrey Greenlee,a Jaime De Jesus-Vinas,e Michael Vermette,f Matthew Larson,g Calogero Dolce,h Chung How Kau,i and David Harnick,j and the National Dental Practice-Based Research Network Collaborative Groupk Seattle, Wash, Portland, Ore, Birmingham, Ala, Taipei, Taiwan, San Juan, PR, Concord, NH, Eau Claire, Wis, Gainesville, Fla, and Albuquerque, NM Introduction: This aim of this paper is to describe and identify the practitioner and patient characteristics that are associated with treatment recommendations for adult anterior open bite patients across the United States. Methods: Practitioners and patients were recruited within the framework of the National Dental Practice-Based Research Network. Practitioners were asked about their demographic characteristics and their treatment recommendations for these patients. The practitioners also reported on their patients' dentofacial characteristics and provided initial cephalometric scans and intraoral photographs. Patients were asked about their demographic characteristics, previous orthodontic treatment, and goals for treatment. Four main treatment groups were evaluated: aligners, fixed appliances, temporary anchorage devices (TADs), and orthognathic surgery. Extractions were also investigated. Predictive multivariable models were created comparing various categories of treatment as well as extraction/nonextraction decisions. Results: Ninety-one practitioners (mostly orthodontists) and 347 patients were recruited from October 2015 to December 2016. Increased aligner recommendations were associated with white and Asian patients, the presence of tongue habits, and female practitioners. -
Granular Cell Tumour of the Tongue in a 17Yearold Orthodontic Patient: A
bs_bs_banner Oral Surgery ISSN 1752-2471 CASE REPORT Granular cell tumour of the tongue in a 17-year-old orthodontic patient: a case report P.Hita-Davis1, P.Edwards2, S. Conley3 & T.J.Dyer4 1Oral Maxillofacial Surgery, School of Dentistry, Ann Arbor, MI, USA 2Department of Oral Pathology,Medicine and Radiology, Indiana University, Indianapolis, IN, USA 3Department of Orthodontics and Pediatric Dentistry, University of Michigan, Ann Arbor, MI, USA 4Oral Surgery, Boston University, Boston, MA, USA Key words: Abstract cyst, diagnosis, examination To describe the clinical presentation of a granular cell tumour (GCT) in an Correspondence to: orthodontic patient, as well as discuss its aetiology and treatment of Dr P Hita-Davis choice. We present a case of GCT of the tongue in an otherwise healthy Oral Maxillofacial Surgery 17-year-old male patient along with a brief review of literature on GCTs. School of Dentistry The lesion was surgically excised and orthodontic treatment was success- 1011 N. University Avenue Ann Arbor, MI 48109 fully finalised. Clinically, GCTs are indistinguishable from other benign USA connective tissue and neural tissue neoplasms and may be found in any Tel.:+1 734 764 1542 site, with cases commonly involving the gastrointestinal system, breast Fax: +1 734 615 8399 and lung. However, over 50% of cases involve the head and neck, with email: [email protected] the tongue being the most frequently involved site (65–85% of oral GCTs). GCTs demonstrate a close anatomical relationship with peripheral Accepted: 6 June 2013 nerve fibres and demonstrate the presence of myelin and axon-like doi:10.1111/ors.12055 structures thus lending credence to their neural origin. -
Understanding Anchorage in Orthodontics-Review Article
Open Access Journal of Dentistry & Oral Disorders Review Article Understanding Anchorage in Orthodontics-Review Article Nahidh M1*, Al Azzawi AM2 and Al-Badri SC3 1Department of Orthodontics, College of Dentistry, Abstract University of Baghdad, Iraq Before starting active treatment of any orthodontic case, anchorage must 2Department of POP, College of Dentistry, University of be planned well to get rid of the problems that might accompanied the treatment Babylon, Iraq procedures. This article reviewed the anchorage from all aspects starting from 3Specialist Orthodontist, Ministry of Health, Baghdad, the definition, sources, types, planning, anchorage loss and how to avoid it. Iraq *Corresponding author: Mohammed Nahidh, Department of Orthodontics, College of Dentistry, University of Baghdad, Iraq Received: September 10, 2019; Accepted: October 23, 2019; Published: October 30, 2019 Definition • Mandibular symphysis According to the third law of Newton, for every action there • Back of the neck (cervical bone) is a reaction equals in amount and opposite in direction. This can A. Intra-oral sources of anchorage be applied in orthodontics simply when retracting canine against posterior teeth. The expected thing is distalization of the canine in the Teeth: In orthodontics, teeth themselves are the most frequently first premolar extraction site against mesial (forward) movement of used anchorage unit to resist unwanted movement. Forces can be the posterior teeth which called anchorage unit. exerted from one set of teeth to move certain other teeth. Many factors related to the teeth can influence the anchorage like: the root According to Graber [1], the term anchorage is referred as “the form, the size (length) of the roots, the number of the roots, the nature and degree of resistance to displacement offered by an anatomic anatomic position of the teeth, presence of ankylosed tooth, the axial unit when used for the purpose of affecting tooth movement”, while inclination of the teeth, root formation, contact points of teeth and Gardiner et al.