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http://dx.doi.org/10.14368/jdras.2019.35.4.244

Strategic surgical-combined orthodontic treatment planning of patient with missing incisors on maxilla: a case report  

Park, Je-Hyeok (Department of Orthodontics, Institute of Oral Biosciences and School of Dentistry, Chonbuk National University)
Jeon, Jin (Department of Orthodontics, Institute of Oral Biosciences and School of Dentistry, Chonbuk National University)
Zhao, Sen (Department of Orthodontics, Institute of Oral Biosciences and School of Dentistry, Chonbuk National University)
Jeon, Young-Mi (Department of Orthodontics, Institute of Oral Biosciences and School of Dentistry, Chonbuk National University)
Kim, Jong Ghee (Department of Orthodontics, Institute of Oral Biosciences and School of Dentistry, Chonbuk National University)
Publication Information
Journal of Dental Rehabilitation and Applied Science / v.35, no.4, 2019 , pp. 244-252 More about this Journal
Abstract
Proper positioning of maxillary incisors is key to success of surgery combined treatment. Establishing surgery plan would be a difficult job if maxillary incisors are lost. Patient who lost all of her maxillary incisors due to accident came for orthodontic treatment. Through careful modification of maxillary archform, pre-surgical orthodontic treatment was conducted with four prosthetic space consolidation. Position of incisors was decided by help of 3D prosthetic set-up, and 1-jaw surgery was planned. After relative short treatment period of 28 months, final prosthesis was done. When alveolar bone loss happens, harmonious prosthesis of upper incisors is difficult. Utilizing mandibular set-back surgery and incisor positioning using 3D set-up could make a better environment for treatment outcome. Strategic pre-surgical orthodontic treatment can allow shorter time and less number of prosthetics.
Keywords
incisor teeth loss; orthognathic surgery; pre-surgical orthodontic treatment;
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