Invisible treatment of a severe Class II deep over bite with narrow mandibular dental arch with multilingual bracket appliances
Autor: | Maria Therese S. Galang-Boquiren, Kana Yoshida, Kazumi Fukui, Tadayoshi Fukui, Masahiko Tsuruta |
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Rok vydání: | 2017 |
Předmět: |
Molar
Orthodontics business.industry Overjet Bracket Dentistry 030206 dentistry Overbite medicine.disease Mandibular first molar 03 medical and health sciences Dental arch 0302 clinical medicine medicine.anatomical_structure stomatognathic system Occlusion medicine Malocclusion business 030217 neurology & neurosurgery |
Zdroj: | Journal of the World Federation of Orthodontists. 6:69-79 |
ISSN: | 2212-4438 |
DOI: | 10.1016/j.ejwf.2017.04.002 |
Popis: | Background This case report presents an invisible orthodontic treatment of a 26-year- old adult female patient with Class II deep bite with narrow mandibular arch. The patient did not wish to wear any visible appliances, so we selected the multilingual bracket appliance. Because she had a deep bite, it was impossible to place the multilingual bracket from the beginning of treatment. Methods We had to correct molar occlusion, expand the mandibular arch, upright the premolars and molars distally, and intrude mandibular incisors to correct the deep bite. After this process, we were able to place the lingual brackets in the maxillary arch. We extracted both maxillary first premolars to reduce crowding and to correct the overjet. The total active treatment period was 31 months. Results The amount of over bite and overjet was 1.5 and 1.5 mm, respectively. Overcorrection was achieved. Fixed retainer in the mandibular arch was used. Four years after the active treatment, the patient's occlusion is stable. Conclusion This is the first case report of an adult patient with Class II division 2 malocclusion using the multilingual bracket appliances. |
Databáze: | OpenAIRE |
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