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Orthodontic Correction Of Bimaxillary Protrusion With Mini-Screws In Class Ii Hyperdivergent Patient, Shih-Ying Lin, Kai-Wen Yu, Tai-ting Lai, Chung-Ji Liu, Li-Fang Hsu 2020 Department of Orthodontics, Taipei Mackay Memorial Hospital

Orthodontic Correction Of Bimaxillary Protrusion With Mini-Screws In Class Ii Hyperdivergent Patient, Shih-Ying Lin, Kai-Wen Yu, Tai-Ting Lai, Chung-Ji Liu, Li-Fang Hsu

Taiwanese Journal of Orthodontics

To achieve a harmonious profile with pleasant smile arc in Class II hyperdivergent adult cases has been a clinical challenge. Adequate retraction and intrusion of maxillary dentition as well as vertical control are the key factors to improve the smiling appearance and the facial profile. A 19-year-old female initially presented with lip protrusion, convex profile, retrusive chin, and a Class II malocclusion. The cephalometric analysis showed a Class II skeletal pattern (ANB = 9°) with high mandibular plane angle (SN-MP = 38°). The treatment plan included extraction of four first premolars for anterior teeth retraction as well as installation of three miniscrews ...


To Do Or Not To Do? Slow Orthodontic Extrusion For Implant Site Development In Esthetic Zone At The Anterior Maxilla, Hui-chen Tsai, Chung-Chen Jane Yao, Cheing-Meei Liu 2020 Department of Periodontology, School of Dentistry, College of Medicine, National Taiwan University, Taipei, Taiwan; Departments of Orthodontics, School of Dentistry, College of Medicine, National Taiwan University, Taipei, Taiwan; Divisions of Periodontics and Orthodontics and Dento-facial Orthopedics, Department of Dentistry, National Taiwan University Hospital, Taipei, Taiwan

To Do Or Not To Do? Slow Orthodontic Extrusion For Implant Site Development In Esthetic Zone At The Anterior Maxilla, Hui-Chen Tsai, Chung-Chen Jane Yao, Cheing-Meei Liu

Taiwanese Journal of Orthodontics

Slow orthodontic extrusion (SOE) for implant site development, was introduced in 1991. It has been more than 20 years since this treatment was applied in our clinical practice. In this paper, we investigate surgeon's expectation of SOE for special requirements of immediate implantation by a clinical case. We also review case reports/case series searched from PubMed and inspect the power of evidence of these reports from the integration of data collection, and try to define the value of SOE. If the SOE cannot eliminate at least one surgical procedure, we need to consider the necessity of SOE before ...


Orthodontic Treatment Of Class Ii Malocclusion With Single Maxillary Incisor, Chien-cheng Chen, Yi-horng Chen 2020 Division of Orthodontics, Department of Dentistry, Taipei Tzu Chi General Hospital, Taipei, Taiwan

Orthodontic Treatment Of Class Ii Malocclusion With Single Maxillary Incisor, Chien-Cheng Chen, Yi-Horng Chen

Taiwanese Journal of Orthodontics

Orthodontic treatment of a Class II malocclusion case with single maxillary central incisor was presented in the case report. The treatment plan consisted of removing one maxillary central incisor instead of premolars. Bilateral maxillary lateral incisors were mesialized for space closure and substitution for maxillary central incisors. The morphology of maxillary lateral incisors was modified to mimic the maxillary central incisors. After treatment, both occlusion and esthetics was improved, and the patient was satisfied with the results.


A Modified Surgery-First Approach For Mandibular Prognathism With Proclined Maxillary Incisor And Mandibular Spacing, Jutharath Chanruangvanich, Ellen Wen-Ching Ko, Ying-An Chen 2020 Department of Craniofacial Orthodontics, Chang Gung Memorial Hospital, Taipei, Taiwan; Graduate Institute of Dental and Craniofacial science, Chang Gung University, Taoyuan, Taiwan

A Modified Surgery-First Approach For Mandibular Prognathism With Proclined Maxillary Incisor And Mandibular Spacing, Jutharath Chanruangvanich, Ellen Wen-Ching Ko, Ying-An Chen

Taiwanese Journal of Orthodontics

This case report describes the management of an adult patient presenting with a skeletal Class III malocclusion, mandibular protrusion, upper incisor proclination and mandibular arch spacing by a modified surgery-first approach. A 26-year-old man had skeletal Class III and dental Class III malocclusion with concave facial profile, midface deficiency and mandibular prognathism with chin deviation to left. His dental manifestation presented anterior crossbite, upper incisors proclination and spacing in his mandibular arch. Treatment was performed with a modified surgery-first approach, which included a short presurgical alignment phase. In the maxilla, the significant maxillary crowding was relieved by 14 and 24 ...


Combined Multi-Segmental Surgical-Orthodontic Treatment In Skeletal Class Iii With Facial Asymmetry And Gummy Smile: Two-Year Stability, Rouh-Hwai Wang, Hui-Ling Chen 2020 Department of Orthodontics, Chang Gung Memorial Hospital, Linkou Branch, Taiwan; Graduate Institute of Dental and Craniofacial Science, Chang Gung University, Taoyuan, Taiwan

Combined Multi-Segmental Surgical-Orthodontic Treatment In Skeletal Class Iii With Facial Asymmetry And Gummy Smile: Two-Year Stability, Rouh-Hwai Wang, Hui-Ling Chen

Taiwanese Journal of Orthodontics

This is a case of skeletal class III malocclusion with facial asymmetry, gummy smile, and maxillary canting, treated with bimaxillary surgery and orthodontic treatment. The two-jaw surgery was performed including a 3-pieces LeFort I segmental osteotomy, anterior segment impaction with clockwise rotation, and bilateral sagittal split osteotomies with genioplasty. Through the 2-year-4-month treatment procedure, the skeletal and occlusal relationship turned to be normal with esthetically pleasing smile and profile. Furthermore, in the two-year follow-up, we found the treatment results were quite stable no matter in skeletal or dental aspects.


The Effects Of Low Intensity Light Emitted Diode On Human Periodontal Ligament Cell And Mouse Cementoblast Cell Line, Yu-Ting Wu, Yun-Ting Huang, Chun-Yu Chen, Chien-Wei Chao, Chia Tze Kao 2020 Orthodontic Department, Chung Shan Medical University Hospital, Taichung, Taiwan; College of Oral Medicine, Chung Shan Medical University, Taichung, Taiwan

The Effects Of Low Intensity Light Emitted Diode On Human Periodontal Ligament Cell And Mouse Cementoblast Cell Line, Yu-Ting Wu, Yun-Ting Huang, Chun-Yu Chen, Chien-Wei Chao, Chia Tze Kao

Taiwanese Journal of Orthodontics

Objectives: The prevention of external root resorption caused by orthodontic tooth movement was endeavored by many researches. The photobiomodulation with low level dose light emitted diode (LED) is reported. The purpose of this study was to investigate the LED effects on the OCCM-30 and PDL cells proliferation. Materials and Methods: The cementoblast cell line (OCCM-30) and periodontal ligament (PDL) cells were cultured in the FX-5000 Compression System with the 0.255 kPA compression model for one hour; the experimental groups were treated with 860 nm low LED for 20 and 60 minutes. The control group did not receive the LED ...


Management Of A Patient With Euryprosopic Face And Upper Central Diastema, Chung-Teng Chang, Yi-Min Liu, Yuen-Yung Tsang, Huei-Mei Tsai 2020 Dr. Su´s Teamwork Orthodontic Center, Taipei, Taiwan

Management Of A Patient With Euryprosopic Face And Upper Central Diastema, Chung-Teng Chang, Yi-Min Liu, Yuen-Yung Tsang, Huei-Mei Tsai

Taiwanese Journal of Orthodontics

An adult female has upper central diastema complicated with a complete deep bite and spacing in lower dentition. The broad face and ovoid shaped dental arch form require special attention as an intrinsic transverse dimensional skeletal malocclusion. The treatment modality therefore should be totally different from other deep bite cases with crowding or tapered dental arch. The space retention after active treatment is of prime important. Root divergence of upper incisors and bodily protraction movement of lower posterior teeth were the main concerns during treatment. Fixed lingual retainer and long term follow up are essential for stable outcome.


Unusual Skeletal Growth Of An Adult Patient With Acromegaly: A 12 Year Follow-Up After Orthognathic Surgery, Szu-Ching Lee, Shou-Hsin Kuang, Yu-Shu Yen, Shen-Chieh Lina, Tzu-Ying Wu 2020 Section of Orthodontics, Department of Stomatology, Taipei Veterans General Hospital, Taipei, Taiwan; Department of Stomatology, National Yang-Ming University Hospital, Yilan, Taiwan

Unusual Skeletal Growth Of An Adult Patient With Acromegaly: A 12 Year Follow-Up After Orthognathic Surgery, Szu-Ching Lee, Shou-Hsin Kuang, Yu-Shu Yen, Shen-Chieh Lina, Tzu-Ying Wu

Taiwanese Journal of Orthodontics

Acromegaly is an uncommon endocrinological disorder, which is rarely seen in patients presenting for orthodontic treatment. Herein, we report a patient who underwent orthognathic surgery and was diagnosed with acromegaly during the retention phase. During disease progression and treatment, gradual changes in the mandible and facial soft tissue were detected. General information and management of acromegaly are reviewed, and the role of orthodontists in the treatment of patients with acromegaly is discussed.


A Comprehensive Diagnostic System For Orthodontists- Beyond Angle’S Classification, Ib Leth Nielsen 2020 Department of Orofacial Sciences, Division of Orthodontics; University of California, San Francisco

A Comprehensive Diagnostic System For Orthodontists- Beyond Angle’S Classification, Ib Leth Nielsen

Taiwanese Journal of Orthodontics

Traditionally orthodontists have used the classification system developed by Edward H. Angle in 1900 to describe the malocclusion of an orthodontic patient. This classification is very limited with respect to the information it provides and should be replaced by a more detailed and inclusive description of a patient’s malocclusion as well as the underlying biology. In this review article we propose a new technique that ensures all pertinent information gets considered and we suggest a systematic approach to a more differentiated orthodontic diagnosis. Our approach divides the diagnosis into clearly defined categories that bring together the clinical findings into ...


Validating The 3d And 2d Mandibular Plane To The Frankfort Plane For Craniofacial Measurement, Jason Jyun-Chen Kuo, Ellen Wen-Ching Ko 2020 Department of Craniofacial Orthodontic, Chang Gung Memorial Hospital, Linkou, Taiwan; Graduate institute of Craniofacial and Dental Science, Chang Gung University, Taoyuan, Taiwan

Validating The 3d And 2d Mandibular Plane To The Frankfort Plane For Craniofacial Measurement, Jason Jyun-Chen Kuo, Ellen Wen-Ching Ko

Taiwanese Journal of Orthodontics

Purpose: This study evaluated whether the three-dimensional (3D) plane-to-plane mandibular plane angle measurement method could be applied in clinical analysis in a manner similar to the application of conventional two-dimensional (2D) cephalometric measurement, regardless of whether patients had symmetrical planes. Patients and methods: This retrospective study selected 30 patients who had undergone both lateral cephalometric radiography and cone beam computed tomography (CBCT). The 2D measurement was manually traced from the lateral cephalometric radiographs for the Frankfort horizontal plane line and mandibular plane line (2D FMA). The 3D reconstructions for each patient in the CBCT were evaluated using 3D software and ...


A Comparison Of Two Tad Techniques (Miniscrews Versus Miniplates) For Treating Class Iii Malocclusion And The Associated Skeletal And Dental Effects, James Chen, Jesus I. Patino, Jenny Zwei-Chieng Chang, Chung-ChenJane Jane Yao, Ib Leth Nielsen 2020 Children´s Hospital, Oakland, USA.

A Comparison Of Two Tad Techniques (Miniscrews Versus Miniplates) For Treating Class Iii Malocclusion And The Associated Skeletal And Dental Effects, James Chen, Jesus I. Patino, Jenny Zwei-Chieng Chang, Chung-Chenjane Jane Yao, Ib Leth Nielsen

Taiwanese Journal of Orthodontics

The aim of this study was to compare two different techniques for distalizing the mandibular dentition in patients with Class III malocclusion using either miniscrews or miniplates. We evaluated the skeletal and dento-alveolar changes associated with each method. The study also aimed at identifying cephalometric characteristics in the subjects associated with the most predictable, successful outcome of treatment. Patients and Methods: Our sample consisted of 20 adult subjects (10 females and 10 males) that met the inclusion criteria. We examined pre and post treatment headfilms and analyzed the dental and skeletal changes using a computer program that provided the data ...


Correction Of Skeletal Class Iii Malocclusion With Four Missing Premolars By Surgery-First Approach, Yi-Bo Huang, Chia-Yi Pan, Yu-Ling Cheng, Shih-Wei Pan 2020 Dr. Su’s Teamwork Orthodontic Center, Taipei, Taiwan

Correction Of Skeletal Class Iii Malocclusion With Four Missing Premolars By Surgery-First Approach, Yi-Bo Huang, Chia-Yi Pan, Yu-Ling Cheng, Shih-Wei Pan

Taiwanese Journal of Orthodontics

A 21-year-old female with severe concave profile and prominent chin came for surgical-orthodontic consultation. The patient had missing of four premolars which became intricate with extremely lingual inclined incisors and over-developed mandible. The surgery first approach (SFA) was adopted to correct the skeletal factors at the early stage. The pre-adjusted orthodontic bracket system was applied to normalize the torque of the teeth afterward. The capacities of anterior root-torquing auxiliary wire (ART) and multiple-loop edgewise archwire (MEAW) will be discussed, accordingly. The progress records showed remarkable improvement of profile and occlusion. The change of upper incisor show was also discussed. The ...


Long-Term Observation Of Orthodontic Management And Facial Growth On A Patient With Familial Cleidocranial Dysplasia, Chung-Yi Ho, Ellen Wen-Ching Ko, Cheng-Hui Lin 2020 Graduate institute of Dental and Craniofacial Science, Chang Gung University; Department of Craniofacial Orthodontics, Chang Gung Memorial Hospital, Taoyuan.

Long-Term Observation Of Orthodontic Management And Facial Growth On A Patient With Familial Cleidocranial Dysplasia, Chung-Yi Ho, Ellen Wen-Ching Ko, Cheng-Hui Lin

Taiwanese Journal of Orthodontics

The orthodontic management of patients with cleidocranial dysplasia (CCD) is challenging, which takes a long treatment duration and observation to follow the progress. The completion of treatment is usually not finished until growth completion. This case describes the long-term stage treatment of a 22-year-old female presented with familial CCD. The first stage orthodontic treatment was separated into two phases including surgical exposure of the anterior and posterior teeth, respectively. Extraction of the delayed exfoliated deciduous incisors and supernumerary teeth to clear the eruption path of the submerged permanent anterior teeth was started at her age of 8. The impacted anterior ...


Class Ii Deep Bite Malocclusion Corrected By Two-Stage Approach, Meng-Yun Tsai, Wei-Ting Tseng, Li-Fang Hsu, Kelvin Wen-Chung Chang, Jenny Zwei-Chieng Chang, Eddie Hsiang-Hua Lai 2020 Division of Orthodontics and Dentofacial Orthopedics, Department of Dentistry, National Taiwan University Hospital, Taipei, Taiwan.

Class Ii Deep Bite Malocclusion Corrected By Two-Stage Approach, Meng-Yun Tsai, Wei-Ting Tseng, Li-Fang Hsu, Kelvin Wen-Chung Chang, Jenny Zwei-Chieng Chang, Eddie Hsiang-Hua Lai

Taiwanese Journal of Orthodontics

In Class II deep-bite malocclusions with growth potential, we could combine orthodontic treatment with orthopedic methods to achieve stable occlusion. The case was a 12-year-old male presented with Class II malocclusion, deep-bite, and low mandibular plane angle. In the stage I treatment, headgear was used to restrict the growth of maxilla. Bilateral Class III molar relationship was gained. After re-evaluation, stage II treatment was started from full mouth banding and bonding, with emphasis on leveling lower curve of Spee and intruding lower anterior teeth by placing reverse curve of Spee in the archwire and intrusive arch to solve the deep ...


Mandibular Molar Protraction For Edentulous Space Closure: A Systematic Review, Yueh-Tse Lee, Proudchompoo Paungmalit, Eric Jein-Wein Liou 2020 Graduate Institute of Dental and Craniofacial Science, Chang Gung University, Taoyuan, Taiwan; Craniofacial Research Center, Chang Gung Memorial Hospital, Linkou, Taiwan; Department of Craniofacial Orthodontics, Chang Gung Memorial Hospital, Linkou, Taiwan.

Mandibular Molar Protraction For Edentulous Space Closure: A Systematic Review, Yueh-Tse Lee, Proudchompoo Paungmalit, Eric Jein-Wein Liou

Taiwanese Journal of Orthodontics

Objective: Orthodontic molar protraction into the edentulous space is a treatment option for patients with missing mandibular molars or premolars. Space closure by moving the molars mesially into edentulous ridge is difficult, especially in the mandible. This systematic review aimed to evaluate the dental and periodontal changes after mandibular molar protraction into an edentulous ridge. Material and Methods: Literature search was conducted using PubMed, Medline (Ovid), Cochrane Library, Web of Science, and Scopus until September 2019 limited to English publications. Specific inclusion and exclusion criteria were extracted and analyzed. Study quality was objectively assessed. Results: In total, 490 studies were ...


Factors Influencing Fixed Orthodontic Treatmentoutcomes In A University Dental Clinic, Zhan Yan Fang, Sneha Ravindranath, Allan Pau 2020 School of Dentistry, International Medical University, Malaysia

Factors Influencing Fixed Orthodontic Treatmentoutcomes In A University Dental Clinic, Zhan Yan Fang, Sneha Ravindranath, Allan Pau

Taiwanese Journal of Orthodontics

Objective: To assess the orthodontic treatment outcomes in a university dental clinic and to determine factors associated with the treatment outcomes. Methods and materials: Firstly, the records of all patients who have completed fixed orthodontic treatment from 2012 to 2017 were identified and included in the study. Age at start of treatment, gender, decayed, missing filled teeth (DMFT), malocclusion classification, type of appliance used and type of treatment (extraction or non-extraction) were recorded. The pre-treatment and post-treatment study models were assessed by the Peer Assessment Rating (PAR) Index. The treatment outcomes were tabulated in a nomogram to show the proportions ...


Orthodontic Treatment Combined With Autotransplantation In Adults, I-Ting Chiang, Yi-Horng Chen, Rebecca Chen, Chien-Cheng Chen 2020 Division of Orthodontics, Department of Dentistry, Taipei Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, New Taipei City, Taiwan.

Orthodontic Treatment Combined With Autotransplantation In Adults, I-Ting Chiang, Yi-Horng Chen, Rebecca Chen, Chien-Cheng Chen

Taiwanese Journal of Orthodontics

A 28-year-old female with mild skeletal Class II and dental Class I malocclusion had chief complaint of teeth crowding and poor esthetics. The patient presented with a convex facial profile, long face with a steep mandibular angle, bimaxillary dentoalveolar protrusion with 9 mm overjet, and dental crowding. She had severe caries on the maxillary right first and second molars, and the mandibular left second molar. The mandibular left first and second premolars had ill-fitting porcelain-fused-to-metal crowns. The maxillary right third molar and the mandibular left third molar were impacted. The orthodontic treatment included autotransplantation of the maxillary left first premolar ...


Molar Protraction Through Downward Extension Of Maxillary Sinus In Patient With Central Diastema Caused By Small Lateral Incisors, Hsien-Fang Hung, Ming-Chu Huang, Ming-Jeaun Su 2020 Dr. Su's Teamwork Orthodontic Center, Taipei, Taiwan

Molar Protraction Through Downward Extension Of Maxillary Sinus In Patient With Central Diastema Caused By Small Lateral Incisors, Hsien-Fang Hung, Ming-Chu Huang, Ming-Jeaun Su

Taiwanese Journal of Orthodontics

A 32-year-old male patient presented with upper central diastema resulting from upper bilateral smallsized lateral incisors. The patient also had a deep bite of dental origin. A relatively simple mechanotherapy with pre-adjusted edgewise appliances was applied. A favorable and stable result of the ideal overbite and overjet after the correction of central diastema. Besides the above primary complaints, the prolonged retained roots of upper left first molar caused difficulty for proper space closure since the maxillary sinus wall was downward extended. The lower sinus floor may impede the orthodontic movement, but was very likely to be overlooked. The upper left ...


Camouflage Orthodontic Treatment On Skeletal Class Ii Malocclusion With Idiopathic Condylar Resorption, Hsin-Yi Lo, Liang-Ru Chen, Kwong-Wa Li, Ming-Lun Hong 2020 Division of Orthodontics, Department of Dentistry, Veterans General Hospital, Taichung

Camouflage Orthodontic Treatment On Skeletal Class Ii Malocclusion With Idiopathic Condylar Resorption, Hsin-Yi Lo, Liang-Ru Chen, Kwong-Wa Li, Ming-Lun Hong

Taiwanese Journal of Orthodontics

Idiopathic condylar resorption (ICR), also known as idiopathic condylysis or condylar atrophy, and progressive condylar resorption (PCR), is a poorly understood progressive disease that affects the temporomandibular joint (TMJ) with multifactorial factors leading to severe mandibular retrognathism and anterior open bite. It is difficult to distinguish the exact causes for each individual. Different diagnostic methods and different treatment options can be chosen for different phases. In this report, we present a camouflage treatment with temporary anchorage devices (TADs) for a skeletal Class II open bite with ICR. The goal of improving facial profile and reconstructing of occlusion was achieved. Comprehensive ...


Treatment Options For Obstructive Sleep Apnea, Shao-Chih Hsieh, Szu-Ting Chou, Yu-Chuan Tseng 2020 Department of Orthodontics, Dental Clinics, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan

Treatment Options For Obstructive Sleep Apnea, Shao-Chih Hsieh, Szu-Ting Chou, Yu-Chuan Tseng

Taiwanese Journal of Orthodontics

Obstructive sleep apnea (OSA) is sleep-disordered breathing caused by the collapse of the upper airway. Because anatomical abnormalities of the narrow upper airway are undoubtedly the most critical cause of OSA, the available treatment methods for OSA mostly focus on these anatomical problems. The collapse of the respiratory tract is associated with different levels of upper airway obstruction. The obstruction of the airway can be divided into three parts: the nasal cavity, retropalatal region, and retrolingual region. This article summarizes some common OSA treatment methods, their underlying theories, and their effect on the upper airway.


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