Assuntos
Desenho de Aparelho Ortodôntico , Braquetes Ortodônticos , Impressão Tridimensional , Humanos , Feminino , Masculino , Adolescente , AdultoRESUMO
Orthodontic temporary anchorage devices provide a novel alternative to orthognathic surgery for the treatment of severe anterior open-bite malocclusions. These implantable devices provide skeletal anchorage for maxillary molar intrusion, allowing for mandibular autorotation and subsequent open-bite closure. This case demonstrates step-by-step treatment of a 41-year-old woman with a severe open-bite malocclusion. Detailed orthodontic mechanics are described at every stage of treatment.
Assuntos
Implantes Dentários , Mordida Aberta/terapia , Procedimentos de Ancoragem Ortodôntica/instrumentação , Técnicas de Movimentação Dentária/instrumentação , Adulto , Parafusos Ósseos , Protocolos Clínicos , Feminino , Humanos , Miniaturização , Dente Molar , Dente Serotino/cirurgia , Palato Duro/cirurgia , Extração DentáriaRESUMO
Adolescent patients often seek orthodontic treatment to correct spacing of the maxillary anterior teeth. If the spacing is caused by a tooth size discrepancy that affects one or more anterior teeth, an interdisciplinary treatment plan involving orthodontic, restorative, and periodontal treatment is recommended to achieve a harmonious esthetic result. This article describes a clinical approach for treatment of these complex cases, focusing on the importance of tooth form, gingival esthetics, and treatment sequencing.