Dentistry Commons^™

Improved Super-Elastic Ti-Ni Alloy Wire (Isw) For Treatment Of Adult Angle Class Iii With Anterior Crossbite, Pin-Yu Chen, Yuan-Hou Chen, I-Jia Wang, Jian-Hong Yu

Taiwanese Journal of Orthodontics

An adult female (35 years old) came for orthodontic consultation with a chief complaint of poor dental alignment with protruded mandible. Clinical findings revealed that Class III malocclusion with functional anterior crossbite. Low Hysteresis Improved Super-elastic TieNi alloy wire (ISW), developed by Tokyo Medical and Dental University with ISW curve applied over upper arch for flaring out the upper anterior tooth. MEAW technique applied on lower arch to correct a negative overjet. Treatment was completed within 41 months and patient was pleased with the improvement of appearance and dental alignment.

Substitution Of Maxillary Central Incisor With Forced Eruption Of Impacted Maxillary Canine, Wei-Lun Lim, Huei-Mei Tsai, Yu-Ling Cheng, Yuen-Yung Tsang, Ming-Jeaun Su, Chia-Yi Pan

Taiwanese Journal of Orthodontics

This case report describes the orthodontic management of missing teeth and rehabilitation needs in a 26-year-old woman. Several missing teeth on her maxillary anterior esthetic zone, a poor prognosed left mandibular first molar and a missing right mandibular first molar was also found. The treatment plan included extraction of the unrestorable maxillary left incisor, surgical exposure and forced eruption of the impacted maxillary left canine. While on the lower arch, protraction of mandibular second and third molars was planned. A good functional occlusion was achieved after 42 months treatment duration. The transposed impacted maxillary left canine was orthodontically extruded and …

Distribution Of Different Skeletal And Dental Relations Among Orthodontic Patients In Recent 5 Years: A Retrospective Study, Zong-Zhe Tsai, Morton Chang, Yu-Chuan Tseng

Taiwanese Journal of Orthodontics

The prevalence of malocclusion differs significantly from race to race. The cause of malocclusion could be multifactorial. Previous studies have demonstrated quantitative information on skeletal and dental relations in different countries. This study focuses on patients who had received orthodontic data collection and analysis in a specific medical center. Skeletal relation and Angle’s dental classification of male and female were statisticized and analyzed. Skeletal relation of Class I was 45.4%, Class II was 29.5%, and Class III was 25.1%. Angle’s dental classification of Class I was 39.3%; Class II was 30.8%; Class III was 29.9%. There was a statistically significant …

Comparison Of Lateral Cephalometry And Cone-Beam Computed Tomography Techniques For Measuring Alveolar Bone Thickness Around Maxillary Incisors, Farzaneh Ahrari, Mostafa Shahabi, Hossein Hosseini-Zarch, Mohammad Javad Alavi

Taiwanese Journal of Orthodontics

Purpose: It is valuable to detect whether bone thickness measurements performed on lateral cephalograms reflect the values obtained from three-dimensional images. The present study compared lateral cephalometry and cone-beam computed tomography (CBCT) for evaluating alveolar bone thickness surrounding maxillary central incisors.

Methods: The study included the records of 55 patients who had both lateral cephalograms and CBCT scans of the maxilla. In cephalograms, the alveolar bone thickness was measured at the crestal, middle, and apical levels of maxillary incisors at the buccal and lingual sides. Bone thickness was also measured at the corresponding points on CBCT images, and the data …

Facial Growth: Does It Play A Role In Long-Term Stability Of Orthodontic Treatment?, Ib Leth Nielsen

Taiwanese Journal of Orthodontics

Following orthodontic treatment there is usually a period of retention to maintain the treatment result. This period can vary from a few years to even lifelong retention all depending upon the clinician, type of treatment and severity of the initial malocclusion. In most cases retention is planned for one to two years, but some clinicians routinely recommend continuous retention into adulthood. The retention planned for a patient is unfortunately often based on intuition rather than on scientific evidence. Furthermore, the retention is frequently not planned based on the initial malocclusion, the patient's facial growth pattern nor is attention paid to …

Improved Super-Elastic Ti-Ni Alloy Wire For The Treatment Of Skeletal Class Iii With Unilateral Buccally Positioned High Canine, Yi-Mien Cheng, Chih-Chieh Lin, Yu-Cheng Lo, Yuan-Hou Chen, Jian-Hong Yu

Taiwanese Journal of Orthodontics

A 20-year-old male adult came to the clinic with a chief complaint of poor dental alignment. Clinical examination had revealed Skeletal Class III with an upper right buccally positioned high canine, anterior crowding, midline deviation and both maxillary lateral incisors crossbite. Four bimaxillary premolars were extracted. Improved super-elastic Ti-Ni alloy wire (ISW, developed by Tokyo Medical and Dental University) leveling was performed to relieve the crowding and to correct the high canine and midline deviation. Intermaxillary elastics (IME) was applied for a better interdigitation. Treatment was completed within 29 months and a desirable occlusion was achieved.

Clear Aligner Treatment In An Adolescent Female With Hyperdivergent Growth Pattern Of The Mandible, Chih-Jan Chen, Yu-Ling Cheng, Yuen-Yung Tsang, Huei-Mei Tsai, Yi-Min Liu

Taiwanese Journal of Orthodontics

This study investigated the application of a clear aligner system in treatment of an adolescent Taiwanese female exhibiting a high mandibular plane angle, with a particular emphasis on the alignment of crowded upper anterior teeth. The treatment plan excluded tooth extraction and applied sequential distalization and transverse expansion across both dental arches instead. The alleviation of crowding and increased arch width was accomplished, while maintaining optimal vertical dimension control. The treatment yielded observable improvements in both oral function and aesthetic appearance

Bilateral Maxillary Canine Substitution With High Impaction In The Center Of Anterior Palate, Chien-Man Chang, Ying-Chen Chen, Ellen Wen-Ching Ko

Taiwanese Journal of Orthodontics

This case report described the treatment of a 16 y/o female who was referred for her bilateral maxillary impacted canines. Her chief complaint also involved lower crooked front teeth. She presented with skeletal Class I with orthodivergent facial pattern and dental Class II relationship. Clinical oral examination revealed two peg lateral incisors and two retained primary canines in the upper arch. The panoramic film showed two maxillary impacted canines near the center of palate. Before the orthodontic intervention, surgical exposure was conducted with open window technique. A transpalatal arch with 2 soldered hooks was inserted as anchorage for distal traction …

Surgical-Orthodontic Correction Of Skeletal Class Iii Anterior Open Bite With Facial Asymmetry, Hao-Hsiang Chang, Cheng-Hui Lin, Ellen Wen-Ching Ko

Taiwanese Journal of Orthodontics

Class III anterior open bite (AOB) is characterized by mandibular downward movement with anteroposterior discrepancy and long face deformity. This often leads to esthetic and functional problem that decrease the Quality of Life in patients. Treatment decision of AOB is always challenging whether goes for camouflage therapy or orthognathic surgery. A 26-year-old female suffered from anterior open bite and facial asymmetry. The clinical and radiographic examination revealed skeletal Class III relationship with hyperdivergent facial type, facial asymmetry with chin deviation to right, and AOB of -5 mm overbite. The pre-surgical orthodontic treatment included partial anterior retraction of upper anterior teeth …

Orthodontic Retreatment Of Class Ii Division 2 Malocclusion With Deep Bite And Gummy Smile Using Miniscrews, Hsin-Yi Lo, Hung-Jen Wang, Yu-Lian Lin

Taiwanese Journal of Orthodontics

Orthodontic treatment of Class II Division 2 malocclusion with gummy smile and deep bite is a challenge under the circumstances of lacking skeletal anchorage device. In this case report, we illustrated a miniscrew-assisted orthodontic retreatment of a 29-year-old female patient, who came to our department with a chief complaint of her unpleasant smile. The patient had previously undergone orthodontic treatment with 4-bicuspid extractions to correct her protrusive incisors. The clinical examination revealed a Class II division 2 malocclusion, 100% overbite, and a gummy smile. The philosophy of the orthodontic retreatment in this case was to correct Class II molar relationship …

Improved Super-Elastic Ti-Ni Alloy Wire For Nonsurgical Treatment Of Skeletal Class Iii Malocclusion Combined With Anterior Crowding And Anterior Crossbite Case, Po-Jui Lin, Yuan-Hou Chen, Ming-Ke Tsai, Chang-Chiang Yu, Jian-Hong Yu

Taiwanese Journal of Orthodontics

The article reported the use of improved super-elastic Ti-Ni alloy wire (ISW), which was developed by Tokyo Medical and Dental University, to correct a case of skeletal Class III malocclusion combined with anterior crowding and anterior crossbite. An 18-year-old male with a chief complaint of poor dental alignment and protruded lower incisors showed up in our clinic for treatment. Clinical examination revealed skeletal Class III facial profile. Anterior crowding and anterior crossbite could be also noted. Because the patient refused orthognathic surgery, we tried camouflage orthodontic treatment. First, we used ISW crossbite arch to eliminate the anterior interference in order …

Surgical-Orthodontic Treatment Of Class Iii Malocclusion With Anterior Open Bite, I-Ting Chiang, Cheng-Yu Wang, Yi-Jan Hsia, Chien-Cheng Chen, Yi-Horng Chen

Taiwanese Journal of Orthodontics

A 21-year-old female came with chief complaints of inability to incise food and poor esthetics. The patient presented with a concave facial profile, long face with a steep mandibular angle, incompetent lip closure, and acute nasolabial angle. Intraorally, she had negative 6 mm overjet, 3 mm open bite and dental crowding. She was diagnosed as severe skeletal Class III malocclusion and anterior open bite. The treatment plan included orthodontic treatment with orthognathic surgery and extraction of maxillary second molars, which were supra-erupted and tipped buccally. The pre-operative orthodontic alignment took 11 months. The surgical correction included maxillary Le Fort I …

Treatment Of Class Iii Malocclusion With Facial Asymmetry And Impacted Second Molar: A Case Report, Wei-Yu Chen, Chen-Jung Chang, Jen-Bang Lo, Pei-Ju Wu, Tung-Yiu Wong

Taiwanese Journal of Orthodontics

Symmetry is an important factor affecting facial attractiveness. The majority of subjects with facial asymmetry also exhibit Class III (CIII) malocclusion. However, the method used for three-dimensional analysis of facial asymmetry remains controversial. The optimal symmetry plane (OSP) method was developed to eliminate the identification errors that occur when using traditional orthodontic landmarks. Orthodontic treatment can become complicated in the presence of mandibular second molar impaction. Several parameters should be taken into consideration during the treatment planning, such as position of impacted tooth relative to anatomical structures and adjacent tooth and preexisting conditions in the impacted teeth. In this report, …

Treatment Strategy Of Mandibular Second Molar Impaction: A Literature Review, Heng-Tzu Shen, Johnson Hsin-Chung Cheng, Daniel De-Shing Chen

Taiwanese Journal of Orthodontics

Purpose: This literature review aimed to investigate the treatment consideration and strategy of mandibular second molar (MM2) comprehensively, which can be of great assistance on managing and solving such a rare disturbance. Methods: Previous studies were identified in PubMed or Embase database using the keywords “orthodontic,” “molar impaction,” and “uprighting molar.” To enrich the contents of every aspect of the topic, other several related articles were also reviewed and included. Results: Forty-six articles were included and systematically discussed in this review, which were arranged according to prevalence, etiology, diagnosis, treatment strategy, and clinical methods. The incidence of MM2 impaction is …

Transverse Malocclusions: Etiology, Development, Diagnosis And Treatment, Ib Leth Nielsen

Taiwanese Journal of Orthodontics

Malocclusions that involve the transverse dimension are very common in the orthodontic office. They can be as simple as a crossbite of the posterior teeth or as severe as a Class III malocclusion with a mandibular asymmetry. Transverse malocclusions can vary from being a simple dento-alveolar problem to a more complex challenge as represented by a skeletal asymmetry that has developed after puberty and causing temporomandibular disorder (TMD) problems. In this review we shall address the most common types of transverse malocclusions and review their etiology and development. The most typical etiology of transverse anomalies will be discussed, and we …