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http://dx.doi.org/10.14368/jdras.2021.37.1.48

Orthodontic intrusion treatment of mandibular anterior teeth in a periodontal patient with hyperdivergent skeletal pattern: 8-year follow-up  

Kwon, Eun-Young (Dental Clinic Center, Pusan National University Hosptial)
Jung, Kyung-Hwa (Dental Clinic Center, Pusan National University Hosptial)
Park, Soo-Byung (Department of Orthodontics, School of Dentistry, Pusan National University)
Kim, Seong-sik (Department of Orthodontics, School of Dentistry, Pusan National University)
Kim, Yong-il (Department of Orthodontics, School of Dentistry, Pusan National University)
Choi, Youn-kyung (Dental Clinic Center, Pusan National University Hosptial)
Publication Information
Journal of Dental Rehabilitation and Applied Science / v.37, no.1, 2021 , pp. 48-60 More about this Journal
Abstract
Patients who have extruded anterior teeth and deep bite with pathologic tooth migration, it is necessary not only periodontal treatment for reduce inflammation, but also orthodontic treatment for intrusion of anterior teeth. However, it is difficult to place the orthodontic brackets due to the deep bite, and there is a problem that the extrusion of the posterior teeth occurs more easily than the intrusion of the anterior teeth biomechanically. In particular, in patients with long face, relative intrusion of the anterior teeth by extrusion of the posterior teeth causes the clockwise rotation of the mandible and makes the facial profile worse. Therefore the biomechanical consideration and appliance design that can block these problems are required from the treatment plan. This is a patient who had a deep overbite with extruded anterior teeth, treated by periodontal treatment and intrusion of mandibular anterior teeth using cute brackes and miniscrews, and resulted in favorable maintenance during 8-year retention.
Keywords
periodontitis; tooth intrusion; deep bite; orthodontic anchorage;
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