• Title/Summary/Keyword: Orthodontics patient

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Correction of late adolescent skeletal Class III using the Alt-RAMEC protocol and skeletal anchorage

  • Muhammed Hilmi Buyukcavus;Omer Faruk Sari;Yavuz Findik
    • The korean journal of orthodontics
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    • v.53 no.1
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    • pp.54-64
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    • 2023
  • This case report describes skeletal anchorage-supported maxillary protraction performed with the Alternate Rapid Maxillary Expansion and Constriction (AltRAMEC) protocol over a treatment duration of 14 months in a 16-year-old female patient who was in the late growth-development period. Miniplates were applied to the patient's aperture piriformis area to apply force from the protraction appliance. After 9 weeks of following the Alt-RAMEC protocol, miniplates were used to transfer a unilateral 500-g protraction force to a Petit-type face mask. A significant improvement was observed in the soft tissue profile in measurements made both cephalometrically and in three dimensional photographs. Subsequently, the second phase of fixed orthodontic treatment was started and the treatment was completed with the retention phase. Following treatment completion, occlusion, smile esthetics, and soft tissue profile improved significantly in response to orthopedic and orthodontic treatment.

A CASE REPORT OF ANGLE'S CLASS III MALOCCLUSION (Angle 씨 III급 부정교합의 치험일례)

  • Sung, Jae Hyun;Kwon, Oh Won
    • The korean journal of orthodontics
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    • v.11 no.1
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    • pp.41-45
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    • 1981
  • A girl aged 18 years and 1 month, had a Angle's Class III malocclusion, characterized by .anterior crossbite, anterior crowding, and constriction from right lower 2nd premolar to right lower 2nd molar. This patient underwent sealing and (equation omitted) extraction, and multibanded system was placed. After 14 months, anterior crossbite and crowding was corrected, an bothdental arches were improved. After 6 months from debanding, band space disappeared and any relapse was not detected.

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Pierre Robin sequence with severe scoliosis in an adult: A case report of clinical and radiological features

  • Kim, Jae-Jun;Choi, Dong-Soon;Jang, Insan;Cha, Bong-Kuen;Park, In-Woo
    • Imaging Science in Dentistry
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    • v.49 no.4
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    • pp.323-329
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    • 2019
  • Pierre Robin sequence (PRS) is characterized by the triad of micrognathia, glossoptosis, and airway obstruction. PRS does not have a single pathogenesis, but rather is associated with multiple syndromes. This report presents the case of a 35-year-old woman with PRS and scoliosis. Among the syndromes related to PRS, cerebro-costo-mandibular syndrome (CCMS), which is characterized by posterior rib gap defects and vertebral anomalies, was suspected in this patient. However, no posterior rib gap defect was detected on radiological examinations. Although over 80 cases of CCMS have been reported to date, few cases of PRS with scoliosis alone have been reported. Therefore, this report demonstrated the clinical, radiological, and cephalometric characteristics of an adult patient with PRS and scoliosis, but without rib anomalies.

Maxillary protraction using skeletal anchorage and intermaxillary elastics in Skeletal Class III patients

  • Esenlik, Elcin;Aglarci, Cahide;Albayrak, Gayem Eroglu;Findik, Yavuz
    • The korean journal of orthodontics
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    • v.45 no.2
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    • pp.95-101
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    • 2015
  • The aim of this case report is to describe the treatment of a patient with skeletal Class III malocclusion with maxillary retrognathia using skeletal anchorage devices and intermaxillary elastics. Miniplates were inserted between the mandibular lateral incisor and canine teeth on both sides in a male patient aged 14 years 5 months. Self-drilling mini-implants (1.6 mm diameter, 10 mm length) were installed between the maxillary second premolar and molar teeth, and Class III elastics were used between the miniplates and miniscrews. On treatment completion, an increase in the projection of the maxilla relative to the cranial base (2.7 mm) and significant improvement of the facial profile were observed. Slight maxillary counterclockwise ($1^{\circ}$) and mandibular clockwise ($3.3^{\circ}$) rotations were also observed. Maxillary protraction with skeletal anchorage and intermaxillary elastics was effective in correcting a case of Skeletal Class III malocclusion without dentoalveolar side effects.

Camouflage treatment of posterior bite collapse in a patient with skeletal asymmetry by using posterior maxillary segmental osteotomy

  • Badr, Haitham;Lee, Soo-Yeon;Park, Hong-Sik;Ohe, Joo-Young;Kang, Yoon-Goo;Ahn, Hyo-Won
    • The korean journal of orthodontics
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    • v.50 no.4
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    • pp.278-289
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    • 2020
  • Orthodontic treatment of posterior bite collapse due to early loss of molars and the consequent drift of adjacent teeth is complicated. When the posterior bite collapse occurs in patients with facial asymmetry, both transverse and vertical compensation are necessary for camouflage orthodontic treatment. In such cases, posterior maxillary segmental osteotomy (PMSO) can be an effective alternative procedure that simplifies the orthodontic treatment and shows long-term stability through dental compensation within the alveolar bone housing. This case report aimed to describe the orthodontic treatment of maxillary occlusal plane canting caused by severely extruded maxillary teeth in a patient with skeletal facial asymmetry that was corrected with PMSO along with protraction of the lower second molar to replace the space of the extracted first molar. The treatment duration was 18 months, and stable results were obtained after 2 years of retention.

Nonsurgical maxillary expansion in a 60-year-old patient with gingival recession and crowding

  • Kim, Harim;Park, Sun-Hyung;Park, Jae Hyun;Lee, Kee-Joon
    • The korean journal of orthodontics
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    • v.51 no.3
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    • pp.217-227
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    • 2021
  • Maxillary transverse deficiency often manifests as a posterior crossbite or edge-to-edge bite and anterior crowding. However, arbitrary arch expansion in mature patients has been considered to be challenging due to the possible periodontal adverse effects such as alveolar bone dehiscence and gingival recession. To overcome these limitations, nonsurgical maxillary expansion of the basal bone has been demonstrated in young adults. However, the age range for successful orthopedic expansion has remained a topic of debate, possibly due to the underlying individual variations in suture maturity. This case report illustrates nonsurgical, miniscrew-assisted rapid palatal expansion (MARPE) in a 60-year-old patient with maxillary transverse deficiency accompanied by anterior and posterior crossbites, crowding, and gingival recession. The use of MARPE allowed relief of crowding and correction of the crossbite without causing significant periodontal adverse effects.

Maxillomandibular advancement surgery after long-term use of a mandibular advancement device in a post-adolescent patient with obstructive sleep apnea

  • Lee, Keun-Ha;Kim, Kyung-A;Kwon, Yong-Dae;Kim, Sung-Wan;Kim, Su-Jung
    • The korean journal of orthodontics
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    • v.49 no.4
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    • pp.265-276
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    • 2019
  • Patients with obstructive sleep apnea (OSA) whose phenotype belongs to a craniofacial vulnerability are referred from sleep doctors to orthodontists. In adults, for osseo-pharyngeal reconstruction (OPR) treatment, permanent maxillomandibular advancement (MMA) surgery and use of a temporary mandibular advancement device (MAD) are applied. This case report demonstrates successful treatment of OSA through application of phased MAD and MMA in a 16-year-old male with craniofacial deformity and residual growth potential. This patient showed skeletal and dentoalveolar changes after 7-year MAD use throughout post-adolescence, which affected the design and timing of subsequent MMA surgery, as well as post-surgical orthodontic strategy. This case report suggests that OPR treatment can be useful for treatment of OSA in post-adolescent patients, from an orthodontic point of view, in close collaboration with sleep doctors for interdisciplinary diagnosis and treatment.

Correction of palatally displaced maxillary lateral incisors without brackets

  • Choi, Kyung-Hee;Lee, Yoonjung;Kim, Minji;Chun, Youn-Sic
    • The korean journal of orthodontics
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    • v.43 no.4
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    • pp.201-206
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    • 2013
  • This article describes the orthodontic treatment of a 25-year-old Korean female patient with anterior crowding, including palatally displaced lateral incisors. Her facial profile was satisfactory, but 3.5 mm of maxillary anterior crowding was observed. To correct this crowding, we decided to minimize the use of the conventional fixed orthodontic appliances and employed a less bulky and more aesthetic appliance for applying light continuous force. We determined the final positions of the maxillary teeth via a working model for diagnostic set up and achieved space gaining and alignment with simple Ni-Ti spring and stainless steel round tubes. Tooth alignment was achieved efficiently and aesthetically without the conventional brackets.

Total intrusion and distalization of the maxillary arch to improve smile esthetics

  • Baek, Eui Seon;Hwang, Soonshin;Kim, Kyung-Ho;Chun, Chooryung J.
    • The korean journal of orthodontics
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    • v.47 no.1
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    • pp.59-73
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    • 2017
  • This case report illustrates the successful treatment of a patient with skeletal Class II malocclusion and an unesthetic smile involving excessive gingival display and large buccal corridors. By applying dual buccal interradicular miniscrews, total intrusion of the maxillary dentition along with distalization was induced to improve both the occlusion and smile esthetics. In addition to the conventional cephalometric superimposition, three-dimensional superimposition was performed and evaluated to validate the treatment outcome.