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Open Bite Treatment in Adults

Year 2014, Volume: 41 Issue: 1 - Volume: 41 Issue: 1, 41 - 47, 01.02.2014

Abstract

This case report presents an adult skeletal Class II hyperdivergent and dental Class I open bite case treated by using zygomatic miniplates as anchorage units. 17-year 7-month old female patient presented with a dental Class I molar relationship along with skeletally normal positioned maxilla SNA:83° , retruded mandibula SNB:74° and increased vertical dimensions GoGnSN:43° . Zygomatic miniplates were used for anchorage and fixed orthodontic appliances were used after extraction of four premolars. Molar intrusion, canine distalization and retraction of incisors were achieved by the help of zygomatic anchorage system. At the end of the treatment Class I canine and molar relationship was achieved, a good interdigitation was established, adequate overjet and overbite were provided and crowding were resolved. While soft tissue profile was evaluated, it is seen that inadequate lip closure was eliminated and patient has favourable profile. In this case, patient gets access to a better esthetic, function and occlusion after the treatment with zygomatic miniplates

References

  • Proffit W, Fields H. Contemporary Orthodontics. 2nd ed. St Louis, Mo: Mosby; 1993: 128-446.
  • Sassouni V. A classification of skeletal facial types. Am J Orthod. 1969; 55: 109-123.
  • Schudy FF. The rotation of the man- dible resulting from growth: its implication in orthodontic treatment. Angle Orthod. 1965; 35: 36-50.
  • Gehring D, Freeseman M, Frazier M, Southard K. Extraction treatment of a Class II Division 1 malocclusion with anterior open bi- te with headger and vertical elastics. Am J Orthod Dentofacial Orthop 1998; 113: 431-6.
  • Haryett RD, Hansen FC, Davidson PO. Chronic thumb-sucking. A second report on treatment and its psychological effects. Am J Orthod 1970; 57: 164-78.
  • Kuster R, Ingervall B. The effect of treatment of skeletal open bite with two types of bite-blocks. Eur J Orthod 1992; 14: 489-99.
  • Pearson LE. Vertical control in treat- ment of patients having backward-rotational growth tendencies. Angle Orthod 1978; 48: 132-40.
  • Smith GA. Treatment of an adult with a severe anterior open bite and mutilated ma- locclusion without orthognatic surgery. Am J Orthod Dentofacial Orthop 1996; 110: 682-7.
  • Kim YH. Anterior open bite and its treatment with multiloop edgewise archwire. Angle Orthod 1987; 4: 290-321.
  • Enacar A, Ugur T, Toroglu S. A met- hod for correction of open bite. J Clin Orthod 1996; 30; 43-8.
  • Dellinger EL. A clinical assessment of the active vertical corrector. A nonsurgical al- ternative for skeletal open bite treatment. Am J Orthod Dentofacial Orthop 1986; 89: 428-36.
  • Kiliaridis S, Egermark B, Thilander B. Anterior open bite treatment with magnets. Eur J Orthod 1990; 12: 447-57.
  • Nielsen L. Vertical malocclusions: eti- ology, treatment, development, diagnosis and some aspects of treatment. Angle Orthod 1991; 61: 247-60.
  • Küçükkeleğ N, Acar A, Demirkaya A, Evrenol B, Enacar A. Cephalometric evalua- tion of open bite treatment with NiTi archwires and anterior elastics. Am J Orthod Dentofacial Orthop 1999; 116: 555-62.
  • Lawy DM, Heggie AA, Crawford EC, Ruljancich MK. A review of the management of anterior open bite malocclusion. Aust Ort- hod J 1990; 11: 147-60.
  • Prosterman B, Prosterman L, Fisher R, Gornitsky M. The use of implants for ortho- dontic correction of an open bite. Am J Orthod Dentofacial Orthop 1995; 107: 245-250.
  • Sherwood KH, Burch JG, Thompson WJ. Closing anterior open bites by intruding molars with titanium miniplate anchroge. Am J Orthod Dentofacial Orthop 2002; 122: 593- 600.
  • Park HS, Bae SM, Kyung HM, Sung JH. Micro-implant anchroge for treatment of skeletal Class I bialveolar protrusion. J Clin Orthod 2001; 35: 417-22.
  • Sugawara J, Daimaruya T, Umemori M. Distal movement of mandibular molars in adult patients with skeletal anchroge system. Am J Orthod Dentofacial Orthop 2004; 125: 130-8.
  • Erverdi N, Keles A, Nanda R. The use of skeletal anchroge in open bite treatment: a cephalometric evaluation. Angle Orthod 2004; 74: 381-90.
  • McNamara JA Jr. A method of cephalo- metric evaluation. Am J Orthod Dentofac Ort- hop 1984; 86: 449-69.

Erişkin bireylerde açık kapanış tedavisi

Year 2014, Volume: 41 Issue: 1 - Volume: 41 Issue: 1, 41 - 47, 01.02.2014

Abstract

Bu vaka raporunda iskeletsel sñnñf II hiperdiverjan, diğsel sñnñf 1 açñk kapanñğa sahip eriğkin bireyin zigomatik mini plaklar kullanñlarak tedavisi sunulmaktadñr. Kronolojik yağñ 17 yñl 7 ay olan bayan hasta diğsel Sñnñf I molar iliğkiye sahip olup, iskeletsel olarak maksilla normal konumda SNA:83° , mandibula geride SNB:74° iken dikyön boyutlarñ artmñğtñr GoGnSN:43° . Hastaya ankraj amaçlñ zigoma plaßñ uygulanarak 4 premolar çekimli sabit tedavi uygulanmñğtñr. Zigoma plaklarñyla maksiller molar diğler gömülmüğ, kanin diğler distalize edilip keser diğlerde retraksiyon saßlanmñğtñr. Tedavi sonunda, hastada sñnñf 1 kanin ve molar iliğki, iyi bir interdijitasyon saßlanmñğ, uygun overjet ve overbite elde edilmiğ, çaprağñklñk problemi çözülmüğtür. Hastanñn yumuğak doku profili deßerlendirildißinde yetersiz dudak kapanñğñnñn giderildißi ve daha olumlu bir profile sahip oldußu görülmektedir Sunulan vakada zigoma plaßñ kullanñlarak uygulanan tedavi sonucunda hastaya olumlu bir estetik, fonksiyon ve oklüzyon kazandñrñlmñğtñr.

References

  • Proffit W, Fields H. Contemporary Orthodontics. 2nd ed. St Louis, Mo: Mosby; 1993: 128-446.
  • Sassouni V. A classification of skeletal facial types. Am J Orthod. 1969; 55: 109-123.
  • Schudy FF. The rotation of the man- dible resulting from growth: its implication in orthodontic treatment. Angle Orthod. 1965; 35: 36-50.
  • Gehring D, Freeseman M, Frazier M, Southard K. Extraction treatment of a Class II Division 1 malocclusion with anterior open bi- te with headger and vertical elastics. Am J Orthod Dentofacial Orthop 1998; 113: 431-6.
  • Haryett RD, Hansen FC, Davidson PO. Chronic thumb-sucking. A second report on treatment and its psychological effects. Am J Orthod 1970; 57: 164-78.
  • Kuster R, Ingervall B. The effect of treatment of skeletal open bite with two types of bite-blocks. Eur J Orthod 1992; 14: 489-99.
  • Pearson LE. Vertical control in treat- ment of patients having backward-rotational growth tendencies. Angle Orthod 1978; 48: 132-40.
  • Smith GA. Treatment of an adult with a severe anterior open bite and mutilated ma- locclusion without orthognatic surgery. Am J Orthod Dentofacial Orthop 1996; 110: 682-7.
  • Kim YH. Anterior open bite and its treatment with multiloop edgewise archwire. Angle Orthod 1987; 4: 290-321.
  • Enacar A, Ugur T, Toroglu S. A met- hod for correction of open bite. J Clin Orthod 1996; 30; 43-8.
  • Dellinger EL. A clinical assessment of the active vertical corrector. A nonsurgical al- ternative for skeletal open bite treatment. Am J Orthod Dentofacial Orthop 1986; 89: 428-36.
  • Kiliaridis S, Egermark B, Thilander B. Anterior open bite treatment with magnets. Eur J Orthod 1990; 12: 447-57.
  • Nielsen L. Vertical malocclusions: eti- ology, treatment, development, diagnosis and some aspects of treatment. Angle Orthod 1991; 61: 247-60.
  • Küçükkeleğ N, Acar A, Demirkaya A, Evrenol B, Enacar A. Cephalometric evalua- tion of open bite treatment with NiTi archwires and anterior elastics. Am J Orthod Dentofacial Orthop 1999; 116: 555-62.
  • Lawy DM, Heggie AA, Crawford EC, Ruljancich MK. A review of the management of anterior open bite malocclusion. Aust Ort- hod J 1990; 11: 147-60.
  • Prosterman B, Prosterman L, Fisher R, Gornitsky M. The use of implants for ortho- dontic correction of an open bite. Am J Orthod Dentofacial Orthop 1995; 107: 245-250.
  • Sherwood KH, Burch JG, Thompson WJ. Closing anterior open bites by intruding molars with titanium miniplate anchroge. Am J Orthod Dentofacial Orthop 2002; 122: 593- 600.
  • Park HS, Bae SM, Kyung HM, Sung JH. Micro-implant anchroge for treatment of skeletal Class I bialveolar protrusion. J Clin Orthod 2001; 35: 417-22.
  • Sugawara J, Daimaruya T, Umemori M. Distal movement of mandibular molars in adult patients with skeletal anchroge system. Am J Orthod Dentofacial Orthop 2004; 125: 130-8.
  • Erverdi N, Keles A, Nanda R. The use of skeletal anchroge in open bite treatment: a cephalometric evaluation. Angle Orthod 2004; 74: 381-90.
  • McNamara JA Jr. A method of cephalo- metric evaluation. Am J Orthod Dentofac Ort- hop 1984; 86: 449-69.
There are 21 citations in total.

Details

Primary Language Turkish
Journal Section Research Article
Authors

Özlem Nasibe Özkepir This is me

Mehmet Askar This is me

Ayşe Tuba Altuğ This is me

Öncül Ayşegül Tüzüner This is me

Publication Date February 1, 2014
Published in Issue Year 2014 Volume: 41 Issue: 1 - Volume: 41 Issue: 1

Cite

Vancouver Özkepir ÖN, Askar M, Altuğ AT, Tüzüner ÖA. Erişkin bireylerde açık kapanış tedavisi. EADS. 2014;41(1):41-7.