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Medicine and Health Sciences

2017

Taiwanese Journal of Orthodontics

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Definitive Surgical-Orthodontic Treatment To Correct The Problems Subsequent To Early Skeletal Class Iii Camouflage, Siripatra Patchanee, Ellen Wen-Ching Ko, Cheng-Hui Lin Jan 2017

Definitive Surgical-Orthodontic Treatment To Correct The Problems Subsequent To Early Skeletal Class Iii Camouflage, Siripatra Patchanee, Ellen Wen-Ching Ko, Cheng-Hui Lin

Taiwanese Journal of Orthodontics

This case report describes the treatment of a 21-year-old female patient who was disappointed with the outcome of a previous orthodontic treatment and complained about her chin prominent. She had skeletal Class III malocclusion with concave facial profile, hypodivergent facial pattern with deep overbite. The previous Class III camouflage orthodontic treatment was done by teeth 34, 44 extraction since she was 12 years old. With the concept of surgery-first approach, the surgical treatment plan included LeFort I osteotomy clockwise rotation of maxilla and bilateral sagittal split ramus osteotomy backward rotation of mandible with genioplasty and angle reduction in order to …


Solving The Complications Of Treating A Unilateral Submerged And Ankylosed Maxillary Permanent First Molar – A Case Report, Han-Wen Yang, Hsin-Yi Lo, Kwong-Wa Li, Liang-Ru Chen Jan 2017

Solving The Complications Of Treating A Unilateral Submerged And Ankylosed Maxillary Permanent First Molar – A Case Report, Han-Wen Yang, Hsin-Yi Lo, Kwong-Wa Li, Liang-Ru Chen

Taiwanese Journal of Orthodontics

The study reported an adult orthodontic case with a unilateral ankylosed upper permanent first molar. A number of complications occurred, including occlusal plane canting, dental midline deviation and asymmetric molar relationship. The case demonstrated the mechanics used to solve all the complications we met. The case also showed the phenomenon that after extraction of the ankylosed tooth, the bone remodeling mechanism of the bone in situ seemed abnormal and resulted in difficulty of protracting the tooth into the extracted site. All the above reasons, therefore, resulted in prolonged treatment time. In addition, the case also demonstrated the method we used …


Investigation Of Medical Disputes Involving Dentists Performing Orthodontic Treatments In Taiwan, Chih-Ling Lin, Sheng-Pin Hsu, Yu-Kun Chih Jan 2017

Investigation Of Medical Disputes Involving Dentists Performing Orthodontic Treatments In Taiwan, Chih-Ling Lin, Sheng-Pin Hsu, Yu-Kun Chih

Taiwanese Journal of Orthodontics

Introduction: Medical disputes have received increasing attention in recent years. Under the assistance of the academic and medical affairs committees of the Taiwan Association of Orthodontists, this study explored medical disputes among orthodontists performing orthodontic treatments in Taiwan in 2016. Methods: This study adopted a questionnaire survey, which was divided into three sections, namely the surveyed orthodontists’ demographic information, medical services, and subjective views on orthodontic-related medical disputes. The results were compared with those from a study conducted in 2010. Subsequently, topics related to clear aligner therapy and orthognathic surgery were examined. Results: The results indicated that 32.3% of the …


Molar Distalization By Temporary Anchorage Devices (Tad S) – A Review Article, Jun Ming Tan, Yi-Min Liu, Hung-Cheng Chiu, Yi-Jane Chen Jan 2017

Molar Distalization By Temporary Anchorage Devices (Tad S) – A Review Article, Jun Ming Tan, Yi-Min Liu, Hung-Cheng Chiu, Yi-Jane Chen

Taiwanese Journal of Orthodontics

Clinically, there are many ways to achieve molar distalization, such as skeletal anchorage, extraoral anchorage, sliding jig, lip bumper, and pendulum, etc. Although several methods have been described to distalize molars or total dentition, there is no strong scientific evidence of the effectiveness of various methods. To date, temporary anchorage devices (TADs) are increasingly used as orthodontic anchorage sources because of its strong anchorage, including endoosseous implants, miniplates, miniscrews and microscrews. Application of bony anchorage makes teeth move more efficiently, without depending on patient compliance in wearing appliance. However, only case reports and small case series have been published on …


Camouflage Orthodontic Treatment For Adultpatient With Skeletal Class Iii Malocclusion And Bilateral Posterior Cross-Bite, Rouh-Hwai Wang, Hsin-Lan Shen Jan 2017

Camouflage Orthodontic Treatment For Adultpatient With Skeletal Class Iii Malocclusion And Bilateral Posterior Cross-Bite, Rouh-Hwai Wang, Hsin-Lan Shen

Taiwanese Journal of Orthodontics

This 23-year-old female presents with skeletal Class III malocclusion, complicated by prominent chin projection, bilateral posterior lingual cross-bite, missing of bilateral maxillary first molars, and severely lingualtilted lower second molars. The treatment modality was conventional edgewise appliance with bilateral lower first premolar extraction. A favorable result of ideal overbite and overjet and correction of bilateral posterior cross-bite were achieved. The patient was satisfied the improvement of function and esthetics after treatment.


Non-Surgical Treatment Of An Adult Class Iii Malocclusion Patient With Facial Asymmetry By Unilateral Mandibular Arch Distalization, Chi-Yu Tsai, Shiu-Shiung Lin, Yi-Hao Lee, Li-Tyng Sun, Yu-Jen Chang, Te-Ju Wu Jan 2017

Non-Surgical Treatment Of An Adult Class Iii Malocclusion Patient With Facial Asymmetry By Unilateral Mandibular Arch Distalization, Chi-Yu Tsai, Shiu-Shiung Lin, Yi-Hao Lee, Li-Tyng Sun, Yu-Jen Chang, Te-Ju Wu

Taiwanese Journal of Orthodontics

This article reports the treatment of a 22-year-old male with Class III malocclusion and facial asymmetry by non-surgical camouflage orthodontic approach. This patient presented with anterior crossbite and deviated midline, mild protrusive mandible and chin deviation. The Class III malocclusion was marked with anterior functional shift resulted from the premature contact of the incisors. Unilateral mandibular buccal shelf miniscrew was applied for the correction of the skewed mandibular arch. After treatment, the deviated dental midline and Class III molar relation were both corrected. This patient exhibited harmonious profile and occlusion.


Dental Pulp Response To Orthodontic Tooth Movement, Chih-Wei Wang, Kai-Long Wang, Kwok-Hing Ho, Shun-Chu Hsieh, Heng-Ming Chang Jan 2017

Dental Pulp Response To Orthodontic Tooth Movement, Chih-Wei Wang, Kai-Long Wang, Kwok-Hing Ho, Shun-Chu Hsieh, Heng-Ming Chang

Taiwanese Journal of Orthodontics

Pulp vitality may occasionally change while tooth experiencing orthodontic movement, and orthodontists are the particular group who concern this phenomenon if it happens. The respiration rate of dental pulp will be depressed inevitably in short term when tooth is subject to orthodontic force. If force level is extreme, circulatory interruption can occur and further induce pulp necrosis. When orthodontic movement on pulpalcompromised teeth (e.g. teeth with trauma history or large restorations) is required, the pulp response to orthodontic force should be monitored. This article provides an overall review on the pulpal reactions during orthodontic movement and dental movement on teeth …


Surgical-Orthodontic Treatment With Molar Protraction In A Patient With Skeletal Class Iii Anterior Open Bite And Facial Asymmetry, Yi-Hsuan Chen, Cheng-Hui Lin, Ellen Wen-Ching Ko Jan 2017

Surgical-Orthodontic Treatment With Molar Protraction In A Patient With Skeletal Class Iii Anterior Open Bite And Facial Asymmetry, Yi-Hsuan Chen, Cheng-Hui Lin, Ellen Wen-Ching Ko

Taiwanese Journal of Orthodontics

A 20-year-old young male complained of his protrusive and deviated chin. He also presented occlusal plane cant, anterior open bite and unrestorable maxillary right first molar and mandibular left first molar. The severe maxilla-mandibular discrepancy was solved with surgery-first double jaw orthognathic surgery. The space of two extracted first molars was closed by protraction of the second and third molars after surgery. Two protraction techniques were used in this case, including closing maxillary right first molar space with reciprocal retraction, and closing mandibular left first molar with one miniscrew as an absolute anchorage. Careful biomechanical consideration was used during protraction …


A 4-Year Follow-Up Of A Rare Case With Ectopic Eruption Of The Permanent Second Molars Associated With Resorption Of The Permanent First Molars, Hui-I Chen, Wen-Hui Hsieh, Chih-Hsiang Chan, Hsuan-Fang Lai Jan 2017

A 4-Year Follow-Up Of A Rare Case With Ectopic Eruption Of The Permanent Second Molars Associated With Resorption Of The Permanent First Molars, Hui-I Chen, Wen-Hui Hsieh, Chih-Hsiang Chan, Hsuan-Fang Lai

Taiwanese Journal of Orthodontics

A rare case-a 11-year-old boy with ectopic eruption of all the permanent second molars associated with resorption of all the permanent first molars was reported. Severe root resorption was found in the mandibular first molars, while moderate root resorption was found in the maxillary first molars. There were several points should be addressed into consideration: (1) young age; (2) the third molars will probably be brought into occlusion in the future; (3) Class III jaw relationship. The orthodontic treatment was approached with two-stage. Stage I treatment was aimed to upright the mandibular second molars after removal of the mandibular first …


Combine The Orthodontic-Orthognathic Surgical Correction On Class Ii Division 2 Malocclusion, Supawadee Hasprayoon, Ellen Wen-Ching Ko, Ying-An Chen Jan 2017

Combine The Orthodontic-Orthognathic Surgical Correction On Class Ii Division 2 Malocclusion, Supawadee Hasprayoon, Ellen Wen-Ching Ko, Ying-An Chen

Taiwanese Journal of Orthodontics

This case report illustrates a combined orthodontic-orthognathic surgical treatment option for correction of Class II division 2 malocclusion. A 31-year-old female patient, presenting a chief complaint of gummy smile and backward position of anterior teeth, came to seek for treatment. She had skeletal Class II with hypodivergent facial type and mild asymmetric face. Intraoral examination revealed a severe deep bite with 13 mm overbite. The pre-surgical orthodontic treatment consisted of proclination of the maxillary incisors and increased in overjet to provide space for surgical advancement of mandible; the mandibular curve of Spee was partially leveled and maintained some parts of …


Is Early Treatment With Functional Appliances Worth The Effort? A Discussion Of The Pros And Cons Of Early Interceptive Treatment, Ib Leth Nielsen Jan 2017

Is Early Treatment With Functional Appliances Worth The Effort? A Discussion Of The Pros And Cons Of Early Interceptive Treatment, Ib Leth Nielsen

Taiwanese Journal of Orthodontics

Early treatment of Class II, Div. 1 malocclusion is a much debated approach and some evidence based studies using a single appliance concluded that this approach was often not worthwhile. This article will discuss the pros and cons of early treatment with functional appliances and present guidelines for early treatment. The role of facial growth and dentoalveolar development, and growth intensity will be discussed as they relate to treatment outcome. A retention protocol for early treatment with functional appliances will be suggested.


Maxillofacial Distraction Osteogenesis, Hong-Po Chang, Tsau-Mau Chou, Yu-Chuan Tseng, Jen-Hao Chen, Han-Jen Hsu, Pao-Hsin Liu Jan 2017

Maxillofacial Distraction Osteogenesis, Hong-Po Chang, Tsau-Mau Chou, Yu-Chuan Tseng, Jen-Hao Chen, Han-Jen Hsu, Pao-Hsin Liu

Taiwanese Journal of Orthodontics

Distraction osteogenesis in the maxillofacial skeleton is an increasingly popular alternative to many conventional orthognathic surgical procedures. This review summarizes recent data regarding the biological and biomechanical basis of distraction osteogenesis, its advantages and disadvantages, and special considerations in maxillofacial distraction. Intraoral mandibular distraction osteogenesis, maxillary and midfacial distraction, and alveolar distraction osteogenesis are discussed. This review also discusses sutural expansion/maxillary protraction osteogenesis and orthodontically induced periodontal osteogenesis, which are similar to physeal osteogenesis. In the near future, improved understanding of biomolecular mechanisms that mediate distraction osteogenesis may guide the development of targeted strategies that use molecular mediators, growth factors, …


The Use Of Oral Appliances For Obstructive Sleep Apnea-Hypopnea Syndrome (Osahs ), You-Ning Gao, Jenny Zwei-Chieng Chang, Ming-Hsien Lan, Wen-Chung Chang, Yuan-Yi Tung Jan 2017

The Use Of Oral Appliances For Obstructive Sleep Apnea-Hypopnea Syndrome (Osahs ), You-Ning Gao, Jenny Zwei-Chieng Chang, Ming-Hsien Lan, Wen-Chung Chang, Yuan-Yi Tung

Taiwanese Journal of Orthodontics

The obstructive sleep apnea–hypopnea syndrome (OSAHS) is a common sleep-related breathing disorder characterized by repetitive obstructions of the upper airway during sleep. Nasal continuous positive airway pressure (CPAP) is the primary choice of treatment for OSAHS, but many patients are unable or unwilling to comply with the treatment. The modification of pharyngeal patency by oral appliances (OA) is an alternative treatment for OSAHS. This article provides a brief review and information of the oral appliance application in treating OSAHS.


Non-Surgical Treatment For A Patient With Angle Class Ii Division 2 Malocclusion With Severe Deep Bite: A Case Report, Yuan-Jung Wang, Jia-Iin Chang, Aaron Yu-Jen Wu, Ren-Jye Chen, Shiu-Shiung Lin, Te-Ju Wu Jan 2017

Non-Surgical Treatment For A Patient With Angle Class Ii Division 2 Malocclusion With Severe Deep Bite: A Case Report, Yuan-Jung Wang, Jia-Iin Chang, Aaron Yu-Jen Wu, Ren-Jye Chen, Shiu-Shiung Lin, Te-Ju Wu

Taiwanese Journal of Orthodontics

This report describes a non-surgical orthodontic treatment for a 36-year-old male patient who had Class II division 2 malocclusion (Class II/2) with deep bite more than 100%, gingival recession, and periodontal abscess in the mandibular anterior region. Patient had history of trauma in region. The surgical intervention was once suggested but was refused by the patient. The compromised but acceptable final results were achieved by nonsurgical approach. The treatment plan included periodontal control, maxillary incisor intrusion and restoration of the collapsed occlusion. The total treatment duration was 43 months. The patient was satisfied with the treatment outcomes via interdisciplinary approach …


The Orthodontic Treatment Of Bilateral Impacted Maxillary Canines - A Case Report, Yu-Hsuan Chang-Chien, Li-Tyng Sun, Te-Ju Wu, Chia-Ling Tsai, Wei-Yung Hsu, Shiu-Shiung Lin Jan 2017

The Orthodontic Treatment Of Bilateral Impacted Maxillary Canines - A Case Report, Yu-Hsuan Chang-Chien, Li-Tyng Sun, Te-Ju Wu, Chia-Ling Tsai, Wei-Yung Hsu, Shiu-Shiung Lin

Taiwanese Journal of Orthodontics

The maxillary canine impaction is a specific topic in orthodontic treatment. Because of its important role in esthetics and occlusal function, preservation and alignment of the impacted canine would always be the priority in teenage orthodontics. In addition to the routine analysis of the space distribution for the impacted canines, orthodontists should also consider the growth potential to achieve proper treatment outcome. This case report presents the orthodontic treatment of a 14-year-old boy with bilateral maxillary canine impaction. With fixed orthodontic appliance, the bilaterally impacted canines were successfully aligned into maxillary dentition with good interdigitation. The prevalence, etiology and the …


Surgical-Orthodontic Treatment Of A Patient With Severe Skeletal Class Iii Anterior Open Bite And High Mandibular Plane By Preserving The Posterior Facial Height, Tz-Ya Hung, Wei-Cheng Lee, Benjamin Lo, Philip Kuo-Ting Chen, Lih-Juh Chou, Chung-Hsing Li Jan 2017

Surgical-Orthodontic Treatment Of A Patient With Severe Skeletal Class Iii Anterior Open Bite And High Mandibular Plane By Preserving The Posterior Facial Height, Tz-Ya Hung, Wei-Cheng Lee, Benjamin Lo, Philip Kuo-Ting Chen, Lih-Juh Chou, Chung-Hsing Li

Taiwanese Journal of Orthodontics

Class III malocclusions with a hyperdivergent vertical facial pattern are often difficult to treat without combining the surgical-orthodontic approach. The aim of this article is to present a collaborative management of a case with severe skeletal class III and anterior open bite. The 19-year-old man was characterized with midface deficiency, mandibular prognathism, high mandibular plane angle, long lower facial height, and excessive anterior open bite. The achievement of a stable surgical setup in interdigitation prior to orthognathic surgery (OGS) is critical for a successful treatment via dental decompensation. Two-jaw surgery with clockwise rotation of the maxilla and bilateral sagittal split …


Segmental Maxillomandibular Rotational Advancement To Correct Obstructive Sleep Apnea In A Patient Skeletal Class Ii Malocclusion - A Case Report, Yea-Ling Yang, Sam Sheng-Pin Hsu, Clement Cheng-Hui Lin Jan 2017

Segmental Maxillomandibular Rotational Advancement To Correct Obstructive Sleep Apnea In A Patient Skeletal Class Ii Malocclusion - A Case Report, Yea-Ling Yang, Sam Sheng-Pin Hsu, Clement Cheng-Hui Lin

Taiwanese Journal of Orthodontics

The first priority to solve the sleep-disordered breathing could be soft-tissue surgery or non-surgical therapy such as continuous positive airway pressure (CPAP). However, in patients with incomplete remission or relapse, the sleep quality and day time symptoms may persist. The case report presented a young man with main problems of obstructive sleep apnea (OSA) and Skeletal Class II maxillary protrusion. We proposed a segmental maxillomandibular rotational advancement (SMMRA) with surgery-first procedure at the end of his puberty. The surgical orthodontic treatment achieved good outcome of function and esthetics at the same time. The polysomnogrphic data and airway dimension were dramatically …


Relationship Of The Surface Electromyography In Masticatory Muscles With The Vertical Facial Patt Erns And Orthodontic Tooth Movement, Carol Yi-Hsuan Chen, Ellen Wen-Ching Ko Jan 2017

Relationship Of The Surface Electromyography In Masticatory Muscles With The Vertical Facial Patt Erns And Orthodontic Tooth Movement, Carol Yi-Hsuan Chen, Ellen Wen-Ching Ko

Taiwanese Journal of Orthodontics

Introduction: Controversy about the relationship among masticatory muscles, craniofacial morphology and the orthodontic anchorage preparation has not yet been clarified in the literatures. The purpose of this study was to evaluate whether the vertical facial patterns and masticatory surface electromyography (sEMG) influence the molar anchorage and characteristic orthodontic tooth movement. Methods: Subjects for this study comprised 18 patients with a mean age of 23.7 years who had completed orthodontic treatment with therapeutic symmetric extraction. The sEMG data were acquired at the time of bracket debond. The sEMG of anterior temporalis and masseter muscles were recorded during the rest position and …


Camouflage Treatment In Adult Patient With Mandibular Lateral Displacement, Transverse Deficiency And Facial Asymmetry – A Case Report, Yu-Ling Tsai, Chun-Liang Kuo, I-Hua Liu Jan 2017

Camouflage Treatment In Adult Patient With Mandibular Lateral Displacement, Transverse Deficiency And Facial Asymmetry – A Case Report, Yu-Ling Tsai, Chun-Liang Kuo, I-Hua Liu

Taiwanese Journal of Orthodontics

Facial asymmetry is common in humans. Significant facial asymmetry causes both functional as well as esthetic problems. The etiologies of facial asymmetry include congenital disorders, acquired diseases, and traumatic and developmental deformities. The causes of many cases of developmental facial asymmetry are indistinct. The principle of facial asymmetry management would be correcting the underlying disorder. Orthognathic surgery is the first and better choice if face correction is the primary consideration. Camouflage orthodontic treatment was a non-invasive option for mild to moderate severity of asymmetry. We present a case with mandibular lateral displacement, transverse deficiency and facial asymmetry in a 19-year-old …


Orthodontic Treatment Of Adult Skeletal Class Ii With Idiopathic Condylar Resorption History And Severe Anterior Open Bite Without Using Temporary Anchorage Device – A Case Report, Chng-Yung Yap, Chun-Liang Kuo Jan 2017

Orthodontic Treatment Of Adult Skeletal Class Ii With Idiopathic Condylar Resorption History And Severe Anterior Open Bite Without Using Temporary Anchorage Device – A Case Report, Chng-Yung Yap, Chun-Liang Kuo

Taiwanese Journal of Orthodontics

The aim was to present the treatment of an adult patient with idiopathic condylar resorption (ICR) who exhibited good adaptation of condyles after orthodontic treatment and to discuss management of anterior open bite when it is related with TMJ problems. A case of 47 y/o female with skeletal Class II, anterior open bite and ICR history under bite-plate therapy and regular follow up. Intraoral examination noted premature contact and occlusal interference over bilateral posterior teeth. Our treatment plan is orthodontic camouflage treatment to correct anterior open bite and remove all 3rd molars and hopeless UL 2nd molar. An implant was …


Using The Forsus Appliance To Correct Class Ii Mandibular Asymmetry In A Growing Patient: A Case Report, Yun-Fang Chen, Yu-Fang Liao Jan 2017

Using The Forsus Appliance To Correct Class Ii Mandibular Asymmetry In A Growing Patient: A Case Report, Yun-Fang Chen, Yu-Fang Liao

Taiwanese Journal of Orthodontics

The case report described the orthodontic treatment of a 13-year-old male patient diagnosed as Angle Class II Division 1 subdivision left malocclusion with deep bite and spacing. The chief complaint was protrusive upper front teeth prone to injury. Non-extraction treatment with Forsus appliance and Class II elastics was used to correct the Class II relationship on the left side, and to improve the deviated mandibular dental midline, protrusive front teeth and lips, and lip incompetence. Although there were residual mandibular dental deviation of 0.5 mm and lip incompetence, the patient and his parents were satisfied with the treatment results revealing …