Use Improved Super-Elastic Ti-Ni Alloy Wire To Correct Class Ii Division 2 Malocclusion With Unstable Mandibular Position, Yu-Cheng Lo, Yuan-Hou Chen, Hsien-Hsiung Chiang, Jian-Hong Yu

Taiwanese Journal of Orthodontics

The case 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 Angle Class II division 2 case with unstable mandibular position. An adult 28-year old women came to our clinic with a chief complaint of poor dental alignment. Clinical examination revealed a Class II division 2 malocclusion. The ISW was used to relieve the anterior deep bite and crowding. Intermaxillary elastics (IMEs) were also used to achieve a correct and stable mandibular position and solid interdigitation. The outcome indicated achievement in correction of arch coordination, …

Decision Making On Tooth Extraction In Orthodontics, Yu-Ting Sun, Chia-Tze Kao

Taiwanese Journal of Orthodontics

Extraction or non-extraction is an issue that we face in our daily orthodontic practice. Before deciding the treatment plan, we have to examine the case carefully. Orthodontic tooth extraction involves more than just the need to create space in the arches but also the concerns of facial esthetics and treatment stability. The report presented a case of teenage boy with severe external root resorption of tooth 27, 37, 46, 47 which caused by impaction of third molars and a supernumerary premolar. Patient already had orthodontic treat-ment before and did not favor a comprehensive orthodontic treatment again. Tooth extraction of 27, …

Nonsurgical Treatment Of An Adult Patient With Bilateral Scissors-Bite And Class Ii Division 2 Malocclusion, Wei-Cheng Fu, Yu-Ling Cheng, Chia-Yi Pan, Ming-Juean Su, Yuen-Yung Tsang

Taiwanese Journal of Orthodontics

This report illustrates a 20 years old female presented a Class II division 2 malocclusion with deep overbite, gummy smile, canted maxillary anterior occlusal plane, low mandibular plane angle and bilateral scissors-bite. Angle's Class II division 2 malocclusion needs to be treated by correcting the inclination of maxillary incisors and lower lip posture. Selective bonding of maxillary anterior teeth and molars were performed to level the occlusal plane and gingival line, thus creating a consonant smile arc. Disocclusion was necessary by using a removable bite plate. Maxillary second premolars and second molars, lower third molars were extracted. The aim was …

Two-Phase Orthodontic Treatment In Class Ii Division 1 Malocclusion, Wen-Hui Hsieh, Hui-I Chen, Chin-Hsiang Chan

Taiwanese Journal of Orthodontics

A two-phase treatment comprising functional orthopedic therapy and fixed orthodontic therapy is often proposed for pubescent patients with Class II division 1 malocclusion. Mandibular retrognathism is a more common underlying cause of Class II skeletal discrepancy than the maxillary prognathism. In such cases, an activator is a widely used functional orthopedic appliances to enhance the mandibular growth. After resolving the sagittal problem by using the functional appliances, the biomechanical considerations of the anchorage requirement could be simplified in the second phase fixed appliance therapy, and the total treatment duration could be shorter. This case report describes a two-phase orthodontic treatment …

Assessment Of Midpalatal Suture Maturation For Orthodontic Diagnosis And Treatment Planning, Chiao-Yi Kao, Chin-Yun Pan, Hong-Po Chang, Yu-Chuan Tseng

Taiwanese Journal of Orthodontics

Accurately estimating the maturation of a midpalatal suture can improve the success rate of a maxillary expansion procedures. The craniofacial sutural maturation is an essential consideration in the choice between non-surgical and surgical methods of maxillary expansion. The maturation of a midpalatal suture can be assessed in several ways. This article reviews the literatures on the assessment of midpalatal suture maturation and its importance for orthodontic diagnosis and treatment planning.

Surgical Occlusion Setup In Orthognathic Surgery Using Surgery-First Approach For Skeletal Class Iii Deformity: A Systematic Review, Shu Hsien Lo, Yu-Fang Liao

Taiwanese Journal of Orthodontics

Objective: Surgery-first orthognathic surgery is increasing in popularity because of reduced treatment time, efficient tooth decompensation, and early improvement in facial esthetics. However, it remains difficult due to the surgical occlusion setup. We systematically reviewed the literature in order to determine the guidelines used for surgical occlusion setup in orthognathic-first surgery for skeletal Class III deformity. Material and Methods: The literature was searched using PubMed, Medline (Ovid), Cochrane Library, Web of Science and Google Scholar databases from January 1931 to June 2017. We limited the search to publications in English. Two independent investigators used specific inclusion and exclusion criteria to …

Consideration Of Facial Growth And Oral Function With The Use Of High Pull Headgear, Shao-Chun Yang, Ming-Jeaun Su, Yuen-Yung Tsang, Huei-Mei Tsai

Taiwanese Journal of Orthodontics

High pull headgear with face bow has been a popular treatment modality for upper first molars distalization and anchorage enhancement. It can effectively inhibit the eruption of upper molars, enhance condylar growth to contribute a forward movement of the mandible and further improve the bite and lip incompetence. The compliance from patients is particularly important for favorable treatment outcome. The patient was an 11-year-old boy with features of Class II division 1 malocclusion. Patient’s growth spurt seemed to be continued in the recent year. Lip biting and thumb sucking habits were suspected as the causes of patient’s malocclusion. A combination …

Clinical Use Of Contemporary Clear Aligner Therapy, Chun-Te Ho, Chien-Wei Chao, Chia-Tze Kao

Taiwanese Journal of Orthodontics

Clear aligner therapy (CAT) is an increasing popular alternative to conventional bracket therapy. This review summarized contemporary data regarding the history of CAT. The information regarding the advantages and disadvantages of CAT, biomechanical force and biological considerations, controlling orthodontic tooth movement (OTM) would be discussed in this review. The CAT is well accepted for their esthetics, comfort, good care of oral hygiene and periodontal status and suitable for interdisciplinary dental treatment. However, CAT was also considered as difficult compliance for the patients, uneasy to be handled by clinicians, unprecise root movement, difficult for the postoperative fixation in cases receiving orthognathic …

An Overview Of Digital Intraoral Scanners: Past, Present And Future- From An Orthodontic Perspective, Henry Hann-Min Hwang, Chi-Wei Chou, Yi-Jane Chen, Chung-Chen Jane Yao

Taiwanese Journal of Orthodontics

Digital intraoral scanners(IOSs) have become the ongoing trend in contemporary digital orthodontics. This article aims to elaborate the past, present, and future of IOSs from an orthodontist’s perspective. We summarized the comparison between digital and conventional impression in literatures. Also, we discussed about the imaging principles and characteristics of different IOSs. Although unable to recommend the single best option, a checklist of consideration when choosing an IOSs was developed after trailing the mainstream commercial products. With technology revolution, embracing the IOSs may be essential for those interested in future digital orthodontic workflow.

Orthodontic Treatment Management For Congenitally Missing Maxillary Lateral Incisors, Yu-Ting Sun, Tao-Wei Chang, Po-Yu Yang, Tzu-Hsin Lee

Taiwanese Journal of Orthodontics

Congenitally missing of maxillary lateral incisor is one of the most common agenesis anomalies. The purpose of this review was to present the orthodontic treatment of choice for a malocclusion with missing maxillary lateral incisors. Treatment plans consist of three categories: canine substitution, single-tooth implant and tooth supported restorations. Among which the least invasive option to achieve satisfying function and aesthetics is canine substitution. Factors such as the profile of the patient, the space analysis of dentition, and the color and shape of canine should be taken into consideration for treatment choice.

Surgical-Orthodontic Correction In Skeletal Class Iii Anterior Open Bite With An Ankylosed Maxillary Molar, Chin Suppapinyaroj, Ellen Wen-Ching Ko, Yu-Ray Chen

Taiwanese Journal of Orthodontics

This case report describes the treatment of a 24-year-old woman with chief complaints of anterior open bite and long lower jaw. She had a skeletal Class III with concave facial profile, hyperdivergent facial pattern, long lower facial height, and excessive anterior open bite. Intraoral examination revealed 26 tooth ankyloses and 32, 42 congenital missing teeth. The 26 was highly-locked, showing root penetrating into the sinus floor. Treatment was performed with a modified surgery-first approach, which included 5 months of presurgical alignment phase to upright the 27 mesially-tilted tooth and to correct upper dental midline by 14 extraction. The surgeries included …

Rapid Maxillary Alveolar Expansion In Maxillary Severe Space Deficiency, Mei-Yin Chen, Wen-Ken Tai, Heng-Ming Mark Chang, Hoi-Shing Luk, Chia-Tze Kao

Taiwanese Journal of Orthodontics

Although maxillary skeletal palatal expansion was efficient to correct the transverse dental deficiency, the conventional maxillary palatal expansion is still effective in some cases. This case report describes the orthodontic treatment procedure of a 15-year-old female patient who was diagnosed as Angle’s Class I malocclusion with severe space deficiency. The space deficiency of 11 mm was noted in maxillary arch in conjunction with severe overjet, blocked-in lateral incisors, high maxillary vault, posterior crossbite and V shape arch-form. The treatment plan presented non-extraction with rapid maxillary alveolar expansion in upper arch. The Hyrax expander was used in a rhythm of 2 …

Orthodontic Treatment Combined With Maxillary Posterior Subapical Osteotomy In Severe Anterior Open Bite, Jui-Hsien Yang, Yun-Yun Wu

Taiwanese Journal of Orthodontics

A 29-year-old woman presented with severe anterior open bite (−6 mm). Eight-month presurgical orthodontic treatment involving arch rounding and leveling was performed, with the upper arch treatment from canine to canine only. Bilateral maxillary posterior subapical osteotomy (PSO) for posterior intrusion was performed for 6-week fixation. Postsurgical orthodontic treatment followed, resulting in a total treatment time of 19 months. Cephalometric X-ray superimposition revealed that the anterior overbite was corrected by 9 mm (from -6mm to +3 mm), and the lower mandibular plane angle changed from 38.4° to 35.4°. Therefore, counterclockwise rotation of the mandible improved the facial profile. In conclusion, …

Accuracy Of A Smartphone-Based Orthodontic Treatment Monitoring Application, Heather Moylan

Theses and Dissertations

Objectives: Dental Monitoring® (“DM,” Dental Monitoring, Paris, France), is a cloud-based software that allows orthodontists to track patients’ treatment remotely. The purpose of this study was to investigate the accuracy of the software in making linear measurements.

Methods: Patients took intraoral photographs using the DM application, immediately followed by impressions for plaster models. Intercanine and intermolar width and arch depth measurements were made by DM and compared to measurements made on the plaster models. Data was analyzed using two one-sided t-tests for equivalence with equivalence bounds of

+/-0.5mm. Significance level was set at 0.05.

Results: Thirty sets of measurements were …

Comparison Of Hiring Strategies Of Orthodontic Private Practitioners, Steven C. Petritz

Theses and Dissertations

COMPARISON OF HIRING STRATEGIES OF ORTHODONTIC PRIVATE PRACTITIONERS

By Steven C. Petritz, D.D.S.

A thesis submitted in partial fulfillment of the requirements for the degree of Master of Science in Dentistry at Virginia Commonwealth University

Virginia Commonwealth University, 2018

Thesis Director: Bhavna Shroff, D.D.S., M.Dent.Sc., M.P.A.

Virginia Commonwealth University Department of Orthodontics Program Director

Purpose: Evaluate factors that influence hiring outcomes of clinical and non-clinical staff in orthodontic private practices.

Methods: Orthodontists (n=1968) were surveyed regarding their hiring methods and outcomes. Responses were summarized using descriptive statistics. Chi-square tests were used to compare between hiring strategies and outcomes. …

Evaluation Of Fit For 3d Printed Retainers As Compared To Thermoform Retainers, David J. Cole

Theses and Dissertations

ABSTRACT

EVALUATION OF FIT FOR 3D PRINTED RETAINERS AS COMPARED TO THERMOFORM RETAINERS

By David Cole, D.M.D.

A thesis submitted in partial fulfillment of the requirements for the degree of Master of Science in Dentistry at Virginia Commonwealth University

Thesis Directors: Eser Tüfekçi, D.D.S., M.S., Ph.D., M.S.H.A.

Professor, Department of Orthodontics

Sompop Bencharit, D.D.S., M.S., Ph.D.

Associate Professor and Director of Digital Dentistry, Department of General Practice

Introduction: Despite recent advances in three-dimensional (3D) printing, little information is available on 3D printed retainers

Methods: Three reference models were used to fabricate traditional vacuum formed, commercially-available vacuum formed, and 3D printed …

Orthodontists’ And Patients’ Preferences In Website Design In The Selection Of An Orthodontic Practice: A Comparative Study, Taylor R. Brown

Theses and Dissertations

Objective: To determine which website characteristics are preferred by orthodontists, adult patients, and parents of patients.

Materials and Methods: 1,000 active members of the American Association of Orthodontists and 750 active orthodontic patients/parents were sampled. Participants rated the importance of website characteristics, indicated presence of those characteristics on the current website, and ranked sample website images. Preferences were compared between orthodontist and the patient/parent group using t-tests and sample websites were compared using ANOVA models and Tukey’s adjusted post-hoc tests. Significance level was set at 0.05.

Results: 11 of the 16 website features showed significant differences between patients/parents and orthodontists. …