Open Bite Malocclusion: an Overview
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International Magazine of Orthodontics 22017
orthoissn 1868-3207 Vol. 2 • Issue 2/2017 international magazine of orthodontics 22017 technique Tongue star 2 (TS2) – System for rapid open bite closure case report Use of diode laser in the treatment of gingival enlargement during orthodontic treatment industry report Sensorimotor training with RehaBite during orthodontic treatment 4th ORTHOCAPS® SYMPOSIUM 1 & 2 DECEMBER 2017 MUNICH, GERMANY Hotel Vier Jahreszeiten Kempinski, Munich Attendance fee: 299€ (includes 19% VAT) Registration fee includes: - Lunch and coffee breaks - Get together on Friday Course Language: English, simultaneous French translation available GUEST SPEAKERS BOLDT, Florian - Germany FARINA, Achille - Italy FERNANDEZ, Enrique - Spain Symbiosis and Uses of 3D Six Keys to Successful My Experience with Techniques in Daily Practice Treatments with Orthocaps® Orthocaps® KALIA, Sonil - United Kingdom ROLLET, Daniel - France SOREL, Olivier - France WILMES, Benedict - Germany Bio-mechanical Principles with Functional Occlusion Smile Design & Stripping Expanding the Horizons of Orthocaps® and Aligners, Why Orthocaps®? Essentials Aligner Therapy with TADs Ortho Caps GmbH, An der Bewer 8, Hamm 59069 Tel: +49 (0) 2385 92190 Fax: +49 (0) 2385 9219080 Email: [email protected] www.orthocaps.de editorial Dear readers, When I began working in the field of orthodontics (in the Middle Ages!), it was very differ- ent from what I encounter today in my daily practice. This is normal: with the progression of research on biology, biomechanics and biomaterials, as well as with the development of the technology, results have increasingly been improving, as have treatment times, aesthe tics and patient comfort. There is another important aspect too that has completely changed our way of working: Prof. -
Medically Necessary Orthodontic Treatment – Dental
UnitedHealthcare® Dental Coverage Guideline Medically Necessary Orthodontic Treatment Guideline Number: DCG003.08 Effective Date: November 1, 2020 Instructions for Use Table of Contents Page Related Medical Policy Coverage Rationale ....................................................................... 1 • Orthognathic (Jaw) Surgery Definitions ...................................................................................... 1 Applicable Codes .......................................................................... 3 Description of Services ................................................................. 3 References ..................................................................................... 3 Guideline History/Revision Information ....................................... 4 Instructions for Use ....................................................................... 4 Coverage Rationale Orthodontic treatment is medically necessary when the following criteria have been met: All services must be approved by the plan; and The member is under the age 19 (through age 18, unless the member specific benefit plan document indicates a different age); and Services are related to the treatment of a severe craniofacial deformity that results in a physically Handicapping Malocclusion, including but not limited to the following conditions: o Cleft Lip and/or Cleft Palate; o Crouzon Syndrome/Craniofacial Dysostosis; o Hemifacial Hypertrophy/Congenital Hemifacial Hyperplasia; o Parry-Romberg Syndrome/Progressive Hemifacial Atrophy; -
Research Article
z Available online at http://www.journalcra.com INTERNATIONAL JOURNAL OF CURRENT RESEARCH International Journal of Current Research Vol. 10, Issue, 07, pp.71222-71228, July, 2018 ISSN: 0975-833X RESEARCH ARTICLE THE TONGUE SPEAKS A LOT OF HEALTH. 1,*Dr. Firdous Shaikh, 2Dr. Sonia Sodhi, 3Dr Zeenat Fatema Farooqui and 4Dr. Lata Kale 1PG Student, Department of Oral Medicine and Radiology, CSMSS Dental College and Hospital, Aurangabad 2Professor, Department of Oral Medicine and Radiology, CSMSS Dental College and Hospital, Aurangabad 3Fatema Farooqui, Chief Medical Officer, Sri Ram Homeopathic Clinic and Research Center, Solapur 4Professor and Head, Department of Oral Medicine and Radiology, CSMSS Dental College and Hospital, Aurangabad ARTICLE INFO ABSTRACT Article History: Multifunctional organ of the human body without a bone yet strong is the tongue. It mainly consists Received 26th April, 2018 of the functional portion of muscle mass, mucosa, fat and the specialized tissue of taste i.e. the Received in revised form papillae. Diseases may either result from internal/ systemic causes of extrinsic causes like trauma, 14th May, 2018 infection, etc. A new method for classification has been proposed in this review for diseases of Accepted 09th June, 2018 tongue. This review mainly focuses on encompassing almost each aspect that the body reflects via its th Published online 30 July, 2018 mirror in mouth, the tongue. Key Words: Tongue, Diseases of Tongue, Discoloration of Tongue, Oral health, Hairy Tongue. Copyright © 2018, Firdous Shaikh et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. -
Medical Science 2321–7367
ANALYSISANALYSIS ARTICLE 24(106), November - December, 2020 ISSN 2321–7359 EISSN Medical Science 2321–7367 Diagnostic value of five cephalometric analysis in recognition of class I, II, and III sagittal patterns Abdolmohammad Gachkooban1, Mina Moalemnia2 1Assistant Professor, Department of Orthodontics, School of Dentistry, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran. 2Graduate Resident, Department of Restorative Dentistry, School of Dentistry, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran Corresponding author Department of Restorative Dentistry, School of Dentistry, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran. Email: [email protected] Article History Received: 21 September 2020 Reviewed & Revised: 22/September/2020 to 31/October/2020 Accepted: 31 October 2020 E-publication: 10 November 2020 P-Publication: November - December 2020 Citation Abdolmohammad Gachkooban, Mina Moalemnia. Diagnostic value of five cephalometric analysis in recognition of class I, II, and III sagittal patterns. Medical Science, 2020, 24(106), 4116-4124 Publication License This work is licensed under a Creative Commons Attribution 4.0 International License. General Note Article is recommended to print as color digital version in recycled paper. ABSTRACT Background and Objective: Controversy exists over superiority of cephalometric analyses in diagnosis of skeletal classes. The aim of the present study was to compare diagnostic value of cephalometric analyses of class I, II, III anteroposterior jaw discrepancies. 4116 Materials and methods: A total of 90 cephalographs (n=90×3) were retrieved from the database of radiological clinic and classified into three study groups: Group I (Class I, n=30), Group II (Class II, n=30), and Group III (Class III, n=30). The cephalographs were Page traced manually. -
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. -
Disease/Medical Condition
Disease/Medical Condition HYPOTHYROIDISM Date of Publication: January 27, 2017 (also known as “underactive thyroid disease”; includes congenital hypothyroidism [also known as “neonatal hypothyroidism”] and Hashimoto’s thyroiditis [also known as “autoimmune thyroiditis”]; may manifest as “cretinism” [if onsets during fetal or early life; also known as “congenital myxedema”] or “myxedema” [if onset occurs in older children and adults]) Is the initiation of non-invasive dental hygiene procedures* contra-indicated? No. ◼ Is medical consult advised? – Yes, if previously undiagnosed hypothyroidism or enlarged (or shrunken) thyroid gland is suspected1, in which case the patient/client should see his/her primary care physician. Detection early in childhood can prevent permanent intellectual impairment. – Yes, if previously diagnosed hypothyroidism is suspected to be undermedicated (with manifest signs/symptoms of hypothyroidism) or overmedicated (with manifest signs/symptoms of hyperthyroidism2), in which case the patient/client should see his/her primary care physician or endocrinologist. Major stress or illness sometimes necessitates an increase in prescribed thyroid hormone. Is the initiation of invasive dental hygiene procedures contra-indicated?** Possibly, depending on the certainty of diagnosis and level of control. ◼ Is medical consult advised? – See above. ◼ Is medical clearance required? – Yes, if undiagnosed or severe hypothyroidism is suspected. ◼ Is antibiotic prophylaxis required? – No. ◼ Is postponing treatment advised? – Yes, if undiagnosed hypothyroidism is suspected (necessitating medical assessment/management) or severe hypothyroidism is suspected (necessitating urgent medical assessment/management in order to avoid risk of myxedema coma). In general, the patient/client with mild symptoms of untreated hypothyroidism is not in danger when receiving dental hygiene therapy, and the well managed (euthyroid) patient/client requires no special regard. -
Orofacial Myology Is a Specialized Professional Discipline That Evaluates and Treats a Variety Of
What is Orofacial Myology? Orofacial myology is a specialized professional discipline that evaluates and treats a variety of oral and facial (orofacial) muscles, (myo-) postural and functional disorders and oral habits that may disrupt normal dental development and also create cosmetic problems. The principles involved with the evaluation and treatment of orofacial Myofunctional disorders are based upon dental science tenets; however, orofacial Myofunctional therapy is not dental treatment. Myofunctional therapy can be basically described as correcting an oro-facial muscular unbalance, including correction of the position of the tongue at rest and during swallowing. Specific treatments involve establishing and stabilizing normal rest position of the tongue and lips, eliminating deviate (abnormal) oral habits and correcting swallowing patterns when tongue thrusting is involved. Improvements in appearance are observed during and following therapy. What are Myofunctional disorders and how are they corrected? An oral Myofunctional disorder includes a variety of oral habits, postures and functional activities that may open the normal dental bite or may lead to deformation of the dental arches. • Thumb and finger sucking • an open-mouth posture with lips apart • a forward rest posture of the tongue • Tongue thrusting during speaking and swallowing Above mentioned oral habits characterize Myofunctional disorders. Such disorders can lead to a disruption of normal dental development in both children and adults. The consequence of postural and functional variations involving the lips and tongue are associated with dental malocclusion, cosmetic problems, and deformities in the growth of the dental arches. How Prevalent Are Orofacial Myofunctional Disorders (OMD)? Research examining various populations found 38% have orofacial Myofunctional disorders and, as mentioned above, an incidence of 81% has been found in children exhibiting speech/articulation problems. -
Cephalometric and Malocclusion Analysis of Kadazan Dusun Ethnic Orthodontic Patients (Analisis Sefalometrik Dan Maloklusi Pesakit Ortodontik Etnik Kadazan Dusun)
Sains Malaysiana 42(1)(2013): 25–32 Cephalometric and Malocclusion Analysis of Kadazan Dusun Ethnic Orthodontic Patients (Analisis Sefalometrik dan Maloklusi Pesakit Ortodontik Etnik Kadazan Dusun) ROHAYA MEGAT ABDUL WAHAB* HARTINI IDRIS, HABIBAH YACOB & SHAHRUL HISHAM ZAINAL ARIFFIN ABSTRACT The aims of this study were to assess the skeletal pattern and the malocclusion of Kadazan Dusun ethnic patients who seek for orthodontic treatment. Cephalometric radiographs (248) and 345 study models were collected from four orthodontic clinics in Sabah. The cephalometric mean values (SNA, SNB, ANB, MMA, SNMxP, UIMxP, LIMnP and ALFH) were measured and the study models were analysed for overjet, overbite, incisor and molar relationships. Some morphological or occlusal features such as shovel shape, Talon cusp, peg shape teeth, midline diastema, canine displacement and supernumerary tooth were also noted. The frequency and correlation of cephalometric mean values and prevalence of malocclusion were analysed using SPSS 18. Class I Skeletal pattern was the most common (48%) followed by Class II (33%) and Class III (18%). There was a strong correlation between SNA and SNB values (>0.70). Class II/1 incisor relationship has the highest frequency (41%) followed by Class III (32%), Class I (21%) and Class II/2 (6%). Class II Molar relationship of both right and left showed highest frequency (38%) followed by Class I (33%) and Class III (30%). Increased of overjet (44%) and reduced overbite (41%) and shovel-shaped incisor were the most common occlusal and dental features. The Kadazan Dusun patients who seek for orthodontic treatment in Sabah were mostly presented with Class I Skeletal pattern with high prevalence in Class II/1 incisor relationship, Class II molar relationship, increased overjet and reduced overbite. -
Tongue - Cause and Correction of Anterior Open Bite Malocclusion
Case Report Adv Dent & Oral Health Volume 4 Issue 3 - March 2017 DOI: 10.19080/ADOH.2016.04.555636 Copyright © All rights are reserved by Arif Yezdani Tongue - Cause and Correction of Anterior Open Bite Malocclusion A Arif Yezdani*1 and Jabeen Fathima2 1Department of Orthodontics and Dentofacial Orthopaedics, Sree Balaji Dental College and Hospital, India 2 Yezdani Dental and Orthodontic Center, India Submission: February 10, 2017; Published: March 24, 2017 *Corresponding author:Arif Yezdani, MDS, FWFO, Professor & Director, Dept. of Orthodontics and Dentofacial Orthopaedics, Bharath University, Sree Balaji Dental College and Hospital, Narayanapuram, Pallikaranai, Chennai-600100, India, Email: Abstract Objective: open bite malocclusion with an orthognathic maxilla and a mildly prognathic mandible with bi-maxillary dento-alveolar protrusion and forward tongue Toposture. evaluate the efficiency of a low lying transpalatal arch along with fixed appliance therapy in the correction of an anterior Methods: Treatment involved strap-up of a pre-adjusted edgewise appliance, Roth’s prescription (0.022 X 0.028 - inch slot), with a low lying transpalatal arch 4mm away from the palatal mucosa, and a non-extraction approach. The case was assessed at start of orthodontic treatment (T1), and end of orthodontic treatment (T2). Results: At T2, the anterior open bite was corrected and the canines were treated to a class I relation. The proclined maxillary incisors as also the proclined and imbricated mandibular incisors were corrected. Conclusion: Anterior open bite malocclusion with forward tongue posture was effectively corrected with the use of a low lying transpalatal arch using the forces of the tongue during deglutition and mastication. -
The Effectiveness of Frenotomy on Speech in Adults
applied sciences Article The Effectiveness of Frenotomy on Speech in Adults Anna Lichnowska * and Marcin Kozakiewicz Department of Maxillofacial Surgery, Medical University of Lodz, 113th S. Zeromskiego,˙ 90-549 Lodz, Poland; [email protected] * Correspondence: [email protected] Featured Application: The impact of tongue frenulum status in malocclusion is neglected in adults. Orthodontic and/or orthognathic treatment leads to a dental and visual correction of the face but leaves a functional deficiency in the form of a speech disorder. This study highlights the important functional role of the tongue frenulum not only in children but also in adult patients. Evaluation and correction of ankyloglossia should be part of the team treatment of malocclusion and facial skeletal deformities. Abstract: There is no publication concerning tongue-tie (TT) in adults, surprisingly. It is generally known that TT is mainly diagnosed in newborns and infants. It seems unlikely that TT does not cause functional disorders in adults, especially considering that TT has been present in organism since childhood. Thus, there is insufficient information about the influence of TT on adults0 speech production. The purpose of this study was the functional evaluation of lingual frenotomy on tongue mobility and speech in the adult Polish population. Methods: Methods were based on visual observation and examination of the oral cavity accompanied by visual and auditory examination 2 of articulation. X test, Kruskal–Wallis, analysis of variance (ANOVA), and Student’s t-test were used for statistical analyses. Conclusions: Tongue-tie is a serious condition in adults. Implementing 0 Citation: Lichnowska, A.; surgical procedures to treat it improves the tongue s mobility in every direction and improves speech Kozakiewicz, M. -
Treatment of Anterior Open Bite with the Bimler Functional Appliance
tist Den ry Dentistry Yañez et al., Dentistry 2014, 4:8 ISSN: 2161-1122 DOI: 10.4172/2161-1122.1000250 Case Report Open Access Treatment of Anterior Open Bite with the Bimler Functional Appliance: Report of Three Cases Ramirez-Yañez GO1*, Mahony D2 and Bimler B3 1Faculty of Dentistry, University of Manitoba, Winnipeg, Canada 2Private Practice, Sydney, Australia 3International Stomatopedic Institute, Wiesbaden, Germany *Corresponding author: German Ramirez-Yañez, Faculty of Dentistry, University of Manitoba, Winnipeg, Manitoba R3E 0W2, Canada, Tel: 1 289 430 5287; E-mail: [email protected] Rec date: Jun 25, 2014, Acc date: Jul 25, 2014, Pub date: Jul 27, 2014 Copyright: © 2014 Ramirez-Yañez GO, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited Abstract There is still controversy regarding the efficacy of functional appliances when treating malocclusion at an early age. Although a good outcome from treatment is important, the stability of the results over time becomes a major concern. This paper presents the results of three open bite cases treated with the Bimler type-A appliance in the mixed dentition. The open bite cases presented here demonstrate stability of the treatment results for more than 14 years without active retention after the active treatment period. A comparison between these cases and those performed with an elastic functional appliance, and the action of that appliance on tongue posture, are discussed. The cases presented in this paper support treating malocclusions at an early age with functional appliances. -
The Frontal Cephalometric Analysis – the Forgotten Perspective
CONTINUING EDUCATION The frontal cephalometric analysis – the forgotten perspective Dr. Bradford Edgren delves into the benefits of the frontal analysis hen greeting a person for the first Wtime, we are supposed to make Educational aims and objectives This article aims to discuss the frontal cephalometric analysis and its direct eye contact and smile. But how often advantages in diagnosis. when you meet a person for the first time do you greet them towards the side of the Expected outcomes Correctly answering the questions on page xx, worth 2 hours of CE, will face? Nonetheless, this is generally the only demonstrate the reader can: perspective by which orthodontists routinely • Understand the value of the frontal analysis in orthodontic diagnosis. evaluate their patients radiographically • Recognize how the certain skeletal facial relationships can be detrimental to skeletal patterns that can affect orthodontic and cephalometrically. Rarely is a frontal treatment. radiograph and cephalometric analysis • Realize how frontal analysis is helpful for evaluation of skeletal facial made, even though our first impression of asymmetries. • Identify the importance of properly diagnosing transverse that new patient is from the front, when we discrepancies in all patients; especially the growing patient. greet him/her for the first time. • Realize the necessity to take appropriate, updated records on all A patient’s own smile assessment transfer patients. is made in the mirror, from the facial perspective. It is also the same perspective by which he/she will ultimately decide cephalometric analysis. outcomes. Furthermore, skeletal lingual if orthodontic treatment is a success Since all orthodontic patients are three- crossbite patterns are not just limited to or a failure.