Management of Class I Bimaxillary Protrusion malocclusion by Camouflage Orthodontic Treatment - 3

-

  Diagnosis:

    A female patient came with the chief complain of forwardly placed upper front teeth and irregularly placed lower teeth. The extraoral examination reveals mesoprosopic faceform, mesoocephalic headform, convex profile, incompetent lips, acute nasolabial angle. The intraoral examination shows Class I molar relation, Class I canine relation  with crowding in upper & lower anterior teeth. Diagnosis is Angle's Class I bimaxillary protrusion malocclusion with crowding in upper and lower anterior teeth..

Treatment Objectives: 
  • To correct proclination of upper anterior teeth
  • To achieve ideal overjet and overbite
  • To relieve crowding in upper & lower anterior teeth
  • To improve profile
  • To correct nasolabial angle
  • To correct smile

Treatment Plan: 
  • Extraction irt 14,24,34,44
  • Leveling and alignment 
  • Space Closure
  • Finishing and detailing

Treatment Progress: 

    The orthodontic treatment is started with banding and bonding in upper and lower arches with standard 0.022 inch MBT preadjusted edgewise appliance. The initial leveling and alignment process is started. The sequential change of arch wires were 0.016 nickel‑titanium (NiTi), 0.017 x 0.025 NiTi, 0.019 x 0.025 NiTi, 0.019 x 0.025 SS. After the leveling & alignment is completed, extraction of all first premolars are done. Then retraction is started on 0.019 x 0.025 SS wire by sliding mechanics. Elastomeric chain is changed every six weeks. After space closure, finishing is done on 0.019 x 0.025 braided SS wire by settling elastics. The overall treatment duration is approximate 1.5 year. After removal of orthodontic appliance, lingual fixed retainer and removable essix retainer are given.

Treatment Results: 

    The post-treatment photographs showed Class I molar and canine relation, ideal overjet and overbite, average nasolabial angle, competent lips, well coordinated arches. The profile is also improved. The pleasing smile is obtained with proper interdigitation of occlusion. 







Comments

  1. RobertNelsonFebruary 4, 2022 at 5:37 PM

    Very informative and impressive post you have written, this is quite interesting and i have went through it completely, an upgraded information is shared, keep sharing such valuable information. Orthodontist hwy 280

    ReplyDelete

Post a Comment

Popular posts from this blog

Orthodontic treatment of Class I malocclusion with highly placed canines, severe crowding, rotations in upper anterior - 10

-
Image
    Diagnosis:     A female patient came with the chief complain of irregularly placed upper and lower front teeth. The extraoral examination reveals mesoprosopic faceform, mesoocephalic headform, straight profile, competent lips, average nasolabial angle. The intraoral examination shows Class I molar relation, Class I canine relation  with severe crowding in upper & lower anterior teeth, highly placed upper canines, overretained teeth in upper right & left 2nd deciduous molar, severe rotations present in upper central incisors. Diagnosis is Angle's Class I malocclusion with highly placed canines & severe crowding. Treatment Objectives:  To correct crowding in upper & lower anterior teeth To level & align highly placed canines To correct rotations of upper central incisors To achieve ideal overjet and overbite To correct smile Treatment Plan:  Extraction irt 55,65  Leveling and alignment  Inter-proximal reduction  Finishing and detailing Treatment Progress:    
Read more

What is the right age of Orthodontic Treatment?

-
Image
The answer is: it depends!  There are several factors that should taken into consideration before making a decision to start orthodontic treatment.  But before we get into that, there are three important things you should know: 1. Permanent teeth start growing around 6 years of age The first permanent teeth to grow are the first molars which grow behind the very last milk molar tooth. Central incisors (front teeth) are the first teeth to replace the milk teeth. 2. It takes around 5-6 years to complete the transition from milk teeth to permanent teeth Most children get their full set of permanent teeth around age 12-13 years. 3. A child's age is not always an accurate indicator of dental development This means that some children develop and grow their teeth quickly while others do not. There are a variety of causes for delayed dental development and in most cases they are not given an importance and concern as long as permanent teeth grow eventually. Every child should be seen by a
Read more

Dental Services

-
Image
Braces:      A dental brace is a device used to correct the alignment of teeth and bite-related problems (including underbite, overbite, etc.). Braces straighten teeth by exerting steady pressure on the teeth. Bridges and Implants:      Bridges and implants are two ways to replace a missing tooth or teeth. Bridges are false teeth anchored in place by neighbouring teeth. The bridge consists of two crowns on the anchoring teeth along with the false tooth in the centre. Dental implants are artificial roots used to support replacement teeth. Crowns and Caps:      A crown or cap is a cover that fits over a tooth that has been damaged by decay, broken, badly stained or mis-shaped. It is prepared by your dentist, and usually requires more than one visit to complete.      A crown can be made of acrylic, metal, porcelain, or porcelain bonded to metal. All-porcelain crowns look more like your natural teeth, and therefore are usually used for front teeth, while porcelain bonded to metal is str
Read more